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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG

1 31-12-2019 100718011219P004363 0000791216605 SITI P PBI (APBN) Viral infection, unspecified Sembuh

2 30-12-2019 100718011219P004331 0001964178527 H. BAI SUHANA L PEKERJA MANDIRI Mononeuropathies of Rujuk Vertikal
lower limb
3 29-12-2019 100718011219P004381 0001729688477 HERNI P PEKERJA MANDIRI Acute sinusitis, Sembuh
unspecified
4 28-12-2019 100718011219P004330 0000791261605 M JABRUL LUBIS L PBI (APBN) Purpura and other Rujuk Vertikal
haemorrhagic conditions
5 28-12-2019 100718011219P004329 0002442870641 DARMA L PEKERJA MANDIRI Neoplasm of uncertain or Rujuk Vertikal
unknown behaviour of
other and unspecified sites

6 27-12-2019 100718011219P004328 0001596838871 SADIAH P PBI (APBD) Maternal care for breech Rujuk Vertikal
presentation
7 27-12-2019 100718011219P004326 0001900800426 SUPYANI L PNS DAERAH Other and unspecified Rujuk Vertikal
abdominal pain
8 27-12-2019 100718011219P004327 0002647224099 ADAH ROSADAH P PBI (APBN) Pre-existing hypertension Rujuk Vertikal
complicating pregnancy,
childbirth and the
puerperium
9 24-12-2019 100718011219P003626 0000791091009 MARKI L PBI (APBN) Pleural effusion, not Rujuk Vertikal
elsewhere classified
10 24-12-2019 100718011219P004364 0001992272308 API'AH P PBI (APBN) Stroke, not specified as Sembuh
haemorrhage or infarction
11 24-12-2019 100718011219P004367 0002687769641 TARMAN L PBI (APBD) Other and unspecified Sembuh
abdominal pain
12 23-12-2019 100718011219P004366 0000790717656 AMSIR L PBI (APBN) Essential (primary) Sembuh
hypertension
13 23-12-2019 100718011219P004210 0000790808602 M SUPIHARJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
14 23-12-2019 100718011219P004207 0000790809974 SITI AISAH P PBI (APBN) Cough Berobat Jalan

15 23-12-2019 100718011219P004370 0000791091009 MARKI L PBI (APBN) Pleural effusion, not Pulang Paksa
elsewhere classified
16 23-12-2019 100718011219P003302 0002088606172 NENG WULANDARI P PEKERJA MANDIRI Chronic sinusitis Rujuk Vertikal

17 23-12-2019 100718011219P003294 0002647221333 SOPIAN L PBI (APBN) Gangrene, not elsewhere Rujuk Vertikal
classified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

18 23-12-2019 100718011219P004204 0002687047896 SITI NURHALIMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
19 23-12-2019 100718011219P003249 0002687622333 E AGNI L PBI (APBD) Placenta praevia Rujuk Vertikal

20 22-12-2019 100718011219P004369 0001596886637 NURHASAN L PBI (APBD) Congestive heart failure Pulang Paksa

21 22-12-2019 100718011219P004365 0002687607685 SARIKAM L PBI (APBD) Intentional self-poisoning Sembuh


by and exposure to
pesticides
22 21-12-2019 100718011219P004229 0000790690454 IDAH P PBI (APBN) Dyspepsia Berobat Jalan

23 21-12-2019 100718011219P002869 0001596840592 HERDIANA L PBI (APBD) Dyspepsia Berobat Jalan

24 21-12-2019 100718011219P002871 0001596840614 M MILANOVIC L PBI (APBD) Cough Berobat Jalan

25 21-12-2019 100718011219P004225 0001992375055 KOYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
26 21-12-2019 100718011219P004227 0002629018484 IKSAN NURROMDONI L PBI (APBN) Cough Berobat Jalan

27 21-12-2019 100718011219P004223 0002687608067 SAPIRA AGUSTIAN P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
28 20-12-2019 100718011219P002342 0000046680041 SUHAEDI L PNS DAERAH Pleural effusion, not Rujuk Vertikal
elsewhere classified
29 20-12-2019 100718011219P002643 0000159560842 HOLISOH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
30 20-12-2019 100718011219P002651 0000790567121 SOPIAH P PBI (APBN) Cough Berobat Jalan

31 20-12-2019 100718011219P002649 0000790934422 LENA P PBI (APBN) Cough Berobat Jalan

32 20-12-2019 100718011219P002648 0000790936402 LUKMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
33 20-12-2019 100718011219P002645 0000791024264 SUMINAH P PBI (APBN) Cough Berobat Jalan

34 20-12-2019 100718011219P002647 0000791024365 TONI L PBI (APBN) Cough Berobat Jalan

35 20-12-2019 100718011219P002652 0000791034006 FEBRIAN SOFYAN L PBI (APBN) Cough Berobat Jalan

36 20-12-2019 100718011219P002655 0000791261583 NURHAYAH P PBI (APBN) Dyspepsia Berobat Jalan

37 20-12-2019 100718011219P002654 0000791261605 M JABRUL LUBIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

38 20-12-2019 100718011219P002601 0000791473533 AAS P PBI (APBN) Pleural effusion, not Rujuk Vertikal
elsewhere classified
39 20-12-2019 100718011219P002585 0001599608722 ASEP SETIAWAN L PBI (APBD) Other viral haemorrhagic Rujuk Vertikal
fevers, not elsewhere
classified
40 20-12-2019 100718011219P002646 0001992256604 RAMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
41 20-12-2019 100718011219P002644 0001999816233 SUHAEMI P PBI (APBN) Dyspepsia Berobat Jalan

42 20-12-2019 100718011219P002341 0002647222119 ROSADI L PBI (APBN) Heart failure Rujuk Vertikal

43 20-12-2019 100718011219P002650 0002687046939 SITI ALIYAH P PBI (APBD) Cough Berobat Jalan

44 20-12-2019 100718011219P002642 0002687557645 EMANUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
45 19-12-2019 100718011219P004239 0000790168814 SACI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
46 19-12-2019 100718011219P004237 0000791018458 ROMLAH P PBI (APBN) Cough Berobat Jalan

47 19-12-2019 100718011219P004234 0000791020258 RENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
48 19-12-2019 100718011219P001941 0001078097883 DEWI SOPIATI P PNS PUSAT Thyrotoxicosis Rujuk Vertikal
[hyperthyroidism]
49 19-12-2019 100718011219P004238 0002592715959 YAYAT SUGIARTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
50 19-12-2019 100718011219P004385 0002629745357 CARWAN L PBI (APBN) Other bacterial intestinal Pulang Paksa
infections
51 18-12-2019 100718011219P001145 0000790214793 JASMIN L PBI (APBN) Cataract, unspecified Rujuk Vertikal

52 18-12-2019 100718011219P001651 0000790403826 JEJEN KASDIANA L PBI (APBN) Other neoplasms of Rujuk Vertikal
uncertain or unknown
behaviour of lymphoid,
haematopoietic and
related tissue
53 18-12-2019 100718011219P004246 0000790610141 UNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
54 18-12-2019 100718011219P004250 0000790611107 ERUM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

55 18-12-2019 100718011219P004252 0000791305457 JUJU JUARSIH P PBI (APBN) Cough Berobat Jalan

56 18-12-2019 100718011219P004242 0001596942821 NYAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
57 18-12-2019 100718011219P004244 0001599607743 MUHAMAD FIKRI RACHMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
58 18-12-2019 100718011219P001214 0001886318594 jarni P PEKERJA MANDIRI Other cataract Rujuk Vertikal

59 18-12-2019 100718011219P004254 0002274981568 KOMARIAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

60 18-12-2019 100718011219P004368 0002642955232 HINDUN P PBI (APBN) Dengue haemorrhagic Pulang Paksa
fever
61 18-12-2019 100718011219P004248 0002647221309 JATIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
62 18-12-2019 100718011219P004241 0002687578931 JASMIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
63 17-12-2019 100718011219P004243 0000046475908 EMEN KHUSNIAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
64 17-12-2019 100718011219P003123 0000046678948 ENENG HASANAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
65 17-12-2019 100718011219P004257 0000352350448 ALDI ALFIANSYAH L PBI (APBN) Cough Berobat Jalan

66 17-12-2019 100718011219P002991 0000789194136 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
67 17-12-2019 100718011219P002992 0000789194564 RATMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
68 17-12-2019 100718011219P003258 0000789431804 NURHAYATI P PBI (APBN) Myalgia Berobat Jalan

69 17-12-2019 100718011219P003259 0000789433558 NISA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
70 17-12-2019 100718011219P003920 0000789434684 APIP L PBI (APBN) Gastritis, unspecified Berobat Jalan

71 17-12-2019 100718011219P003921 0000789435009 NASRULLAH L PBI (APBN) Cough Berobat Jalan

72 17-12-2019 100718011219P003924 0000789435483 SANIKAR L PBI (APBN) Cough Berobat Jalan

73 17-12-2019 100718011219P003926 0000789435516 ADE ENAH P PBI (APBN) Viral infection, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

74 17-12-2019 100718011219P003928 0000789437226 RATMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
75 17-12-2019 100718011219P003930 0000789437575 NINA P PBI (APBN) Acute amoebic dysentery Berobat Jalan

76 17-12-2019 100718011219P003933 0000789438115 REZA L PBI (APBN) Cough Berobat Jalan

77 17-12-2019 100718011219P003935 0000789439004 RESTI P PBI (APBN) Gastritis, unspecified Berobat Jalan

78 17-12-2019 100718011219P003124 0000789439015 ARMIN L PBI (APBN) Cough Berobat Jalan

79 17-12-2019 100718011219P003937 0000789440455 RUKIAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

80 17-12-2019 100718011219P003939 0000789440916 ARISKA P PBI (APBN) Cough Berobat Jalan

81 17-12-2019 100718011219P003941 0000789441491 RIDWAN L PBI (APBN) Viral infection, unspecified Berobat Jalan

82 17-12-2019 100718011219P003943 0000789443245 YUDI L PBI (APBN) Cough Berobat Jalan

83 17-12-2019 100718011219P002993 0000789444617 MASRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
84 17-12-2019 100718011219P002994 0000789444674 ESIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
85 17-12-2019 100718011219P002995 0000789445282 JAJAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
86 17-12-2019 100718011219P003023 0000789445539 ROSIH P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
87 17-12-2019 100718011219P003945 0000789445721 LARAS P PBI (APBN) Cough Berobat Jalan

88 17-12-2019 100718011219P003947 0000789446417 ENENG P PBI (APBN) Viral infection, unspecified Berobat Jalan

89 17-12-2019 100718011219P003949 0000789446441 AHMAD SOPIAN SAURI L PBI (APBN) Cough Berobat Jalan

90 17-12-2019 100718011219P003952 0000789447194 NAHRAWI L PBI (APBN) Viral infection, unspecified Berobat Jalan

91 17-12-2019 100718011219P003954 0000789447418 RASWATI P PBI (APBN) Cough Berobat Jalan

92 17-12-2019 100718011219P003956 0000789448509 NABILA P PBI (APBN) Cough Berobat Jalan

93 17-12-2019 100718011219P003125 0000789452357 ARSIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
94 17-12-2019 100718011219P003126 0000789456947 SAHIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

95 17-12-2019 100718011219P003127 0000789457061 MISDAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
96 17-12-2019 100718011219P003128 0000789459366 LELA P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
97 17-12-2019 100718011219P003131 0000789461605 SUPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
98 17-12-2019 100718011219P003958 0000789463135 SARMUNAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

99 17-12-2019 100718011219P003960 0000789466285 FURKON L PBI (APBN) Cough Berobat Jalan

100 17-12-2019 100718011219P003962 0000789466465 ASTI P PBI (APBN) Cough Berobat Jalan

101 17-12-2019 100718011219P003964 0000789473665 SITI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

102 17-12-2019 100718011219P003966 0000789474069 MUHANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

103 17-12-2019 100718011219P003261 0000789476736 PUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
104 17-12-2019 100718011219P003268 0000789476758 HENI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

105 17-12-2019 100718011219P003270 0000789477412 JUNED L PBI (APBN) Cough Berobat Jalan

106 17-12-2019 100718011219P003272 0000789477434 SREH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
107 17-12-2019 100718011219P003275 0000789479111 ARYANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
108 17-12-2019 100718011219P003277 0000789482079 SANDI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
109 17-12-2019 100718011219P003132 0000789483069 RAPI L PBI (APBN) Cough Berobat Jalan

110 17-12-2019 100718011219P003133 0000789483734 HENDRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
111 17-12-2019 100718011219P003313 0000789491204 JUMI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

112 17-12-2019 100718011219P003314 0000789492565 SAMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
113 17-12-2019 100718011219P003315 0000789496143 ASJUR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

114 17-12-2019 100718011219P003316 0000789497965 LITA P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
115 17-12-2019 100718011219P003317 0000789500081 SACA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
116 17-12-2019 100718011219P003318 0000789500406 KUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
117 17-12-2019 100718011219P003319 0000789501249 SURNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
118 17-12-2019 100718011219P003320 0000789502386 SARJA L PBI (APBN) Cough Berobat Jalan

119 17-12-2019 100718011219P003321 0000789505751 SARJAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
120 17-12-2019 100718011219P003322 0000789506616 JUNARIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
121 17-12-2019 100718011219P003341 0000789507393 ANTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
122 17-12-2019 100718011219P003343 0000789508113 MARSUK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
123 17-12-2019 100718011219P003345 0000789509226 UDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
124 17-12-2019 100718011219P003347 0000789520432 AMIR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
125 17-12-2019 100718011219P003348 0000789520724 WARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
126 17-12-2019 100718011219P003440 0000789520814 WARSITA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
127 17-12-2019 100718011219P003441 0000789521398 WARDI L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
128 17-12-2019 100718011219P003442 0000789521646 ENOH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

129 17-12-2019 100718011219P003443 0000789522985 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
130 17-12-2019 100718011219P003444 0000789523097 MARSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
131 17-12-2019 100718011219P003749 0000789528655 SUMANTA L PBI (APBN) Cough Berobat Jalan

132 17-12-2019 100718011219P003752 0000789528993 NURHAYATI P PBI (APBN) Cough Berobat Jalan

133 17-12-2019 100718011219P003134 0000789533684 MAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
134 17-12-2019 100718011219P003135 0000789535732 IPKA P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
135 17-12-2019 100718011219P003136 0000789537587 ASPAKA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
136 17-12-2019 100718011219P003137 0000789537745 ARSINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
137 17-12-2019 100718011219P003138 0000789537857 ARMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
138 17-12-2019 100718011219P003139 0000789538421 SATRI L PBI (APBN) Cough Berobat Jalan

139 17-12-2019 100718011219P003140 0000789541468 RAWI P PBI (APBN) Cough Berobat Jalan

140 17-12-2019 100718011219P003141 0000789542021 NURMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
141 17-12-2019 100718011219P003142 0000789542864 A. RIZKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
142 17-12-2019 100718011219P003143 0000789548455 WASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
143 17-12-2019 100718011219P003159 0000789548488 KARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
144 17-12-2019 100718011219P003161 0000789550301 DEMON L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
145 17-12-2019 100718011219P003167 0000789550817 NIA P PBI (APBN) Nausea and vomiting Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

146 17-12-2019 100718011219P003171 0000789550863 TUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
147 17-12-2019 100718011219P003024 0000790018773 SANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
148 17-12-2019 100718011219P003756 0000790092944 SURI L PBI (APBN) Cough Berobat Jalan

149 17-12-2019 100718011219P003968 0000790172447 JAKIM L PBI (APBN) Cough Berobat Jalan

150 17-12-2019 100718011219P003970 0000790172526 ANIMAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

151 17-12-2019 100718011219P003973 0000790174945 MISNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
152 17-12-2019 100718011219P003760 0000790195094 UCIN L PBI (APBN) Cough Berobat Jalan

153 17-12-2019 100718011219P003763 0000790195465 JARNAH P PBI (APBN) Cough Berobat Jalan

154 17-12-2019 100718011219P003870 0000790202766 EMAN L PBI (APBN) Cough Berobat Jalan

155 17-12-2019 100718011219P003975 0000790211676 JUNA L PBI (APBN) Gastritis, unspecified Berobat Jalan

156 17-12-2019 100718011219P003977 0000790211834 ENAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

157 17-12-2019 100718011219P004258 0000790213151 NENG SUHARTINI P PBI (APBN) Dyspepsia Berobat Jalan

158 17-12-2019 100718011219P003173 0000790216659 YEYET P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
159 17-12-2019 100718011219P004212 0000790238349 ADE L PBI (APBN) Dyspepsia Berobat Jalan

160 17-12-2019 100718011219P004382 0000790403826 JEJEN KASDIANA L PBI (APBN) Fever, unspecified Pulang Paksa

161 17-12-2019 100718011219P003025 0000790469267 LAHURI L PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
162 17-12-2019 100718011219P003979 0000790479178 APUD L PBI (APBN) Cough Berobat Jalan

163 17-12-2019 100718011219P003981 0000790479549 ROSIH P PBI (APBN) Cough Berobat Jalan

164 17-12-2019 100718011219P003026 0000790486863 RINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
165 17-12-2019 100718011219P003027 0000790504648 KARMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

166 17-12-2019 100718011219P003028 0000790506009 KASNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
167 17-12-2019 100718011219P003029 0000790506112 TISNA L PBI (APBN) Fever of other and Berobat Jalan
unknown origin
168 17-12-2019 100718011219P003030 0000790506202 INO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
169 17-12-2019 100718011219P003983 0000790549571 SABRONI L PBI (APBN) Gastritis, unspecified Berobat Jalan

170 17-12-2019 100718011219P003985 0000790551843 ILHAM L PBI (APBN) Cough Berobat Jalan

171 17-12-2019 100718011219P003986 0000790563183 SUKEDAH P PBI (APBN) Cough Berobat Jalan

172 17-12-2019 100718011219P003871 0000790571259 SARMIN L PBI (APBN) Cough Berobat Jalan

173 17-12-2019 100718011219P004200 0000790573858 DETIP P PBI (APBN) Cough Berobat Jalan

174 17-12-2019 100718011219P003990 0000790578459 WATI P PBI (APBN) Cough Berobat Jalan

175 17-12-2019 100718011219P004051 0000790578483 ETIN P PBI (APBN) Acute amoebic dysentery Berobat Jalan

176 17-12-2019 100718011219P004056 0000790581442 UJANG T L PBI (APBN) Viral infection, unspecified Berobat Jalan

177 17-12-2019 100718011219P004059 0000790582083 RASIMAH P PBI (APBN) Cough Berobat Jalan

178 17-12-2019 100718011219P003872 0000790584131 ADMAN L PBI (APBN) Cough Berobat Jalan

179 17-12-2019 100718011219P003873 0000790584208 DARSIH P PBI (APBN) Cough Berobat Jalan

180 17-12-2019 100718011219P004066 0000790585479 JAYA L PBI (APBN) Gastritis, unspecified Berobat Jalan

181 17-12-2019 100718011219P003874 0000790586043 KANA L PBI (APBN) Cough Berobat Jalan

182 17-12-2019 100718011219P004067 0000790605663 IJAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

183 17-12-2019 100718011219P004068 0000790613122 ARINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

184 17-12-2019 100718011219P004069 0000790613313 EPUL L PBI (APBN) Cough Berobat Jalan

185 17-12-2019 100718011219P004070 0000790613741 SALBIAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

186 17-12-2019 100718011219P004071 0000790632202 AMI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

187 17-12-2019 100718011219P004072 0000790638614 JAMSIAH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
188 17-12-2019 100718011219P004073 0000790639007 IDA P PBI (APBN) Cough Berobat Jalan

189 17-12-2019 100718011219P003875 0000790661913 WIRTA L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

190 17-12-2019 100718011219P004294 0000790674074 NATI P PBI (APBN) Dyspepsia Berobat Jalan Hipertensi

191 17-12-2019 100718011219P004074 0000790682679 SOIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
192 17-12-2019 100718011219P004075 0000790683107 IYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
193 17-12-2019 100718011219P003876 0000790692715 SAENI P PBI (APBN) Cough Berobat Jalan

194 17-12-2019 100718011219P003877 0000790692816 RIZAL L PBI (APBN) Cough Berobat Jalan

195 17-12-2019 100718011219P004293 0000790700962 JUMSIH P PBI (APBN) Dyspepsia Berobat Jalan

196 17-12-2019 100718011219P000847 0000790708803 MUNAH P PBI (APBN) Insulin-dependent Berobat Jalan Diabetes
diabetes mellitus with Mellitus
other specified Hipertensi
complications
197 17-12-2019 100718011219P004076 0000790731538 ABDUROHMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

198 17-12-2019 100718011219P003878 0000790732541 KANAH P PBI (APBN) Cough Berobat Jalan

199 17-12-2019 100718011219P004077 0000790734666 ENDANG L PBI (APBN) Cough Berobat Jalan

200 17-12-2019 100718011219P004078 0000790734914 SUMARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
201 17-12-2019 100718011219P004079 0000790735386 DESI ARNITA P PBI (APBN) Viral infection, unspecified Berobat Jalan

202 17-12-2019 100718011219P004080 0000790735691 SITI ZAHROTUSITA P PBI (APBN) Cough Berobat Jalan

203 17-12-2019 100718011219P004081 0000790749325 MUHAMAD L PBI (APBN) Viral infection, unspecified Berobat Jalan

204 17-12-2019 100718011219P004082 0000790758224 HERU L PBI (APBN) Cough Berobat Jalan

205 17-12-2019 100718011219P003879 0000790762184 SADIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
206 17-12-2019 100718011219P003880 0000790762983 MARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
207 17-12-2019 100718011219P003881 0000790763231 MASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
208 17-12-2019 100718011219P004083 0000790783389 SARMIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

209 17-12-2019 100718011219P004084 0000790783953 EPI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
210 17-12-2019 100718011219P003882 0000790784379 ENGKOS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
211 17-12-2019 100718011219P003883 0000790785213 DARCI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
212 17-12-2019 100718011219P003884 0000790787463 NASLI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
213 17-12-2019 100718011219P003885 0000790787766 LAENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
214 17-12-2019 100718011219P004085 0000790807566 SUMINTA L PBI (APBN) Gastritis, unspecified Berobat Jalan

215 17-12-2019 100718011219P003886 0000790819817 KIMONG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
216 17-12-2019 100718011219P003887 0000790820109 SARMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
217 17-12-2019 100718011219P003888 0000790821281 MUHAMAD SOHRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
218 17-12-2019 100718011219P004086 0000790824363 SUANTA L PBI (APBN) Viral infection, unspecified Berobat Jalan

219 17-12-2019 100718011219P004087 0000790824565 MASKAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

220 17-12-2019 100718011219P004088 0000790830821 PUDIN L PBI (APBN) Cough Berobat Jalan

221 17-12-2019 100718011219P004089 0000790831451 SARWITI P PBI (APBN) Gastritis, unspecified Berobat Jalan

222 17-12-2019 100718011219P003889 0000790848369 UJEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
223 17-12-2019 100718011219P003890 0000790849078 IYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
224 17-12-2019 100718011219P003891 0000790849359 MILA P PBI (APBN) Acute amoebic dysentery Berobat Jalan

225 17-12-2019 100718011219P004259 0000790857819 AMANA L PBI (APBN) Cough Berobat Jalan

226 17-12-2019 100718011219P004202 0000790871231 RISMAWATI DEWI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

227 17-12-2019 100718011219P004260 0000790912631 RIPDA JULFIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
228 17-12-2019 100718011219P004261 0000790919302 ENAH P PBI (APBN) Cough Berobat Jalan

229 17-12-2019 100718011219P003177 0000790949305 SANURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
230 17-12-2019 100718011219P004214 0000791102812 RUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
231 17-12-2019 100718011219P003892 0000791102979 NINING P PBI (APBN) Acute amoebic dysentery Berobat Jalan

232 17-12-2019 100718011219P004215 0000791103374 WAWAN L PBI (APBN) Cough Berobat Jalan

233 17-12-2019 100718011219P004218 0000791103655 PARMAN L PBI (APBN) Cough Berobat Jalan

234 17-12-2019 100718011219P004233 0000791103745 ARSIAH P PBI (APBN) Cough Berobat Jalan

235 17-12-2019 100718011219P004090 0000791108267 WATI P PBI (APBN) Cough Berobat Jalan

236 17-12-2019 100718011219P004091 0000791108616 ROHMAN L PBI (APBN) Viral infection, unspecified Berobat Jalan

237 17-12-2019 100718011219P003179 0000791110449 DARCI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
238 17-12-2019 100718011219P004236 0000791133726 ARINAH P PBI (APBN) Dyspepsia Berobat Jalan

239 17-12-2019 100718011219P004240 0000791134683 JAYA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
240 17-12-2019 100718011219P003031 0000791198368 OTIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
241 17-12-2019 100718011219P003032 0000791219801 RUKMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
242 17-12-2019 100718011219P004191 0000791477291 ARNESIH P PBI (APBN) Dyspepsia Berobat Jalan

243 17-12-2019 100718011219P004206 0000791495583 SUHAYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
244 17-12-2019 100718011219P004208 0000791545588 MASJEN L PBI (APBN) Cough Berobat Jalan

245 17-12-2019 100718011219P003181 0000791548727 SANTINI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

246 17-12-2019 100718011219P004092 0000791559426 MOH ALAMSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
247 17-12-2019 100718011219P004093 0000791559977 ANITA LESTARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
248 17-12-2019 100718011219P003183 0000791579946 SUTISNA L PBI (APBN) Cough Berobat Jalan

249 17-12-2019 100718011219P003893 0000791586551 JUNAESIH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

250 17-12-2019 100718011219P003894 0000791587192 JARIAN L PBI (APBN) Acute amoebic dysentery Berobat Jalan

251 17-12-2019 100718011219P003186 0000791613977 ANI P PBI (APBN) Cough Berobat Jalan

252 17-12-2019 100718011219P003102 0000791633496 SADAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
253 17-12-2019 100718011219P003103 0000791633529 IDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
254 17-12-2019 100718011219P003104 0000791637467 ADUB L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
255 17-12-2019 100718011219P003105 0000791637579 SURNIAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
256 17-12-2019 100718011219P003195 0000791651709 ALI L PBI (APBN) Cough Berobat Jalan

257 17-12-2019 100718011219P004195 0000791666807 JARANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
258 17-12-2019 100718011219P003197 0001050376419 LATIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
259 17-12-2019 100718011219P003199 0001050376421 HAJE P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
260 17-12-2019 100718011219P003202 0001050376454 SITI MARWAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

261 17-12-2019 100718011219P003204 0001050376689 MAHMUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
262 17-12-2019 100718011219P003206 0001050376713 ENJEL P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

263 17-12-2019 100718011219P003208 0001050376724 NAJWA P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
264 17-12-2019 100718011219P003210 0001050376858 WATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
265 17-12-2019 100718011219P003895 0001050378761 IMAS P PBI (APBN) Acute amoebic dysentery Berobat Jalan

266 17-12-2019 100718011219P003897 0001050378941 TINI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

267 17-12-2019 100718011219P003899 0001050378952 NASRIL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
268 17-12-2019 100718011219P003901 0001050378963 KOKOM P PBI (APBN) Gastritis, unspecified Berobat Jalan

269 17-12-2019 100718011219P003903 0001050379086 SODIK L PBI (APBN) Gastritis, unspecified Berobat Jalan

270 17-12-2019 100718011219P003905 0001050379097 JUNAENAH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

271 17-12-2019 100718011219P004198 0001089225145 MARYAMAH P PNS DAERAH Dyspepsia Berobat Jalan

272 17-12-2019 100718011219P003106 0001919270744 RIBUT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
273 17-12-2019 100718011219P003213 0001919412191 ANNISA P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
274 17-12-2019 100718011219P003214 0001919412527 REPSI L PBI (APBN) Cough Berobat Jalan

275 17-12-2019 100718011219P003227 0001919412549 ANDRE .R L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
276 17-12-2019 100718011219P003908 0001919413236 YOGA APANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
277 17-12-2019 100718011219P004094 0001919463794 RIZIK L PBI (APBN) Cough Berobat Jalan

278 17-12-2019 100718011219P004245 0001980248826 EROS P PBI (APBN) Cough Berobat Jalan

279 17-12-2019 100718011219P003107 0001981856327 SAHRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
280 17-12-2019 100718011219P003108 0001982493718 SAKRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
281 17-12-2019 100718011219P003229 0001982595666 YAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

282 17-12-2019 100718011219P003109 0001982596239 UWIN P PBI (APBN) Cough Berobat Jalan

283 17-12-2019 100718011219P003231 0001982819272 SITI FADILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
284 17-12-2019 100718011219P003110 0001992140537 SUMINAH P PBI (APBN) Cough Berobat Jalan

285 17-12-2019 100718011219P004247 0001992186191 TIO L PBI (APBN) Cough Berobat Jalan

286 17-12-2019 100718011219P003111 0001992187585 ASIM L PBI (APBN) Cough Berobat Jalan

287 17-12-2019 100718011219P003112 0001992187765 HALIMI L PBI (APBN) Cough Berobat Jalan

288 17-12-2019 100718011219P004249 0001992189058 IRMA P PBI (APBN) Cough Berobat Jalan

289 17-12-2019 100718011219P003113 0001992222742 SITI SALWA P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
290 17-12-2019 100718011219P003232 0001992224261 SOPIAN L PBI (APBN) Cough Berobat Jalan

291 17-12-2019 100718011219P004251 0001992254286 TAMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
292 17-12-2019 100718011219P003114 0001992268258 IMANURUDIN L PBI (APBN) Cough Berobat Jalan

293 17-12-2019 100718011219P003234 0001992276538 NURI INDAH SARI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
294 17-12-2019 100718011219P003910 0001992280026 ILASARI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

295 17-12-2019 100718011219P003115 0001992285639 NURHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
296 17-12-2019 100718011219P003242 0001992314439 SUHERNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
297 17-12-2019 100718011219P003116 0001992347998 RIAN SAPUTRA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

298 17-12-2019 100718011219P004253 0001992375145 SITI MAESAROH P PBI (APBN) Cough Berobat Jalan

299 17-12-2019 100718011219P004255 0001992376023 INDRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
300 17-12-2019 100718011219P003244 0001992376484 AGUNG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

301 17-12-2019 100718011219P004256 0001992390129 SARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
302 17-12-2019 100718011219P003117 0001992396205 RIZAL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
303 17-12-2019 100718011219P003118 0001992411911 SAENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
304 17-12-2019 100718011219P003246 0001992437447 JAMHARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
305 17-12-2019 100718011219P003248 0001992448157 ISNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
306 17-12-2019 100718011219P003912 0001992456944 INDRA NATAKUSUMA P PBI (APBN) Dyspepsia Berobat Jalan

307 17-12-2019 100718011219P003119 0001992457866 NOVA VIOLINA AZZAHRA P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
308 17-12-2019 100718011219P003120 0001992462366 WAHYU L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

309 17-12-2019 100718011219P003250 0001992463165 DESI HERLINA DEWI P PBI (APBN) Fever of other and Berobat Jalan
unknown origin
310 17-12-2019 100718011219P003121 0001992515152 AESAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
311 17-12-2019 100718011219P003251 0001992542534 RISMA RAHAYU P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
312 17-12-2019 100718011219P003252 0001992559814 YAYAT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
313 17-12-2019 100718011219P003253 0001992561276 DARMAYANTI P PBI (APBN) Cough Berobat Jalan

314 17-12-2019 100718011219P003122 0001992563471 ACENG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
315 17-12-2019 100718011219P003254 0001992605848 WARCIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

316 17-12-2019 100718011219P003255 0001992677747 IPAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
317 17-12-2019 100718011219P003256 0001994054804 YOGI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
318 17-12-2019 100718011219P003915 0001999848295 SAMONG L PBI (APBN) Viral infection, unspecified Berobat Jalan

319 17-12-2019 100718011219P004189 0002000592786 JUHA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
320 17-12-2019 100718011219P003257 0002256461076 HIKAM HUJAYVA L PNS DAERAH Influenza due to other Berobat Jalan
identified influenza virus
321 17-12-2019 100718011219P004292 0002641912751 KAYAH P PBI (APBN) Influenza due to other Berobat Jalan
identified influenza virus
322 17-12-2019 100718011219P000809 0002687595963 SUPARDI L PBI (APBD) Bacterial meningitis, not Rujuk Vertikal
elsewhere classified
323 17-12-2019 100718011219P000799 0002687622276 JOHARUDIN L PBI (APBD) Inguinal hernia Rujuk Vertikal

324 17-12-2019 100718011219P003917 0002751455259 KHAILA LAZUFA AZAHRA P PBI (APBN) Cough Berobat Jalan

325 16-12-2019 100718011219P003976 0000046289744 JAZULI L PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
326 16-12-2019 100718011219P003755 0000046319938 YETI RUHIYATI P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
327 16-12-2019 100718011219P003757 0000046381476 ASEP SAEPUL BAHRI L PNS DAERAH Cough Berobat Jalan

328 16-12-2019 100718011219P003759 0000046391229 KARTI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
329 16-12-2019 100718011219P003761 0000046678656 AMSORI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
330 16-12-2019 100718011219P003764 0000046678858 BALYA,SS L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
331 16-12-2019 100718011219P004184 0000046678959 AS'ARI L PNS DAERAH Dyspepsia Berobat Jalan

332 16-12-2019 100718011219P003978 0000046711383 LELAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

333 16-12-2019 100718011219P003803 0000079005813 DEVI DWI MUTIARANI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
334 16-12-2019 100718011219P003980 0000105382438 WIWIK NURHENI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
335 16-12-2019 100718011219P004187 0000789191785 PENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
336 16-12-2019 100718011219P004190 0000789192404 NASIH P PBI (APBN) Dyspepsia Berobat Jalan

337 16-12-2019 100718011219P004192 0000789192876 DIKI PERMANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
338 16-12-2019 100718011219P004196 0000789192988 DIANA MAHARANI P P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
339 16-12-2019 100718011219P003982 0000789194687 WATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
340 16-12-2019 100718011219P004110 0000789197444 RUYANI L PBI (APBN) Cough Berobat Jalan

341 16-12-2019 100718011219P004111 0000789199007 SANURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
342 16-12-2019 100718011219P004112 0000789199064 ANGGA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
343 16-12-2019 100718011219P004113 0000789200335 ARINI P PBI (APBN) Cough Berobat Jalan

344 16-12-2019 100718011219P004114 0000789200537 PULUNG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
345 16-12-2019 100718011219P004115 0000789202078 MASRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
346 16-12-2019 100718011219P004116 0000789202844 SITI UTAMI HADININGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
347 16-12-2019 100718011219P004117 0000789202912 M HARDI YANSYAH FAUZI L PBI (APBN) Cough Berobat Jalan

348 16-12-2019 100718011219P004026 0000789204238 ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

349 16-12-2019 100718011219P004027 0000789204576 SAHRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
350 16-12-2019 100718011219P004028 0000789206275 UDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
351 16-12-2019 100718011219P004118 0000789487468 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
352 16-12-2019 100718011219P004119 0000789489584 SAPTUR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
353 16-12-2019 100718011219P004120 0000789490416 ARMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
354 16-12-2019 100718011219P004121 0000789490449 ANTON L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
355 16-12-2019 100718011219P003804 0000789502781 BAI P PBI (APBN) Cough Berobat Jalan

356 16-12-2019 100718011219P004122 0000789509946 JUHA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
357 16-12-2019 100718011219P004123 0000789510723 SANUSI L PBI (APBN) Cough Berobat Jalan

358 16-12-2019 100718011219P004124 0000789510813 URIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
359 16-12-2019 100718011219P004125 0000789510936 UNANG L PBI (APBN) Cough Berobat Jalan

360 16-12-2019 100718011219P004126 0000789544034 RODIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
361 16-12-2019 100718011219P004127 0000789544743 RINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
362 16-12-2019 100718011219P004128 0000789545261 ARTIKA DWI HIKMATUNISA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
363 16-12-2019 100718011219P004129 0000789546385 DANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
364 16-12-2019 100718011219P004130 0000789547601 JUMA L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

365 16-12-2019 100718011219P003805 0000789941632 SOLEMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
366 16-12-2019 100718011219P003806 0000790111653 SANAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
367 16-12-2019 100718011219P003807 0000790111989 SITI MASITOH P PBI (APBN) Cough Berobat Jalan

368 16-12-2019 100718011219P003984 0000790173685 KHOLIK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
369 16-12-2019 100718011219P004029 0000790181346 SUMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
370 16-12-2019 100718011219P004030 0000790188153 YAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
371 16-12-2019 100718011219P003808 0000790192091 INTAN P PBI (APBN) Cough Berobat Jalan

372 16-12-2019 100718011219P004131 0000790238935 ROHIM L PBI (APBN) Dyspepsia Berobat Jalan

373 16-12-2019 100718011219P004132 0000790239385 SUKARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
374 16-12-2019 100718011219P004031 0000790240162 ROFIK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
375 16-12-2019 100718011219P004032 0000790242041 SAHRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
376 16-12-2019 100718011219P004033 0000790242941 JARNASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
377 16-12-2019 100718011219P004034 0000790247665 JUMARUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
378 16-12-2019 100718011219P004035 0000790248093 SURTIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
379 16-12-2019 100718011219P004036 0000790248914 ENCEP SUDRAJAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

380 16-12-2019 100718011219P004037 0000790250501 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
381 16-12-2019 100718011219P004038 0000790255539 MARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
382 16-12-2019 100718011219P004039 0000790257071 JARSITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
383 16-12-2019 100718011219P004040 0000790257892 M RIDWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
384 16-12-2019 100718011219P004041 0000790258926 RIPDA P PBI (APBN) Cough Berobat Jalan

385 16-12-2019 100718011219P004042 0000790260726 MAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
386 16-12-2019 100718011219P004043 0000790260816 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
387 16-12-2019 100718011219P003987 0000790264967 ASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
388 16-12-2019 100718011219P003988 0000790265362 YANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
389 16-12-2019 100718011219P003989 0000790265643 JUNAEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
390 16-12-2019 100718011219P003991 0000790267893 SUMARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
391 16-12-2019 100718011219P003992 0000790272055 HAMIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
392 16-12-2019 100718011219P003993 0000790272145 MARCANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
393 16-12-2019 100718011219P003994 0000790273247 MAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

394 16-12-2019 100718011219P003995 0000790273708 KANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
395 16-12-2019 100718011219P003996 0000790273866 TIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
396 16-12-2019 100718011219P003997 0000790275622 SAPID L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
397 16-12-2019 100718011219P003998 0000790276397 MARSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
398 16-12-2019 100718011219P003999 0000790276847 SAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
399 16-12-2019 100718011219P004000 0000790279457 JARNIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
400 16-12-2019 100718011219P004001 0000790280638 KATMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
401 16-12-2019 100718011219P004002 0000790282833 ENJUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
402 16-12-2019 100718011219P004003 0000790283327 ODIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
403 16-12-2019 100718011219P004004 0000790283867 ENDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
404 16-12-2019 100718011219P004005 0000790284047 ISNAH P PBI (APBN) Cough Berobat Jalan

405 16-12-2019 100718011219P004006 0000790284306 MILA AGUSTIN P PBI (APBN) Abnormalities of breathing Berobat Jalan

406 16-12-2019 100718011219P004044 0000790285588 MAMAN L PEGAWAI SWASTA Cough Berobat Jalan

407 16-12-2019 100718011219P003809 0000790285757 URIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
408 16-12-2019 100718011219P004045 0000790286951 JODI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
409 16-12-2019 100718011219P004046 0000790287748 LILI L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

410 16-12-2019 100718011219P004047 0000790288929 IRWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
411 16-12-2019 100718011219P004048 0000790289122 YATI P PBI (APBN) Dyspepsia Berobat Jalan

412 16-12-2019 100718011219P004049 0000790292496 MINGGU L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
413 16-12-2019 100718011219P004050 0000790292531 YANAH P PBI (APBN) Dyspepsia Berobat Jalan

414 16-12-2019 100718011219P004052 0000790293543 DAPID L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
415 16-12-2019 100718011219P004053 0000790294375 AAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
416 16-12-2019 100718011219P004054 0000790295354 UDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
417 16-12-2019 100718011219P003919 0000790299213 SADAH P PBI (APBN) Cough Berobat Jalan

418 16-12-2019 100718011219P003922 0000790300181 SARKA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
419 16-12-2019 100718011219P003923 0000790302508 SARHATA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
420 16-12-2019 100718011219P003925 0000790302914 JAMSINAH P PBI (APBN) Cough Berobat Jalan

421 16-12-2019 100718011219P003927 0000790303768 UMAR L PBI (APBN) Cough Berobat Jalan

422 16-12-2019 100718011219P003929 0000790303825 AMSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
423 16-12-2019 100718011219P003931 0000790305669 UNING P PBI (APBN) Cough Berobat Jalan

424 16-12-2019 100718011219P003932 0000790307122 UMYATI P PBI (APBN) Cough Berobat Jalan

425 16-12-2019 100718011219P003934 0000790307425 KESIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
426 16-12-2019 100718011219P003936 0000790308382 IIS P PBI (APBN) Dyspepsia Berobat Jalan

427 16-12-2019 100718011219P003938 0000790308663 SUKIA L PBI (APBN) Cough Berobat Jalan

428 16-12-2019 100718011219P003940 0000790310272 ARKINAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

429 16-12-2019 100718011219P003942 0000790310867 FITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
430 16-12-2019 100718011219P003944 0000790310992 IBAK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
431 16-12-2019 100718011219P003946 0000790311284 AMNAH P PBI (APBN) Dyspepsia Berobat Jalan

432 16-12-2019 100718011219P003948 0000790311677 MASI'AH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
433 16-12-2019 100718011219P003950 0000790312285 ARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
434 16-12-2019 100718011219P003951 0000790312599 ROHINAH P PBI (APBN) Cough Berobat Jalan

435 16-12-2019 100718011219P003953 0000790313049 MAMAT L PBI (APBN) Dyspepsia Berobat Jalan

436 16-12-2019 100718011219P003955 0000790314985 ELAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
437 16-12-2019 100718011219P004007 0000790340319 SAHRUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
438 16-12-2019 100718011219P003957 0000790342029 ASNA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
439 16-12-2019 100718011219P003959 0000790343447 ASWINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
440 16-12-2019 100718011219P003961 0000790348241 ASKAR L PBI (APBN) Dyspepsia Berobat Jalan

441 16-12-2019 100718011219P003963 0000790348601 ASNEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
442 16-12-2019 100718011219P003965 0000790349005 RISKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
443 16-12-2019 100718011219P003967 0000790349062 INDRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
444 16-12-2019 100718011219P003969 0000790349782 JURNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

445 16-12-2019 100718011219P003971 0000790349861 ADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
446 16-12-2019 100718011219P003906 0000790359941 KASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
447 16-12-2019 100718011219P003907 0000790364248 UHEN L PBI (APBN) Cough Berobat Jalan

448 16-12-2019 100718011219P003909 0000790369716 SINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
449 16-12-2019 100718011219P003911 0000790372225 JUPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
450 16-12-2019 100718011219P003913 0000790382654 SURYANA L PBI (APBN) Cough Berobat Jalan

451 16-12-2019 100718011219P004008 0000790384307 SAOMI L PBI (APBN) Cough Berobat Jalan

452 16-12-2019 100718011219P003914 0000790386265 ELISAH P PBI (APBN) Cough Berobat Jalan

453 16-12-2019 100718011219P003916 0000790387301 IPAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
454 16-12-2019 100718011219P004009 0000790387942 EMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
455 16-12-2019 100718011219P003918 0000790388583 RAMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
456 16-12-2019 100718011219P004133 0000790430883 KAMBA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
457 16-12-2019 100718011219P004135 0000790431153 ARSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
458 16-12-2019 100718011219P003972 0000790442122 SITI JUMETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
459 16-12-2019 100718011219P003974 0000790442471 DERI IRAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
460 16-12-2019 100718011219P004055 0000790480945 ROSIH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

461 16-12-2019 100718011219P003713 0000790512377 EEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
462 16-12-2019 100718011219P003810 0000790525236 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
463 16-12-2019 100718011219P003811 0000790527543 SUSI GINANJAR P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
464 16-12-2019 100718011219P003812 0000790527622 KEPIN GINANJAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
465 16-12-2019 100718011219P004136 0000790545666 AMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
466 16-12-2019 100718011219P004140 0000790571619 YULISTIAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
467 16-12-2019 100718011219P004142 0000790605426 IDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
468 16-12-2019 100718011219P004144 0000790605595 JARNIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
469 16-12-2019 100718011219P004010 0000790610141 UNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
470 16-12-2019 100718011219P004057 0000790637106 UJUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
471 16-12-2019 100718011219P004147 0000790681094 RASTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
472 16-12-2019 100718011219P004149 0000790681342 NUNUNG P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
473 16-12-2019 100718011219P004152 0000790681768 NURSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
474 16-12-2019 100718011219P004154 0000790682242 NURDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

475 16-12-2019 100718011219P003813 0000790685965 ROMSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
476 16-12-2019 100718011219P003814 0000790693942 MARLINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
477 16-12-2019 100718011219P003815 0000790698161 NASIR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
478 16-12-2019 100718011219P004058 0000790699015 IZA FATIMATUL ZAHRO P PBI (APBN) Cough Berobat Jalan

479 16-12-2019 100718011219P004060 0000790740562 LILIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
480 16-12-2019 100718011219P004011 0000790753836 RISMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
481 16-12-2019 100718011219P004156 0000790772185 TITIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
482 16-12-2019 100718011219P004159 0000790772894 ADHARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
483 16-12-2019 100718011219P004161 0000790772951 ANISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
484 16-12-2019 100718011219P004163 0000790806363 MARNO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
485 16-12-2019 100718011219P004012 0000790809974 SITI AISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
486 16-12-2019 100718011219P004061 0000790847019 MIMI P PBI (APBN) Cough Berobat Jalan

487 16-12-2019 100718011219P004062 0000790847583 AHMAD L PBI (APBN) Cough Berobat Jalan

488 16-12-2019 100718011219P004063 0000790847649 ROMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
489 16-12-2019 100718011219P003816 0000790882648 RODIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

490 16-12-2019 100718011219P004013 0000790883897 YUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
491 16-12-2019 100718011219P004064 0000790902011 ENGKOS KOSASIH L PBI (APBN) Dyspepsia Berobat Jalan

492 16-12-2019 100718011219P003817 0000790905868 MARSITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
493 16-12-2019 100718011219P003818 0000790905914 EPIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
494 16-12-2019 100718011219P004065 0000790919177 SUTINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
495 16-12-2019 100718011219P003819 0000790920707 ARMAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
496 16-12-2019 100718011219P003820 0000790920775 SARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
497 16-12-2019 100718011219P003821 0000790921304 INAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
498 16-12-2019 100718011219P003822 0000790945661 ASMAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
499 16-12-2019 100718011219P003823 0000790946414 ASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
500 16-12-2019 100718011219P003826 0000790946471 ASEP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
501 16-12-2019 100718011219P003825 0000790946919 CICIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
502 16-12-2019 100718011219P003824 0000790947382 HERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
503 16-12-2019 100718011219P003827 0000790947505 TARSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

504 16-12-2019 100718011219P003828 0000790947887 DEDEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
505 16-12-2019 100718011219P003829 0000790950677 SANIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
506 16-12-2019 100718011219P003830 0000790954661 REZA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
507 16-12-2019 100718011219P003831 0000790954795 MURI P PBI (APBN) Cough Berobat Jalan

508 16-12-2019 100718011219P003832 0000790954841 NURASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
509 16-12-2019 100718011219P004014 0000790972097 SAMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
510 16-12-2019 100718011219P003833 0000790973019 IIS ISKANDAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
511 16-12-2019 100718011219P003834 0000790974382 ARKANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
512 16-12-2019 100718011219P003766 0000790975168 AMSAH P PBI (APBN) Cough Berobat Jalan

513 16-12-2019 100718011219P003835 0000790988455 AMSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
514 16-12-2019 100718011219P003836 0000790988951 YADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
515 16-12-2019 100718011219P003837 0000790990312 SUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
516 16-12-2019 100718011219P003838 0000790990661 AHMAD L PBI (APBN) Cough Berobat Jalan

517 16-12-2019 100718011219P003839 0000790990795 SAMSUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
518 16-12-2019 100718011219P003840 0000790991043 ANDI PUTRI P PBI (APBN) Cough Berobat Jalan

519 16-12-2019 100718011219P003841 0000790991739 RATNA SAPITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

520 16-12-2019 100718011219P003842 0000790991842 ABELIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
521 16-12-2019 100718011219P003843 0000791002067 MUSTARING L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
522 16-12-2019 100718011219P003844 0000791002675 TITIN P PBI (APBN) Cough Berobat Jalan

523 16-12-2019 100718011219P003845 0000791003147 MUTOHIRIN L PEGAWAI SWASTA Dyspepsia Berobat Jalan

524 16-12-2019 100718011219P003846 0000791003439 UCENG L PBI (APBN) Cough Berobat Jalan

525 16-12-2019 100718011219P003847 0000791004161 WAWAT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
526 16-12-2019 100718011219P003848 0000791004238 MATIN L PBI (APBN) Cough Berobat Jalan

527 16-12-2019 100718011219P003849 0000791004576 NURTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
528 16-12-2019 100718011219P003850 0000791005419 MANSUR L PBI (APBN) Cough Berobat Jalan

529 16-12-2019 100718011219P003851 0000791005961 ATNEN L PBI (APBN) Cough Berobat Jalan

530 16-12-2019 100718011219P003852 0000791006027 ANDRI L PBI (APBN) Dyspepsia Berobat Jalan

531 16-12-2019 100718011219P003853 0000791006207 ARSANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
532 16-12-2019 100718011219P003854 0000791006387 ABU DAROLA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
533 16-12-2019 100718011219P003855 0000791006793 A'I SUGITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
534 16-12-2019 100718011219P003768 0000791017817 JAMARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
535 16-12-2019 100718011219P003769 0000791022194 ROMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
536 16-12-2019 100718011219P003772 0000791023239 DESPI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
537 16-12-2019 100718011219P003773 0000791024365 TONI L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

538 16-12-2019 100718011219P004015 0000791025693 MARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
539 16-12-2019 100718011219P004095 0000791029348 PIKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
540 16-12-2019 100718011219P003856 0000791030733 ATIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
541 16-12-2019 100718011219P003857 0000791031251 TARSAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
542 16-12-2019 100718011219P003858 0000791031295 KASNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
543 16-12-2019 100718011219P003859 0000791031486 DIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
544 16-12-2019 100718011219P003860 0000791031532 ARDI L PBI (APBN) Cough Berobat Jalan

545 16-12-2019 100718011219P003861 0000791031846 ISA L PBI (APBN) Dyspepsia Berobat Jalan

546 16-12-2019 100718011219P003862 0000791032296 EMOY L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
547 16-12-2019 100718011219P003863 0000791032329 IKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
548 16-12-2019 100718011219P003864 0000791032858 AMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
549 16-12-2019 100718011219P003865 0000791033894 TARSIH P PBI (APBN) Cough Berobat Jalan

550 16-12-2019 100718011219P003866 0000791034232 MUHDARUL HAERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
551 16-12-2019 100718011219P003867 0000791034287 MIMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
552 16-12-2019 100718011219P003868 0000791034851 JOHAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
553 16-12-2019 100718011219P003869 0000791034952 MUNIRAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

554 16-12-2019 100718011219P003896 0000791035356 ENTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
555 16-12-2019 100718011219P004096 0000791043467 WIWIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
556 16-12-2019 100718011219P004097 0000791060095 AMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
557 16-12-2019 100718011219P003775 0000791080942 ILYAS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
558 16-12-2019 100718011219P003780 0000791138171 SUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
559 16-12-2019 100718011219P003782 0000791155506 NURMAH P PBI (APBN) Cough Berobat Jalan

560 16-12-2019 100718011219P003784 0000791166216 BAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
561 16-12-2019 100718011219P004098 0000791207109 ASMAWI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
562 16-12-2019 100718011219P003787 0000791212138 BADRI L PBI (APBN) Cough Berobat Jalan

563 16-12-2019 100718011219P004099 0000791243921 KAMISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
564 16-12-2019 100718011219P003715 0000791323007 OHIM PAHRUDIN L PBI (APBN) Cough Berobat Jalan

565 16-12-2019 100718011219P003716 0000791323863 APAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
566 16-12-2019 100718011219P003789 0000791345957 NITA ALPIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
567 16-12-2019 100718011219P004100 0000791380269 PADIL L PBI (APBN) Cough Berobat Jalan

568 16-12-2019 100718011219P003717 0000791425192 SURYA L PBI (APBN) Cough Berobat Jalan

569 16-12-2019 100718011219P003718 0000791426812 SUCI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

570 16-12-2019 100718011219P004016 0000791494931 JERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
571 16-12-2019 100718011219P004017 0000791508352 JASA L PBI (APBN) Cough Berobat Jalan

572 16-12-2019 100718011219P003719 0000791510409 ADIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
573 16-12-2019 100718011219P003720 0000791510455 ERAH P PBI (APBN) Cough Berobat Jalan

574 16-12-2019 100718011219P004018 0000791535947 KANIH P PBI (APBN) Cough Berobat Jalan

575 16-12-2019 100718011219P004165 0000791565671 SAKAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
576 16-12-2019 100718011219P004169 0000791565884 NIMAH HARYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
577 16-12-2019 100718011219P004171 0000791566086 ANGGIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
578 16-12-2019 100718011219P004172 0000791651878 DARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
579 16-12-2019 100718011219P004173 0000791653061 DAUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
580 16-12-2019 100718011219P004019 0000791655647 IPAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
581 16-12-2019 100718011219P003722 0000791663804 SITI P PBI (APBN) Dyspepsia Berobat Jalan

582 16-12-2019 100718011219P003723 0000791664311 DEDI L PBI (APBN) Cough Berobat Jalan

583 16-12-2019 100718011219P003724 0000791673298 SUHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
584 16-12-2019 100718011219P003726 0000791674187 MAESAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
585 16-12-2019 100718011219P003727 0000791674727 AKBAR L PBI (APBN) Cough Berobat Jalan

586 16-12-2019 100718011219P003729 0000791837504 CICIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

587 16-12-2019 100718011219P004101 0001050375971 OZI FAUZI YUSUF L PBI (APBN) Cough Berobat Jalan

588 16-12-2019 100718011219P004102 0001050375982 NURHALIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
589 16-12-2019 100718011219P004103 0001050375993 TANIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
590 16-12-2019 100718011219P004174 0001050381472 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
591 16-12-2019 100718011219P004104 0001050381527 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
592 16-12-2019 100718011219P004020 0001328895268 WINDA WILANTIKA P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
593 16-12-2019 100718011219P004372 0001596839016 DEDE WAHYUDIN L PBI (APBD) Dengue haemorrhagic Sembuh
fever
594 16-12-2019 100718011219P003730 0001599608081 RUSNI P PBI (APBD) Dyspepsia Berobat Jalan

595 16-12-2019 100718011219P003731 0001599608788 KARIS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
596 16-12-2019 100718011219P003733 0001599608799 SANI P PBI (APBD) Dyspepsia Berobat Jalan

597 16-12-2019 100718011219P003734 0001599608801 ANDRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
598 16-12-2019 100718011219P003790 0001886317784 SAPTA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
599 16-12-2019 100718011219P004021 0001919366763 AMAY YUNENGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
600 16-12-2019 100718011219P004176 0001919412189 ANGGA DRIANSYAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
601 16-12-2019 100718011219P003791 0001919412753 OLIVIA P PBI (APBN) Cough Berobat Jalan

602 16-12-2019 100718011219P003898 0001919555076 ALI L PBI (APBN) Cough Berobat Jalan

603 16-12-2019 100718011219P004022 0001919555111 ILHAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

604 16-12-2019 100718011219P004105 0001976426583 IYOK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
605 16-12-2019 100718011219P004177 0001982726785 JUNIAH P PBI (APBN) Cough Berobat Jalan

606 16-12-2019 100718011219P004388 0001992190116 RAPIUDIN L PBI (APBN) Asthma, unspecified Sembuh

607 16-12-2019 100718011219P003792 0001992248188 OH. REHAN L PBI (APBN) Cough Berobat Jalan

608 16-12-2019 100718011219P003793 0001992265828 SUSILAWATI P PBI (APBN) Dyspepsia Berobat Jalan

609 16-12-2019 100718011219P003794 0001992266054 RIZKI L PBI (APBN) Cough Berobat Jalan

610 16-12-2019 100718011219P004178 0001992272343 ANDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
611 16-12-2019 100718011219P003795 0001992275346 OKAL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
612 16-12-2019 100718011219P003796 0001992309096 HENDAR SUNANDAR L PBI (APBN) Cough Berobat Jalan

613 16-12-2019 100718011219P003797 0001992318164 JUJUM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
614 16-12-2019 100718011219P004180 0001992350182 HENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
615 16-12-2019 100718011219P003735 0001992385675 JUNAEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
616 16-12-2019 100718011219P003798 0001992387407 IMAL APANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
617 16-12-2019 100718011219P003737 0001992407523 ARJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
618 16-12-2019 100718011219P003799 0001992410897 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
619 16-12-2019 100718011219P003900 0001992423429 SIFA M. PUTRI P PBI (APBN) Cough Berobat Jalan

620 16-12-2019 100718011219P004106 0001992439484 RUNTIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

621 16-12-2019 100718011219P004023 0001992444524 ETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
622 16-12-2019 100718011219P003902 0001992474292 ANWAR L PBI (APBN) Dyspepsia Berobat Jalan

623 16-12-2019 100718011219P004107 0001992511607 DESI PADILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
624 16-12-2019 100718011219P003800 0001992511776 DINDA A. P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
625 16-12-2019 100718011219P004108 0001992514329 OKTA HERNAWATI P PBI (APBN) Cough Berobat Jalan

626 16-12-2019 100718011219P004024 0001992564382 TATI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
627 16-12-2019 100718011219P003904 0001992583146 IKA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
628 16-12-2019 100718011219P003801 0001992611755 NURJAYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
629 16-12-2019 100718011219P004109 0002000229862 ALPARIJI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
630 16-12-2019 100718011219P003739 0002223652241 SAMSIAH P PEKERJA MANDIRI Cough Berobat Jalan

631 16-12-2019 100718011219P003802 0002312869779 JARSANI L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
632 16-12-2019 100718011219P003741 0002641904245 ANISA WULANDARI P PBI (APBN) Cough Berobat Jalan

633 16-12-2019 100718011219P004025 0002647222097 SAHARA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
634 16-12-2019 100718011219P003743 0002647222929 ASMITA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
635 16-12-2019 100718011219P003745 0002647223559 MUHAMAD ERIVIN L PBI (APBN) Cough Berobat Jalan

636 16-12-2019 100718011219P003747 0002647223561 ASRIYANTI P PBI (APBN) Cough Berobat Jalan

637 16-12-2019 100718011219P003748 0002647223605 M.KHOIRUN NAJIB L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

638 16-12-2019 100718011219P003753 0002647223616 M.JAHID SURURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
639 16-12-2019 100718011219P004182 0002766879167 IDOS PIRDAUS L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
640 15-12-2019 100718011219P004378 0002687595963 SUPARDI L PBI (APBD) Dyspepsia Pulang Paksa

641 14-12-2019 100718011219P002949 0000045211059 IYOS ROSITAWATI P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
642 14-12-2019 100718011219P002934 0000046579544 SAINAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
643 14-12-2019 100718011219P002975 0000789191605 LASMINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
644 14-12-2019 100718011219P002976 0000789191897 UUM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
645 14-12-2019 100718011219P002977 0000789192088 ROHMAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
646 14-12-2019 100718011219P002978 0000789192112 KARSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
647 14-12-2019 100718011219P002979 0000789192448 DENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
648 14-12-2019 100718011219P002980 0000789192584 ROHINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
649 14-12-2019 100718011219P002981 0000789192652 ASIKIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
650 14-12-2019 100718011219P002982 0000789192786 NURASIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
651 14-12-2019 100718011219P002983 0000789194092 RAKMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

652 14-12-2019 100718011219P002984 0000789194182 ADE EDYANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
653 14-12-2019 100718011219P002985 0000789194597 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
654 14-12-2019 100718011219P002986 0000789194621 ARNASAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
655 14-12-2019 100718011219P002987 0000789196959 YOPI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
656 14-12-2019 100718011219P002734 0000789206016 SAWIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
657 14-12-2019 100718011219P002736 0000789206218 IIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
658 14-12-2019 100718011219P002742 0000789206343 ARSANI P PBI (APBN) Cough Berobat Jalan

659 14-12-2019 100718011219P002745 0000789206466 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
660 14-12-2019 100718011219P002748 0000789206545 ULUNG L PBI (APBN) Cough Berobat Jalan

661 14-12-2019 100718011219P002749 0000789206613 SARTINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
662 14-12-2019 100718011219P002751 0000789550896 NURHADI L PBI (APBN) Cough Berobat Jalan

663 14-12-2019 100718011219P002753 0000789551728 KARWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
664 14-12-2019 100718011219P002755 0000790041442 RIAH P PBI (APBN) Cough Berobat Jalan

665 14-12-2019 100718011219P002950 0000790043758 DIKI PRATAMA L PBI (APBN) Dyspepsia Berobat Jalan

666 14-12-2019 100718011219P000870 0000790044467 DEDE ARIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
667 14-12-2019 100718011219P002756 0000790053085 NARSAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

668 14-12-2019 100718011219P000872 0000790089333 SUHETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
669 14-12-2019 100718011219P003082 0000790189874 KINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
670 14-12-2019 100718011219P003129 0000790214793 JASMIN L PBI (APBN) Cough Berobat Jalan

671 14-12-2019 100718011219P002935 0000790234042 ARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
672 14-12-2019 100718011219P003083 0000790277747 USWATUN HASANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
673 14-12-2019 100718011219P003084 0000790289346 AWFA KHOIRIAH P PBI (APBN) Cough Berobat Jalan

674 14-12-2019 100718011219P002758 0000790384612 KARIMAN L PBI (APBN) Cough Berobat Jalan

675 14-12-2019 100718011219P002760 0000790384814 WARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
676 14-12-2019 100718011219P002762 0000790384882 KARNITI P PBI (APBN) Dyspepsia Berobat Jalan

677 14-12-2019 100718011219P002764 0000790386208 ASEP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
678 14-12-2019 100718011219P002766 0000790387053 EMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
679 14-12-2019 100718011219P002768 0000790388111 EPI EPENDI L PBI (APBN) Cough Berobat Jalan

680 14-12-2019 100718011219P002770 0000790388458 ANISA PITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
681 14-12-2019 100718011219P003085 0000790390541 BAI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
682 14-12-2019 100718011219P002772 0000790391068 EMONG LESMANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
683 14-12-2019 100718011219P002774 0000790391788 SURYA L PBI (APBN) Cough Berobat Jalan

684 14-12-2019 100718011219P003086 0000790392014 BASRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

685 14-12-2019 100718011219P002776 0000790392339 SUNARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
686 14-12-2019 100718011219P002779 0000790393048 JUMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
687 14-12-2019 100718011219P002782 0000790394477 ODAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
688 14-12-2019 100718011219P002785 0000790394872 IPAN APANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
689 14-12-2019 100718011219P002788 0000790394995 SITI ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
690 14-12-2019 100718011219P002798 0000790396266 KARINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
691 14-12-2019 100718011219P002802 0000790396885 JUMINAH P PBI (APBN) Dyspepsia Berobat Jalan

692 14-12-2019 100718011219P002803 0000790398235 ARWASA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
693 14-12-2019 100718011219P002805 0000790398393 MASNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
694 14-12-2019 100718011219P002808 0000790399934 MIRNA L PBI (APBN) Cough Berobat Jalan

695 14-12-2019 100718011219P002810 0000790399978 SARMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
696 14-12-2019 100718011219P003061 0000790413276 SALIMAH P PBI (APBN) Cough Berobat Jalan

697 14-12-2019 100718011219P002813 0000790443685 RASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
698 14-12-2019 100718011219P002815 0000790445777 IMRAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
699 14-12-2019 100718011219P002817 0000790449131 ERAH P PBI (APBN) Cough Berobat Jalan

700 14-12-2019 100718011219P002820 0000790450031 ALDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

701 14-12-2019 100718011219P002951 0000790466242 SANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
702 14-12-2019 100718011219P002822 0000790524088 SARIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
703 14-12-2019 100718011219P002823 0000790524652 UCU SOLIHAT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
704 14-12-2019 100718011219P002825 0000790528498 IRMAYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
705 14-12-2019 100718011219P002827 0000790528645 MOH YAMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
706 14-12-2019 100718011219P002936 0000790552956 JARKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
707 14-12-2019 100718011219P002952 0000790557322 SADAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
708 14-12-2019 100718011219P002937 0000790578944 NAILA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
709 14-12-2019 100718011219P002953 0000790595537 NURFADILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
710 14-12-2019 100718011219P002830 0000790674524 WARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
711 14-12-2019 100718011219P002954 0000790706531 RATIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
712 14-12-2019 100718011219P002955 0000790861004 AMNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
713 14-12-2019 100718011219P003054 0000790877079 ROHETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
714 14-12-2019 100718011219P003087 0000790924937 SUKRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

715 14-12-2019 100718011219P003088 0000790926658 UJANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
716 14-12-2019 100718011219P003089 0000790927582 LAMRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
717 14-12-2019 100718011219P003090 0000790927874 SARNITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
718 14-12-2019 100718011219P002956 0000790937043 JAKIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
719 14-12-2019 100718011219P002833 0000790939721 ADE P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
720 14-12-2019 100718011219P003091 0000790953502 SAIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
721 14-12-2019 100718011219P003092 0000790953939 JODI L PBI (APBN) Dyspepsia Berobat Jalan

722 14-12-2019 100718011219P003093 0000790954299 JERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
723 14-12-2019 100718011219P003094 0000790955256 PINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
724 14-12-2019 100718011219P003095 0000790955919 UMSA L PBI (APBN) Cough Berobat Jalan

725 14-12-2019 100718011219P003096 0000790956191 ARYAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
726 14-12-2019 100718011219P003097 0000790956876 ARSIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
727 14-12-2019 100718011219P003098 0000790970343 MAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
728 14-12-2019 100718011219P003099 0000790970589 MARUFI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
729 14-12-2019 100718011219P003100 0000790973515 YULIA P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

730 14-12-2019 100718011219P003101 0000790974753 DEDI ARMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
731 14-12-2019 100718011219P003130 0000790974865 SURYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
732 14-12-2019 100718011219P003075 0000791057171 TIARA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
733 14-12-2019 100718011219P003076 0000791057362 IAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
734 14-12-2019 100718011219P003077 0000791057643 MARTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
735 14-12-2019 100718011219P003078 0000791070344 MASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
736 14-12-2019 100718011219P003079 0000791070603 AZA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
737 14-12-2019 100718011219P003071 0000791095544 TULEG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
738 14-12-2019 100718011219P003072 0000791095983 TARINAH P PBI (APBN) Cough Berobat Jalan

739 14-12-2019 100718011219P003073 0000791096027 SARJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
740 14-12-2019 100718011219P002996 0000791120182 SAMONG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
741 14-12-2019 100718011219P002997 0000791120889 JASMI P PBI (APBN) Cough Berobat Jalan

742 14-12-2019 100718011219P002998 0000791121183 LIA AMALIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
743 14-12-2019 100718011219P002999 0000791122083 ICIH MINTARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
744 14-12-2019 100718011219P003000 0000791122465 ASEP SUNANDAR L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

745 14-12-2019 100718011219P003001 0000791122599 AMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
746 14-12-2019 100718011219P003002 0000791124849 SARPAN L PBI (APBN) Dyspepsia Berobat Jalan

747 14-12-2019 100718011219P003003 0000791125176 ARSANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
748 14-12-2019 100718011219P003004 0000791125997 SITI SUHARTINI P PBI (APBN) Cough Berobat Jalan

749 14-12-2019 100718011219P003005 0000791126368 SARIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
750 14-12-2019 100718011219P003006 0000791126706 ASNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
751 14-12-2019 100718011219P003007 0000791128326 EYAY SOPIYANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
752 14-12-2019 100718011219P003008 0000791129272 ROHILAH P PBI (APBN) Dyspepsia Berobat Jalan

753 14-12-2019 100718011219P003009 0000791129665 ARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
754 14-12-2019 100718011219P003010 0000791130238 ASI P PBI (APBN) Dyspepsia Berobat Jalan

755 14-12-2019 100718011219P003011 0000791131509 ARNI P PBI (APBN) Dyspepsia Berobat Jalan

756 14-12-2019 100718011219P003012 0000791132422 JEHAN L PBI (APBN) Cough Berobat Jalan

757 14-12-2019 100718011219P003013 0000791132692 CECEP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
758 14-12-2019 100718011219P003014 0000791132927 DAWIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
759 14-12-2019 100718011219P003015 0000791133669 DAYAT PIRNANDO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
760 14-12-2019 100718011219P003016 0000791133794 DEPI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
761 14-12-2019 100718011219P003017 0000791137462 SARKA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

762 14-12-2019 100718011219P003018 0000791138665 SOLEHUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
763 14-12-2019 100718011219P003019 0000791150556 SAYI P PBI (APBN) Dyspepsia Berobat Jalan

764 14-12-2019 100718011219P003020 0000791150949 SUHARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
765 14-12-2019 100718011219P003021 0000791151085 SITI MAESAROH P PBI (APBN) Cough Berobat Jalan

766 14-12-2019 100718011219P003022 0000791154595 MASIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
767 14-12-2019 100718011219P003033 0000791154808 SITI HAMDIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
768 14-12-2019 100718011219P003034 0000791154854 AMSIR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
769 14-12-2019 100718011219P003035 0000791155372 RINDON L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
770 14-12-2019 100718011219P003036 0000791163279 MINAH P PBI (APBN) Cough Berobat Jalan

771 14-12-2019 100718011219P002957 0000791165531 SARMAJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
772 14-12-2019 100718011219P002958 0000791168084 SURNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
773 14-12-2019 100718011219P002959 0000791172786 ENDANG L PBI (APBN) Cough Berobat Jalan

774 14-12-2019 100718011219P002960 0000791174529 NURHAYATI P PBI (APBN) Cough Berobat Jalan

775 14-12-2019 100718011219P002961 0000791175857 HAMDIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
776 14-12-2019 100718011219P003055 0000791190156 SINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
777 14-12-2019 100718011219P002962 0000791191214 SAEPUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

778 14-12-2019 100718011219P003074 0000791196737 AMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
779 14-12-2019 100718011219P002963 0000791197334 ANDRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
780 14-12-2019 100718011219P002964 0000791209293 MARSITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
781 14-12-2019 100718011219P002965 0000791212408 AHMAD HIDAYAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
782 14-12-2019 100718011219P002966 0000791212691 M ABDUL AJIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
783 14-12-2019 100718011219P002967 0000791213376 ENENG SUSILAWATI L PBI (APBN) Cough Berobat Jalan

784 14-12-2019 100718011219P002968 0000791226854 NURSIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
785 14-12-2019 100718011219P002938 0000791228834 ARIS L PBI (APBN) Cough Berobat Jalan

786 14-12-2019 100718011219P002969 0000791239994 SAKRI L PBI (APBN) Cough Berobat Jalan

787 14-12-2019 100718011219P002970 0000791242187 BAGUS PRIAM BUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
788 14-12-2019 100718011219P003037 0000791247677 RAHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
789 14-12-2019 100718011219P003038 0000791253369 JURIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
790 14-12-2019 100718011219P002929 0000791289718 MUHAMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
791 14-12-2019 100718011219P003068 0000791394592 SAKRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
792 14-12-2019 100718011219P003069 0000791394715 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
793 14-12-2019 100718011219P002939 0000791401263 TINI P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

794 14-12-2019 100718011219P003067 0000791403759 YATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
795 14-12-2019 100718011219P003062 0000791404874 AJUM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
796 14-12-2019 100718011219P002940 0000791424562 DIKI L PBI (APBN) Cough Berobat Jalan

797 14-12-2019 100718011219P002941 0000791426856 RASIMAN L PBI (APBN) Dyspepsia Berobat Jalan

798 14-12-2019 100718011219P002942 0000791428612 MAHAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
799 14-12-2019 100718011219P003070 0000791430311 ARTASAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
800 14-12-2019 100718011219P003066 0000791433674 WATI P PBI (APBN) Cough Berobat Jalan

801 14-12-2019 100718011219P003063 0000791436216 ROMHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
802 14-12-2019 100718011219P002943 0000791439579 BAYU L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
803 14-12-2019 100718011219P003059 0000791441537 SUHARJANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
804 14-12-2019 100718011219P002944 0000791454519 AMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
805 14-12-2019 100718011219P003060 0000791456016 UPIT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
806 14-12-2019 100718011219P003056 0000791501387 SATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
807 14-12-2019 100718011219P003043 0000791507981 SANURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
808 14-12-2019 100718011219P003047 0000791514652 M RISKI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
809 14-12-2019 100718011219P003048 0000791523887 ASRIAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

810 14-12-2019 100718011219P002931 0000791525204 HAMIM L PBI (APBN) Cough Berobat Jalan

811 14-12-2019 100718011219P003049 0000791525755 JANAH P PBI (APBN) Abnormalities of breathing Berobat Jalan

812 14-12-2019 100718011219P003044 0000791539018 SELPIYANINGSIH P PBI (APBN) Cough Berobat Jalan

813 14-12-2019 100718011219P003050 0000791551124 SATNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
814 14-12-2019 100718011219P003045 0000791566299 CICIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
815 14-12-2019 100718011219P003065 0000791569787 ASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
816 14-12-2019 100718011219P003046 0000791571148 ADE L PBI (APBN) Cough Berobat Jalan

817 14-12-2019 100718011219P003051 0000791665132 SARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
818 14-12-2019 100718011219P000871 0000791684572 SITI JULAEHA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
819 14-12-2019 100718011219P003052 0000791728738 WARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
820 14-12-2019 100718011219P003053 0000791731934 WANDIRA L PBI (APBN) Cough Berobat Jalan

821 14-12-2019 100718011219P003057 0000792309655 RUKMI P PBI (APBN) Cough Berobat Jalan

822 14-12-2019 100718011219P002945 0001050378838 SUSANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
823 14-12-2019 100718011219P002971 0001050382168 NONIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
824 14-12-2019 100718011219P002933 0001050383092 DEDE PAMUNGKAS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
825 14-12-2019 100718011219P002972 0001099124864 NADIA SYAFA KAMILA P ANGGOTA POLRI Cough Berobat Jalan

826 14-12-2019 100718011219P000874 0001596840546 NINING YUNENGSIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

827 14-12-2019 100718011219P000875 0001596840557 ANTON ALIPANDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
828 14-12-2019 100718011219P000876 0001596840568 FIKA LUDIANA P PBI (APBD) Cough Berobat Jalan

829 14-12-2019 100718011219P000877 0001596840579 SATARI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
830 14-12-2019 100718011219P000878 0001596840581 ERIAWATI P PBI (APBD) Cough Berobat Jalan

831 14-12-2019 100718011219P000879 0001596840592 HERDIANA L PBI (APBD) Cough Berobat Jalan

832 14-12-2019 100718011219P000880 0001596840603 HENI YULIAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
833 14-12-2019 100718011219P000881 0001596840614 M MILANOVIC L PBI (APBD) Cough Berobat Jalan

834 14-12-2019 100718011219P000882 0001596840625 IDING ABDUL L PBI (APBD) Cough Berobat Jalan

835 14-12-2019 100718011219P002930 0001596840636 KASMAH FAUZIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
836 14-12-2019 100718011219P000883 0001596840647 ILFI LAILAH P PBI (APBD) Cough Berobat Jalan

837 14-12-2019 100718011219P000884 0001596840669 SUANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
838 14-12-2019 100718011219P000885 0001596840671 ERAH P PBI (APBD) Dyspepsia Berobat Jalan

839 14-12-2019 100718011219P000886 0001596840682 ELA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
840 14-12-2019 100718011219P000887 0001596840693 HARIS L PBI (APBD) Cough Berobat Jalan

841 14-12-2019 100718011219P000888 0001596840704 JURIAH P PBI (APBD) Cough Berobat Jalan

842 14-12-2019 100718011219P000889 0001596840715 FITRIYANI P PBI (APBD) Cough Berobat Jalan

843 14-12-2019 100718011219P000890 0001596840726 SUTARI MS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
844 14-12-2019 100718011219P000891 0001596840737 DJUMIAH P PBI (APBD) Dyspepsia Berobat Jalan

845 14-12-2019 100718011219P000892 0001596840748 MIKHA DAMANIK P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

846 14-12-2019 100718011219P000893 0001596840759 KEVIN DAMANIK L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
847 14-12-2019 100718011219P000894 0001596840761 NAILA SABRINA DAMANIK P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
848 14-12-2019 100718011219P000895 0001596840772 DEWI P PBI (APBD) Cough Berobat Jalan

849 14-12-2019 100718011219P000896 0001596840783 ARIP L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
850 14-12-2019 100718011219P000897 0001596840794 DARSIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
851 14-12-2019 100718011219P000898 0001596840805 MUHAMAD PIKRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
852 14-12-2019 100718011219P000899 0001596840816 DEDI HERMAWAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
853 14-12-2019 100718011219P000900 0001596840838 MASLAELAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
854 14-12-2019 100718011219P000901 0001596840849 AAM AMBALIA SARI L PBI (APBD) Dyspepsia Berobat Jalan

855 14-12-2019 100718011219P000902 0001596840851 SITI ANISAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
856 14-12-2019 100718011219P000903 0001596840862 AAS ARISMA P PBI (APBD) Cough Berobat Jalan

857 14-12-2019 100718011219P000904 0001596840873 JUPRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
858 14-12-2019 100718011219P000905 0001596840884 SUPRIATI P PBI (APBD) Dyspepsia Berobat Jalan

859 14-12-2019 100718011219P000906 0001596840895 JUNENGSIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
860 14-12-2019 100718011219P000907 0001596886176 RASIMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
861 14-12-2019 100718011219P000908 0001596886187 MARTIAH P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

862 14-12-2019 100718011219P000909 0001596886198 ASEP L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
863 14-12-2019 100718011219P000910 0001596886211 ARYA NOVAL L PBI (APBD) Cough Berobat Jalan

864 14-12-2019 100718011219P000911 0001596886222 ABAS L PBI (APBD) Cough Berobat Jalan

865 14-12-2019 100718011219P000912 0001596886233 SUNARTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
866 14-12-2019 100718011219P000913 0001596886244 KAIS SAPUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
867 14-12-2019 100718011219P000914 0001596886255 ROHAENI P PBI (APBD) Cough Berobat Jalan

868 14-12-2019 100718011219P000915 0001596886266 IKA ROSITA P PBI (APBD) Cough Berobat Jalan

869 14-12-2019 100718011219P000916 0001596886277 SITI ROHILAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
870 14-12-2019 100718011219P000917 0001596886288 MUHAMAD RIZQY ALHAETAMI L PBI (APBD) Cough Berobat Jalan

871 14-12-2019 100718011219P000918 0001596886299 DADI HUMAEDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
872 14-12-2019 100718011219P000919 0001596886301 IJAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
873 14-12-2019 100718011219P000920 0001596886312 MARYAM NURUL FADILLAH P PBI (APBD) Cough Berobat Jalan

874 14-12-2019 100718011219P000921 0001596886323 NENI YULIANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
875 14-12-2019 100718011219P000922 0001596886334 NUNI SOFIYANI P PBI (APBD) Dyspepsia Berobat Jalan

876 14-12-2019 100718011219P000923 0001596886345 WAHYUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
877 14-12-2019 100718011219P000924 0001596886356 MASTUROH P PBI (APBD) Dyspepsia Berobat Jalan

878 14-12-2019 100718011219P000925 0001596886378 SAPEI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
879 14-12-2019 100718011219P000926 0001596886389 M BAHARUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

880 14-12-2019 100718011219P000927 0001596886391 RONI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
881 14-12-2019 100718011219P000928 0001596886413 D HAMZAH Z L PBI (APBD) Cough Berobat Jalan

882 14-12-2019 100718011219P000929 0001596886424 ABD FATAH HSN L PBI (APBD) Cough Berobat Jalan

883 14-12-2019 100718011219P000930 0001596886435 S ROHMAN FATMAWATI P PBI (APBD) Cough Berobat Jalan

884 14-12-2019 100718011219P000931 0001596886446 DEDE HERMAWAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
885 14-12-2019 100718011219P000932 0001596886457 RIDWAN L PBI (APBD) Dyspepsia Berobat Jalan

886 14-12-2019 100718011219P000933 0001596886468 MAAD L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
887 14-12-2019 100718011219P000934 0001596886479 SARIMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
888 14-12-2019 100718011219P000935 0001596886481 SUMARNA L PBI (APBD) Cough Berobat Jalan

889 14-12-2019 100718011219P000936 0001596886492 JOHANAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
890 14-12-2019 100718011219P000937 0001596886503 TOIBATUL SA'DIAH P PBI (APBD) Cough Berobat Jalan

891 14-12-2019 100718011219P000938 0001596886525 M MULKI AL-AZIZ L PBI (APBD) Cough Berobat Jalan

892 14-12-2019 100718011219P000939 0001596886536 JAJA JULIANA L PBI (APBD) Cough Berobat Jalan

893 14-12-2019 100718011219P000941 0001596886547 OMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
894 14-12-2019 100718011219P000940 0001596886558 SITI NAILA P PBI (APBD) Cough Berobat Jalan

895 14-12-2019 100718011219P000942 0001596886569 SANTA L PBI (APBD) Cough Berobat Jalan

896 14-12-2019 100718011219P000943 0001596886571 SUMIYATI P PBI (APBD) Cough Berobat Jalan

897 14-12-2019 100718011219P000944 0001596886582 MULYANAH P PBI (APBD) Cough Berobat Jalan

898 14-12-2019 100718011219P000945 0001596886593 LIA PUSPITA P PBI (APBD) Cough Berobat Jalan

899 14-12-2019 100718011219P000946 0001596886604 M SUPARDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

900 14-12-2019 100718011219P000947 0001596886615 AJAT SUKADI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
901 14-12-2019 100718011219P000948 0001596886626 ADRIYANA L PBI (APBD) Cough Berobat Jalan

902 14-12-2019 100718011219P000949 0001596886648 SARNI SILVIA PUTRI P PBI (APBD) Cough Berobat Jalan

903 14-12-2019 100718011219P000950 0001596886659 ULUNG SANJAYA L PBI (APBD) Cough Berobat Jalan

904 14-12-2019 100718011219P000951 0001596886661 PADIL L PBI (APBD) Cough Berobat Jalan

905 14-12-2019 100718011219P000952 0001596886672 KULSUM P PBI (APBD) Cough Berobat Jalan

906 14-12-2019 100718011219P000953 0001596886683 FIRMAN L PBI (APBD) Cough Berobat Jalan

907 14-12-2019 100718011219P000954 0001596907596 NASIH P PBI (APBD) Cough Berobat Jalan

908 14-12-2019 100718011219P000955 0001596907607 ADE HERMAWAN L PBI (APBD) Cough Berobat Jalan

909 14-12-2019 100718011219P000956 0001596907618 MIMI MARYAMI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
910 14-12-2019 100718011219P000957 0001596919972 RASTI SITI FAUZIAH P PBI (APBD) Cough Berobat Jalan

911 14-12-2019 100718011219P000958 0001596919983 MUHAMAD RIZWAN L PBI (APBD) Cough Berobat Jalan

912 14-12-2019 100718011219P000959 0001596942551 CARWAN L PBI (APBD) Cough Berobat Jalan

913 14-12-2019 100718011219P000960 0001596942562 SITI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
914 14-12-2019 100718011219P000961 0001596942573 RUBIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
915 14-12-2019 100718011219P000962 0001596942584 MINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
916 14-12-2019 100718011219P000963 0001596942595 SARTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
917 14-12-2019 100718011219P000964 0001596942606 SITI ROHAETI P PBI (APBD) Cough Berobat Jalan

918 14-12-2019 100718011219P000965 0001596942628 AMI P PBI (APBD) Cough Berobat Jalan

919 14-12-2019 100718011219P000966 0001596942639 IKA P PBI (APBD) Cough Berobat Jalan

920 14-12-2019 100718011219P000967 0001596942641 IJAH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

921 14-12-2019 100718011219P000968 0001596942652 PAJAR L PBI (APBD) Cough Berobat Jalan

922 14-12-2019 100718011219P000969 0001596942663 ROBIAH P PBI (APBD) Cough Berobat Jalan

923 14-12-2019 100718011219P000868 0001599607888 NURTI SURNI. D P PBI (APBD) Cough Berobat Jalan

924 14-12-2019 100718011219P000867 0001599607899 RIZKI SUTARDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
925 14-12-2019 100718011219P002932 0001599609137 NAYLA NAJWA P PBI (APBD) Cough Berobat Jalan

926 14-12-2019 100718011219P002973 0001891516241 AHMAD MA'RUF L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
927 14-12-2019 100718011219P003039 0001992246985 SULIS SAPITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
928 14-12-2019 100718011219P003058 0001992280116 ROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
929 14-12-2019 100718011219P003064 0001992431079 USEP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
930 14-12-2019 100718011219P002946 0001992455256 ARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
931 14-12-2019 100718011219P003080 0001992541162 BASUNI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
932 14-12-2019 100718011219P003040 0001992549857 AMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
933 14-12-2019 100718011219P003081 0001992586869 RUMANAH P PBI (APBN) Cough Berobat Jalan

934 14-12-2019 100718011219P003041 0002055631375 ENUNG NURYANA P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
935 14-12-2019 100718011219P002947 0002633685783 SAFITRI P PBI (APBN) Cough Berobat Jalan

936 14-12-2019 100718011219P002974 0002641910927 MUHAMAD PAJAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
937 14-12-2019 100718011219P003042 0002642827364 MEDAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

938 14-12-2019 100718011219P002948 0002679042003 EPUL EPENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
939 14-12-2019 100718011219P000873 0002687046502 M. SALMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
940 14-12-2019 100718011219P000516 0002687417627 SARNACI P PBI (APBD) Heart failure Rujuk Vertikal

941 14-12-2019 100718011219P000869 0002687627698 ASEP SYARIF HIDAYAT L PBI (APBD) Cough Berobat Jalan

942 13-12-2019 100718011219P004235 0000046377371 FAUDZIL IRFAN L PNS PUSAT Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

943 13-12-2019 100718011219P004199 0000046393154 TU'AH P PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

944 13-12-2019 100718011219P003702 0000046580073 RATNA surti P PENERIMA PENSIUN Cough Berobat Jalan
PNS
945 13-12-2019 100718011219P004201 0000046680208 WAWAN RIDWAN L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

946 13-12-2019 100718011219P004203 0000200806086 SITI NY. JD HAFIDZ P PENERIMA PENSIUN Diarrhoea and Berobat Jalan
PNS gastroenteritis of
presumed infectious origin

947 13-12-2019 100718011219P004265 0000202793714 ENDIN L PNS DAERAH Dyspepsia Berobat Jalan

948 13-12-2019 100718011219P004266 0000789195644 RAIMAN L PBI (APBN) Dyspepsia Berobat Jalan

949 13-12-2019 100718011219P004267 0000789195756 RANIAH P PBI (APBN) Dyspepsia Berobat Jalan

950 13-12-2019 100718011219P004291 0000789203237 SARMENA P PBI (APBN) Dyspepsia Berobat Jalan

951 13-12-2019 100718011219P004296 0000789203575 MASRIAH P PBI (APBN) Dyspepsia Berobat Jalan

952 13-12-2019 100718011219P004297 0000789203643 TITA P PBI (APBN) Dyspepsia Berobat Jalan

953 13-12-2019 100718011219P004298 0000789203801 ESIH P PBI (APBN) Dyspepsia Berobat Jalan

954 13-12-2019 100718011219P004299 0000789203845 ANANG L PBI (APBN) Dyspepsia Berobat Jalan

955 13-12-2019 100718011219P004300 0000789204025 SUKMI P PBI (APBN) Dyspepsia Berobat Jalan

956 13-12-2019 100718011219P004301 0000789204069 SUWARNA L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

957 13-12-2019 100718011219P004302 0000789204115 SANG SANG L PBI (APBN) Dyspepsia Berobat Jalan

958 13-12-2019 100718011219P004303 0000789204273 SARAH P PBI (APBN) Dyspepsia Berobat Jalan

959 13-12-2019 100718011219P004304 0000789204429 ADANG L PBI (APBN) Dyspepsia Berobat Jalan

960 13-12-2019 100718011219P004305 0000789204475 ROSITA P PBI (APBN) Dyspepsia Berobat Jalan

961 13-12-2019 100718011219P004306 0000789204532 RIAN L PBI (APBN) Dyspepsia Berobat Jalan

962 13-12-2019 100718011219P004307 0000789204611 AMINAH P PBI (APBN) Dyspepsia Berobat Jalan

963 13-12-2019 100718011219P004308 0000789204699 DIDN L PBI (APBN) Dyspepsia Berobat Jalan

964 13-12-2019 100718011219P004309 0000789204824 LIAH P PBI (APBN) Dyspepsia Berobat Jalan

965 13-12-2019 100718011219P004310 0000789552415 NURDIN L PBI (APBN) Dyspepsia Berobat Jalan

966 13-12-2019 100718011219P004311 0000789553269 ENI P PBI (APBN) Dyspepsia Berobat Jalan

967 13-12-2019 100718011219P004312 0000790109291 WAROH P PBI (APBN) Dyspepsia Berobat Jalan

968 13-12-2019 100718011219P000972 0000790160995 HILMI L PBI (APBN) Cough Berobat Jalan

969 13-12-2019 100718011219P003703 0000790337248 SULISTIANA P PBI (APBN) Cough Berobat Jalan

970 13-12-2019 100718011219P004313 0000790384634 SAMIAH P PBI (APBN) Dyspepsia Berobat Jalan

971 13-12-2019 100718011219P004205 0000790400722 SUPRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

972 13-12-2019 100718011219P003704 0000790400755 SARDAN L PBI (APBN) Cough Berobat Jalan

973 13-12-2019 100718011219P003705 0000790402342 JANISAH P PBI (APBN) Cough Berobat Jalan

974 13-12-2019 100718011219P003706 0000790402577 UMANG L PBI (APBN) Cough Berobat Jalan

975 13-12-2019 100718011219P003707 0000790402735 ROIN L PBI (APBN) Cough Berobat Jalan

976 13-12-2019 100718011219P003708 0000790403523 JOLEHA P PBI (APBN) Cough Berobat Jalan

977 13-12-2019 100718011219P004314 0000790404783 TATI ROHATI P PBI (APBN) Dyspepsia Berobat Jalan

978 13-12-2019 100718011219P003709 0000790405007 SOHIB L PBI (APBN) Cough Berobat Jalan

979 13-12-2019 100718011219P004209 0000790406583 RUKMINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

980 13-12-2019 100718011219P003710 0000790407753 SITI MAYSAROH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

981 13-12-2019 100718011219P003711 0000790417225 ARMA L PBI (APBN) Cough Berobat Jalan

982 13-12-2019 100718011219P003712 0000790417541 SARNIAH P PBI (APBN) Cough Berobat Jalan

983 13-12-2019 100718011219P003714 0000790418272 ELA ROSITA P PBI (APBN) Cough Berobat Jalan

984 13-12-2019 100718011219P003721 0000790419058 IIN MARLINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
985 13-12-2019 100718011219P003725 0000790423165 ASRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
986 13-12-2019 100718011219P003728 0000790424054 ELI L PBI (APBN) Cough Berobat Jalan

987 13-12-2019 100718011219P003732 0000790425077 UMAR PRIATNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
988 13-12-2019 100718011219P003736 0000790426326 AGUN GINANJAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
989 13-12-2019 100718011219P003738 0000790426361 DEDE HASAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
990 13-12-2019 100718011219P003740 0000790427261 YAYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
991 13-12-2019 100718011219P003742 0000790428407 HERI PAELANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
992 13-12-2019 100718011219P003744 0000790428475 RESA KRISTINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
993 13-12-2019 100718011219P003746 0000790430038 DENI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
994 13-12-2019 100718011219P003750 0000790431726 SAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
995 13-12-2019 100718011219P003751 0000790432648 MUMUH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
996 13-12-2019 100718011219P003754 0000790432751 MUHAEMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

997 13-12-2019 100718011219P003758 0000790434167 HERMAN SYAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
998 13-12-2019 100718011219P003762 0000790434562 HENDRI GUNAWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
999 13-12-2019 100718011219P003765 0000790436046 UDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1000 13-12-2019 100718011219P003767 0000790437183 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1001 13-12-2019 100718011219P003770 0000790437644 JAMSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1002 13-12-2019 100718011219P003771 0000790440388 SITI ALFIANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1003 13-12-2019 100718011219P004268 0000790440759 LILIS LISTIANI P PBI (APBN) Dyspepsia Berobat Jalan

1004 13-12-2019 100718011219P004269 0000790441108 AHMA YANI L PBI (APBN) Dyspepsia Berobat Jalan

1005 13-12-2019 100718011219P004315 0000790508981 JARMAN L PBI (APBN) Dyspepsia Berobat Jalan

1006 13-12-2019 100718011219P004211 0000790512693 ASWIYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1007 13-12-2019 100718011219P004316 0000790526204 KOKO L PBI (APBN) Dyspepsia Berobat Jalan

1008 13-12-2019 100718011219P004317 0000790527925 AHMAD GEPAK L PBI (APBN) Dyspepsia Berobat Jalan

1009 13-12-2019 100718011219P004270 0000790552989 NINGRUM P PBI (APBN) Dyspepsia Berobat Jalan

1010 13-12-2019 100718011219P004271 0000790684593 SANDRA L PBI (APBN) Dyspepsia Berobat Jalan

1011 13-12-2019 100718011219P004213 0000790699904 MARIPAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1012 13-12-2019 100718011219P004318 0000790750844 SITI P PBI (APBN) Dyspepsia Berobat Jalan

1013 13-12-2019 100718011219P004319 0000790793144 ROPIAH P PBI (APBN) Dyspepsia Berobat Jalan

1014 13-12-2019 100718011219P004320 0000790827243 SARTI P PBI (APBN) Dyspepsia Berobat Jalan

1015 13-12-2019 100718011219P004272 0000790916275 SAPIRA P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1016 13-12-2019 100718011219P004216 0000791026367 MARNIA SARI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1017 13-12-2019 100718011219P004321 0000791081526 YANTI P PBI (APBN) Dyspepsia Berobat Jalan

1018 13-12-2019 100718011219P004273 0000791091663 ENONG P PBI (APBN) Dyspepsia Berobat Jalan

1019 13-12-2019 100718011219P004262 0000791092811 PADMA L PBI (APBN) Cough Berobat Jalan

1020 13-12-2019 100718011219P004263 0000791094317 MUNAH P PBI (APBN) Dyspepsia Berobat Jalan

1021 13-12-2019 100718011219P004264 0000791100977 MASJONO L PBI (APBN) Cough Berobat Jalan

1022 13-12-2019 100718011219P004217 0000791109674 SARIMI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1023 13-12-2019 100718011219P004219 0000791149443 MONENG P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1024 13-12-2019 100718011219P004274 0000791191179 ALUS P PBI (APBN) Dyspepsia Berobat Jalan

1025 13-12-2019 100718011219P004322 0000791207291 EMAH P PBI (APBN) Dyspepsia Berobat Jalan

1026 13-12-2019 100718011219P004275 0000791213152 USUP L PBI (APBN) Dyspepsia Berobat Jalan

1027 13-12-2019 100718011219P004276 0000791213523 MASTUROH P PBI (APBN) Dyspepsia Berobat Jalan

1028 13-12-2019 100718011219P004277 0000791213962 NURHALIMAH P PBI (APBN) Dyspepsia Berobat Jalan

1029 13-12-2019 100718011219P004278 0000791214085 MAULANA MUSTAP L PBI (APBN) Dyspepsia Berobat Jalan

1030 13-12-2019 100718011219P004323 0000791228496 TARKA L PBI (APBN) Dyspepsia Berobat Jalan

1031 13-12-2019 100718011219P004324 0000791228687 ARMANAH P PBI (APBN) Dyspepsia Berobat Jalan

1032 13-12-2019 100718011219P004279 0000791253033 SAWA L PBI (APBN) Dyspepsia Berobat Jalan

1033 13-12-2019 100718011219P000971 0000791309305 SAPRAH P PBI (APBN) Cough Berobat Jalan

1034 13-12-2019 100718011219P004325 0000791350997 UNING P PBI (APBN) Dyspepsia Berobat Jalan

1035 13-12-2019 100718011219P004280 0000791379257 SANTI P PBI (APBN) Dyspepsia Berobat Jalan

1036 13-12-2019 100718011219P004220 0000791397279 ROHAMAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1037 13-12-2019 100718011219P004221 0000791484322 SARIMAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1038 13-12-2019 100718011219P004222 0000791487639 ARSIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1039 13-12-2019 100718011219P004224 0000791488675 UDIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1040 13-12-2019 100718011219P003774 0000791491476 AAT SUDRAJAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1041 13-12-2019 100718011219P004281 0000791497719 SAHRA L PBI (APBN) Dyspepsia Berobat Jalan

1042 13-12-2019 100718011219P003776 0000791508249 ARISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1043 13-12-2019 100718011219P003777 0000791784281 MARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1044 13-12-2019 100718011219P003778 0000791784797 MUKSIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1045 13-12-2019 100718011219P003779 0000791785798 SAKARIA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1046 13-12-2019 100718011219P003781 0000791786542 IIP ROIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1047 13-12-2019 100718011219P003783 0000791786755 SAYI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1048 13-12-2019 100718011219P003785 0000791786889 ETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1049 13-12-2019 100718011219P003786 0000791787115 IWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1050 13-12-2019 100718011219P003788 0000791787238 SITI ROSITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1051 13-12-2019 100718011219P004134 0000791787407 IRAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1052 13-12-2019 100718011219P004137 0000791787993 ASMA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1053 13-12-2019 100718011219P004138 0000791788072 MIMIN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1054 13-12-2019 100718011219P004139 0000791788127 MUHININ L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1055 13-12-2019 100718011219P004226 0000791793628 ATMI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1056 13-12-2019 100718011219P004141 0000791814666 RAI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1057 13-12-2019 100718011219P004143 0000791814767 SAMIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1058 13-12-2019 100718011219P004145 0000791814846 SITI ROHMAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1059 13-12-2019 100718011219P004146 0000791815623 KAMRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1060 13-12-2019 100718011219P004148 0000791816207 ROBI'AH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1061 13-12-2019 100718011219P004150 0000791816635 SITI PADILAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1062 13-12-2019 100718011219P004151 0000791818277 SATRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1063 13-12-2019 100718011219P004153 0000791819954 MISNAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1064 13-12-2019 100718011219P004155 0000791820268 DANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1065 13-12-2019 100718011219P004157 0000791834872 RATNA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1066 13-12-2019 100718011219P004158 0000791835693 NASIR L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1067 13-12-2019 100718011219P004160 0000791837921 IRMAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1068 13-12-2019 100718011219P004162 0000791838281 ARSIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1069 13-12-2019 100718011219P003647 0000791855278 ICOT P PBI (APBN) Cough Berobat Jalan

1070 13-12-2019 100718011219P003648 0000791859611 RASAN L PBI (APBN) Cough Berobat Jalan

1071 13-12-2019 100718011219P003649 0000791860882 AHMAD RIPAI L PBI (APBN) Cough Berobat Jalan

1072 13-12-2019 100718011219P003650 0000791862636 AMSAH P PBI (APBN) Cough Berobat Jalan

1073 13-12-2019 100718011219P003651 0000791863086 SARIAN L PBI (APBN) Cough Berobat Jalan

1074 13-12-2019 100718011219P003652 0000791863312 ARIPAH P PBI (APBN) Cough Berobat Jalan

1075 13-12-2019 100718011219P003653 0000791864122 RINA WATI P PBI (APBN) Cough Berobat Jalan

1076 13-12-2019 100718011219P003654 0000791864368 RITA P PBI (APBN) Cough Berobat Jalan

1077 13-12-2019 100718011219P003655 0000791866563 SITI ALIAH P PBI (APBN) Cough Berobat Jalan

1078 13-12-2019 100718011219P003656 0000791870049 SA'ID L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1079 13-12-2019 100718011219P003657 0000791871467 IMAM L PBI (APBN) Cough Berobat Jalan

1080 13-12-2019 100718011219P003658 0000791873842 JUNED L PBI (APBN) Cough Berobat Jalan

1081 13-12-2019 100718011219P003659 0000791873864 SAHRI L PBI (APBN) Cough Berobat Jalan

1082 13-12-2019 100718011219P003660 0000791873908 LINA P PBI (APBN) Cough Berobat Jalan

1083 13-12-2019 100718011219P003661 0000791878871 UCI L PBI (APBN) Cough Berobat Jalan

1084 13-12-2019 100718011219P003662 0000791879073 CACA L PBI (APBN) Cough Berobat Jalan

1085 13-12-2019 100718011219P003663 0000791880129 RONI L PBI (APBN) Cough Berobat Jalan

1086 13-12-2019 100718011219P003664 0000791880309 NENGSIH P PBI (APBN) Cough Berobat Jalan

1087 13-12-2019 100718011219P003665 0000791880941 EDI SASMITA L PBI (APBN) Cough Berobat Jalan

1088 13-12-2019 100718011219P003666 0000791882122 CIKA LAORA P PBI (APBN) Cough Berobat Jalan

1089 13-12-2019 100718011219P003667 0000791885564 AIP L PBI (APBN) Cough Berobat Jalan

1090 13-12-2019 100718011219P003668 0000791890119 TUTI P PBI (APBN) Cough Berobat Jalan

1091 13-12-2019 100718011219P003669 0000791890299 RENI P PBI (APBN) Cough Berobat Jalan

1092 13-12-2019 100718011219P003670 0000791890986 SITI AMELIA P PBI (APBN) Cough Berobat Jalan

1093 13-12-2019 100718011219P003671 0000792059725 SAMIN L PBI (APBN) Cough Berobat Jalan

1094 13-12-2019 100718011219P003672 0000792060513 JAMSITI P PBI (APBN) Cough Berobat Jalan

1095 13-12-2019 100718011219P004164 0000792060557 DEWI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1096 13-12-2019 100718011219P004166 0000792061672 IYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1097 13-12-2019 100718011219P004167 0000792062897 UNAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1098 13-12-2019 100718011219P003673 0000792065259 UCA L PBI (APBN) Cough Berobat Jalan

1099 13-12-2019 100718011219P003674 0000792066431 JANAH P PBI (APBN) Cough Berobat Jalan

1100 13-12-2019 100718011219P003675 0000792067059 LUSI MISANTI P PBI (APBN) Cough Berobat Jalan

1101 13-12-2019 100718011219P003676 0000792068523 NURAENI P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1102 13-12-2019 100718011219P003677 0000792068782 SAROJI L PBI (APBN) Cough Berobat Jalan

1103 13-12-2019 100718011219P004168 0000792071043 AHMAD RIPA'I L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1104 13-12-2019 100718011219P004170 0000792072595 ANDI SUPRIANDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1105 13-12-2019 100718011219P004175 0000792074384 AMSORI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1106 13-12-2019 100718011219P003678 0000792074676 WINAH P PBI (APBN) Cough Berobat Jalan

1107 13-12-2019 100718011219P003679 0000792075238 WAHYU L PBI (APBN) Cough Berobat Jalan

1108 13-12-2019 100718011219P003680 0000792079841 EMAD L PBI (APBN) Cough Berobat Jalan

1109 13-12-2019 100718011219P003681 0000792080932 SUMARNI P PBI (APBN) Cough Berobat Jalan

1110 13-12-2019 100718011219P003682 0000792082078 ELSA P PBI (APBN) Cough Berobat Jalan

1111 13-12-2019 100718011219P003683 0000792082304 ELNA P PBI (APBN) Cough Berobat Jalan

1112 13-12-2019 100718011219P003684 0000792083463 SAMSUDIN L PBI (APBN) Cough Berobat Jalan

1113 13-12-2019 100718011219P003685 0000792083766 RABI'AH P PBI (APBN) Cough Berobat Jalan

1114 13-12-2019 100718011219P003686 0000792084633 RAEDI L PEGAWAI SWASTA Cough Berobat Jalan

1115 13-12-2019 100718011219P003687 0000792085285 RUSYANA L PBI (APBN) Cough Berobat Jalan

1116 13-12-2019 100718011219P003688 0000792086062 SARIPIN L PBI (APBN) Cough Berobat Jalan

1117 13-12-2019 100718011219P003689 0000792086128 SARNI P PBI (APBN) Cough Berobat Jalan

1118 13-12-2019 100718011219P003690 0000792087423 LIA PUSPITA P PBI (APBN) Cough Berobat Jalan

1119 13-12-2019 100718011219P004183 0000792088154 SUKATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1120 13-12-2019 100718011219P004185 0000792089357 SADIMAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1121 13-12-2019 100718011219P004186 0000792090336 SARMAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1122 13-12-2019 100718011219P004188 0000792091168 JUNED L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1123 13-12-2019 100718011219P003691 0000792095545 ARTA L PBI (APBN) Cough Berobat Jalan

1124 13-12-2019 100718011219P003692 0000792095815 ASMANAH P PBI (APBN) Cough Berobat Jalan

1125 13-12-2019 100718011219P003693 0000792099483 RASUDIN L PBI (APBN) Cough Berobat Jalan

1126 13-12-2019 100718011219P003694 0000792103419 SALIMAN L PBI (APBN) Cough Berobat Jalan

1127 13-12-2019 100718011219P003695 0000792103869 ASMAH P PBI (APBN) Cough Berobat Jalan

1128 13-12-2019 100718011219P003696 0000792104049 M SAIPUDIN L PBI (APBN) Cough Berobat Jalan

1129 13-12-2019 100718011219P004193 0000792105186 SARKI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1130 13-12-2019 100718011219P004228 0001050381843 ASNI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1131 13-12-2019 100718011219P004194 0001050381898 SARWINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1132 13-12-2019 100718011219P004282 0001078097916 SHAFNA SAFITRI L PNS PUSAT Dyspepsia Berobat Jalan

1133 13-12-2019 100718011219P003697 0001398342115 AHMAD KANJI L PBI (APBD) Cough Berobat Jalan

1134 13-12-2019 100718011219P004283 0001398343138 YOGI FAISAL L PBI (APBD) Dyspepsia Berobat Jalan

1135 13-12-2019 100718011219P003698 0001599606663 ASIAH P PBI (APBD) Cough Berobat Jalan

1136 13-12-2019 100718011219P003699 0001599607991 ADE SAMSUDIN L PBI (APBD) Cough Berobat Jalan

1137 13-12-2019 100718011219P004284 0001599608531 M. RIZKY APRIANSYAH L PBI (APBD) Dyspepsia Berobat Jalan

1138 13-12-2019 100718011219P004285 0001599608542 SOFIAN L PBI (APBD) Dyspepsia Berobat Jalan

1139 13-12-2019 100718011219P004286 0001903512723 RASMAN L PEKERJA MANDIRI Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1140 13-12-2019 100718011219P004230 0001919366436 ANISA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1141 13-12-2019 100718011219P004231 0001919366627 IRFAN FERDIANSYAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1142 13-12-2019 100718011219P004232 0001992421506 SUTINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1143 13-12-2019 100718011219P000973 0001992542725 AHMAD HUJAEMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1144 13-12-2019 100718011219P004287 0002502297966 CECEP L PEKERJA MANDIRI Dyspepsia Berobat Jalan

1145 13-12-2019 100718011219P004288 0002590010638 YATI P PBI (APBN) Dyspepsia Berobat Jalan

1146 13-12-2019 100718011219P003700 0002638794971 GUSTIWATI SAPITRI P PBI (APBN) Cough Berobat Jalan

1147 13-12-2019 100718011219P004289 0002642125645 ROSITA SRIWAHYUNI P PBI (APBN) Dyspepsia Berobat Jalan

1148 13-12-2019 100718011219P004197 0002643071106 SUTARIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1149 13-12-2019 100718011219P004380 0002647247297 ARDIANSYAH L PBI (APBN) Toxic effect of alcohol, Sembuh
unspecified
1150 13-12-2019 100718011219P004290 0002687048493 RAISA FITRIYANI P PBI (APBD) Dyspepsia Berobat Jalan

1151 13-12-2019 100718011219P003701 0002687285002 SITI TITA P PBI (APBD) Cough Berobat Jalan

1152 13-12-2019 100718011219P000970 0002687287138 JUMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1153 12-12-2019 100718011219P001499 0000046679051 NENI SULISTIAWATI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1154 12-12-2019 100718011219P001500 0000046679613 MOH NASIR L PNS DAERAH Cough Berobat Jalan

1155 12-12-2019 100718011219P001501 0000198939611 UWOH L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1156 12-12-2019 100718011219P000088 0000789198704 NARSIAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1157 12-12-2019 100718011219P000087 0000789198849 NUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1158 12-12-2019 100718011219P001502 0000789936873 SITI AISYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1159 12-12-2019 100718011219P001503 0000790099738 EEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1160 12-12-2019 100718011219P000094 0000790168702 SUHERMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1161 12-12-2019 100718011219P000091 0000790168814 SACI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1162 12-12-2019 100718011219P000092 0000790169804 INA P PBI (APBN) Cough Berobat Jalan

1163 12-12-2019 100718011219P000093 0000790170219 ILHAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1164 12-12-2019 100718011219P001504 0000790174743 MISNI P PBI (APBN) Cough Berobat Jalan

1165 12-12-2019 100718011219P001505 0000790180514 HERMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1166 12-12-2019 100718011219P001506 0000790181032 DEWI P PBI (APBN) Cough Berobat Jalan

1167 12-12-2019 100718011219P001507 0000790181111 LIA HERMAWATI P PBI (APBN) Cough Berobat Jalan

1168 12-12-2019 100718011219P001753 0000790181245 SUHENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1169 12-12-2019 100718011219P001508 0000790215579 JARSI P PBI (APBN) Cough Berobat Jalan

1170 12-12-2019 100718011219P001509 0000790251118 SUANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1171 12-12-2019 100718011219P001510 0000790356947 ENDANG SARI P PBI (APBN) Cough Berobat Jalan

1172 12-12-2019 100718011219P001511 0000790562845 JAMAH P PBI (APBN) Cough Berobat Jalan

1173 12-12-2019 100718011219P001512 0000790573072 PIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1174 12-12-2019 100718011219P004373 0000790582667 ASNARIAH P PBI (APBN) Essential (primary) Pulang Paksa
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1175 12-12-2019 100718011219P001513 0000790589092 ERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1176 12-12-2019 100718011219P000095 0000790595537 NURFADILAH P PBI (APBN) Cough Berobat Jalan

1177 12-12-2019 100718011219P001544 0000790600599 SITI SA'DIAH P PBI (APBN) Cough Berobat Jalan

1178 12-12-2019 100718011219P001545 0000790606552 NISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1179 12-12-2019 100718011219P001546 0000790652957 MURNAWASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1180 12-12-2019 100718011219P001547 0000790699419 SITI NURHAYATI P PBI (APBN) Dyspepsia Berobat Jalan

1181 12-12-2019 100718011219P000096 0000790939721 ADE P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1182 12-12-2019 100718011219P000089 0000791032566 UCU S L PBI (APBN) Dyspepsia Berobat Jalan

1183 12-12-2019 100718011219P000101 0000791109639 MARINAH P PBI (APBN) Dyspepsia Berobat Jalan

1184 12-12-2019 100718011219P000090 0000791211778 TETI SAPITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1185 12-12-2019 100718011219P000974 0000791325832 SUMYATI P PBI (APBN) Cough Berobat Jalan

1186 12-12-2019 100718011219P001754 0000791326708 KAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1187 12-12-2019 100718011219P000975 0000791406235 KARNA L PBI (APBN) Cough Berobat Jalan

1188 12-12-2019 100718011219P000976 0000791410937 SURYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1189 12-12-2019 100718011219P000977 0000791473487 ANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1190 12-12-2019 100718011219P000978 0000791473972 AJI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1191 12-12-2019 100718011219P000979 0000791478718 SADELI L PBI (APBN) Cough Berobat Jalan

1192 12-12-2019 100718011219P000980 0000791479214 NARDI L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1193 12-12-2019 100718011219P000981 0000791480169 JASMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1194 12-12-2019 100718011219P000982 0000791480946 INDRIYANI P PBI (APBN) Cough Berobat Jalan

1195 12-12-2019 100718011219P000983 0000791481137 CECEP L PBI (APBN) Cough Berobat Jalan

1196 12-12-2019 100718011219P000984 0000791481587 YUYU L PBI (APBN) Cough Berobat Jalan

1197 12-12-2019 100718011219P000985 0000791481677 SUKANTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1198 12-12-2019 100718011219P000986 0000791482059 MARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1199 12-12-2019 100718011219P000987 0000791482149 SUHERMAN L PBI (APBN) Cough Berobat Jalan

1200 12-12-2019 100718011219P000988 0000791482983 AMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1201 12-12-2019 100718011219P000989 0000791484006 ROMI L PBI (APBN) Cough Berobat Jalan

1202 12-12-2019 100718011219P000990 0000791484693 SURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1203 12-12-2019 100718011219P000993 0000791485211 ARPAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1204 12-12-2019 100718011219P000995 0000791485648 MISNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1205 12-12-2019 100718011219P000997 0000791485705 SOPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1206 12-12-2019 100718011219P000999 0000791485749 SITI PATIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1207 12-12-2019 100718011219P001001 0000791485942 SANGSANG L PBI (APBN) Cough Berobat Jalan

1208 12-12-2019 100718011219P001002 0000791486368 JUNAWIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1209 12-12-2019 100718011219P001005 0000791486471 HERI L PBI (APBN) Cough Berobat Jalan

1210 12-12-2019 100718011219P001007 0000791486875 MUHAMAD ROHMAN L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1211 12-12-2019 100718011219P001009 0000791488045 MUHDI L PBI (APBN) Cough Berobat Jalan

1212 12-12-2019 100718011219P001012 0000791488089 IRUH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1213 12-12-2019 100718011219P001014 0000791490519 NENGSIH P PBI (APBN) Cough Berobat Jalan

1214 12-12-2019 100718011219P001017 0000791491184 BUSTOMI L PBI (APBN) Cough Berobat Jalan

1215 12-12-2019 100718011219P001019 0000791491533 EEN ERNIKA P PBI (APBN) Cough Berobat Jalan

1216 12-12-2019 100718011219P001020 0000791491735 R YUNI WIDIYANA P PBI (APBN) Cough Berobat Jalan

1217 12-12-2019 100718011219P001022 0000791492196 SIHATUL AFIAH P PBI (APBN) Cough Berobat Jalan

1218 12-12-2019 100718011219P001023 0000791493107 IIS P PBI (APBN) Cough Berobat Jalan

1219 12-12-2019 100718011219P001025 0000791495447 HERMAN L PBI (APBN) Cough Berobat Jalan

1220 12-12-2019 100718011219P001219 0000791496347 SUMANTA L PBI (APBN) Cough Berobat Jalan

1221 12-12-2019 100718011219P001223 0000791496652 HASAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1222 12-12-2019 100718011219P001229 0000791496718 ADON L PBI (APBN) Cough Berobat Jalan

1223 12-12-2019 100718011219P001231 0000791497394 RENDI L PBI (APBN) Cough Berobat Jalan

1224 12-12-2019 100718011219P001235 0000791498125 MUKRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1225 12-12-2019 100718011219P001238 0000791506473 ATIH P PBI (APBN) Cough Berobat Jalan

1226 12-12-2019 100718011219P001239 0000791522245 SARMIAN L PBI (APBN) Dyspepsia Berobat Jalan

1227 12-12-2019 100718011219P001242 0000791522357 SARMEDI L PBI (APBN) Dyspepsia Berobat Jalan

1228 12-12-2019 100718011219P001246 0000791522752 AHAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1229 12-12-2019 100718011219P001250 0000791523415 TIOL P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1230 12-12-2019 100718011219P001252 0000791524001 JUNA L PBI (APBN) Cough Berobat Jalan

1231 12-12-2019 100718011219P001255 0000791524438 WILDAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1232 12-12-2019 100718011219P001258 0000791525283 SANEN L PBI (APBN) Cough Berobat Jalan

1233 12-12-2019 100718011219P001260 0000791526183 DARWIAH P PBI (APBN) Cough Berobat Jalan

1234 12-12-2019 100718011219P001264 0000791545296 KURDI L PBI (APBN) Dyspepsia Berobat Jalan

1235 12-12-2019 100718011219P001548 0000791724036 RATI'AH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1236 12-12-2019 100718011219P001549 0000791724666 EPKIROHMANI SALAM L PBI (APBN) Cough Berobat Jalan

1237 12-12-2019 100718011219P001550 0000791724699 M BAYU PURWA PURWATA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1238 12-12-2019 100718011219P001551 0000791725296 JAKIRIN L PBI (APBN) Cough Berobat Jalan

1239 12-12-2019 100718011219P001552 0000791726589 JUMSIH P PBI (APBN) Cough Berobat Jalan

1240 12-12-2019 100718011219P001265 0000791729256 SAHANAH P PBI (APBN) Cough Berobat Jalan

1241 12-12-2019 100718011219P001269 0000791730382 ASTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1242 12-12-2019 100718011219P001273 0000791735174 SANALI L PBI (APBN) Cough Berobat Jalan

1243 12-12-2019 100718011219P001363 0000791735308 KARTI P PBI (APBN) Cough Berobat Jalan

1244 12-12-2019 100718011219P001365 0000791735804 KUSNI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1245 12-12-2019 100718011219P001366 0000791736208 RASTAM L PBI (APBN) Cough Berobat Jalan

1246 12-12-2019 100718011219P001369 0000791736243 MASKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1247 12-12-2019 100718011219P001371 0000791736322 SAHARI L PBI (APBN) Cough Berobat Jalan

1248 12-12-2019 100718011219P001373 0000791736388 RANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1249 12-12-2019 100718011219P001374 0000791736669 KEMAN L PBI (APBN) Cough Berobat Jalan

1250 12-12-2019 100718011219P001379 0000791737749 AMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1251 12-12-2019 100718011219P001380 0000791740653 SARKI L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1252 12-12-2019 100718011219P001381 0000791741114 SARIJAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1253 12-12-2019 100718011219P001382 0000791741474 ASRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1254 12-12-2019 100718011219P001383 0000791741913 PATMAWATI P PBI (APBN) Dyspepsia Berobat Jalan

1255 12-12-2019 100718011219P001384 0000791741946 EDI SUHARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1256 12-12-2019 100718011219P001385 0000791742014 DEDE APRIAN L PBI (APBN) Cough Berobat Jalan

1257 12-12-2019 100718011219P001386 0000791742734 ASRA L PBI (APBN) Cough Berobat Jalan

1258 12-12-2019 100718011219P001387 0000791743015 PAUJAN L PBI (APBN) Cough Berobat Jalan

1259 12-12-2019 100718011219P001388 0000791743274 ALWIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1260 12-12-2019 100718011219P001389 0000791743779 M WIRSA L PBI (APBN) Dyspepsia Berobat Jalan

1261 12-12-2019 100718011219P001390 0000791743814 ARWATI P PBI (APBN) Cough Berobat Jalan

1262 12-12-2019 100718011219P001391 0000791744387 M REJI L PBI (APBN) Cough Berobat Jalan

1263 12-12-2019 100718011219P001553 0000791745142 JARTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1264 12-12-2019 100718011219P001554 0000791745276 JAMSANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1265 12-12-2019 100718011219P001555 0000791745478 ASMALA L PBI (APBN) Cough Berobat Jalan

1266 12-12-2019 100718011219P001556 0000791746075 ELI NURSIPA P PBI (APBN) Cough Berobat Jalan

1267 12-12-2019 100718011219P001557 0000791747458 RAKMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1268 12-12-2019 100718011219P001558 0000791748066 NURSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1269 12-12-2019 100718011219P001559 0000791748268 SAMID L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1270 12-12-2019 100718011219P001560 0000791748325 JASIH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1271 12-12-2019 100718011219P001561 0000791748549 ITOH MASITOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1272 12-12-2019 100718011219P001562 0000791748718 YUSUP L PBI (APBN) Cough Berobat Jalan

1273 12-12-2019 100718011219P001563 0000791749956 KARNA L PBI (APBN) Cough Berobat Jalan

1274 12-12-2019 100718011219P001564 0000791750619 IDOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1275 12-12-2019 100718011219P001565 0000791750766 YUNITA RAHMA P PBI (APBN) Cough Berobat Jalan

1276 12-12-2019 100718011219P001566 0000791751587 KUSNADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1277 12-12-2019 100718011219P001567 0000791753185 JAMSITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1278 12-12-2019 100718011219P001568 0000791754682 SUNANDAR L PBI (APBN) Cough Berobat Jalan

1279 12-12-2019 100718011219P001569 0000791754704 UNIAH P PBI (APBN) Dyspepsia Berobat Jalan

1280 12-12-2019 100718011219P001571 0000791755435 SITI NURANISA P PBI (APBN) Cough Berobat Jalan

1281 12-12-2019 100718011219P001573 0000791755648 JUMENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1282 12-12-2019 100718011219P001575 0000791755705 OMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1283 12-12-2019 100718011219P001577 0000791756188 ASJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1284 12-12-2019 100718011219P001579 0000791756212 IIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1285 12-12-2019 100718011219P001581 0000791757325 PULUNG L PBI (APBN) Cough Berobat Jalan

1286 12-12-2019 100718011219P001583 0000791757527 JUENI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1287 12-12-2019 100718011219P001584 0000791757898 ASIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1288 12-12-2019 100718011219P001586 0000791757922 ETI P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1289 12-12-2019 100718011219P001588 0000791758473 JUMANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1290 12-12-2019 100718011219P001590 0000791758541 YANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1291 12-12-2019 100718011219P001592 0000791760813 JASRIP L PBI (APBN) Cough Berobat Jalan

1292 12-12-2019 100718011219P001594 0000791761094 JANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1293 12-12-2019 100718011219P001596 0000791761961 SITI JUHARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1294 12-12-2019 100718011219P001598 0000791762027 M INDRAWAN L PBI (APBN) Cough Berobat Jalan

1295 12-12-2019 100718011219P001615 0000791762084 TRIYANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1296 12-12-2019 100718011219P001617 0000791762826 JENAL L PBI (APBN) Cough Berobat Jalan

1297 12-12-2019 100718011219P001618 0000791763737 SAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1298 12-12-2019 100718011219P001620 0000791766549 ASDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1299 12-12-2019 100718011219P001622 0000791767078 SAMA'AH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1300 12-12-2019 100718011219P001623 0000791768608 SAMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1301 12-12-2019 100718011219P001625 0000791769824 ANDIKA L PBI (APBN) Cough Berobat Jalan

1302 12-12-2019 100718011219P001626 0000791769958 SAPRAH P PBI (APBN) Cough Berobat Jalan

1303 12-12-2019 100718011219P001628 0000791770239 INAH ROSINAH P PBI (APBN) Dyspepsia Berobat Jalan

1304 12-12-2019 100718011219P001629 0000791770296 IPAH P PBI (APBN) Cough Berobat Jalan

1305 12-12-2019 100718011219P001630 0000791770555 ATIKAH P PBI (APBN) Cough Berobat Jalan

1306 12-12-2019 100718011219P001631 0000791770656 SITI SUARNI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1307 12-12-2019 100718011219P001632 0000791771769 ALJANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1308 12-12-2019 100718011219P001633 0000791771938 SAMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1309 12-12-2019 100718011219P001634 0000791771962 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1310 12-12-2019 100718011219P001713 0000791772153 CICIH SETIASIH P PBI (APBN) Cough Berobat Jalan

1311 12-12-2019 100718011219P001714 0000791772456 SOPA SARIPUDIN L PBI (APBN) Cough Berobat Jalan

1312 12-12-2019 100718011219P001715 0000791773683 HAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1313 12-12-2019 100718011219P001716 0000791773727 ALIRUL BAHRUDIN L PBI (APBN) Cough Berobat Jalan

1314 12-12-2019 100718011219P001392 0000791773997 NANANG ALFAUJI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1315 12-12-2019 100718011219P001393 0000791774324 KUSRONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1316 12-12-2019 100718011219P001394 0000791774436 NENI SUMARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1317 12-12-2019 100718011219P001395 0000791774829 ALIYAH P PBI (APBN) Cough Berobat Jalan

1318 12-12-2019 100718011219P001396 0000791775077 KHUSBULLAH RAMADHANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1319 12-12-2019 100718011219P001398 0000791775134 MARLINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1320 12-12-2019 100718011219P001755 0000791779353 MUHAMAD RIJAL RYANTO L PBI (APBN) Cough Berobat Jalan

1321 12-12-2019 100718011219P001756 0000791779768 TARI NURSIPA P PBI (APBN) Cough Berobat Jalan

1322 12-12-2019 100718011219P001757 0000791779926 UMA L PBI (APBN) Dyspepsia Berobat Jalan

1323 12-12-2019 100718011219P001758 0000791779961 ACIH P PBI (APBN) Dyspepsia Berobat Jalan

1324 12-12-2019 100718011219P001759 0000791780163 ACA L PBI (APBN) Cough Berobat Jalan

1325 12-12-2019 100718011219P001717 0000791780308 SATI'AH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1326 12-12-2019 100718011219P001402 0000791780591 MASTA L PBI (APBN) Cough Berobat Jalan

1327 12-12-2019 100718011219P001760 0000791781175 SUKMANAH P PBI (APBN) Cough Berobat Jalan

1328 12-12-2019 100718011219P001761 0000791781276 NANANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1329 12-12-2019 100718011219P001762 0000791782165 PITRI P PBI (APBN) Cough Berobat Jalan

1330 12-12-2019 100718011219P001763 0000791782481 ALDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1331 12-12-2019 100718011219P001764 0000791790039 SARIMAN L PBI (APBN) Cough Berobat Jalan

1332 12-12-2019 100718011219P001765 0000791790052 MISKANI L PBI (APBN) Dyspepsia Berobat Jalan

1333 12-12-2019 100718011219P001718 0000791791751 ANDI L PBI (APBN) Dyspepsia Berobat Jalan

1334 12-12-2019 100718011219P001719 0000791792651 ISMAWATI P PBI (APBN) Dyspepsia Berobat Jalan

1335 12-12-2019 100718011219P001720 0000791793955 ANDRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1336 12-12-2019 100718011219P001721 0000791794383 ESIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1337 12-12-2019 100718011219P001722 0000791794631 A'ON L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1338 12-12-2019 100718011219P001723 0000791794809 MARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1339 12-12-2019 100718011219P001724 0000791794989 ALIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1340 12-12-2019 100718011219P001725 0000791795248 YADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1341 12-12-2019 100718011219P001726 0000791795351 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1342 12-12-2019 100718011219P001727 0000791796058 ARYATI P PBI (APBN) Cough Berobat Jalan

1343 12-12-2019 100718011219P001728 0000791796813 SUKIMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1344 12-12-2019 100718011219P001729 0000791797364 SANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1345 12-12-2019 100718011219P001730 0000791797408 NOPI ALBAROKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1346 12-12-2019 100718011219P001731 0000791800086 EMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1347 12-12-2019 100718011219P001732 0000791800211 M HAMBALI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1348 12-12-2019 100718011219P001733 0000791800751 AMELIAH P PBI (APBN) Cough Berobat Jalan

1349 12-12-2019 100718011219P001734 0000791801706 YAYA SUNARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1350 12-12-2019 100718011219P001735 0000791802887 ICIH P PBI (APBN) Cough Berobat Jalan

1351 12-12-2019 100718011219P001404 0000791805003 SADAMIK L PBI (APBN) Cough Berobat Jalan

1352 12-12-2019 100718011219P001406 0000791805666 ASRI P PBI (APBN) Cough Berobat Jalan

1353 12-12-2019 100718011219P001409 0000791806432 JUJU P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1354 12-12-2019 100718011219P001736 0000791806601 HASAN WIJAYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1355 12-12-2019 100718011219P001737 0000791808311 ARSAN L PBI (APBN) Cough Berobat Jalan

1356 12-12-2019 100718011219P001766 0000791809031 EEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1357 12-12-2019 100718011219P001767 0000791809233 MUHAMAD ANDES GUNAWAN L PBI (APBN) Cough Berobat Jalan

1358 12-12-2019 100718011219P001792 0000791809749 EKA ALPIANA P PBI (APBN) Cough Berobat Jalan

1359 12-12-2019 100718011219P001768 0000791809975 USO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1360 12-12-2019 100718011219P001769 0000791810019 SURNIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1361 12-12-2019 100718011219P001738 0000791810223 KAMSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1362 12-12-2019 100718011219P001770 0000791810392 SARMAH P PBI (APBN) Cough Berobat Jalan

1363 12-12-2019 100718011219P001412 0000791811573 M RIZKI ILAHI L PBI (APBN) Cough Berobat Jalan

1364 12-12-2019 100718011219P001771 0000791811786 UPI P PBI (APBN) Cough Berobat Jalan

1365 12-12-2019 100718011219P001772 0000791812269 UKIAH P PBI (APBN) Cough Berobat Jalan

1366 12-12-2019 100718011219P001773 0000791812304 USNAWATI P PBI (APBN) Cough Berobat Jalan

1367 12-12-2019 100718011219P001774 0000791813531 ARSINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1368 12-12-2019 100718011219P001739 0000791827042 SARID L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1369 12-12-2019 100718011219P001740 0000791829055 SUARNA L PBI (APBN) Cough Berobat Jalan

1370 12-12-2019 100718011219P001741 0000791829483 M AGUNG L PBI (APBN) Cough Berobat Jalan

1371 12-12-2019 100718011219P001775 0000791834354 SATI'AH P PBI (APBN) Cough Berobat Jalan

1372 12-12-2019 100718011219P001776 0000791834804 SADAM L PBI (APBN) Cough Berobat Jalan

1373 12-12-2019 100718011219P001777 0000791842814 SARNATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1374 12-12-2019 100718011219P001778 0000791843152 MURSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1375 12-12-2019 100718011219P001779 0000791844063 WAWAT HERNAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1376 12-12-2019 100718011219P001780 0000791847292 JAIMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1377 12-12-2019 100718011219P001781 0000791847459 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1378 12-12-2019 100718011219P001782 0000791847494 ARIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1379 12-12-2019 100718011219P001414 0000791847718 SUPARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1380 12-12-2019 100718011219P001783 0000791849316 ASNAM L PBI (APBN) Dyspepsia Berobat Jalan

1381 12-12-2019 100718011219P001784 0000791849417 ANESIH P PBI (APBN) Cough Berobat Jalan

1382 12-12-2019 100718011219P001785 0000791849924 NURSITI P PBI (APBN) Dyspepsia Berobat Jalan

1383 12-12-2019 100718011219P001786 0000791850104 AHYAR L PBI (APBN) Cough Berobat Jalan

1384 12-12-2019 100718011219P001787 0000791850824 MULYADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1385 12-12-2019 100718011219P001788 0000791853456 KOMARUDIN L PBI (APBN) Cough Berobat Jalan

1386 12-12-2019 100718011219P001789 0000791854312 TASMAN L PBI (APBN) Cough Berobat Jalan

1387 12-12-2019 100718011219P001790 0000791854694 ARNASA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1388 12-12-2019 100718011219P001791 0000791854964 MARBAWI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1389 12-12-2019 100718011219P001742 0001599606617 DEDE RABIAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1390 12-12-2019 100718011219P001743 0001599606652 KARIS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1391 12-12-2019 100718011219P001744 0001599606707 NURTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1392 12-12-2019 100718011219P001745 0001599606742 DEDE SURYANA L PBI (APBD) Cough Berobat Jalan

1393 12-12-2019 100718011219P001746 0001599606753 LINDA FADILAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1394 12-12-2019 100718011219P001747 0001599606797 HALILI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1395 12-12-2019 100718011219P001748 0001599606808 INA HESTIANA P PBI (APBD) Cough Berobat Jalan

1396 12-12-2019 100718011219P001749 0001599606821 ILHAM L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1397 12-12-2019 100718011219P001416 0001599606832 SUSILAWATI P PBI (APBD) Cough Berobat Jalan

1398 12-12-2019 100718011219P001418 0001599606854 ETI HERAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1399 12-12-2019 100718011219P001420 0001599606865 NARSAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1400 12-12-2019 100718011219P001423 0001599606876 M. WITRI L PBI (APBD) Cough Berobat Jalan

1401 12-12-2019 100718011219P001425 0001599606887 RATNA JUITA P PBI (APBD) Cough Berobat Jalan

1402 12-12-2019 100718011219P001426 0001599606909 KOSASIH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1403 12-12-2019 100718011219P001428 0001599606911 SARPI P PBI (APBD) Cough Berobat Jalan

1404 12-12-2019 100718011219P001429 0001599607203 KASMIN L PBI (APBD) Cough Berobat Jalan

1405 12-12-2019 100718011219P001432 0001599607214 EMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1406 12-12-2019 100718011219P001433 0001599607225 HERDIANSYAH L PBI (APBD) Cough Berobat Jalan

1407 12-12-2019 100718011219P001439 0001599607236 TITIN P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1408 12-12-2019 100718011219P001441 0001599607247 AJIS SUSANTO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1409 12-12-2019 100718011219P001443 0001599607258 HARDIANTO L PBI (APBD) Cough Berobat Jalan

1410 12-12-2019 100718011219P001445 0001599607269 FITRI NUR FADILLAH P PBI (APBD) Dyspepsia Berobat Jalan

1411 12-12-2019 100718011219P001447 0001599607271 M. ALFAHRU L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1412 12-12-2019 100718011219P001449 0001599607282 MURFAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1413 12-12-2019 100718011219P001451 0001599607293 RUMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1414 12-12-2019 100718011219P001453 0001599607484 A. FAUZANI NASIHUL ULWA L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1415 12-12-2019 100718011219P001455 0001599607495 AMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1416 12-12-2019 100718011219P001462 0001599607506 WANDA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1417 12-12-2019 100718011219P001465 0001599607517 SITI AISYAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1418 12-12-2019 100718011219P001467 0001599607539 JIDAN HAERUN L PBI (APBD) Cough Berobat Jalan

1419 12-12-2019 100718011219P001750 0001599607686 JAKRIAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1420 12-12-2019 100718011219P001751 0001599607708 JUNAEDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1421 12-12-2019 100718011219P001470 0001599607719 LUZAENI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1422 12-12-2019 100718011219P001472 0001599607721 SITI MASPUPAH P PBI (APBD) Cough Berobat Jalan

1423 12-12-2019 100718011219P001474 0001599607732 SITI NUR ALMIRA KHOIRINA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1424 12-12-2019 100718011219P001476 0001599607923 FATONI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1425 12-12-2019 100718011219P001477 0001599608002 DIAN HERLINA P PBI (APBD) Cough Berobat Jalan

1426 12-12-2019 100718011219P001478 0001599608294 ZEFI MAULANA L PBI (APBD) Cough Berobat Jalan

1427 12-12-2019 100718011219P001479 0001599608316 NURHADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1428 12-12-2019 100718011219P001480 0001599609486 RENI YULIANI P PBI (APBD) Cough Berobat Jalan

1429 12-12-2019 100718011219P001481 0001599609497 NOFAN ARDIANSYAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1430 12-12-2019 100718011219P001482 0001869552865 afiqah adlina fadhilah P ANGGOTA POLRI Cough Berobat Jalan

1431 12-12-2019 100718011219P001483 0001900602832 TRI JATMIKO FUADI L PNS DAERAH Cough Berobat Jalan

1432 12-12-2019 100718011219P001484 0001992459418 SITI NURHOLIPAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1433 12-12-2019 100718011219P000100 0001992533679 ARSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1434 12-12-2019 100718011219P001485 0001999785947 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1435 12-12-2019 100718011219P001486 0002043020856 eni sumarni P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1436 12-12-2019 100718011219P001487 0002214758283 M.H. APIP L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1437 12-12-2019 100718011219P001522 0002318043857 satinah P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1438 12-12-2019 100718011219P000102 0002332246948 RUGAYA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1439 12-12-2019 100718011219P001488 0002435491348 GHINA SHAFWATUL INAYAH P PNS DAERAH Cough Berobat Jalan

1440 12-12-2019 100718011219P001489 0002627356746 A. BADAY FATUROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1441 12-12-2019 100718011219P001490 0002629202837 SUPRIYADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1442 12-12-2019 100718011219P001491 0002641909228 NINDA MAURA PUTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1443 12-12-2019 100718011219P000086 0002641910646 ERWIN WINAJA L PBI (APBN) Acute posthaemorrhagic Rujuk Vertikal
anaemia
1444 12-12-2019 100718011219P001492 0002641914347 SELFI FITRIANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1445 12-12-2019 100718011219P001493 0002641916799 SITI DELIA P PBI (APBN) Cough Berobat Jalan

1446 12-12-2019 100718011219P000097 0002641917598 ANDIKA PRATAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1447 12-12-2019 100718011219P001494 0002642825801 FEBRI MAULANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1448 12-12-2019 100718011219P001495 0002643067168 ROMADONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1449 12-12-2019 100718011219P001752 0002643068081 SAETI P PBI (APBN) Cough Berobat Jalan

1450 12-12-2019 100718011219P001496 0002647223144 JUNENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1451 12-12-2019 100718011219P001497 0002687047222 RUMSINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1452 12-12-2019 100718011219P000099 0002687639949 ARYO SAFUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1453 12-12-2019 100718011219P001498 0002882607107 M. RAZIF BAHARUDIN L PEKERJA MANDIRI Cough Berobat Jalan

1454 11-12-2019 100718011219P003383 0000046319938 YETI RUHIYATI P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1455 11-12-2019 100718011219P003384 0000046381476 ASEP SAEPUL BAHRI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1456 11-12-2019 100718011219P003386 0000046391229 KARTI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1457 11-12-2019 100718011219P003409 0000046393492 MAHARANI ZAHRA P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1458 11-12-2019 100718011219P003387 0000046678656 AMSORI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
1459 11-12-2019 100718011219P003410 0000046678667 MARNIAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
1460 11-12-2019 100718011219P003388 0000046678858 BALYA,SS L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
1461 11-12-2019 100718011219P002732 0000789536946 SUNIAH P PBI (APBN) Cough Berobat Jalan

1462 11-12-2019 100718011219P002733 0000790040946 ROHANAH P PBI (APBN) Cough Berobat Jalan

1463 11-12-2019 100718011219P003411 0000790065887 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1464 11-12-2019 100718011219P002735 0000790131328 SURTI P PBI (APBN) Cough Berobat Jalan

1465 11-12-2019 100718011219P002737 0000790168702 SUHERMAN L PBI (APBN) Cough Berobat Jalan

1466 11-12-2019 100718011219P002738 0000790184878 SARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1467 11-12-2019 100718011219P002739 0000790193564 JAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1468 11-12-2019 100718011219P002741 0000790194914 ROSITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1469 11-12-2019 100718011219P002744 0000790215131 JUBAEDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1470 11-12-2019 100718011219P002746 0000790312353 KESIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1471 11-12-2019 100718011219P002667 0000790316256 DARNA MIHARJA L PBI (APBN) Cough Berobat Jalan

1472 11-12-2019 100718011219P002668 0000790316583 ISNI P PBI (APBN) Cough Berobat Jalan

1473 11-12-2019 100718011219P002669 0000790316897 RATIH P PBI (APBN) Cough Berobat Jalan

1474 11-12-2019 100718011219P002670 0000790316932 SAMSUL L PBI (APBN) Cough Berobat Jalan

1475 11-12-2019 100718011219P002671 0000790317224 DINI P PBI (APBN) Cough Berobat Jalan

1476 11-12-2019 100718011219P002747 0000790333852 OJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1477 11-12-2019 100718011219P002750 0000790340951 RAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1478 11-12-2019 100718011219P002752 0000790433763 SITI SOFIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1479 11-12-2019 100718011219P002754 0000790437767 MUMUH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1480 11-12-2019 100718011219P002757 0000790462102 HENDI L PBI (APBN) Cough Berobat Jalan

1481 11-12-2019 100718011219P003412 0000790465465 SUMYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1482 11-12-2019 100718011219P003413 0000790478739 PATIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1483 11-12-2019 100718011219P002759 0000790513312 SAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1484 11-12-2019 100718011219P003414 0000790539401 JARTIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1485 11-12-2019 100718011219P003415 0000790581205 ASNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1486 11-12-2019 100718011219P002761 0000790604065 AJAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1487 11-12-2019 100718011219P002763 0000790610297 EDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1488 11-12-2019 100718011219P002765 0000790610466 ARMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1489 11-12-2019 100718011219P002767 0000790611219 RISKA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1490 11-12-2019 100718011219P003416 0000790611467 AMIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1491 11-12-2019 100718011219P003417 0000790615912 UEN P PBI (APBN) Cough Berobat Jalan

1492 11-12-2019 100718011219P002769 0000790643046 HJ BADIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1493 11-12-2019 100718011219P002771 0000790643698 MITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1494 11-12-2019 100718011219P002672 0000790656491 ASTAR L PBI (APBN) Cough Berobat Jalan

1495 11-12-2019 100718011219P002673 0000790656996 SYAHRUL RAMDANI L PBI (APBN) Cough Berobat Jalan

1496 11-12-2019 100718011219P002674 0000790658166 JUMADI L PBI (APBN) Cough Berobat Jalan

1497 11-12-2019 100718011219P002675 0000790658278 SUKATI P PBI (APBN) Cough Berobat Jalan

1498 11-12-2019 100718011219P002676 0000790660462 MISTA L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1499 11-12-2019 100718011219P003418 0000790675132 ADEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1500 11-12-2019 100718011219P002677 0000790679889 SARJU L PBI (APBN) Cough Berobat Jalan

1501 11-12-2019 100718011219P002678 0000790681083 ISKANDAR L PBI (APBN) Cough Berobat Jalan

1502 11-12-2019 100718011219P003419 0000790683028 LIA SAPITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1503 11-12-2019 100718011219P002679 0000790714506 ENUR L PBI (APBN) Cough Berobat Jalan

1504 11-12-2019 100718011219P002680 0000790714541 KARSI P PBI (APBN) Cough Berobat Jalan

1505 11-12-2019 100718011219P002681 0000790715913 ADITYA L PBI (APBN) Cough Berobat Jalan

1506 11-12-2019 100718011219P002773 0000790722977 ROJANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1507 11-12-2019 100718011219P003420 0000790734633 SUHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1508 11-12-2019 100718011219P002775 0000790739976 UNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1509 11-12-2019 100718011219P002778 0000790749461 IKOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1510 11-12-2019 100718011219P003421 0000790749854 AMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1511 11-12-2019 100718011219P003422 0000790764232 ARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1512 11-12-2019 100718011219P002682 0000790772938 AMAN L PBI (APBN) Cough Berobat Jalan

1513 11-12-2019 100718011219P002683 0000790773658 ARYATI P PBI (APBN) Cough Berobat Jalan

1514 11-12-2019 100718011219P003423 0000790792108 MISKA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1515 11-12-2019 100718011219P003424 0000790792536 SUNARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1516 11-12-2019 100718011219P003425 0000790803797 OYO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1517 11-12-2019 100718011219P002780 0000790818434 TATA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1518 11-12-2019 100718011219P003426 0000790840506 SAIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1519 11-12-2019 100718011219P002783 0000790877518 EROS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1520 11-12-2019 100718011219P003427 0000790882828 ROHANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1521 11-12-2019 100718011219P002684 0000790889692 MIMIN P PBI (APBN) Cough Berobat Jalan

1522 11-12-2019 100718011219P002685 0000790890827 AAM AMELIA P PBI (APBN) Cough Berobat Jalan

1523 11-12-2019 100718011219P003428 0000790902775 MIRSA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1524 11-12-2019 100718011219P002686 0000790908175 SAPUR L PBI (APBN) Cough Berobat Jalan

1525 11-12-2019 100718011219P002687 0000790908794 UNDAN L PBI (APBN) Cough Berobat Jalan

1526 11-12-2019 100718011219P002786 0000790931981 JUMRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1527 11-12-2019 100718011219P003429 0000790936672 RASTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1528 11-12-2019 100718011219P002688 0000790959014 AWING L PBI (APBN) Cough Berobat Jalan

1529 11-12-2019 100718011219P002689 0000790959137 MARSANAH P PBI (APBN) Cough Berobat Jalan

1530 11-12-2019 100718011219P002690 0000790959666 HERI L PBI (APBN) Cough Berobat Jalan

1531 11-12-2019 100718011219P002691 0000790960116 REPANDI L PBI (APBN) Cough Berobat Jalan

1532 11-12-2019 100718011219P002789 0000790964032 LILIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1533 11-12-2019 100718011219P002791 0000790986611 TUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1534 11-12-2019 100718011219P003430 0000790989298 AMAH P PBI (APBN) Cough Berobat Jalan

1535 11-12-2019 100718011219P003431 0000790994002 YATI ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1536 11-12-2019 100718011219P002792 0000791006534 CETANG P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1537 11-12-2019 100718011219P003432 0000791012327 DEDE RENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1538 11-12-2019 100718011219P002692 0000791015152 KARTINI P PBI (APBN) Cough Berobat Jalan

1539 11-12-2019 100718011219P003433 0000791028639 IIS SOPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1540 11-12-2019 100718011219P002693 0000791059285 MUHAMAD SUBHI L PBI (APBN) Cough Berobat Jalan

1541 11-12-2019 100718011219P002794 0000791087883 KURDI L PBI (APBN) Acute upper respiratory Berobat Jalan Diabetes
infections of multiple and Mellitus
unspecified sites
1542 11-12-2019 100718011219P002795 0000791089479 MENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1543 11-12-2019 100718011219P002797 0000791102643 EROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1544 11-12-2019 100718011219P002800 0000791103159 SITI AISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1545 11-12-2019 100718011219P003144 0000791104037 HARDI L PBI (APBN) Cough Berobat Jalan

1546 11-12-2019 100718011219P003145 0000791106197 ASIH P PBI (APBN) Cough Berobat Jalan

1547 11-12-2019 100718011219P003146 0000791106434 SRI HANDAYANI P PBI (APBN) Cough Berobat Jalan

1548 11-12-2019 100718011219P003147 0000791106535 ALI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1549 11-12-2019 100718011219P003148 0000791106816 RASAD L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1550 11-12-2019 100718011219P003439 0000791107211 KAMSINAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1551 11-12-2019 100718011219P002694 0000791107457 SANTARIP L PBI (APBN) Cough Berobat Jalan

1552 11-12-2019 100718011219P002695 0000791108199 KHOLIK L PBI (APBN) Cough Berobat Jalan

1553 11-12-2019 100718011219P002696 0000791108469 RUNASIH P PBI (APBN) Cough Berobat Jalan

1554 11-12-2019 100718011219P003149 0000791108493 ACA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1555 11-12-2019 100718011219P003150 0000791108638 WAWAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1556 11-12-2019 100718011219P002697 0000791108864 MISTAR L PBI (APBN) Cough Berobat Jalan

1557 11-12-2019 100718011219P003228 0000791112576 AMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1558 11-12-2019 100718011219P003151 0000791112745 DARINAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1559 11-12-2019 100718011219P003152 0000791113509 TARDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1560 11-12-2019 100718011219P003153 0000791115006 MISRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1561 11-12-2019 100718011219P003230 0000791115671 NURMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1562 11-12-2019 100718011219P003233 0000791115862 SELA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1563 11-12-2019 100718011219P002698 0000791116446 ISLI MULYANTO L PBI (APBN) Cough Berobat Jalan

1564 11-12-2019 100718011219P003154 0000791118426 RASMANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1565 11-12-2019 100718011219P003155 0000791128978 UNUS L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1566 11-12-2019 100718011219P003156 0000791131972 SARMIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1567 11-12-2019 100718011219P003157 0000791132051 TUTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1568 11-12-2019 100718011219P003158 0000791132488 ITA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1569 11-12-2019 100718011219P003160 0000791132815 PARTA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1570 11-12-2019 100718011219P003162 0000791133467 ICIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1571 11-12-2019 100718011219P003163 0000791135087 TONI HARYANTO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1572 11-12-2019 100718011219P003164 0000791135425 MELI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1573 11-12-2019 100718011219P003165 0000791137708 NADI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1574 11-12-2019 100718011219P003168 0000791137945 JAENAL L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1575 11-12-2019 100718011219P003170 0000791138294 RUDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1576 11-12-2019 100718011219P003172 0000791139249 SARNIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1577 11-12-2019 100718011219P003235 0000791140645 SARMAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1578 11-12-2019 100718011219P003236 0000791140667 SAPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1579 11-12-2019 100718011219P003237 0000791141703 JUNARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1580 11-12-2019 100718011219P003238 0000791142816 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1581 11-12-2019 100718011219P003239 0000791142873 IDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1582 11-12-2019 100718011219P003240 0000791142996 ROHENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1583 11-12-2019 100718011219P003241 0000791143841 EDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1584 11-12-2019 100718011219P003243 0000791143964 DIDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1585 11-12-2019 100718011219P003245 0000791144019 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1586 11-12-2019 100718011219P003247 0000791144054 ISMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1587 11-12-2019 100718011219P003260 0000791144324 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1588 11-12-2019 100718011219P003262 0000791144908 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1589 11-12-2019 100718011219P003263 0000791144965 JUHDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1590 11-12-2019 100718011219P003264 0000791146023 ADIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1591 11-12-2019 100718011219P003174 0000791146855 SAPRAH HABIBAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1592 11-12-2019 100718011219P003265 0000791147553 REJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1593 11-12-2019 100718011219P003266 0000791148047 ANGGANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1594 11-12-2019 100718011219P003267 0000791148824 KARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1595 11-12-2019 100718011219P003175 0000791150051 AJI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1596 11-12-2019 100718011219P003176 0000791150207 ANWAR L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1597 11-12-2019 100718011219P003178 0000791150231 BAYI ROFI'AH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1598 11-12-2019 100718011219P003180 0000791151928 JUNAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1599 11-12-2019 100718011219P003182 0000791154066 TINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1600 11-12-2019 100718011219P003184 0000791156845 SARJO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1601 11-12-2019 100718011219P003269 0000791157025 SUKARMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1602 11-12-2019 100718011219P003271 0000791157352 ATANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1603 11-12-2019 100718011219P003273 0000791157519 SARIP L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1604 11-12-2019 100718011219P003274 0000791157993 YANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1605 11-12-2019 100718011219P003276 0000791158555 TUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1606 11-12-2019 100718011219P003278 0000791159466 SITI NURAINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1607 11-12-2019 100718011219P003279 0000791160513 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1608 11-12-2019 100718011219P003280 0000791161053 JENAL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1609 11-12-2019 100718011219P003281 0000791162155 MISYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1610 11-12-2019 100718011219P003185 0000791168859 RAMINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1611 11-12-2019 100718011219P003282 0000791180458 KUSNIAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1612 11-12-2019 100718011219P003283 0000791182181 KONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1613 11-12-2019 100718011219P003434 0000791184756 ROHATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1614 11-12-2019 100718011219P003435 0000791187546 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1615 11-12-2019 100718011219P003436 0000791188053 HERTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1616 11-12-2019 100718011219P003187 0000791198897 SAROH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1617 11-12-2019 100718011219P003284 0000791204185 SURNA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1618 11-12-2019 100718011219P002699 0000791206749 ADAH P PBI (APBN) Cough Berobat Jalan

1619 11-12-2019 100718011219P002700 0000791208843 SARKANI L PBI (APBN) Cough Berobat Jalan

1620 11-12-2019 100718011219P002701 0000791209708 SUKAMAH P PBI (APBN) Cough Berobat Jalan

1621 11-12-2019 100718011219P002708 0000791210046 RUSLAN L PBI (APBN) Cough Berobat Jalan

1622 11-12-2019 100718011219P003188 0000791230263 ANIDA SAFITRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1623 11-12-2019 100718011219P002711 0000791231084 SARKAMIN L PBI (APBN) Cough Berobat Jalan

1624 11-12-2019 100718011219P002713 0000791232333 SARIAH P PBI (APBN) Cough Berobat Jalan

1625 11-12-2019 100718011219P002716 0000791232491 AHMAD RIFALDI L PBI (APBN) Cough Berobat Jalan

1626 11-12-2019 100718011219P003285 0000791236348 AMNAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
1627 11-12-2019 100718011219P003189 0000791254822 UCU CAHYATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1628 11-12-2019 100718011219P003437 0000791257522 ARTINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1629 11-12-2019 100718011219P002718 0000791257847 ROHDI L PBI (APBN) Cough Berobat Jalan

1630 11-12-2019 100718011219P002720 0000791259963 RENDI L PBI (APBN) Cough Berobat Jalan

1631 11-12-2019 100718011219P002721 0000791275274 AKMAL TORIK L PBI (APBN) Cough Berobat Jalan

1632 11-12-2019 100718011219P003286 0000791276051 IDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1633 11-12-2019 100718011219P003287 0000791291529 SARHAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1634 11-12-2019 100718011219P003190 0000791293871 SURNI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1635 11-12-2019 100718011219P002722 0000791298955 RASTAM L PBI (APBN) Cough Berobat Jalan

1636 11-12-2019 100718011219P002723 0000791299214 IMAS P PBI (APBN) Cough Berobat Jalan

1637 11-12-2019 100718011219P003288 0000791303815 SAPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1638 11-12-2019 100718011219P003438 0000791307955 AHMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1639 11-12-2019 100718011219P002724 0000791309733 MIRYA L PBI (APBN) Cough Berobat Jalan

1640 11-12-2019 100718011219P002727 0000791309902 TINI P PBI (APBN) Cough Berobat Jalan

1641 11-12-2019 100718011219P002728 0000791310341 SURYANA L PBI (APBN) Cough Berobat Jalan

1642 11-12-2019 100718011219P002730 0000791312027 RUMSIAH P PBI (APBN) Cough Berobat Jalan

1643 11-12-2019 100718011219P002731 0000791317563 ARTIANI P PBI (APBN) Cough Berobat Jalan

1644 11-12-2019 100718011219P003336 0000791323007 OHIM PAHRUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1645 11-12-2019 100718011219P003335 0000791323863 APAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1646 11-12-2019 100718011219P003191 0000791348523 SATIRAH P PBI (APBN) Diarrhoea and Berobat Jalan Hipertensi
gastroenteritis of
presumed infectious origin

1647 11-12-2019 100718011219P003289 0000791374342 UMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1648 11-12-2019 100718011219P003192 0000791375196 SAHROPI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1649 11-12-2019 100718011219P003193 0000791377086 ROHANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1650 11-12-2019 100718011219P003290 0000791419094 AAS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1651 11-12-2019 100718011219P003337 0000791425192 SURYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1652 11-12-2019 100718011219P003338 0000791426812 SUCI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1653 11-12-2019 100718011219P003291 0000791428443 SUHAEMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1654 11-12-2019 100718011219P003292 0000791431378 M FAROW L PBI (APBN) Cough Berobat Jalan

1655 11-12-2019 100718011219P003293 0000791432302 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1656 11-12-2019 100718011219P003194 0000791435215 INDRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1657 11-12-2019 100718011219P003295 0000791446228 AGUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1658 11-12-2019 100718011219P003296 0000791450853 JAENUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1659 11-12-2019 100718011219P003196 0000791451033 IDA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1660 11-12-2019 100718011219P003297 0000791469472 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1661 11-12-2019 100718011219P003298 0000791470653 WAHYUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1662 11-12-2019 100718011219P003299 0000791471068 NIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1663 11-12-2019 100718011219P003198 0000791472958 ASMAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1664 11-12-2019 100718011219P003200 0000791474422 YAYA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1665 11-12-2019 100718011219P003201 0000791483354 ROMSAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1666 11-12-2019 100718011219P003300 0000791487516 PIYA P PBI (APBN) Cough Berobat Jalan

1667 11-12-2019 100718011219P003301 0000791488236 HERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1668 11-12-2019 100718011219P000104 0000791497089 TETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1669 11-12-2019 100718011219P003303 0000791497574 ANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1670 11-12-2019 100718011219P003304 0000791497877 SARKIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1671 11-12-2019 100718011219P003203 0000791498632 SAPIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1672 11-12-2019 100718011219P003205 0000791509173 MUMU P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1673 11-12-2019 100718011219P003339 0000791510409 ADIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1674 11-12-2019 100718011219P003340 0000791510455 ERAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1675 11-12-2019 100718011219P003207 0000791514606 BAHRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1676 11-12-2019 100718011219P003209 0000791515719 SANTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1677 11-12-2019 100718011219P003211 0000791516147 RENDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1678 11-12-2019 100718011219P003212 0000791518285 JAEDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1679 11-12-2019 100718011219P003215 0000791526317 MUKRIADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1680 11-12-2019 100718011219P003216 0000791526352 SAPINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1681 11-12-2019 100718011219P003217 0000791528466 MARYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1682 11-12-2019 100718011219P003218 0000791529052 SANAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1683 11-12-2019 100718011219P003219 0000791530503 IJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1684 11-12-2019 100718011219P003220 0000791536871 AISYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1685 11-12-2019 100718011219P003305 0000791539694 ETIN SUMIAYATI P PBI (APBN) Cough Berobat Jalan

1686 11-12-2019 100718011219P003221 0000791546635 SAENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1687 11-12-2019 100718011219P003222 0000791546657 SUSANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1688 11-12-2019 100718011219P003306 0000791547153 RUMSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1689 11-12-2019 100718011219P003223 0000791556028 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1690 11-12-2019 100718011219P003307 0000791565287 MUTMAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1691 11-12-2019 100718011219P003224 0000791566571 MISNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1692 11-12-2019 100718011219P003308 0000791585054 SODAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1693 11-12-2019 100718011219P003225 0000791586415 JUNI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1694 11-12-2019 100718011219P003226 0000791589723 ARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1695 11-12-2019 100718011219P003309 0000791652385 EPI RIYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1696 11-12-2019 100718011219P003390 0000791662419 MELI JULIANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1697 11-12-2019 100718011219P003342 0000791663804 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1698 11-12-2019 100718011219P003344 0000791664311 DEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1699 11-12-2019 100718011219P003346 0000791673298 SUHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1700 11-12-2019 100718011219P003356 0000791674187 MAESAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1701 11-12-2019 100718011219P003358 0000791674727 AKBAR L PBI (APBN) Cough Berobat Jalan

1702 11-12-2019 100718011219P003310 0000791676213 AISAH P PBI (APBN) Dyspepsia Berobat Jalan

1703 11-12-2019 100718011219P003311 0000791682748 ADE SYARIPUDIN L PBI (APBN) Cough Berobat Jalan

1704 11-12-2019 100718011219P003389 0000791723711 ANIATUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1705 11-12-2019 100718011219P003360 0000791837504 CICIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1706 11-12-2019 100718011219P003312 0001050378311 JUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1707 11-12-2019 100718011219P003391 0001050379918 SARMIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1708 11-12-2019 100718011219P003392 0001050380008 UMIAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1709 11-12-2019 100718011219P003393 0001050380122 SAIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1710 11-12-2019 100718011219P003323 0001050380212 JARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
1711 11-12-2019 100718011219P003324 0001050380818 MENTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1712 11-12-2019 100718011219P003394 0001050381718 DIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1713 11-12-2019 100718011219P003325 0001050381854 TUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1714 11-12-2019 100718011219P003395 0001050382067 JAYA L PBI (APBN) Cough Berobat Jalan

1715 11-12-2019 100718011219P003326 0001050382236 KATIB L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1716 11-12-2019 100718011219P003327 0001050383261 RIAN L PBI (APBN) Cough Berobat Jalan

1717 11-12-2019 100718011219P003396 0001282851213 ILHAM AULIA KENCANA L PRAJURIT AD Cough Berobat Jalan

1718 11-12-2019 100718011219P000031 0001290061102 RODIYAH P PENERIMA PENSIUN Liver cell carcinoma Rujuk Vertikal Hipertensi
PNS
1719 11-12-2019 100718011219P003362 0001599608081 RUSNI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1720 11-12-2019 100718011219P003365 0001599608788 KARIS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1721 11-12-2019 100718011219P003367 0001599608799 SANI P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1722 11-12-2019 100718011219P003369 0001599608801 ANDRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1723 11-12-2019 100718011219P003397 0001651135465 SAMSIAH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1724 11-12-2019 100718011219P003398 0001801301861 hj TIHAT P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1725 11-12-2019 100718011219P003328 0001812827193 ABENG SUHERMAN L PBI (APBD) Cough Berobat Jalan

1726 11-12-2019 100718011219P003329 0001819128609 kasturi P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
1727 11-12-2019 100718011219P003330 0001821563245 MADZUHRI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1728 11-12-2019 100718011219P003331 0001823617359 HASANNURDIN L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1729 11-12-2019 100718011219P003332 0001919366559 ANGGA DWI SAPUTRA L PBI (APBN) Cough Berobat Jalan

1730 11-12-2019 100718011219P003399 0001992191861 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1731 11-12-2019 100718011219P003333 0001992192107 SITI SUHERNI P PBI (APBN) Dyspepsia Berobat Jalan

1732 11-12-2019 100718011219P003334 0001992272163 EDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1733 11-12-2019 100718011219P002656 0001992274211 NIA P PBI (APBN) Cough Berobat Jalan

1734 11-12-2019 100718011219P002657 0001992349495 SUNARIAH P PBI (APBN) Cough Berobat Jalan

1735 11-12-2019 100718011219P003371 0001992385675 JUNAEDI L PBI (APBN) Dyspepsia Berobat Jalan

1736 11-12-2019 100718011219P003373 0001992407523 ARJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1737 11-12-2019 100718011219P002658 0001992446436 ENENG SUHARTINI P PBI (APBN) Cough Berobat Jalan

1738 11-12-2019 100718011219P000032 0001992465213 SOFYAN SAURI L PBI (APBN) Senile cataract Rujuk Vertikal

1739 11-12-2019 100718011219P002659 0001992466923 ST. RAHMAH P PBI (APBN) Cough Berobat Jalan

1740 11-12-2019 100718011219P002660 0001992470962 NAMONG L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1741 11-12-2019 100718011219P003400 0001992560589 JUMADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1742 11-12-2019 100718011219P003401 0002050735869 h. MUHAMAD L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1743 11-12-2019 100718011219P002661 0002128784848 MISNAH P PBI (APBN) Cough Berobat Jalan

1744 11-12-2019 100718011219P003374 0002223652241 SAMSIAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1745 11-12-2019 100718011219P002662 0002249866056 ULFA ALIYA FITRI P PEKERJA MANDIRI Cough Berobat Jalan

1746 11-12-2019 100718011219P002663 0002254242205 HANAN ALWI PRATAMA L PEGAWAI SWASTA Cough Berobat Jalan

1747 11-12-2019 100718011219P003402 0002260668813 WIDYAWATI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1748 11-12-2019 100718011219P002664 0002304508836 neni nuraeni P PEKERJA MANDIRI Cough Berobat Jalan

1749 11-12-2019 100718011219P000033 0002456851961 MUHAMMAD NURUL FADLI L PEKERJA MANDIRI Acute sinusitis Rujuk Vertikal

1750 11-12-2019 100718011219P003403 0002627923656 HUDA MAJID ASAJID L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1751 11-12-2019 100718011219P003404 0002629745469 RINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1752 11-12-2019 100718011219P003376 0002641904245 ANISA WULANDARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1753 11-12-2019 100718011219P000103 0002641909656 SUSI SUSANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1754 11-12-2019 100718011219P003405 0002643069148 INRI ANRIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1755 11-12-2019 100718011219P003378 0002647222929 ASMITA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1756 11-12-2019 100718011219P003406 0002647223278 AHMAD NUR FAUZAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1757 11-12-2019 100718011219P003379 0002647223561 ASRIYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1758 11-12-2019 100718011219P003380 0002647223605 M.KHOIRUN NAJIB L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1759 11-12-2019 100718011219P003381 0002647223616 M.JAHID SURURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1760 11-12-2019 100718011219P003407 0002679042666 SUKMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1761 11-12-2019 100718011219P003408 0002687048482 ITA LESTARI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1762 11-12-2019 100718011219P002665 0002687600349 RAISIYA ANUGRAH PUTRI P PBI (APBD) Cough Berobat Jalan

1763 11-12-2019 100718011219P002666 0002687609485 ARTA L PBI (APBD) Cough Berobat Jalan

1764 10-12-2019 100718011219P001983 0000046288539 TATI SUSILAWATI P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1765 10-12-2019 100718011219P001793 0000046383107 YAYAT HIDAYAT L PNS DAERAH Cough Berobat Jalan

1766 10-12-2019 100718011219P001794 0000046391218 JUNAEDI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1767 10-12-2019 100718011219P001795 0000046391242 SITI FATIMAH P PNS DAERAH Cough Berobat Jalan

1768 10-12-2019 100718011219P001796 0000046579588 BAI LAMRAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
1769 10-12-2019 100718011219P001984 0000046679253 EUIS NASYITHAH P PNS DAERAH Cough Berobat Jalan

1770 10-12-2019 100718011219P001797 0000046679534 SOLHAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1771 10-12-2019 100718011219P001798 0000046680175 WAHYU KUSDIAWAN L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1772 10-12-2019 100718011219P001799 0000079396053 ACHMAD BARKAH L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1773 10-12-2019 100718011219P001800 0000202817529 ABSAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1774 10-12-2019 100718011219P001801 0000202835158 HAYATI MUSLIhAH P PNS DAERAH Cough Berobat Jalan

1775 10-12-2019 100718011219P001985 0000204102459 DINDA AYU MAHARANI P PNS DAERAH Cough Berobat Jalan

1776 10-12-2019 100718011219P001986 0000205550346 ENENG NABILLA FAHRUNNISA P PNS DAERAH Cough Berobat Jalan

1777 10-12-2019 100718011219P001987 0000210787593 YASMIN YUHADISTI JAMALROH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1778 10-12-2019 100718011219P001988 0000789461818 SARIDAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1779 10-12-2019 100718011219P001802 0000789473283 AMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1780 10-12-2019 100718011219P001989 0000789525011 SITI NURHAYATI P PBI (APBN) Cough Berobat Jalan

1781 10-12-2019 100718011219P001803 0000790016433 PITRI P PBI (APBN) Cough Berobat Jalan

1782 10-12-2019 100718011219P001990 0000790042972 HERI SAPUTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1783 10-12-2019 100718011219P001804 0000790044467 DEDE ARIP L PBI (APBN) Cough Berobat Jalan

1784 10-12-2019 100718011219P001991 0000790047955 SARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1785 10-12-2019 100718011219P001992 0000790058777 ENUR P PBI (APBN) Cough Berobat Jalan

1786 10-12-2019 100718011219P001805 0000790099042 BAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1787 10-12-2019 100718011219P001993 0000790109493 ARSIH P PBI (APBN) Cough Berobat Jalan

1788 10-12-2019 100718011219P001994 0000790162389 SARTAM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1789 10-12-2019 100718011219P001995 0000790177127 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1790 10-12-2019 100718011219P001806 0000790181515 SUMYATI P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1791 10-12-2019 100718011219P001807 0000790191066 ETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1792 10-12-2019 100718011219P001996 0000790216007 NURWIYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1793 10-12-2019 100718011219P001808 0000790234828 ICIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1794 10-12-2019 100718011219P001997 0000790240871 IDIN L PBI (APBN) Cough Berobat Jalan

1795 10-12-2019 100718011219P001809 0000790289188 DEDE SUTIHAT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1796 10-12-2019 100718011219P001998 0000790290933 SITI ROPIAH P PBI (APBN) Cough Berobat Jalan

1797 10-12-2019 100718011219P001810 0000790307379 IYUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1798 10-12-2019 100718011219P001999 0000790323366 ENUR P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1799 10-12-2019 100718011219P002000 0000790328992 ESAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1800 10-12-2019 100718011219P001811 0000790337081 IMAS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1801 10-12-2019 100718011219P002001 0000790345394 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1802 10-12-2019 100718011219P001812 0000790374666 RONI L PBI (APBN) Cough Berobat Jalan

1803 10-12-2019 100718011219P001813 0000790381315 ROHMAH P PBI (APBN) Dyspepsia Berobat Jalan

1804 10-12-2019 100718011219P001814 0000790381506 SURANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1805 10-12-2019 100718011219P001815 0000790382823 MURYATI P PBI (APBN) Cough Berobat Jalan

1806 10-12-2019 100718011219P001816 0000790383734 RINA P PBI (APBN) Cough Berobat Jalan

1807 10-12-2019 100718011219P001817 0000790385106 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1808 10-12-2019 100718011219P001818 0000790388638 USMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1809 10-12-2019 100718011219P002002 0000790429724 REHAN GUNAWAN L PBI (APBN) Cough Berobat Jalan

1810 10-12-2019 100718011219P002003 0000790466861 INAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1811 10-12-2019 100718011219P002004 0000790476783 JUMEDI L PBI (APBN) Cough Berobat Jalan

1812 10-12-2019 100718011219P001819 0000790494085 JARTA L PBI (APBN) Cough Berobat Jalan

1813 10-12-2019 100718011219P002005 0000790496201 LILIS P PBI (APBN) Cough Berobat Jalan

1814 10-12-2019 100718011219P001820 0000790502398 NURLELA P PBI (APBN) Dyspepsia Berobat Jalan

1815 10-12-2019 100718011219P001821 0000790505403 HENDRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1816 10-12-2019 100718011219P001822 0000790513569 ANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1817 10-12-2019 100718011219P001833 0000790514919 TAR'I L PBI (APBN) Cough Berobat Jalan

1818 10-12-2019 100718011219P001835 0000790534203 MASTA L PBI (APBN) Dyspepsia Berobat Jalan

1819 10-12-2019 100718011219P002006 0000790538229 API P PBI (APBN) Dyspepsia Berobat Jalan

1820 10-12-2019 100718011219P002007 0000790546959 ITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1821 10-12-2019 100718011219P002008 0000790549896 SUNIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1822 10-12-2019 100718011219P002009 0000790550807 SARMANI L PBI (APBN) Cough Berobat Jalan

1823 10-12-2019 100718011219P001837 0000790561192 IAH P PBI (APBN) Cough Berobat Jalan

1824 10-12-2019 100718011219P001839 0000790567121 SOPIAH P PBI (APBN) Cough Berobat Jalan

1825 10-12-2019 100718011219P002010 0000790575153 JAKIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1826 10-12-2019 100718011219P002011 0000790577897 FARIHAH P PBI (APBN) Cough Berobat Jalan

1827 10-12-2019 100718011219P002012 0000790579012 SARWITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1828 10-12-2019 100718011219P002013 0000790582667 ASNARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1829 10-12-2019 100718011219P001841 0000790584851 TETI ANDRIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1830 10-12-2019 100718011219P001843 0000790590677 ATI ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1831 10-12-2019 100718011219P002014 0000790592894 MASTIKAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1832 10-12-2019 100718011219P001845 0000790593219 ROBERTO L PBI (APBN) Cough Berobat Jalan

1833 10-12-2019 100718011219P002015 0000790595245 ANDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1834 10-12-2019 100718011219P002016 0000790596628 DURSAH P PBI (APBN) Cough Berobat Jalan

1835 10-12-2019 100718011219P001847 0000790602636 DIAN L PBI (APBN) Cough Berobat Jalan

1836 10-12-2019 100718011219P001849 0000790603975 PUTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1837 10-12-2019 100718011219P002017 0000790609522 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1838 10-12-2019 100718011219P000105 0000790611467 AMIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1839 10-12-2019 100718011219P001851 0000790613109 MARLINA P PBI (APBN) Dyspepsia Berobat Jalan

1840 10-12-2019 100718011219P002018 0000790619872 ROSMAWATI P PBI (APBN) Cough Berobat Jalan

1841 10-12-2019 100718011219P002019 0000790633631 DARSIAH P PBI (APBN) Cough Berobat Jalan

1842 10-12-2019 100718011219P002020 0000790636296 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1843 10-12-2019 100718011219P001853 0000790639435 YANI L PBI (APBN) Cough Berobat Jalan

1844 10-12-2019 100718011219P002021 0000790639503 MARNI P PBI (APBN) Cough Berobat Jalan

1845 10-12-2019 100718011219P001854 0000790642596 YOYOH SUJANAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1846 10-12-2019 100718011219P001856 0000790647276 AAS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1847 10-12-2019 100718011219P001858 0000790649561 DAIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1848 10-12-2019 100718011219P002022 0000790653385 MISRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1849 10-12-2019 100718011219P002023 0000790653879 NURUL P PBI (APBN) Cough Berobat Jalan

1850 10-12-2019 100718011219P002024 0000790657277 HERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1851 10-12-2019 100718011219P002025 0000790657435 ITA ROSITO P PBI (APBN) Cough Berobat Jalan

1852 10-12-2019 100718011219P002026 0000790668472 ATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1853 10-12-2019 100718011219P002027 0000790671688 NURYANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1854 10-12-2019 100718011219P002028 0000790673038 SATI YULYANTI P PBI (APBN) Cough Berobat Jalan

1855 10-12-2019 100718011219P002029 0000790674074 NATI P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
1856 10-12-2019 100718011219P001859 0000790674107 ADAH P PBI (APBN) Cough Berobat Jalan

1857 10-12-2019 100718011219P002030 0000790681577 LINA SUPARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1858 10-12-2019 100718011219P001861 0000790703673 SANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1859 10-12-2019 100718011219P002031 0000790704167 SUKRI L PBI (APBN) Dyspepsia Berobat Jalan

1860 10-12-2019 100718011219P001864 0000790733002 NAZKIA A S P PBI (APBN) Cough Berobat Jalan

1861 10-12-2019 100718011219P002032 0000790735577 BAI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1862 10-12-2019 100718011219P001867 0000790735689 IKDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1863 10-12-2019 100718011219P002033 0000790736152 TIA SAFIRA P PBI (APBN) Cough Berobat Jalan

1864 10-12-2019 100718011219P002034 0000790741664 ST. NOPI CAHYANI P PBI (APBN) Cough Berobat Jalan

1865 10-12-2019 100718011219P001869 0000790748324 NARSIH P PBI (APBN) Cough Berobat Jalan

1866 10-12-2019 100718011219P002035 0000790755232 SAHANTI P PBI (APBN) Cough Berobat Jalan

1867 10-12-2019 100718011219P002036 0000790759394 SAPINAH P PBI (APBN) Cough Berobat Jalan

1868 10-12-2019 100718011219P002037 0000790769079 ISLI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1869 10-12-2019 100718011219P001871 0000790778259 MIAH P PBI (APBN) Cough Berobat Jalan

1870 10-12-2019 100718011219P002038 0000790783547 EEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1871 10-12-2019 100718011219P001873 0000790803156 KARSA L PBI (APBN) Cough Berobat Jalan

1872 10-12-2019 100718011219P002039 0000790808387 SIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1873 10-12-2019 100718011219P002040 0000790808602 M SUPIHARJA L PBI (APBN) Cough Berobat Jalan

1874 10-12-2019 100718011219P002041 0000790810738 ACIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1875 10-12-2019 100718011219P002042 0000790812189 JARTI P PBI (APBN) Cough Berobat Jalan

1876 10-12-2019 100718011219P002043 0000790850114 KETUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1877 10-12-2019 100718011219P001875 0000790852432 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1878 10-12-2019 100718011219P002044 0000790860846 SANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1879 10-12-2019 100718011219P002045 0000790869328 YATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1880 10-12-2019 100718011219P001877 0000790876102 KEJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1881 10-12-2019 100718011219P002046 0000790894629 JUNI NURIDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1882 10-12-2019 100718011219P001879 0000790898714 SURNAWATI P PBI (APBN) Cough Berobat Jalan

1883 10-12-2019 100718011219P002047 0000790917063 RINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1884 10-12-2019 100718011219P002048 0000790952343 SUNENGSIH P PBI (APBN) Cough Berobat Jalan

1885 10-12-2019 100718011219P001880 0000790959723 NITA SENTIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1886 10-12-2019 100718011219P001881 0000790960847 ASEP L PBI (APBN) Cough Berobat Jalan

1887 10-12-2019 100718011219P002049 0000790965775 AMSEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1888 10-12-2019 100718011219P000197 0000790966045 AKMAR L PBI (APBN) Other and unspecified Sembuh
abdominal pain
1889 10-12-2019 100718011219P002050 0000790967654 ITOH P PBI (APBN) Cough Berobat Jalan

1890 10-12-2019 100718011219P002051 0000790967687 MAESAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1891 10-12-2019 100718011219P002052 0000790983404 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1892 10-12-2019 100718011219P001883 0000790985711 UCI L PBI (APBN) Cough Berobat Jalan

1893 10-12-2019 100718011219P002053 0000790989412 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1894 10-12-2019 100718011219P002054 0000790992178 LILI P PBI (APBN) Cough Berobat Jalan

1895 10-12-2019 100718011219P001884 0000791002719 SUNAIYAH P PBI (APBN) Cough Berobat Jalan

1896 10-12-2019 100718011219P002055 0000791005375 TIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1897 10-12-2019 100718011219P001886 0000791049407 ARDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1898 10-12-2019 100718011219P002056 0000791065124 LENI ROFAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1899 10-12-2019 100718011219P001888 0000791065811 RENO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1900 10-12-2019 100718011219P002057 0000791066092 SARIP L PBI (APBN) Dyspepsia Berobat Jalan

1901 10-12-2019 100718011219P002058 0000791068465 SUPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1902 10-12-2019 100718011219P001889 0000791069062 AISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1903 10-12-2019 100718011219P002059 0000791070085 NITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1904 10-12-2019 100718011219P002060 0000791085339 SARNASIH L PBI (APBN) Dyspepsia Berobat Jalan

1905 10-12-2019 100718011219P001891 0000791086779 MISNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1906 10-12-2019 100718011219P002061 0000791088164 ARNI P PBI (APBN) Cough Berobat Jalan

1907 10-12-2019 100718011219P001893 0000791088737 IKA P PBI (APBN) Dyspepsia Berobat Jalan

1908 10-12-2019 100718011219P002062 0000791089378 AHMAD SUHAEMI L PBI (APBN) Cough Berobat Jalan

1909 10-12-2019 100718011219P001896 0000791091011 AMAN L PBI (APBN) Cough Berobat Jalan

1910 10-12-2019 100718011219P001897 0000791095364 SUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1911 10-12-2019 100718011219P002063 0000791099098 YATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1912 10-12-2019 100718011219P001899 0000791103284 RUMSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1913 10-12-2019 100718011219P001900 0000791105422 ENI P PBI (APBN) Cough Berobat Jalan

1914 10-12-2019 100718011219P001901 0000791108245 ARIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1915 10-12-2019 100718011219P002064 0000791109382 RUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1916 10-12-2019 100718011219P002065 0000791110089 SURCINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1917 10-12-2019 100718011219P002066 0000791110462 SUHETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1918 10-12-2019 100718011219P002067 0000791110631 KARIMAN L PBI (APBN) Cough Berobat Jalan

1919 10-12-2019 100718011219P002068 0000791111406 KOMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1920 10-12-2019 100718011219P002069 0000791111632 SUKMIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1921 10-12-2019 100718011219P002070 0000791111676 WASNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1922 10-12-2019 100718011219P002071 0000791111799 SAHRUL L PBI (APBN) Dyspepsia Berobat Jalan

1923 10-12-2019 100718011219P002072 0000791111867 SULSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1924 10-12-2019 100718011219P002073 0000791112521 FITRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1925 10-12-2019 100718011219P002074 0000791112576 AMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1926 10-12-2019 100718011219P002075 0000791115671 NURMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1927 10-12-2019 100718011219P002076 0000791115862 SELA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1928 10-12-2019 100718011219P001904 0000791118898 SITI AMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1929 10-12-2019 100718011219P001905 0000791122983 SITI APIAH P PBI (APBN) Cough Berobat Jalan

1930 10-12-2019 100718011219P001907 0000791125119 HERTI P PBI (APBN) Cough Berobat Jalan

1931 10-12-2019 100718011219P001908 0000791127685 ROHILAH P PBI (APBN) Cough Berobat Jalan

1932 10-12-2019 100718011219P002077 0000791140645 SARMAN P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1933 10-12-2019 100718011219P002078 0000791140667 SAPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1934 10-12-2019 100718011219P002079 0000791141703 JUNARIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1935 10-12-2019 100718011219P002080 0000791142816 MINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1936 10-12-2019 100718011219P002081 0000791142873 IDA L PBI (APBN) Cough Berobat Jalan

1937 10-12-2019 100718011219P002082 0000791142996 ROHENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1938 10-12-2019 100718011219P002083 0000791143841 EDAH P PBI (APBN) Dyspepsia Berobat Jalan

1939 10-12-2019 100718011219P002084 0000791143964 DIDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1940 10-12-2019 100718011219P002085 0000791144019 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1941 10-12-2019 100718011219P002086 0000791144054 ISMA L PBI (APBN) Dyspepsia Berobat Jalan

1942 10-12-2019 100718011219P002087 0000791144324 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1943 10-12-2019 100718011219P002088 0000791144908 ENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1944 10-12-2019 100718011219P002089 0000791144965 JUHDI L PBI (APBN) Cough Berobat Jalan

1945 10-12-2019 100718011219P002090 0000791146023 ADIM L PBI (APBN) Cough Berobat Jalan

1946 10-12-2019 100718011219P002091 0000791147553 REJA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1947 10-12-2019 100718011219P002092 0000791148047 ANGGANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1948 10-12-2019 100718011219P002093 0000791148824 KARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1949 10-12-2019 100718011219P002094 0000791157025 SUKARMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1950 10-12-2019 100718011219P002095 0000791157352 ATANG L PBI (APBN) Dyspepsia Berobat Jalan

1951 10-12-2019 100718011219P002096 0000791157519 SARIP L PBI (APBN) Cough Berobat Jalan

1952 10-12-2019 100718011219P002097 0000791157993 YANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1953 10-12-2019 100718011219P002098 0000791158555 TUTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1954 10-12-2019 100718011219P002099 0000791159466 SITI NURAINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1955 10-12-2019 100718011219P002100 0000791160513 ENAH P PBI (APBN) Cough Berobat Jalan

1956 10-12-2019 100718011219P002101 0000791161053 JENAL L PBI (APBN) Cough Berobat Jalan

1957 10-12-2019 100718011219P002102 0000791162155 MISYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1958 10-12-2019 100718011219P000106 0000791165889 MISNAH P PBI (APBN) Cough Berobat Jalan

1959 10-12-2019 100718011219P002103 0000791180458 KUSNIAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1960 10-12-2019 100718011219P002104 0000791182181 KONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1961 10-12-2019 100718011219P001909 0000791182394 SAWA L PBI (APBN) Dyspepsia Berobat Jalan

1962 10-12-2019 100718011219P002105 0000791204185 SURNA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1963 10-12-2019 100718011219P001910 0000791211341 SITI NURHAYATI P PBI (APBN) Dyspepsia Berobat Jalan

1964 10-12-2019 100718011219P001911 0000791224751 SARWITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1965 10-12-2019 100718011219P000107 0000791228463 NURDIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1966 10-12-2019 100718011219P001913 0000791229148 SOLEH HIDAYAT L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1967 10-12-2019 100718011219P002106 0000791236348 AMNAH P PBI (APBN) Cough Berobat Jalan Hipertensi

1968 10-12-2019 100718011219P001914 0000791241862 HAETAMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1969 10-12-2019 100718011219P001916 0000791263416 WINDI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1970 10-12-2019 100718011219P001917 0000791274789 SITI FATIMAH P PBI (APBN) Cough Berobat Jalan

1971 10-12-2019 100718011219P002107 0000791276051 IDA P PBI (APBN) Dyspepsia Berobat Jalan

1972 10-12-2019 100718011219P002108 0000791291529 SARHAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1973 10-12-2019 100718011219P002109 0000791303815 SAPRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1974 10-12-2019 100718011219P001918 0000791313816 TINAH P PBI (APBN) Dyspepsia Berobat Jalan

1975 10-12-2019 100718011219P001920 0000791321589 AENA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1976 10-12-2019 100718011219P001923 0000791323143 IJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1977 10-12-2019 100718011219P001925 0000791356983 IPAH P PBI (APBN) Cough Berobat Jalan

1978 10-12-2019 100718011219P002110 0000791374342 UMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1979 10-12-2019 100718011219P001926 0000791395942 ROSID L PBI (APBN) Cough Berobat Jalan

1980 10-12-2019 100718011219P001927 0000791397775 JAMILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1981 10-12-2019 100718011219P001928 0000791399575 PATIMAH P PBI (APBN) Cough Berobat Jalan

1982 10-12-2019 100718011219P001929 0000791409339 ADE IKSAN L PBI (APBN) Cough Berobat Jalan

1983 10-12-2019 100718011219P002111 0000791419094 AAS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1984 10-12-2019 100718011219P001930 0000791422795 KAMSIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

1985 10-12-2019 100718011219P002112 0000791428443 SUHAEMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1986 10-12-2019 100718011219P002113 0000791431378 M FAROW L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1987 10-12-2019 100718011219P002114 0000791432302 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1988 10-12-2019 100718011219P001931 0000791445971 HAERIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1989 10-12-2019 100718011219P002115 0000791446228 AGUS L PBI (APBN) Cough Berobat Jalan

1990 10-12-2019 100718011219P002116 0000791450853 JAENUDIN L PBI (APBN) Cough Berobat Jalan

1991 10-12-2019 100718011219P001932 0000791452697 PITRI P PBI (APBN) Dyspepsia Berobat Jalan

1992 10-12-2019 100718011219P001933 0000791455432 KURDI L PBI (APBN) Dyspepsia Berobat Jalan

1993 10-12-2019 100718011219P002117 0000791469472 ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1994 10-12-2019 100718011219P001934 0000791469887 ERUM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1995 10-12-2019 100718011219P002118 0000791470653 WAHYUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1996 10-12-2019 100718011219P002119 0000791471068 NIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1997 10-12-2019 100718011219P001935 0000791471889 DURENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1998 10-12-2019 100718011219P001936 0000791474242 LELAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
1999 10-12-2019 100718011219P002120 0000791487516 PIYA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2000 10-12-2019 100718011219P002121 0000791488236 HERI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2001 10-12-2019 100718011219P001937 0000791489294 ELA HAYATI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2002 10-12-2019 100718011219P001938 0000791489979 ROSMA WIDIYANINGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2003 10-12-2019 100718011219P001939 0000791490014 ADINDA ILHAM FIRDAUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2004 10-12-2019 100718011219P002122 0000791497574 ANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2005 10-12-2019 100718011219P002123 0000791497877 SARKIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2006 10-12-2019 100718011219P001940 0000791498575 RIPALDI L PBI (APBN) Cough Berobat Jalan

2007 10-12-2019 100718011219P001942 0000791500871 SITI SAROH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2008 10-12-2019 100718011219P001943 0000791501782 FIRDAUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2009 10-12-2019 100718011219P001944 0000791509994 SIBE L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2010 10-12-2019 100718011219P002124 0000791539694 ETIN SUMIAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2011 10-12-2019 100718011219P002125 0000791547153 RUMSAH P PBI (APBN) Cough Berobat Jalan

2012 10-12-2019 100718011219P001945 0000791550235 TITIN P PBI (APBN) Dyspepsia Berobat Jalan

2013 10-12-2019 100718011219P002126 0000791565287 MUTMAINAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
2014 10-12-2019 100718011219P002127 0000791585054 SODAH P PBI (APBN) Cough Berobat Jalan

2015 10-12-2019 100718011219P001946 0000791589328 NENI P PBI (APBN) Cough Berobat Jalan

2016 10-12-2019 100718011219P001947 0000791596754 ODAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2017 10-12-2019 100718011219P001948 0000791642619 IPIT PITRIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2018 10-12-2019 100718011219P002128 0000791652385 EPI RIYANTI P PBI (APBN) Dyspepsia Berobat Jalan

2019 10-12-2019 100718011219P002129 0000791676213 AISAH P PBI (APBN) Cough Berobat Jalan

2020 10-12-2019 100718011219P001949 0000791679778 RISA HIDAYATULOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2021 10-12-2019 100718011219P002130 0000791682748 ADE SYARIPUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2022 10-12-2019 100718011219P001950 0000791683929 RAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2023 10-12-2019 100718011219P001951 0000791684572 SITI JULAEHA P PBI (APBN) Cough Berobat Jalan

2024 10-12-2019 100718011219P001952 0000791697712 SITI MARLINA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2025 10-12-2019 100718011219P001953 0000791746121 ASMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2026 10-12-2019 100718011219P001954 0000791798466 JUMAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2027 10-12-2019 100718011219P001955 0000791829257 ETI P PBI (APBN) Dyspepsia Berobat Jalan

2028 10-12-2019 100718011219P001956 0000791881536 SUMYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2029 10-12-2019 100718011219P001957 0000792096682 ARYATI P PBI (APBN) Cough Berobat Jalan

2030 10-12-2019 100718011219P001958 0000792356769 AAN P PBI (APBN) Dyspepsia Berobat Jalan

2031 10-12-2019 100718011219P002131 0001050378311 JUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2032 10-12-2019 100718011219P001959 0001050379841 SUKIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2033 10-12-2019 100718011219P002132 0001050380212 JARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2034 10-12-2019 100718011219P001960 0001050380807 KARWIDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2035 10-12-2019 100718011219P002133 0001050380818 MENTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2036 10-12-2019 100718011219P001961 0001050380886 MEDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2037 10-12-2019 100718011219P001962 0001050381257 SUKNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2038 10-12-2019 100718011219P001963 0001050381461 NURDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2039 10-12-2019 100718011219P001964 0001050381483 ETI P PBI (APBN) Cough Berobat Jalan

2040 10-12-2019 100718011219P001965 0001050381696 EDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2041 10-12-2019 100718011219P001966 0001050381707 MURNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2042 10-12-2019 100718011219P002134 0001050381854 TUNAH P PBI (APBN) Cough Berobat Jalan

2043 10-12-2019 100718011219P001967 0001050382225 MUHAMAD JIBRIL ALBANTANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2044 10-12-2019 100718011219P002135 0001050382236 KATIB L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2045 10-12-2019 100718011219P001968 0001050382539 TUTI P PBI (APBN) Cough Berobat Jalan

2046 10-12-2019 100718011219P001969 0001050382552 SADIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2047 10-12-2019 100718011219P001970 0001050382653 AMAN L PBI (APBN) Dyspepsia Berobat Jalan

2048 10-12-2019 100718011219P001971 0001050383057 SALKAH L PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
2049 10-12-2019 100718011219P002136 0001050383261 RIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2050 10-12-2019 100718011219P001972 0001282414059 moh wahu irawan L PEKERJA MANDIRI Cough Berobat Jalan

2051 10-12-2019 100718011219P001973 0001393024487 EHA JULAEHA P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2052 10-12-2019 100718011219P001974 0001445035072 TIKA SWASTIKAWIJAYA P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2053 10-12-2019 100718011219P001975 0001596838814 RIKA RAMADANI P PBI (APBD) Cough Berobat Jalan

2054 10-12-2019 100718011219P002137 0001812827193 ABENG SUHERMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2055 10-12-2019 100718011219P002138 0001819128609 kasturi P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
2056 10-12-2019 100718011219P002139 0001821563245 MADZUHRI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2057 10-12-2019 100718011219P002140 0001823617359 HASANNURDIN L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2058 10-12-2019 100718011219P001976 0001919270079 SARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2059 10-12-2019 100718011219P002141 0001919366559 ANGGA DWI SAPUTRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2060 10-12-2019 100718011219P002142 0001992192107 SITI SUHERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2061 10-12-2019 100718011219P001977 0001992246895 SITI ATIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2062 10-12-2019 100718011219P002143 0001992272163 EDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2063 10-12-2019 100718011219P001978 0001992437414 YOGA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2064 10-12-2019 100718011219P001979 0001992597805 SAMINAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2065 10-12-2019 100718011219P001980 0001999688264 JAKRAMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2066 10-12-2019 100718011219P001981 0002050737849 hj.sawedah P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan Diabetes
infections of multiple and Mellitus
unspecified sites Hipertensi
2067 10-12-2019 100718011219P000030 0002055631375 ENUNG NURYANA P PEKERJA MANDIRI Carcinoma in situ of skin Rujuk Vertikal

2068 10-12-2019 100718011219P004386 0002225054463 RIZKY FAZRI L PBI (APBD) Epilepsy Sembuh

2069 10-12-2019 100718011219P004375 0002641910646 ERWIN WINAJA L PBI (APBN) Epistaxis Pulang Paksa

2070 10-12-2019 100718011219P001982 0002687046502 M. SALMAN L PBI (APBD) Cough Berobat Jalan

2071 09-12-2019 100718011219P002488 0000046286908 RAHMAT KUSMANA L PNS DAERAH Cough Berobat Jalan

2072 09-12-2019 100718011219P002489 0000046290699 SUMANTA L PENERIMA PENSIUN Cough Berobat Jalan
PNS
2073 09-12-2019 100718011219P002637 0000046316373 RUKMAN AGUS L PNS PUSAT Cough Berobat Jalan

2074 09-12-2019 100718011219P002490 0000046319128 ETI NURHAETI P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2075 09-12-2019 100718011219P000111 0000046393479 YUNIATI P PNS DAERAH Dyspepsia Berobat Jalan

2076 09-12-2019 100718011219P004379 0000046635175 ADE RAKHMAT L PNS DAERAH Other acute gastritis Sembuh

2077 09-12-2019 100718011219P002491 0000046678588 ADE SUMINAH P PNS DAERAH Cough Berobat Jalan

2078 09-12-2019 100718011219P002492 0000046679049 EDI SUHAEDI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2079 09-12-2019 100718011219P002493 0000046679444 H. LUKMANUR HAKIM L PNS DAERAH Cough Berobat Jalan

2080 09-12-2019 100718011219P002494 0000199057656 ALIF RIZKI PURNOMO L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2081 09-12-2019 100718011219P002495 0000211164592 M. SANTIBI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan Hipertensi
PNS infections of multiple and
unspecified sites
2082 09-12-2019 100718011219P002496 0000789201562 MADSUKRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2083 09-12-2019 100718011219P002497 0000789536237 MISNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2084 09-12-2019 100718011219P002498 0000790040711 HALIMAH P PBI (APBN) Cough Berobat Jalan

2085 09-12-2019 100718011219P002499 0000790046212 MUNAH P PBI (APBN) Cough Berobat Jalan

2086 09-12-2019 100718011219P002500 0000790068846 WULANDARI P PBI (APBN) Cough Berobat Jalan

2087 09-12-2019 100718011219P002501 0000790153841 ACIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2088 09-12-2019 100718011219P002502 0000790169804 INA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2089 09-12-2019 100718011219P002503 0000790180457 RITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2090 09-12-2019 100718011219P002504 0000790194295 SAHRI L PBI (APBN) Cough Berobat Jalan

2091 09-12-2019 100718011219P002505 0000790259466 LILIS P PBI (APBN) Cough Berobat Jalan

2092 09-12-2019 100718011219P002506 0000790262234 PARMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2093 09-12-2019 100718011219P002507 0000790400992 ISRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2094 09-12-2019 100718011219P002486 0000790452944 AMINAH P PBI (APBN) Dyspepsia Berobat Jalan

2095 09-12-2019 100718011219P002508 0000790481845 MARSAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2096 09-12-2019 100718011219P002509 0000790482958 PANDI L PBI (APBN) Cough Berobat Jalan

2097 09-12-2019 100718011219P002510 0000790485118 RENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2098 09-12-2019 100718011219P002511 0000790489719 GANDA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2099 09-12-2019 100718011219P002512 0000790489787 SITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2100 09-12-2019 100718011219P002513 0000790489901 SATINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2101 09-12-2019 100718011219P002514 0000790494928 ERNA P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2102 09-12-2019 100718011219P002515 0000790503423 JEJET L PBI (APBN) Dyspepsia Berobat Jalan

2103 09-12-2019 100718011219P002516 0000790504953 OMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2104 09-12-2019 100718011219P002517 0000790506292 RINAH P PBI (APBN) Cough Berobat Jalan

2105 09-12-2019 100718011219P002518 0000790512131 EMIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2106 09-12-2019 100718011219P002519 0000790512175 MINOR P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2107 09-12-2019 100718011219P002520 0000790512366 NINGRAT P PBI (APBN) Cough Berobat Jalan

2108 09-12-2019 100718011219P002521 0000790512761 HANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2109 09-12-2019 100718011219P002522 0000790513121 SAMSUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2110 09-12-2019 100718011219P002523 0000790520679 DEDE RAHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2111 09-12-2019 100718011219P002524 0000790521658 MARLINDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2112 09-12-2019 100718011219P002525 0000790548693 ARDA P PBI (APBN) Dyspepsia Berobat Jalan

2113 09-12-2019 100718011219P002526 0000790565681 JARTI P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
2114 09-12-2019 100718011219P002527 0000790584513 ADAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2115 09-12-2019 100718011219P002528 0000790601602 KASNI P PBI (APBN) Cough Berobat Jalan

2116 09-12-2019 100718011219P002487 0000790658019 JUMSAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2117 09-12-2019 100718011219P002529 0000790667583 ROHENI P PBI (APBN) Cough Berobat Jalan

2118 09-12-2019 100718011219P002530 0000790672487 MURNASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2119 09-12-2019 100718011219P002531 0000790677685 LAELASARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2120 09-12-2019 100718011219P002532 0000790680598 JARNAH P PBI (APBN) Cough Berobat Jalan

2121 09-12-2019 100718011219P002533 0000790699498 ENAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2122 09-12-2019 100718011219P002534 0000790706294 IRPAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2123 09-12-2019 100718011219P002535 0000790711299 JUMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2124 09-12-2019 100718011219P002536 0000790722898 MENTI SUMIATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2125 09-12-2019 100718011219P002537 0000790750888 MAHRUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2126 09-12-2019 100718011219P002538 0000790784278 ARINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2127 09-12-2019 100718011219P002539 0000790811447 ANANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2128 09-12-2019 100718011219P002540 0000790818581 ASMAT L PBI (APBN) Cough Berobat Jalan

2129 09-12-2019 100718011219P002541 0000790825555 HARNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2130 09-12-2019 100718011219P002542 0000790861408 SITI KHODIJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2131 09-12-2019 100718011219P002543 0000790891211 INE P PBI (APBN) Dyspepsia Berobat Jalan

2132 09-12-2019 100718011219P002544 0000790898027 NURAENI P PBI (APBN) Cough Berobat Jalan

2133 09-12-2019 100718011219P002545 0000790910572 SUKATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2134 09-12-2019 100718011219P002546 0000790971614 NURUL KHOTIMAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2135 09-12-2019 100718011219P002547 0000790995363 LILIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2136 09-12-2019 100718011219P002548 0000790999841 MISTAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2137 09-12-2019 100718011219P002549 0000791018458 ROMLAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2138 09-12-2019 100718011219P002550 0000791032094 DIDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2139 09-12-2019 100718011219P002551 0000791039182 RAMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2140 09-12-2019 100718011219P000122 0000791094317 MUNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2141 09-12-2019 100718011219P000114 0000791107457 SANTARIP L PBI (APBN) Dyspepsia Berobat Jalan

2142 09-12-2019 100718011219P002552 0000791109955 SAEN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2143 09-12-2019 100718011219P000028 0000791112723 SURYADI L PBI (APBN) Systemic lupus Rujuk Vertikal
erythematosus
2144 09-12-2019 100718011219P002553 0000791117076 REFAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2145 09-12-2019 100718011219P002554 0000791117436 REFA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2146 09-12-2019 100718011219P002555 0000791118314 RASLAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2147 09-12-2019 100718011219P002556 0000791118584 SURYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2148 09-12-2019 100718011219P002557 0000791118729 NEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2149 09-12-2019 100718011219P002558 0000791118887 RITA P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2150 09-12-2019 100718011219P002559 0000791119001 TETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2151 09-12-2019 100718011219P002560 0000791119181 JUNED L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2152 09-12-2019 100718011219P002561 0000791123804 SAADAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2153 09-12-2019 100718011219P002562 0000791125075 SITI FAUZIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2154 09-12-2019 100718011219P002563 0000791145742 ROSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2155 09-12-2019 100718011219P002564 0000791163865 ADIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2156 09-12-2019 100718011219P002565 0000791169805 SURYANA L PBI (APBN) Cough Berobat Jalan

2157 09-12-2019 100718011219P002566 0000791170121 IRWAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2158 09-12-2019 100718011219P002567 0000791171076 JONO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2159 09-12-2019 100718011219P002568 0000791179492 SUKARYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2160 09-12-2019 100718011219P002569 0000791182247 BAI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2161 09-12-2019 100718011219P002570 0000791183362 DARNO L PBI (APBN) Cough Berobat Jalan

2162 09-12-2019 100718011219P002571 0000791196388 SULMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2163 09-12-2019 100718011219P002573 0000791201632 YATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2164 09-12-2019 100718011219P002574 0000791202497 ROSITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2165 09-12-2019 100718011219P002575 0000791203331 SAMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2166 09-12-2019 100718011219P002576 0000791210788 ARKADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2167 09-12-2019 100718011219P002577 0000791211778 TETI SAPITRI P PBI (APBN) Cough Berobat Jalan

2168 09-12-2019 100718011219P002578 0000791230116 ARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2169 09-12-2019 100718011219P002579 0000791234471 SAPRI L PBI (APBN) Cough Berobat Jalan

2170 09-12-2019 100718011219P002580 0000791237676 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2171 09-12-2019 100718011219P002581 0000791238958 AMDANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2172 09-12-2019 100718011219P002582 0000791256622 LINDA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2173 09-12-2019 100718011219P002583 0000791258771 YATNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2174 09-12-2019 100718011219P002584 0000791268142 ROSITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2175 09-12-2019 100718011219P002586 0000791268197 RIFKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2176 09-12-2019 100718011219P002587 0000791273474 ASMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2177 09-12-2019 100718011219P002588 0000791273755 SAMSU L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2178 09-12-2019 100718011219P002589 0000791274025 ADE L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2179 09-12-2019 100718011219P002590 0000791275779 SARMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2180 09-12-2019 100718011219P002591 0000791275915 IDIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2181 09-12-2019 100718011219P002592 0000791276861 OMAN L PBI (APBN) Cough Berobat Jalan

2182 09-12-2019 100718011219P002593 0000791282485 MAMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2183 09-12-2019 100718011219P002594 0000791284948 JUNED L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2184 09-12-2019 100718011219P002595 0000791303703 M SAEPUL BAHRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2185 09-12-2019 100718011219P002596 0000791306717 MIMIN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2186 09-12-2019 100718011219P002597 0000791314334 JEMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2187 09-12-2019 100718011219P002598 0000791341334 SITI RIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2188 09-12-2019 100718011219P002599 0000791350345 SARKANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2189 09-12-2019 100718011219P002600 0000791385715 AHMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2190 09-12-2019 100718011219P002602 0000791403412 ARSITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2191 09-12-2019 100718011219P002603 0000791423177 AMI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2192 09-12-2019 100718011219P002604 0000791440277 MUSLIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2193 09-12-2019 100718011219P002605 0000791448557 SAROH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2194 09-12-2019 100718011219P000123 0000791456837 SITRA L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2195 09-12-2019 100718011219P000118 0000791473533 AAS P PBI (APBN) Cough Berobat Jalan

2196 09-12-2019 100718011219P002606 0000791474499 IIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2197 09-12-2019 100718011219P002607 0000791477087 RASMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2198 09-12-2019 100718011219P002608 0000791477774 KARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2199 09-12-2019 100718011219P002609 0000791478325 AYU P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2200 09-12-2019 100718011219P002610 0000791504796 DONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2201 09-12-2019 100718011219P002611 0000791522987 SUKANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2202 09-12-2019 100718011219P002612 0000791906095 SAPTINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2203 09-12-2019 100718011219P002613 0000796451455 SALAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2204 09-12-2019 100718011219P002638 0001050376487 IROH P PBI (APBN) Cough Berobat Jalan

2205 09-12-2019 100718011219P002639 0001050376781 IMAS TITIN P PBI (APBN) Cough Berobat Jalan

2206 09-12-2019 100718011219P002640 0001050376983 ROHANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2207 09-12-2019 100718011219P002614 0001050379018 ADANG ZAENUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2208 09-12-2019 100718011219P002615 0001050379119 MAMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2209 09-12-2019 100718011219P002616 0001050380133 SAFRUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2210 09-12-2019 100718011219P002617 0001050380379 MURNASIH P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
2211 09-12-2019 100718011219P000116 0001398341193 SATIMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2212 09-12-2019 100718011219P002641 0001398341261 YUDI MOH DARI L PBI (APBD) Dyspepsia Berobat Jalan

2213 09-12-2019 100718011219P002356 0001398341272 SUKMADI WINATA SAPUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2214 09-12-2019 100718011219P002357 0001398341316 ANITA LESTARI P PBI (APBD) Cough Berobat Jalan

2215 09-12-2019 100718011219P002358 0001398341327 IRMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2216 09-12-2019 100718011219P002359 0001398341338 RASMI P PBI (APBD) Cough Berobat Jalan

2217 09-12-2019 100718011219P002360 0001398341349 IRNA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2218 09-12-2019 100718011219P002361 0001398341384 SALSA P PBI (APBD) Cough Berobat Jalan

2219 09-12-2019 100718011219P002362 0001398341395 SUHENAH P PBI (APBD) Cough Berobat Jalan

2220 09-12-2019 100718011219P002363 0001398341406 SAR'AN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2221 09-12-2019 100718011219P002364 0001398341417 NURHAYATI P PBI (APBD) Cough Berobat Jalan

2222 09-12-2019 100718011219P002365 0001398341428 MUHADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2223 09-12-2019 100718011219P002366 0001398341439 SITI APIAH P PBI (APBD) Cough Berobat Jalan

2224 09-12-2019 100718011219P002367 0001398341441 ROBIATUL ADAWIYAH P PBI (APBD) Cough Berobat Jalan

2225 09-12-2019 100718011219P002368 0001398341452 DUMYATI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2226 09-12-2019 100718011219P002369 0001398341463 IJAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2227 09-12-2019 100718011219P002370 0001398341474 YUNINGSIH P PBI (APBD) Cough Berobat Jalan

2228 09-12-2019 100718011219P002371 0001398341485 IMAN L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2229 09-12-2019 100718011219P002372 0001398341496 ATMA L PBI (APBD) Cough Berobat Jalan

2230 09-12-2019 100718011219P002373 0001398341507 KASMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2231 09-12-2019 100718011219P002374 0001398341518 FURKON L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2232 09-12-2019 100718011219P002375 0001398341529 SARIKAM L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2233 09-12-2019 100718011219P002376 0001398341531 JAMSAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2234 09-12-2019 100718011219P002377 0001398341542 SAR'AN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2235 09-12-2019 100718011219P002378 0001398341553 UDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2236 09-12-2019 100718011219P002379 0001398341564 SARINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2237 09-12-2019 100718011219P002380 0001398341575 SIROJUDIN L PBI (APBD) Cough Berobat Jalan

2238 09-12-2019 100718011219P002381 0001398341586 SANAH P PBI (APBD) Cough Berobat Jalan

2239 09-12-2019 100718011219P002382 0001398341597 RATU AMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2240 09-12-2019 100718011219P002383 0001398341608 M.ALFARIZI L PBI (APBD) Dyspepsia Berobat Jalan

2241 09-12-2019 100718011219P002384 0001398341619 TATU ANISAH P PBI (APBD) Dyspepsia Berobat Jalan

2242 09-12-2019 100718011219P002385 0001398341621 SAPRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2243 09-12-2019 100718011219P002386 0001398341632 MARNAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2244 09-12-2019 100718011219P002387 0001398341643 MATIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2245 09-12-2019 100718011219P002388 0001398341654 SUMIYATI P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2246 09-12-2019 100718011219P002389 0001398341665 KHAERIAH P PBI (APBD) Cough Berobat Jalan

2247 09-12-2019 100718011219P002390 0001398341687 KADIR L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2248 09-12-2019 100718011219P002391 0001398341698 SUNAIAH P PBI (APBD) Cough Berobat Jalan

2249 09-12-2019 100718011219P002392 0001398341709 DAELAMI L PBI (APBD) Dyspepsia Berobat Jalan

2250 09-12-2019 100718011219P002393 0001398341733 SADIL ABDULLOH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2251 09-12-2019 100718011219P002394 0001398341744 NUNUNG P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2252 09-12-2019 100718011219P002395 0001398341755 M.ROHIM L PBI (APBD) Cough Berobat Jalan

2253 09-12-2019 100718011219P002396 0001398341766 IMAN MAULANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2254 09-12-2019 100718011219P002397 0001398341777 SONIAROS P PBI (APBD) Dyspepsia Berobat Jalan

2255 09-12-2019 100718011219P002398 0001398341788 ADI TARMADI L PBI (APBD) Cough Berobat Jalan

2256 09-12-2019 100718011219P002399 0001398341799 MISNI FUSPITA SARI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2257 09-12-2019 100718011219P002400 0001398341801 SANADI L PBI (APBD) Cough Berobat Jalan

2258 09-12-2019 100718011219P002401 0001398341812 ENTING P PBI (APBD) Dyspepsia Berobat Jalan

2259 09-12-2019 100718011219P002402 0001398341823 SUDIN L PBI (APBD) Cough Berobat Jalan

2260 09-12-2019 100718011219P002403 0001398341834 URIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2261 09-12-2019 100718011219P002404 0001398341845 SURYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2262 09-12-2019 100718011219P002405 0001398341856 HUSEN L PBI (APBD) Cough Berobat Jalan

2263 09-12-2019 100718011219P002406 0001398341878 TINI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2264 09-12-2019 100718011219P002407 0001398341891 SUDIPAY L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2265 09-12-2019 100718011219P002408 0001398341902 MARWAH P PBI (APBD) Cough Berobat Jalan

2266 09-12-2019 100718011219P002409 0001398341913 M.TAUFIK L PBI (APBD) Cough Berobat Jalan

2267 09-12-2019 100718011219P002410 0001398341924 SUMYATI P PBI (APBD) Cough Berobat Jalan

2268 09-12-2019 100718011219P002411 0001398341957 INDRI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2269 09-12-2019 100718011219P002412 0001398341968 KANIA P PBI (APBD) Cough Berobat Jalan

2270 09-12-2019 100718011219P002413 0001398341979 ASMEDI L PBI (APBD) Cough Berobat Jalan

2271 09-12-2019 100718011219P002414 0001398341981 SITI NAJIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2272 09-12-2019 100718011219P002415 0001398341992 ZULFATUL HANIFAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2273 09-12-2019 100718011219P002416 0001398342003 ASTI HAYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2274 09-12-2019 100718011219P002417 0001398342014 TB.EJA FATUROHMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2275 09-12-2019 100718011219P002418 0001398342025 TB.IJAL HASANUDIN L PBI (APBD) Cough Berobat Jalan

2276 09-12-2019 100718011219P002419 0001398342047 SUSILAWATI P PBI (APBD) Cough Berobat Jalan

2277 09-12-2019 100718011219P002420 0001398342071 SAPTURI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2278 09-12-2019 100718011219P002421 0001398342082 SHOFIYAH P PBI (APBD) Cough Berobat Jalan

2279 09-12-2019 100718011219P002422 0001398342093 NIYA AGNIYA P PBI (APBD) Cough Berobat Jalan

2280 09-12-2019 100718011219P002423 0001398342104 EVA FARDIAH P PBI (APBD) Cough Berobat Jalan

2281 09-12-2019 100718011219P002424 0001398342126 SULASTRI P PBI (APBD) Cough Berobat Jalan

2282 09-12-2019 100718011219P002425 0001398342137 M.KHOIRUL AZZAM L PBI (APBD) Dyspepsia Berobat Jalan

2283 09-12-2019 100718011219P002426 0001398342148 IPAT NURLELA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2284 09-12-2019 100718011219P002427 0001398342159 AHMAD KHUSAERI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2285 09-12-2019 100718011219P002428 0001398342161 M.FAJAR KHUSNAENI L PBI (APBD) Cough Berobat Jalan

2286 09-12-2019 100718011219P002429 0001398342172 ADE ANSORI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2287 09-12-2019 100718011219P002430 0001398342183 AAM AMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2288 09-12-2019 100718011219P002431 0001398342205 KAMILATUN NUFUS P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2289 09-12-2019 100718011219P002432 0001398342216 HODIJAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2290 09-12-2019 100718011219P002433 0001398342227 JONI L PBI (APBD) Cough Berobat Jalan

2291 09-12-2019 100718011219P002434 0001398342238 YOGI FAIJAL L PBI (APBD) Cough Berobat Jalan

2292 09-12-2019 100718011219P002435 0001398342249 RADISAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2293 09-12-2019 100718011219P002436 0001398342251 arnisah P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2294 09-12-2019 100718011219P002437 0001398342262 ROSNAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2295 09-12-2019 100718011219P002438 0001398342273 NINING P PBI (APBD) Dyspepsia Berobat Jalan

2296 09-12-2019 100718011219P002439 0001398342284 FURKON L PBI (APBD) Cough Berobat Jalan

2297 09-12-2019 100718011219P002440 0001398342295 HAMIM L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2298 09-12-2019 100718011219P002441 0001398342306 ARNACI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2299 09-12-2019 100718011219P002442 0001398342317 ST.SAMSIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2300 09-12-2019 100718011219P002443 0001398342328 ST.HALIMAH P PBI (APBD) Cough Berobat Jalan

2301 09-12-2019 100718011219P002444 0001398342339 BAHRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2302 09-12-2019 100718011219P002445 0001398342341 MARYANTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2303 09-12-2019 100718011219P002446 0001398342352 RENA PADILATU WIDIYA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2304 09-12-2019 100718011219P002447 0001398342363 JIDAN FAJAR MAULANA L PBI (APBD) Cough Berobat Jalan

2305 09-12-2019 100718011219P002448 0001398342374 JARMIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2306 09-12-2019 100718011219P002449 0001398342385 WELY P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2307 09-12-2019 100718011219P002450 0001398342407 JOHAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2308 09-12-2019 100718011219P002451 0001398342429 ENJUN L PBI (APBD) Cough Berobat Jalan

2309 09-12-2019 100718011219P002452 0001398342442 SAENAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2310 09-12-2019 100718011219P002453 0001398342464 SITI ROHMAH P PBI (APBD) Cough Berobat Jalan

2311 09-12-2019 100718011219P002454 0001398342475 DENNY L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2312 09-12-2019 100718011219P002455 0001398342486 OPIH NURSAPIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2313 09-12-2019 100718011219P002456 0001398342519 SUMARDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2314 09-12-2019 100718011219P002457 0001398342521 DARWAQTI P PBI (APBD) Cough Berobat Jalan

2315 09-12-2019 100718011219P002458 0001398342532 M.YUSUF L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2316 09-12-2019 100718011219P002459 0001398342543 AGUS TIAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2317 09-12-2019 100718011219P002460 0001398342554 M.YAJID JAMIL L PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2318 09-12-2019 100718011219P002461 0001398342565 ENTUS SUHENDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2319 09-12-2019 100718011219P002462 0001398342576 SITI NURHADIJAH P PBI (APBD) Dyspepsia Berobat Jalan

2320 09-12-2019 100718011219P002463 0001398342587 ENTUS SUJANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2321 09-12-2019 100718011219P002464 0001398342598 OOM KOMARIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2322 09-12-2019 100718011219P002465 0001398342611 ARSAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2323 09-12-2019 100718011219P002466 0001398342622 EEN P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2324 09-12-2019 100718011219P002467 0001398342644 IMAS SUMARNI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2325 09-12-2019 100718011219P002468 0001398342655 ABDULLAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2326 09-12-2019 100718011219P002469 0001398342677 MUKSIN MUKHLIS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2327 09-12-2019 100718011219P002470 0001398342699 ERDI APRIYANSAH L PBI (APBD) Cough Berobat Jalan

2328 09-12-2019 100718011219P002471 0001398342701 BEDU HABE L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2329 09-12-2019 100718011219P002472 0001398342712 SARMANAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2330 09-12-2019 100718011219P002473 0001398342723 BASIR L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2331 09-12-2019 100718011219P002474 0001398342745 MUHAMAD GANDI L PBI (APBD) Cough Berobat Jalan

2332 09-12-2019 100718011219P002475 0001398342756 INDRAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2333 09-12-2019 100718011219P002476 0001398342767 MUHAMAD ILYAS PRATAMA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2334 09-12-2019 100718011219P002477 0001398342778 ANDI SUDIRMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2335 09-12-2019 100718011219P000029 0001439236269 MOKH. CECEP L PEKERJA MANDIRI Inguinal hernia Rujuk Vertikal

2336 09-12-2019 100718011219P000108 0001596944024 SARHOD L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2337 09-12-2019 100718011219P002618 0001673625756 ALUS P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2338 09-12-2019 100718011219P002619 0001812829599 NOVAL HIDAYAT L PEGAWAI SWASTA Dyspepsia Berobat Jalan

2339 09-12-2019 100718011219P000121 0001812831333 RIZAL FAUZI L PBI (APBD) Cough Berobat Jalan

2340 09-12-2019 100718011219P002620 0001852084721 SITI SOPIAH P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2341 09-12-2019 100718011219P002621 0001919366504 FATIR L PBI (APBN) Cough Berobat Jalan

2342 09-12-2019 100718011219P002622 0001919366651 SILVI P PBI (APBN) Cough Berobat Jalan

2343 09-12-2019 100718011219P000120 0001964178527 H. BAI SUHANA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2344 09-12-2019 100718011219P002623 0001977209921 SUPRIADI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2345 09-12-2019 100718011219P002624 0001982872956 SARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2346 09-12-2019 100718011219P002625 0001992116081 ARIF EKO P L PBI (APBN) Dyspepsia Berobat Jalan

2347 09-12-2019 100718011219P000117 0001992375009 AGIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2348 09-12-2019 100718011219P002478 0001992406015 MUHARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2349 09-12-2019 100718011219P002479 0001992449632 RINA P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2350 09-12-2019 100718011219P000113 0001992465213 SOFYAN SAURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2351 09-12-2019 100718011219P002626 0001992538427 ANISA WULANDARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2352 09-12-2019 100718011219P002627 0001992558881 IAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2353 09-12-2019 100718011219P002480 0001992560668 SUKMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2354 09-12-2019 100718011219P002628 0001992675554 ALDIANO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2355 09-12-2019 100718011219P002481 0001992678309 YATNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2356 09-12-2019 100718011219P000109 0001999785947 ENI P PBI (APBN) Dyspepsia Berobat Jalan

2357 09-12-2019 100718011219P002629 0001999917178 DEWI FITRININGSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2358 09-12-2019 100718011219P002630 0002057504681 NARWINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2359 09-12-2019 100718011219P002631 0002197996108 CICIH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2360 09-12-2019 100718011219P002632 0002254242273 FATHAN AL-MAISAN ZHAFAR L PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2361 09-12-2019 100718011219P002482 0002592715959 YAYAT SUGIARTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2362 09-12-2019 100718011219P002633 0002641905123 KANIA APRIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2363 09-12-2019 100718011219P002634 0002641905202 UNING P PBI (APBN) Cough Berobat Jalan

2364 09-12-2019 100718011219P002635 0002641905281 INDRIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2365 09-12-2019 100718011219P000110 0002641916441 SITI MULYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2366 09-12-2019 100718011219P000112 0002641917069 IPAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2367 09-12-2019 100718011219P002636 0002642829186 ROHMAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2368 09-12-2019 100718011219P002483 0002647223155 M.MA'RUF L PBI (APBN) Cough Berobat Jalan

2369 09-12-2019 100718011219P000115 0002647223403 KESYA LORO PUTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2370 09-12-2019 100718011219P002484 0002647224573 SAMIRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2371 09-12-2019 100718011219P002485 0002679046222 BABA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2372 09-12-2019 100718011219P000119 0002687608012 SAPRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2373 08-12-2019 100718011219P004371 0000791456837 SITRA L PBI (APBN) Coma, unspecified Pulang Paksa

2374 08-12-2019 100718011219P004374 0001290061102 RODIYAH P PENERIMA PENSIUN Unspecified viral hepatitis Pulang Paksa Hipertensi
PNS
2375 07-12-2019 100718011219P004387 0000790469774 TIAH P PBI (APBN) Fever, unspecified Sembuh

2376 07-12-2019 100718011219P002290 0000790612007 NURAENI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2377 07-12-2019 100718011219P002291 0000790660001 SINTA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2378 07-12-2019 100718011219P002292 0000790716565 UMAR L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2379 07-12-2019 100718011219P002293 0000790749865 UDAIDA P PBI (APBN) Other dermatitis Berobat Jalan

2380 07-12-2019 100718011219P002294 0000790758775 M ROHILI L PBI (APBN) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2381 07-12-2019 100718011219P000124 0000790968058 SITI ATIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2382 07-12-2019 100718011219P002295 0000791185375 UUM P PBI (APBN) Other dermatitis Berobat Jalan

2383 07-12-2019 100718011219P002296 0000791211183 WARSIH P PBI (APBN) Other dermatitis Berobat Jalan

2384 07-12-2019 100718011219P001660 0000791222354 PIOT P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2385 07-12-2019 100718011219P002297 0000791478448 SURYA L PBI (APBN) Other dermatitis Berobat Jalan

2386 07-12-2019 100718011219P002298 0000791519861 TINI P PBI (APBN) Other dermatitis Berobat Jalan

2387 07-12-2019 100718011219P002299 0001050376961 TURI P PBI (APBN) Other dermatitis Berobat Jalan

2388 07-12-2019 100718011219P004383 0001050379391 ASMINAH P PBI (APBN) Pain, unspecified Sembuh

2389 07-12-2019 100718011219P002300 0001317114426 EGI ROBIBAEHAQI L PBI (APBD) Other dermatitis Berobat Jalan

2390 07-12-2019 100718011219P002301 0001317114821 IRMA LILIS LISTIANI P PBI (APBD) Other dermatitis Berobat Jalan

2391 07-12-2019 100718011219P002302 0001317114854 AANG KUNAEPI L PBI (APBD) Other dermatitis Berobat Jalan

2392 07-12-2019 100718011219P002303 0001317115787 ASIAH P PBI (APBD) Other dermatitis Berobat Jalan

2393 07-12-2019 100718011219P002304 0001317116136 FIKA AULIA P PBI (APBD) Other dermatitis Berobat Jalan

2394 07-12-2019 100718011219P002305 0001317117407 BADRI L PBI (APBD) Other dermatitis Berobat Jalan

2395 07-12-2019 100718011219P002306 0001317117554 KHOIRUL AZIZ L PBI (APBD) Other dermatitis Berobat Jalan

2396 07-12-2019 100718011219P002307 0001317117767 SARKIM L PBI (APBD) Other dermatitis Berobat Jalan

2397 07-12-2019 100718011219P002308 0001317117868 NARSIAH P PBI (APBD) Other dermatitis Berobat Jalan

2398 07-12-2019 100718011219P002309 0001317118533 ARIP L PBI (APBD) Other dermatitis Berobat Jalan

2399 07-12-2019 100718011219P002310 0001317118623 ANITA L PBI (APBD) Other dermatitis Berobat Jalan

2400 07-12-2019 100718011219P002311 0001317119242 ASIM L PBI (APBD) Other dermatitis Berobat Jalan

2401 07-12-2019 100718011219P002312 0001317120399 JAMAL SARIPUDIN L PBI (APBD) Other dermatitis Berobat Jalan

2402 07-12-2019 100718011219P002313 0001317121031 AISAH P PBI (APBD) Other dermatitis Berobat Jalan

2403 07-12-2019 100718011219P002314 0001317121277 SOPIAH P PBI (APBD) Other dermatitis Berobat Jalan

2404 07-12-2019 100718011219P002315 0001317122965 ABDUL MUJIB L PBI (APBD) Other dermatitis Berobat Jalan

2405 07-12-2019 100718011219P002316 0001317123551 MISRANAH P PBI (APBD) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2406 07-12-2019 100718011219P002317 0001317123641 BARKAH P PBI (APBD) Other dermatitis Berobat Jalan

2407 07-12-2019 100718011219P002318 0001317123933 RIFKI RAHMAT HIDAYAT L PBI (APBD) Other dermatitis Berobat Jalan

2408 07-12-2019 100718011219P002319 0001317124438 ADE L PBI (APBD) Other dermatitis Berobat Jalan

2409 07-12-2019 100718011219P002320 0001317124563 YAYAH P PBI (APBD) Other dermatitis Berobat Jalan

2410 07-12-2019 100718011219P002321 0001317124697 U SUKARYA L PBI (APBD) Other dermatitis Berobat Jalan

2411 07-12-2019 100718011219P002322 0001317124833 YATI P PBI (APBD) Other dermatitis Berobat Jalan

2412 07-12-2019 100718011219P002323 0001317124989 PAUZI PATUROHMAN L PBI (APBD) Other dermatitis Berobat Jalan

2413 07-12-2019 100718011219P002324 0001317125406 LASMINI P PBI (APBD) Other dermatitis Berobat Jalan

2414 07-12-2019 100718011219P002325 0001317125968 JARSINAH P PBI (APBD) Other dermatitis Berobat Jalan

2415 07-12-2019 100718011219P002326 0001317126183 MARSITI P PBI (APBD) Other dermatitis Berobat Jalan

2416 07-12-2019 100718011219P002327 0001317126339 PAHRUROJI L PBI (APBD) Other dermatitis Berobat Jalan

2417 07-12-2019 100718011219P002328 0001317126521 UPI P PBI (APBD) Other dermatitis Berobat Jalan

2418 07-12-2019 100718011219P002329 0001317127228 SISIL LIA LUSIANI P PBI (APBD) Other dermatitis Berobat Jalan

2419 07-12-2019 100718011219P002330 0001317127746 BAYI P PBI (APBD) Other dermatitis Berobat Jalan

2420 07-12-2019 100718011219P002331 0001317127904 JANA MAULANA L PBI (APBD) Other dermatitis Berobat Jalan

2421 07-12-2019 100718011219P002332 0001317127972 EET TARWIAH P PBI (APBD) Other dermatitis Berobat Jalan

2422 07-12-2019 100718011219P002333 0001317128591 SUMAR L PBI (APBD) Other dermatitis Berobat Jalan

2423 07-12-2019 100718011219P002334 0001317129041 BAKRI L PBI (APBD) Other dermatitis Berobat Jalan

2424 07-12-2019 100718011219P002335 0001317129164 ARSIH P PBI (APBD) Other dermatitis Berobat Jalan

2425 07-12-2019 100718011219P002336 0001317130738 RODIAH P PBI (APBD) Other dermatitis Berobat Jalan

2426 07-12-2019 100718011219P002337 0001317131471 RIKI L PBI (APBD) Other dermatitis Berobat Jalan

2427 07-12-2019 100718011219P002338 0001317134608 ROHMAT L PBI (APBD) Other dermatitis Berobat Jalan

2428 07-12-2019 100718011219P002339 0001317141404 KUSNADI L PBI (APBD) Other dermatitis Berobat Jalan

2429 07-12-2019 100718011219P002340 0001317151743 OLIM L PBI (APBD) Other dermatitis Berobat Jalan

2430 07-12-2019 100718011219P002343 0001317152621 IKA P PBI (APBD) Other dermatitis Berobat Jalan

2431 07-12-2019 100718011219P002344 0001317154386 CARSIH P PBI (APBD) Other dermatitis Berobat Jalan

2432 07-12-2019 100718011219P002345 0001317155049 PINGKI FEBRIANA P PBI (APBD) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2433 07-12-2019 100718011219P002346 0001317791801 HERIK HIDAYAT L PBI (APBD) Other dermatitis Berobat Jalan

2434 07-12-2019 100718011219P002347 0001317793072 SITI L PBI (APBD) Other dermatitis Berobat Jalan

2435 07-12-2019 100718011219P002348 0001317793173 AGO L PBI (APBD) Other dermatitis Berobat Jalan

2436 07-12-2019 100718011219P002349 0001317794591 MUHAMAD GALIH ISLAMI L PBI (APBD) Other dermatitis Berobat Jalan

2437 07-12-2019 100718011219P002354 0001398341182 DEDE AMSIR L PBI (APBD) Other dermatitis Berobat Jalan

2438 07-12-2019 100718011219P002353 0001398341204 E.HERLINA P PBI (APBD) Other dermatitis Berobat Jalan

2439 07-12-2019 100718011219P002352 0001398341215 SANAH L PBI (APBD) Other dermatitis Berobat Jalan

2440 07-12-2019 100718011219P002351 0001398341226 ETI P PBI (APBD) Other dermatitis Berobat Jalan

2441 07-12-2019 100718011219P002350 0001398341237 RIAH P PBI (APBD) Other dermatitis Berobat Jalan

2442 07-12-2019 100718011219P001661 0001398341248 DANDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2443 07-12-2019 100718011219P001662 0001398342791 ANDI RISMANDINI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2444 07-12-2019 100718011219P001663 0001398342802 JULIKAR L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2445 07-12-2019 100718011219P001664 0001398342813 YAYAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2446 07-12-2019 100718011219P001665 0001398342824 YUNIARTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2447 07-12-2019 100718011219P001666 0001398342835 ST.DAYANTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2448 07-12-2019 100718011219P001667 0001398342846 YUDIN LAKSANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2449 07-12-2019 100718011219P001668 0001398342868 ISUN SUNTIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2450 07-12-2019 100718011219P001669 0001398342881 ENTI DATIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2451 07-12-2019 100718011219P001670 0001398342925 ATI HARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2452 07-12-2019 100718011219P001671 0001398342958 DEDI HIDAYAT L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2453 07-12-2019 100718011219P001672 0001398342969 IPAH MASPUPAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2454 07-12-2019 100718011219P001673 0001398342982 IBNU SINA ALWATONO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2455 07-12-2019 100718011219P001674 0001398342993 MUSTAMIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2456 07-12-2019 100718011219P001675 0001398343004 ARMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2457 07-12-2019 100718011219P001676 0001398343015 SAEPUL L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2458 07-12-2019 100718011219P001677 0001398343037 M.SYAMSUL RIZAL L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2459 07-12-2019 100718011219P001678 0001398343048 FAZRURAHMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2460 07-12-2019 100718011219P001679 0001398343059 CARTISAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2461 07-12-2019 100718011219P001680 0001398343061 AANG SUNARYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2462 07-12-2019 100718011219P001682 0001398343072 RIZWAN MOLELA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2463 07-12-2019 100718011219P001686 0001398343083 ADE SAPRUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2464 07-12-2019 100718011219P001688 0001398343094 ENONG NURBAETI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2465 07-12-2019 100718011219P001690 0001398343127 ARNATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2466 07-12-2019 100718011219P001694 0001398343151 KASMARI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2467 07-12-2019 100718011219P001696 0001398343162 SARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2468 07-12-2019 100718011219P001699 0001398343173 AMIR HASAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2469 07-12-2019 100718011219P001702 0001398343184 AGUS FIRMANSAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2470 07-12-2019 100718011219P001704 0001398343195 ERWIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2471 07-12-2019 100718011219P001706 0001398343206 ARNAWI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2472 07-12-2019 100718011219P001707 0001398343217 SARI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2473 07-12-2019 100718011219P001709 0001398343228 HAWA HAYATI NUFUS P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2474 07-12-2019 100718011219P001710 0001398343239 ADENG L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2475 07-12-2019 100718011219P001711 0001398343241 MINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2476 07-12-2019 100718011219P001712 0001398343252 AHMAD SYARIPUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2477 07-12-2019 100718011219P002144 0001398343263 SITI AISAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2478 07-12-2019 100718011219P002145 0001398343274 SITI ASIAH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2479 07-12-2019 100718011219P002146 0001398343285 SITI NURUL ATIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2480 07-12-2019 100718011219P002147 0001398343296 ARMI P PBI (APBD) Dyspepsia Berobat Jalan

2481 07-12-2019 100718011219P002148 0001398343307 TATANG L PBI (APBD) Dyspepsia Berobat Jalan

2482 07-12-2019 100718011219P002149 0001398343318 IKHSAN L PBI (APBD) Dyspepsia Berobat Jalan

2483 07-12-2019 100718011219P002150 0001398343329 SINTIA LARAS P PBI (APBD) Dyspepsia Berobat Jalan

2484 07-12-2019 100718011219P002151 0001596838241 ASPURI L PBI (APBD) Dyspepsia Berobat Jalan

2485 07-12-2019 100718011219P002152 0001596838263 NURUL ATIAH P PBI (APBD) Dyspepsia Berobat Jalan

2486 07-12-2019 100718011219P002153 0001596838274 VHIKA LESTARI P PBI (APBD) Dyspepsia Berobat Jalan

2487 07-12-2019 100718011219P002154 0001596838285 SUPRIATNA L PBI (APBD) Dyspepsia Berobat Jalan

2488 07-12-2019 100718011219P002155 0001596838329 HELI SUHELI L PBI (APBD) Dyspepsia Berobat Jalan

2489 07-12-2019 100718011219P002156 0001596838342 ANDRE KUSUMA L PBI (APBD) Dyspepsia Berobat Jalan

2490 07-12-2019 100718011219P002157 0001596838353 AFDAL PEBWAR L PBI (APBD) Dyspepsia Berobat Jalan

2491 07-12-2019 100718011219P002158 0001596838364 MFADIL MAULADAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2492 07-12-2019 100718011219P002159 0001596838375 YAYAT HIDAYAT L PBI (APBD) Dyspepsia Berobat Jalan

2493 07-12-2019 100718011219P002160 0001596838386 JUMYATI P PBI (APBD) Dyspepsia Berobat Jalan

2494 07-12-2019 100718011219P002161 0001596838397 YUDI BAHTIAR L PBI (APBD) Dyspepsia Berobat Jalan

2495 07-12-2019 100718011219P002162 0001596838408 JUMINAH P PBI (APBD) Dyspepsia Berobat Jalan

2496 07-12-2019 100718011219P002163 0001596838419 JUHETI P PBI (APBD) Dyspepsia Berobat Jalan

2497 07-12-2019 100718011219P002164 0001596838421 SITI ROHAILAH P PBI (APBD) Dyspepsia Berobat Jalan

2498 07-12-2019 100718011219P002165 0001596838432 ASMAN L PBI (APBD) Dyspepsia Berobat Jalan

2499 07-12-2019 100718011219P002166 0001596838443 ERI P PBI (APBD) Dyspepsia Berobat Jalan

2500 07-12-2019 100718011219P002167 0001596838454 SITI ASTUROH P PBI (APBD) Dyspepsia Berobat Jalan

2501 07-12-2019 100718011219P002168 0001596838465 SITI FITROH P PBI (APBD) Dyspepsia Berobat Jalan

2502 07-12-2019 100718011219P002169 0001596838476 MUHAMAD RIZKI L PBI (APBD) Dyspepsia Berobat Jalan

2503 07-12-2019 100718011219P002170 0001596838498 JUNAEDI L PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2504 07-12-2019 100718011219P002171 0001596838509 NURHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

2505 07-12-2019 100718011219P002172 0001596838522 JAYA L PBI (APBD) Dyspepsia Berobat Jalan

2506 07-12-2019 100718011219P002173 0001596838533 MUPLIHAH P PBI (APBD) Dyspepsia Berobat Jalan

2507 07-12-2019 100718011219P002174 0001596838544 EPIT FITRIYANI P PBI (APBD) Dyspepsia Berobat Jalan

2508 07-12-2019 100718011219P002175 0001596838555 WAWAZ RIFALDI L PBI (APBD) Dyspepsia Berobat Jalan

2509 07-12-2019 100718011219P002176 0001596838566 USUP L PBI (APBD) Dyspepsia Berobat Jalan

2510 07-12-2019 100718011219P002177 0001596838577 SITI JARIAH P PBI (APBD) Dyspepsia Berobat Jalan

2511 07-12-2019 100718011219P002178 0001596838588 SITI ALIAH P PBI (APBD) Dyspepsia Berobat Jalan

2512 07-12-2019 100718011219P002179 0001596838599 MRUYAT L PBI (APBD) Dyspepsia Berobat Jalan

2513 07-12-2019 100718011219P002180 0001596838601 ALI SAFNIR L PBI (APBD) Dyspepsia Berobat Jalan

2514 07-12-2019 100718011219P002181 0001596838612 NURHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

2515 07-12-2019 100718011219P002182 0001596838634 KYLADWI CAHYA P PBI (APBD) Dyspepsia Berobat Jalan

2516 07-12-2019 100718011219P002183 0001596838645 RASIH P PBI (APBD) Dyspepsia Berobat Jalan

2517 07-12-2019 100718011219P002184 0001596838656 DURIAH P PBI (APBD) Dyspepsia Berobat Jalan

2518 07-12-2019 100718011219P002185 0001596838678 UJANG SUPARDI L PBI (APBD) Dyspepsia Berobat Jalan

2519 07-12-2019 100718011219P002186 0001596838689 AKJAR L PBI (APBD) Dyspepsia Berobat Jalan

2520 07-12-2019 100718011219P002187 0001596838691 SUMINAH P PBI (APBD) Dyspepsia Berobat Jalan

2521 07-12-2019 100718011219P002188 0001596838702 MADSUHRI L PBI (APBD) Dyspepsia Berobat Jalan

2522 07-12-2019 100718011219P002189 0001596838713 MARSINAH P PBI (APBD) Dyspepsia Berobat Jalan

2523 07-12-2019 100718011219P002190 0001596838724 SITI NURANI P PBI (APBD) Dyspepsia Berobat Jalan

2524 07-12-2019 100718011219P002191 0001596838735 MUHAMAD FAHRI L PBI (APBD) Dyspepsia Berobat Jalan

2525 07-12-2019 100718011219P002192 0001596838746 OPENG L PBI (APBD) Dyspepsia Berobat Jalan

2526 07-12-2019 100718011219P002193 0001596838757 ECIH P PBI (APBD) Dyspepsia Berobat Jalan

2527 07-12-2019 100718011219P002194 0001596838768 UDIN L PBI (APBD) Dyspepsia Berobat Jalan

2528 07-12-2019 100718011219P002195 0001596838779 NANDAR PUTRA L PBI (APBD) Dyspepsia Berobat Jalan

2529 07-12-2019 100718011219P002196 0001596838792 WINDA NURFATWA P PBI (APBD) Dyspepsia Berobat Jalan

2530 07-12-2019 100718011219P002197 0001596838825 SUHALI L PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2531 07-12-2019 100718011219P002198 0001596838847 TRIANI RAMADANI P PBI (APBD) Dyspepsia Berobat Jalan

2532 07-12-2019 100718011219P002199 0001596838858 MRIDWAN KHOIRI L PBI (APBD) Dyspepsia Berobat Jalan

2533 07-12-2019 100718011219P002200 0001596838869 SARIP L PBI (APBD) Dyspepsia Berobat Jalan

2534 07-12-2019 100718011219P002201 0001596838871 SADIAH P PBI (APBD) Dyspepsia Berobat Jalan

2535 07-12-2019 100718011219P002202 0001596838882 MUHAMAD RONI HANDAYANI L PBI (APBD) Dyspepsia Berobat Jalan

2536 07-12-2019 100718011219P002203 0001596838893 MUHAMAD RIFAL GIANTARA L PBI (APBD) Dyspepsia Berobat Jalan

2537 07-12-2019 100718011219P002204 0001596838904 UUN P PBI (APBD) Dyspepsia Berobat Jalan

2538 07-12-2019 100718011219P002205 0001596838915 UNILAWATI P PBI (APBD) Dyspepsia Berobat Jalan

2539 07-12-2019 100718011219P002206 0001596838926 MALFIN L PBI (APBD) Dyspepsia Berobat Jalan

2540 07-12-2019 100718011219P002207 0001596838937 MSOLEH L PBI (APBD) Dyspepsia Berobat Jalan

2541 07-12-2019 100718011219P002208 0001596838948 SITI UMINAH P PBI (APBD) Dyspepsia Berobat Jalan

2542 07-12-2019 100718011219P002209 0001596838959 SALWA AUREL AGUSTINE P PBI (APBD) Dyspepsia Berobat Jalan

2543 07-12-2019 100718011219P002210 0001596838961 KANDI L PBI (APBD) Dyspepsia Berobat Jalan

2544 07-12-2019 100718011219P002211 0001596838972 SAENAH P PBI (APBD) Dyspepsia Berobat Jalan

2545 07-12-2019 100718011219P002212 0001596838983 AFANDI L PBI (APBD) Dyspepsia Berobat Jalan

2546 07-12-2019 100718011219P002213 0001596838994 SAPTA L PBI (APBD) Dyspepsia Berobat Jalan

2547 07-12-2019 100718011219P002214 0001596839005 HJIJUN P PBI (APBD) Dyspepsia Berobat Jalan

2548 07-12-2019 100718011219P002215 0001596839016 DEDE WAHYUDIN L PBI (APBD) Dyspepsia Berobat Jalan

2549 07-12-2019 100718011219P002216 0001596839027 SAMSUDIN L PBI (APBD) Dyspepsia Berobat Jalan

2550 07-12-2019 100718011219P002217 0001596839038 MUTI'AH P PBI (APBD) Dyspepsia Berobat Jalan

2551 07-12-2019 100718011219P002218 0001596839049 SHYSKA AULIA P PBI (APBD) Dyspepsia Berobat Jalan

2552 07-12-2019 100718011219P002219 0001596839051 MNAZIM AKBAR L PBI (APBD) Dyspepsia Berobat Jalan

2553 07-12-2019 100718011219P002220 0001596839095 SUPARMAN L PBI (APBD) Dyspepsia Berobat Jalan

2554 07-12-2019 100718011219P002221 0001596839106 IYAH SURIYAH P PBI (APBD) Dyspepsia Berobat Jalan

2555 07-12-2019 100718011219P002222 0001596839128 FIKRI ILHAMSYAH L PBI (APBD) Dyspepsia Berobat Jalan

2556 07-12-2019 100718011219P002223 0001596839139 TATA SUHARYA L PBI (APBD) Dyspepsia Berobat Jalan

2557 07-12-2019 100718011219P002224 0001596839141 ELA SUMYATI P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2558 07-12-2019 100718011219P002225 0001596839152 MARSITI P PBI (APBD) Myalgia Berobat Jalan

2559 07-12-2019 100718011219P002226 0001596839163 ALIFFIA PUTLESYA P PBI (APBD) Myalgia Berobat Jalan

2560 07-12-2019 100718011219P002227 0001596839174 TORINAH P PBI (APBD) Myalgia Berobat Jalan

2561 07-12-2019 100718011219P002228 0001596839185 ALIPANDI L PBI (APBD) Myalgia Berobat Jalan

2562 07-12-2019 100718011219P002229 0001596839196 ANIS P PBI (APBD) Myalgia Berobat Jalan

2563 07-12-2019 100718011219P002230 0001596839207 SILPIA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2564 07-12-2019 100718011219P002231 0001596839218 NENG EMIL MILHATUDINAH P PBI (APBD) Myalgia Berobat Jalan

2565 07-12-2019 100718011219P002232 0001596839229 MUHAMAD ASEP MUHTADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2566 07-12-2019 100718011219P002233 0001596839231 NANA SUTISNA L PBI (APBD) Myalgia Berobat Jalan

2567 07-12-2019 100718011219P002234 0001596839242 YATI AL ROHAYATI P PBI (APBD) Myalgia Berobat Jalan

2568 07-12-2019 100718011219P002235 0001596839253 MINAH P PBI (APBD) Myalgia Berobat Jalan

2569 07-12-2019 100718011219P002236 0001596839264 DANU SOPIAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2570 07-12-2019 100718011219P002237 0001596839275 RASTAM L PBI (APBD) Myalgia Berobat Jalan

2571 07-12-2019 100718011219P002238 0001596839286 KOSIMIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2572 07-12-2019 100718011219P002239 0001596839297 WIWIANTI P PBI (APBD) Myalgia Berobat Jalan

2573 07-12-2019 100718011219P002240 0001596839308 NANA L PBI (APBD) Myalgia Berobat Jalan

2574 07-12-2019 100718011219P002241 0001596839321 SARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2575 07-12-2019 100718011219P002242 0001596839332 INTAN NURFADILLAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2576 07-12-2019 100718011219P002243 0001596839343 KAMAD L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2577 07-12-2019 100718011219P002244 0001596839354 IKAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2578 07-12-2019 100718011219P002245 0001596839365 TOPIK L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2579 07-12-2019 100718011219P002246 0001596839376 SUHARJA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2580 07-12-2019 100718011219P002247 0001596839387 MASRA HIDAYAH L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2581 07-12-2019 100718011219P002355 0001596839398 AMAN L PBI (APBD) Other dermatitis Berobat Jalan

2582 07-12-2019 100718011219P002248 0001596839409 AMANDA QOIRUNISAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2583 07-12-2019 100718011219P002249 0001596839411 AMIRUDIN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2584 07-12-2019 100718011219P002250 0001596839422 IMAS MARYATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2585 07-12-2019 100718011219P002251 0001596839433 IIM MARYANTO L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2586 07-12-2019 100718011219P002252 0001596839444 ASHA ANANDA PUTRI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2587 07-12-2019 100718011219P002253 0001596839455 AMEL TRIAPRILIA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2588 07-12-2019 100718011219P002254 0001596839466 AYU FORTUNA AGUSTIN P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2589 07-12-2019 100718011219P002255 0001596839477 AHMAD SETRA WIJAYA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2590 07-12-2019 100718011219P002256 0001596839488 NENI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2591 07-12-2019 100718011219P002257 0001596839499 ALIF ZEIN SAPUTRA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2592 07-12-2019 100718011219P002258 0001596839501 SERA SAFIRA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2593 07-12-2019 100718011219P002259 0001596839512 PUDIN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2594 07-12-2019 100718011219P002260 0001596839523 NIMAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2595 07-12-2019 100718011219P001570 0001596839534 LUSI P PBI (APBD) Cough Berobat Jalan

2596 07-12-2019 100718011219P001572 0001596839545 SARYA L PBI (APBD) Cough Berobat Jalan

2597 07-12-2019 100718011219P001574 0001596839556 MINAH P PBI (APBD) Cough Berobat Jalan

2598 07-12-2019 100718011219P001576 0001596839567 FAJAR RAHAYU L PBI (APBD) Cough Berobat Jalan

2599 07-12-2019 100718011219P001578 0001596839578 PARMAN L PBI (APBD) Cough Berobat Jalan

2600 07-12-2019 100718011219P001580 0001596839589 KANAH P PBI (APBD) Cough Berobat Jalan

2601 07-12-2019 100718011219P001582 0001596839591 VITALIA P PBI (APBD) Cough Berobat Jalan

2602 07-12-2019 100718011219P001585 0001596839602 SOPIAN L PBI (APBD) Cough Berobat Jalan

2603 07-12-2019 100718011219P001587 0001596839613 ASMANAH P PBI (APBD) Cough Berobat Jalan

2604 07-12-2019 100718011219P001589 0001596839624 MASTA L PBI (APBD) Cough Berobat Jalan

2605 07-12-2019 100718011219P001591 0001596839635 JAMAL MIRDAD L PBI (APBD) Cough Berobat Jalan

2606 07-12-2019 100718011219P001593 0001596839646 ASEP SANJAYA L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2607 07-12-2019 100718011219P001595 0001596839657 SELMA P PBI (APBD) Cough Berobat Jalan

2608 07-12-2019 100718011219P001597 0001596839668 HIDAYATULOH L PBI (APBD) Cough Berobat Jalan

2609 07-12-2019 100718011219P001599 0001596839679 MARPUAH P PBI (APBD) Cough Berobat Jalan

2610 07-12-2019 100718011219P001600 0001596839681 ABDUL RAHMAT HALIM L PBI (APBD) Cough Berobat Jalan

2611 07-12-2019 100718011219P001601 0001596839692 MUHAEMIN L PBI (APBD) Cough Berobat Jalan

2612 07-12-2019 100718011219P001602 0001596839703 NURHAENI P PBI (APBD) Cough Berobat Jalan

2613 07-12-2019 100718011219P001603 0001596839714 HENGKI PRATAMA L PBI (APBD) Cough Berobat Jalan

2614 07-12-2019 100718011219P001604 0001596839725 URIP L PBI (APBD) Cough Berobat Jalan

2615 07-12-2019 100718011219P001605 0001596839736 ASTIRAH P PBI (APBD) Cough Berobat Jalan

2616 07-12-2019 100718011219P002263 0001596839747 AL PUJI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2617 07-12-2019 100718011219P002262 0001596839758 ADE L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2618 07-12-2019 100718011219P002261 0001596839769 EPI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2619 07-12-2019 100718011219P002264 0001596839782 EKA ILDIANA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2620 07-12-2019 100718011219P002265 0001596839804 ALDIBRAN ALEXI PRATAMA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2621 07-12-2019 100718011219P002266 0001596839815 ROSID L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2622 07-12-2019 100718011219P002267 0001596839826 MELISA ROSDIANA AMELIA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2623 07-12-2019 100718011219P002268 0001596839837 DIANA AMANDA AULIA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2624 07-12-2019 100718011219P002269 0001596839848 ALYA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2625 07-12-2019 100718011219P002270 0001596839859 SARNIAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2626 07-12-2019 100718011219P002271 0001596839861 TITING P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2627 07-12-2019 100718011219P002272 0001596839872 MUHAMAD RONI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2628 07-12-2019 100718011219P002273 0001596839883 JUMAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2629 07-12-2019 100718011219P002274 0001596839894 EZA AWALUDIN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2630 07-12-2019 100718011219P002275 0001596839905 BAHRI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2631 07-12-2019 100718011219P002276 0001596839916 RUMSIAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2632 07-12-2019 100718011219P002277 0001596839927 SIDIK L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2633 07-12-2019 100718011219P002278 0001596839938 ADE L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2634 07-12-2019 100718011219P002279 0001596839949 ATI IRMAWATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2635 07-12-2019 100718011219P002280 0001596839951 HERMAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2636 07-12-2019 100718011219P002281 0001596839962 CICIH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2637 07-12-2019 100718011219P002282 0001596839973 RIZKI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2638 07-12-2019 100718011219P002283 0001596839984 ARMAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2639 07-12-2019 100718011219P002284 0001596839995 HALIMAH SADIAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2640 07-12-2019 100718011219P002285 0001596840006 FIKRI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2641 07-12-2019 100718011219P002286 0001596840017 ANAH INDRAYANI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2642 07-12-2019 100718011219P002287 0001596840028 MUHAMAD FAHMI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2643 07-12-2019 100718011219P002288 0001596840039 ADHARI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2644 07-12-2019 100718011219P002289 0001596840041 ANIAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

2645 07-12-2019 100718011219P001606 0001596942641 IJAH P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2646 07-12-2019 100718011219P001607 0001596942652 PAJAR L PBI (APBD) Cough Berobat Jalan

2647 07-12-2019 100718011219P001608 0001596942663 ROBIAH P PBI (APBD) Cough Berobat Jalan

2648 07-12-2019 100718011219P001609 0001596942674 LAMRAH P PBI (APBD) Cough Berobat Jalan

2649 07-12-2019 100718011219P001610 0001596942685 FITRI YADI P PBI (APBD) Cough Berobat Jalan

2650 07-12-2019 100718011219P001611 0001596942696 M. TONO L PBI (APBD) Cough Berobat Jalan

2651 07-12-2019 100718011219P001612 0001596942707 SANAIAH P PBI (APBD) Cough Berobat Jalan

2652 07-12-2019 100718011219P001613 0001596942718 IMAS P PBI (APBD) Cough Berobat Jalan

2653 07-12-2019 100718011219P001614 0001596942729 M. JAMALLUDIN L PBI (APBD) Cough Berobat Jalan

2654 07-12-2019 100718011219P001616 0001596942731 HALIMATU SADIAH P PBI (APBD) Cough Berobat Jalan

2655 07-12-2019 100718011219P001619 0001596942742 MUHAMAD RAFI L PBI (APBD) Cough Berobat Jalan

2656 07-12-2019 100718011219P001621 0001596942753 RAHMAT HIDAYATULLAH L PBI (APBD) Cough Berobat Jalan

2657 07-12-2019 100718011219P001624 0001596942764 AGUS L PBI (APBD) Cough Berobat Jalan

2658 07-12-2019 100718011219P001627 0001596942775 ANGGUN P PBI (APBD) Cough Berobat Jalan

2659 07-12-2019 100718011219P001635 0001596942786 ANDRE SOPIYAN L PBI (APBD) Cough Berobat Jalan

2660 07-12-2019 100718011219P001636 0001596942797 IROH P PBI (APBD) Cough Berobat Jalan

2661 07-12-2019 100718011219P001637 0001596942808 RAFY OKTAVIANSYAH L PBI (APBD) Cough Berobat Jalan

2662 07-12-2019 100718011219P001638 0001596942819 NAZILATUL NAFSY P PBI (APBD) Cough Berobat Jalan

2663 07-12-2019 100718011219P001639 0001596942821 NYAI P PBI (APBD) Cough Berobat Jalan

2664 07-12-2019 100718011219P001640 0001596942832 NURDIN L PBI (APBD) Cough Berobat Jalan

2665 07-12-2019 100718011219P001641 0001596942843 BUHORI L PBI (APBD) Cough Berobat Jalan

2666 07-12-2019 100718011219P001642 0001596942854 NAWAWI L PBI (APBD) Cough Berobat Jalan

2667 07-12-2019 100718011219P001643 0001596942865 DENDI RUSTANDI L PBI (APBD) Cough Berobat Jalan

2668 07-12-2019 100718011219P001644 0001596942876 RAYHAN AL SYADDAD L PBI (APBD) Cough Berobat Jalan

2669 07-12-2019 100718011219P001645 0001596942887 SAEPUDIN L PBI (APBD) Cough Berobat Jalan

2670 07-12-2019 100718011219P001646 0001596942898 MISRAN L PBI (APBD) Cough Berobat Jalan

2671 07-12-2019 100718011219P001647 0001596942909 AJI MUHAMAD SAPUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2672 07-12-2019 100718011219P001648 0001596942911 AGUS KARTONO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2673 07-12-2019 100718011219P001649 0001596942922 IPAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2674 07-12-2019 100718011219P001650 0001596942933 AENA AGUSTINA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2675 07-12-2019 100718011219P001652 0001596942944 IPAN HARYANTO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2676 07-12-2019 100718011219P001653 0001596942955 KIKI HARYANTI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2677 07-12-2019 100718011219P001654 0001596942966 AL KHALISI ZIKRI HADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2678 07-12-2019 100718011219P001655 0001596942977 UJANG L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2679 07-12-2019 100718011219P001656 0001596942988 TUTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2680 07-12-2019 100718011219P001657 0001596943012 SAIRAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2681 07-12-2019 100718011219P001658 0001596943023 MELI HENGKIYANA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2682 07-12-2019 100718011219P000125 0001596944687 ERUM P PBI (APBD) Cough Berobat Jalan

2683 07-12-2019 100718011219P000126 0001596944709 FUZI HASTUTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2684 07-12-2019 100718011219P004384 0001919366559 ANGGA DWI SAPUTRA L PBI (APBN) Dyspepsia Sembuh

2685 07-12-2019 100718011219P001659 0002641911647 RAVA PRASETIO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2686 06-12-2019 100718011219P000773 0000199057342 AAS SOHIPA P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2687 06-12-2019 100718011219P000774 0000790795732 JULEHA P PBI (APBN) Cough Berobat Jalan

2688 06-12-2019 100718011219P000775 0000791169568 ENUR P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2689 06-12-2019 100718011219P001299 0000791222354 PIOT P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2690 06-12-2019 100718011219P000776 0000791283014 ARIS SUNANDAR L PBI (APBN) Dyspepsia Berobat Jalan

2691 06-12-2019 100718011219P000777 0000791336621 SARNAH P PBI (APBN) Cough Berobat Jalan

2692 06-12-2019 100718011219P000778 0000791494378 SATINAH P PBI (APBN) Dyspepsia Berobat Jalan

2693 06-12-2019 100718011219P000779 0000791497506 ANIAH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2694 06-12-2019 100718011219P000780 0000791500724 RUMSAH P PBI (APBN) Dyspepsia Berobat Jalan

2695 06-12-2019 100718011219P000781 0000791508273 RAHMAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2696 06-12-2019 100718011219P000782 0000791513201 YUYUN P PBI (APBN) Cough Berobat Jalan

2697 06-12-2019 100718011219P000783 0000791514786 ENI HAMDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2698 06-12-2019 100718011219P000784 0000791524629 ARMANAH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2699 06-12-2019 100718011219P000785 0000791562126 KASTI P PBI (APBN) Dyspepsia Berobat Jalan

2700 06-12-2019 100718011219P000786 0000791584029 ENONG P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2701 06-12-2019 100718011219P000787 0000791672861 SITI APIPAH P PBI (APBN) Cough Berobat Jalan

2702 06-12-2019 100718011219P000788 0000791728593 SAYUNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
2703 06-12-2019 100718011219P000789 0001050381088 EMUR P PBI (APBN) Cough Berobat Jalan

2704 06-12-2019 100718011219P001301 0001398341248 DANDI L PBI (APBD) Cough Berobat Jalan

2705 06-12-2019 100718011219P001302 0001398342791 ANDI RISMANDINI L PBI (APBD) Dyspepsia Berobat Jalan

2706 06-12-2019 100718011219P001303 0001398342802 JULIKAR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2707 06-12-2019 100718011219P001305 0001398342813 YAYAH P PBI (APBD) Dyspepsia Berobat Jalan

2708 06-12-2019 100718011219P001306 0001398342824 YUNIARTI P PBI (APBD) Dyspepsia Berobat Jalan

2709 06-12-2019 100718011219P001307 0001398342835 ST.DAYANTI P PBI (APBD) Dyspepsia Berobat Jalan

2710 06-12-2019 100718011219P001308 0001398342846 YUDIN LAKSANA L PBI (APBD) Dyspepsia Berobat Jalan

2711 06-12-2019 100718011219P001309 0001398342868 ISUN SUNTIAH P PBI (APBD) Dyspepsia Berobat Jalan

2712 06-12-2019 100718011219P001310 0001398342881 ENTI DATIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2713 06-12-2019 100718011219P001311 0001398342925 ATI HARYATI P PBI (APBD) Dyspepsia Berobat Jalan

2714 06-12-2019 100718011219P001312 0001398342958 DEDI HIDAYAT L PBI (APBD) Cough Berobat Jalan

2715 06-12-2019 100718011219P001313 0001398342969 IPAH MASPUPAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2716 06-12-2019 100718011219P001314 0001398342982 IBNU SINA ALWATONO L PBI (APBD) Cough Berobat Jalan

2717 06-12-2019 100718011219P001315 0001398342993 MUSTAMIN L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2718 06-12-2019 100718011219P001316 0001398343004 ARMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2719 06-12-2019 100718011219P001317 0001398343015 SAEPUL L PBI (APBD) Cough Berobat Jalan

2720 06-12-2019 100718011219P001318 0001398343037 M.SYAMSUL RIZAL L PBI (APBD) Dyspepsia Berobat Jalan

2721 06-12-2019 100718011219P001319 0001398343048 FAZRURAHMAN L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2722 06-12-2019 100718011219P001320 0001398343059 CARTISAH P PBI (APBD) Gastritis and duodenitis Berobat Jalan

2723 06-12-2019 100718011219P001322 0001398343061 AANG SUNARYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2724 06-12-2019 100718011219P001323 0001398343072 RIZWAN MOLELA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2725 06-12-2019 100718011219P001324 0001398343083 ADE SAPRUDIN L PBI (APBD) Dyspepsia Berobat Jalan

2726 06-12-2019 100718011219P001325 0001398343094 ENONG NURBAETI P PBI (APBD) Cough Berobat Jalan

2727 06-12-2019 100718011219P001327 0001398343127 ARNATI P PBI (APBD) Dyspepsia Berobat Jalan

2728 06-12-2019 100718011219P001329 0001398343151 KASMARI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2729 06-12-2019 100718011219P001330 0001398343162 SARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2730 06-12-2019 100718011219P001331 0001398343173 AMIR HASAN L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2731 06-12-2019 100718011219P001332 0001398343184 AGUS FIRMANSAH L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2732 06-12-2019 100718011219P001333 0001398343195 ERWIN L PBI (APBD) Cough Berobat Jalan

2733 06-12-2019 100718011219P001335 0001398343206 ARNAWI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2734 06-12-2019 100718011219P001336 0001398343217 SARI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2735 06-12-2019 100718011219P001338 0001398343228 HAWA HAYATI NUFUS P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2736 06-12-2019 100718011219P001340 0001398343239 ADENG L PBI (APBD) Dyspepsia Berobat Jalan

2737 06-12-2019 100718011219P001344 0001398343241 MINAH P PBI (APBD) Dyspepsia Berobat Jalan

2738 06-12-2019 100718011219P001346 0001398343252 AHMAD SYARIPUDIN L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2739 06-12-2019 100718011219P001347 0001398343263 SITI AISAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2740 06-12-2019 100718011219P001348 0001398343274 SITI ASIAH P PBI (APBD) Dyspepsia Berobat Jalan

2741 06-12-2019 100718011219P001349 0001398343285 SITI NURUL ATIAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2742 06-12-2019 100718011219P001350 0001398343296 ARMI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2743 06-12-2019 100718011219P001351 0001398343307 TATANG L PBI (APBD) Dyspepsia Berobat Jalan

2744 06-12-2019 100718011219P001352 0001398343318 IKHSAN L PBI (APBD) Cough Berobat Jalan

2745 06-12-2019 100718011219P001353 0001398343329 SINTIA LARAS P PBI (APBD) Cough Berobat Jalan

2746 06-12-2019 100718011219P001354 0001596838241 ASPURI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2747 06-12-2019 100718011219P001823 0001596838263 NURUL ATIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2748 06-12-2019 100718011219P001824 0001596838274 VHIKA LESTARI P PBI (APBD) Cough Berobat Jalan

2749 06-12-2019 100718011219P001825 0001596838285 SUPRIATNA L PBI (APBD) Dyspepsia Berobat Jalan

2750 06-12-2019 100718011219P001826 0001596838296 MUNIAH P PBI (APBD) Cough Berobat Jalan

2751 06-12-2019 100718011219P001827 0001596838329 HELI SUHELI L PBI (APBD) Dyspepsia Berobat Jalan

2752 06-12-2019 100718011219P001828 0001596838342 ANDRE KUSUMA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2753 06-12-2019 100718011219P001829 0001596838353 AFDAL PEBWAR L PBI (APBD) Cough Berobat Jalan

2754 06-12-2019 100718011219P001830 0001596838364 MFADIL MAULADAN L PBI (APBD) Cough Berobat Jalan

2755 06-12-2019 100718011219P001831 0001596838375 YAYAT HIDAYAT L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2756 06-12-2019 100718011219P001832 0001596838386 JUMYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2757 06-12-2019 100718011219P001834 0001596838397 YUDI BAHTIAR L PBI (APBD) Dyspepsia Berobat Jalan

2758 06-12-2019 100718011219P001836 0001596838408 JUMINAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2759 06-12-2019 100718011219P001838 0001596838419 JUHETI P PBI (APBD) Cough Berobat Jalan

2760 06-12-2019 100718011219P001840 0001596838421 SITI ROHAILAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2761 06-12-2019 100718011219P001842 0001596838432 ASMAN L PBI (APBD) Dyspepsia Berobat Jalan

2762 06-12-2019 100718011219P001844 0001596838443 ERI P PBI (APBD) Cough Berobat Jalan

2763 06-12-2019 100718011219P001846 0001596838454 SITI ASTUROH P PBI (APBD) Dyspepsia Berobat Jalan

2764 06-12-2019 100718011219P001848 0001596838465 SITI FITROH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2765 06-12-2019 100718011219P001850 0001596838476 MUHAMAD RIZKI L PBI (APBD) Cough Berobat Jalan

2766 06-12-2019 100718011219P001852 0001596838498 JUNAEDI L PBI (APBD) Dyspepsia Berobat Jalan

2767 06-12-2019 100718011219P001855 0001596838509 NURHAYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2768 06-12-2019 100718011219P001857 0001596838511 MJUKRI PIDIANSYAH L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2769 06-12-2019 100718011219P001860 0001596838522 JAYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2770 06-12-2019 100718011219P001862 0001596838533 MUPLIHAH P PBI (APBD) Dyspepsia Berobat Jalan

2771 06-12-2019 100718011219P001863 0001596838544 EPIT FITRIYANI P PBI (APBD) Cough Berobat Jalan

2772 06-12-2019 100718011219P001865 0001596838555 WAWAZ RIFALDI L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2773 06-12-2019 100718011219P001866 0001596838566 USUP L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2774 06-12-2019 100718011219P001868 0001596838577 SITI JARIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2775 06-12-2019 100718011219P001870 0001596838588 SITI ALIAH P PBI (APBD) Dyspepsia Berobat Jalan

2776 06-12-2019 100718011219P001872 0001596838599 MRUYAT L PBI (APBD) Cough Berobat Jalan

2777 06-12-2019 100718011219P001874 0001596838601 ALI SAFNIR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2778 06-12-2019 100718011219P001876 0001596838612 NURHAYATI P PBI (APBD) Cough Berobat Jalan

2779 06-12-2019 100718011219P001878 0001596838634 KYLADWI CAHYA P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2780 06-12-2019 100718011219P001882 0001596838645 RASIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2781 06-12-2019 100718011219P001885 0001596838656 DURIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2782 06-12-2019 100718011219P001887 0001596838678 UJANG SUPARDI L PBI (APBD) Dyspepsia Berobat Jalan

2783 06-12-2019 100718011219P001890 0001596838689 AKJAR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2784 06-12-2019 100718011219P001892 0001596838691 SUMINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2785 06-12-2019 100718011219P001894 0001596838702 MADSUHRI L PBI (APBD) Dyspepsia Berobat Jalan

2786 06-12-2019 100718011219P001895 0001596838713 MARSINAH P PBI (APBD) Dyspepsia Berobat Jalan

2787 06-12-2019 100718011219P001898 0001596838724 SITI NURANI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2788 06-12-2019 100718011219P001902 0001596838735 MUHAMAD FAHRI L PBI (APBD) Cough Berobat Jalan

2789 06-12-2019 100718011219P001903 0001596838746 OPENG L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2790 06-12-2019 100718011219P001906 0001596838757 ECIH P PBI (APBD) Dyspepsia Berobat Jalan

2791 06-12-2019 100718011219P001912 0001596838768 UDIN L PBI (APBD) Dyspepsia Berobat Jalan

2792 06-12-2019 100718011219P001915 0001596838779 NANDAR PUTRA L PBI (APBD) Dyspepsia Berobat Jalan

2793 06-12-2019 100718011219P001919 0001596838792 WINDA NURFATWA P PBI (APBD) Cough Berobat Jalan

2794 06-12-2019 100718011219P001921 0001596838825 SUHALI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2795 06-12-2019 100718011219P001922 0001596838847 TRIANI RAMADANI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2796 06-12-2019 100718011219P001924 0001596838869 SARIP L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2797 06-12-2019 100718011219P002702 0001596838871 SADIAH P PBI (APBD) Dyspepsia Berobat Jalan

2798 06-12-2019 100718011219P002703 0001596838882 MUHAMAD RONI HANDAYANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2799 06-12-2019 100718011219P002704 0001596838893 MUHAMAD RIFAL GIANTARA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2800 06-12-2019 100718011219P002705 0001596838904 UUN P PBI (APBD) Dyspepsia Berobat Jalan

2801 06-12-2019 100718011219P002706 0001596838915 UNILAWATI P PBI (APBD) Cough Berobat Jalan

2802 06-12-2019 100718011219P002707 0001596838926 MALFIN L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2803 06-12-2019 100718011219P002709 0001596838937 MSOLEH L PBI (APBD) Dyspepsia Berobat Jalan

2804 06-12-2019 100718011219P002710 0001596838948 SITI UMINAH P PBI (APBD) Gastritis and duodenitis Berobat Jalan

2805 06-12-2019 100718011219P002712 0001596838959 SALWA AUREL AGUSTINE P PBI (APBD) Cough Berobat Jalan

2806 06-12-2019 100718011219P002714 0001596838961 KANDI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2807 06-12-2019 100718011219P002715 0001596838972 SAENAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2808 06-12-2019 100718011219P002717 0001596838983 AFANDI L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2809 06-12-2019 100718011219P002719 0001596838994 SAPTA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2810 06-12-2019 100718011219P002725 0001596839005 HJIJUN P PBI (APBD) Dyspepsia Berobat Jalan

2811 06-12-2019 100718011219P002726 0001596839016 DEDE WAHYUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2812 06-12-2019 100718011219P002729 0001596839027 SAMSUDIN L PBI (APBD) Cough Berobat Jalan

2813 06-12-2019 100718011219P002740 0001596839038 MUTI'AH P PBI (APBD) Dyspepsia Berobat Jalan

2814 06-12-2019 100718011219P002743 0001596839049 SHYSKA AULIA P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2815 06-12-2019 100718011219P002777 0001596839051 MNAZIM AKBAR L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2816 06-12-2019 100718011219P002781 0001596839095 SUPARMAN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2817 06-12-2019 100718011219P002784 0001596839106 IYAH SURIYAH P PBI (APBD) Dyspepsia Berobat Jalan

2818 06-12-2019 100718011219P002787 0001596839128 FIKRI ILHAMSYAH L PBI (APBD) Cough Berobat Jalan

2819 06-12-2019 100718011219P002790 0001596839139 TATA SUHARYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2820 06-12-2019 100718011219P002793 0001596839141 ELA SUMYATI P PBI (APBD) Dyspepsia Berobat Jalan

2821 06-12-2019 100718011219P002796 0001596839152 MARSITI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2822 06-12-2019 100718011219P002799 0001596839163 ALIFFIA PUTLESYA P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2823 06-12-2019 100718011219P002801 0001596839174 TORINAH P PBI (APBD) Dyspepsia Berobat Jalan

2824 06-12-2019 100718011219P002804 0001596839185 ALIPANDI L PBI (APBD) Cough Berobat Jalan

2825 06-12-2019 100718011219P002806 0001596839196 ANIS P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2826 06-12-2019 100718011219P002807 0001596839207 SILPIA P PBI (APBD) Cough Berobat Jalan

2827 06-12-2019 100718011219P002809 0001596839218 NENG EMIL MILHATUDINAH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2828 06-12-2019 100718011219P002811 0001596839229 MUHAMAD ASEP MUHTADI L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2829 06-12-2019 100718011219P002812 0001596839231 NANA SUTISNA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2830 06-12-2019 100718011219P002814 0001596839242 YATI AL ROHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

2831 06-12-2019 100718011219P002816 0001596839253 MINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2832 06-12-2019 100718011219P002818 0001596839264 DANU SOPIAN L PBI (APBD) Cough Berobat Jalan

2833 06-12-2019 100718011219P002819 0001596839275 RASTAM L PBI (APBD) Dyspepsia Berobat Jalan

2834 06-12-2019 100718011219P002821 0001596839286 KOSIMIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2835 06-12-2019 100718011219P002824 0001596839297 WIWIANTI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2836 06-12-2019 100718011219P002826 0001596839308 NANA L PBI (APBD) Cough Berobat Jalan

2837 06-12-2019 100718011219P002828 0001596839319 IMAN L PBI (APBD) Dyspepsia Berobat Jalan

2838 06-12-2019 100718011219P002829 0001596839321 SARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2839 06-12-2019 100718011219P002831 0001596839332 INTAN NURFADILLAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2840 06-12-2019 100718011219P002832 0001596839343 KAMAD L PBI (APBD) Cough Berobat Jalan

2841 06-12-2019 100718011219P002834 0001596839354 IKAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2842 06-12-2019 100718011219P002835 0001596839365 TOPIK L PBI (APBD) Cough Berobat Jalan

2843 06-12-2019 100718011219P002836 0001596839376 SUHARJA L PBI (APBD) Cough Berobat Jalan

2844 06-12-2019 100718011219P002837 0001596839387 MASRA HIDAYAH L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2845 06-12-2019 100718011219P002838 0001596839398 AMAN L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2846 06-12-2019 100718011219P002839 0001596839409 AMANDA QOIRUNISAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2847 06-12-2019 100718011219P002840 0001596839411 AMIRUDIN L PBI (APBD) Dyspepsia Berobat Jalan

2848 06-12-2019 100718011219P002841 0001596839422 IMAS MARYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2849 06-12-2019 100718011219P002842 0001596839433 IIM MARYANTO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2850 06-12-2019 100718011219P002843 0001596839444 ASHA ANANDA PUTRI P PBI (APBD) Cough Berobat Jalan

2851 06-12-2019 100718011219P002844 0001596839455 AMEL TRIAPRILIA P PBI (APBD) Cough Berobat Jalan

2852 06-12-2019 100718011219P002845 0001596839466 AYU FORTUNA AGUSTIN P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2853 06-12-2019 100718011219P002846 0001596839477 AHMAD SETRA WIJAYA L PBI (APBD) Cough Berobat Jalan

2854 06-12-2019 100718011219P002847 0001596839488 NENI P PBI (APBD) Dyspepsia Berobat Jalan

2855 06-12-2019 100718011219P002848 0001596839499 ALIF ZEIN SAPUTRA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2856 06-12-2019 100718011219P002849 0001596839501 SERA SAFIRA P PBI (APBD) Cough Berobat Jalan

2857 06-12-2019 100718011219P002850 0001596839512 PUDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2858 06-12-2019 100718011219P002851 0001596839523 NIMAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2859 06-12-2019 100718011219P000790 0001596840052 ADAH ADAWYAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2860 06-12-2019 100718011219P000791 0001596840063 SUHENDI L PBI (APBD) Dyspepsia Berobat Jalan

2861 06-12-2019 100718011219P000792 0001596840074 TATI FATMAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2862 06-12-2019 100718011219P000793 0001596840085 MUHAMAD TAUFIK MAULANA L PBI (APBD) Cough Berobat Jalan

2863 06-12-2019 100718011219P000794 0001596840096 ESIH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2864 06-12-2019 100718011219P000795 0001596840107 SALSA NURFADILAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2865 06-12-2019 100718011219P000796 0001596840118 HADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2866 06-12-2019 100718011219P000797 0001596840129 ISAH P PBI (APBD) Dyspepsia Berobat Jalan

2867 06-12-2019 100718011219P000798 0001596840131 ROBIAH P PBI (APBD) Cough Berobat Jalan

2868 06-12-2019 100718011219P000800 0001596840142 ROHMAH P PBI (APBD) Cough Berobat Jalan

2869 06-12-2019 100718011219P000801 0001596840153 SITI PADILAH P PBI (APBD) Cough Berobat Jalan

2870 06-12-2019 100718011219P000802 0001596840164 MAHURI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2871 06-12-2019 100718011219P000803 0001596840175 MAMAT L PBI (APBD) Dyspepsia Berobat Jalan

2872 06-12-2019 100718011219P000804 0001596840186 SITI MUNAH P PBI (APBD) Cough Berobat Jalan

2873 06-12-2019 100718011219P000805 0001596840208 ANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2874 06-12-2019 100718011219P000806 0001596840219 ULPI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2875 06-12-2019 100718011219P000807 0001596840221 JARSITI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2876 06-12-2019 100718011219P000808 0001596840232 ANIH P PBI (APBD) Dyspepsia Berobat Jalan

2877 06-12-2019 100718011219P000841 0001596840254 KARLINA GALUH P PBI (APBD) Cough Berobat Jalan

2878 06-12-2019 100718011219P000842 0001596840265 KAILA RAMADANI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2879 06-12-2019 100718011219P000843 0001596840276 NURLELA P PBI (APBD) Dyspepsia Berobat Jalan

2880 06-12-2019 100718011219P000844 0001596840287 YOPA MULYANA L PBI (APBD) Cough Berobat Jalan

2881 06-12-2019 100718011219P000845 0001596840298 NAILATRI WAHYUNI P PBI (APBD) Cough Berobat Jalan

2882 06-12-2019 100718011219P000846 0001596840309 SUPRI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2883 06-12-2019 100718011219P001140 0001596840311 RASIAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2884 06-12-2019 100718011219P001142 0001596840333 RUSDI L PBI (APBD) Dyspepsia Berobat Jalan

2885 06-12-2019 100718011219P001147 0001596840344 ELIS P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2886 06-12-2019 100718011219P001155 0001596840355 ASEP MULYADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2887 06-12-2019 100718011219P001156 0001596840366 MASNIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2888 06-12-2019 100718011219P001158 0001596840377 NAZIPA APRILIA MARWAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2889 06-12-2019 100718011219P001160 0001596840388 SAKINAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2890 06-12-2019 100718011219P001161 0001596840399 BAYANG P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2891 06-12-2019 100718011219P001163 0001596840401 TAHARUDIN L PBI (APBD) Dyspepsia Berobat Jalan

2892 06-12-2019 100718011219P001165 0001596840412 HANAWATI P PBI (APBD) Cough Berobat Jalan

2893 06-12-2019 100718011219P001167 0001596840423 ASIKAH P PBI (APBD) Cough Berobat Jalan

2894 06-12-2019 100718011219P001168 0001596840434 UNAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2895 06-12-2019 100718011219P001169 0001596840445 SUHENI P PBI (APBD) Gastritis and duodenitis Berobat Jalan

2896 06-12-2019 100718011219P001170 0001596840456 SUHENDRA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2897 06-12-2019 100718011219P001171 0001596840467 ENI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2898 06-12-2019 100718011219P001172 0001596840478 RAKMINAH P PBI (APBD) Cough Berobat Jalan

2899 06-12-2019 100718011219P001174 0001596840489 MUHAMAD PAUD L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2900 06-12-2019 100718011219P001178 0001596840491 SARI'AH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2901 06-12-2019 100718011219P001180 0001596840502 PIPIT WULANDARI P PBI (APBD) Cough Berobat Jalan

2902 06-12-2019 100718011219P001182 0001596840513 YANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2903 06-12-2019 100718011219P001184 0001596840524 JUMINAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2904 06-12-2019 100718011219P001198 0001596840535 MAMAN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2905 06-12-2019 100718011219P002864 0001596840546 NINING YUNENGSIH P PBI (APBD) Cough Berobat Jalan

2906 06-12-2019 100718011219P002865 0001596840557 ANTON ALIPANDI L PBI (APBD) Dyspepsia Berobat Jalan

2907 06-12-2019 100718011219P002866 0001596840568 FIKA LUDIANA P PBI (APBD) Cough Berobat Jalan

2908 06-12-2019 100718011219P002867 0001596840579 SATARI L PBI (APBD) Cough Berobat Jalan

2909 06-12-2019 100718011219P002868 0001596840581 ERIAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2910 06-12-2019 100718011219P004179 0001596840592 HERDIANA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2911 06-12-2019 100718011219P002870 0001596840603 HENI YULIAWATI P PBI (APBD) Cough Berobat Jalan

2912 06-12-2019 100718011219P004181 0001596840614 M MILANOVIC L PBI (APBD) Cough Berobat Jalan

2913 06-12-2019 100718011219P002872 0001596840625 IDING ABDUL L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2914 06-12-2019 100718011219P002873 0001596840636 KASMAH FAUZIAH P PBI (APBD) Dyspepsia Berobat Jalan

2915 06-12-2019 100718011219P002874 0001596840647 ILFI LAILAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2916 06-12-2019 100718011219P002875 0001596840658 SATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2917 06-12-2019 100718011219P002877 0001596840669 SUANA L PBI (APBD) Dyspepsia Berobat Jalan

2918 06-12-2019 100718011219P002880 0001596840671 ERAH P PBI (APBD) Cough Berobat Jalan

2919 06-12-2019 100718011219P002882 0001596840682 ELA P PBI (APBD) Cough Berobat Jalan

2920 06-12-2019 100718011219P002884 0001596840693 HARIS L PBI (APBD) Cough Berobat Jalan

2921 06-12-2019 100718011219P003166 0001596840704 JURIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2922 06-12-2019 100718011219P003169 0001596840715 FITRIYANI P PBI (APBD) Cough Berobat Jalan

2923 06-12-2019 100718011219P003349 0001596840726 SUTARI MS L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2924 06-12-2019 100718011219P003350 0001596840737 DJUMIAH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2925 06-12-2019 100718011219P003351 0001596840748 MIKHA DAMANIK P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2926 06-12-2019 100718011219P003352 0001596840759 KEVIN DAMANIK L PBI (APBD) Cough Berobat Jalan

2927 06-12-2019 100718011219P003353 0001596840761 NAILA SABRINA DAMANIK P PBI (APBD) Cough Berobat Jalan

2928 06-12-2019 100718011219P003354 0001596840772 DEWI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2929 06-12-2019 100718011219P003355 0001596840783 ARIP L PBI (APBD) Cough Berobat Jalan

2930 06-12-2019 100718011219P003357 0001596840794 DARSIH P PBI (APBD) Dyspepsia Berobat Jalan

2931 06-12-2019 100718011219P003359 0001596840805 MUHAMAD PIKRI L PBI (APBD) Cough Berobat Jalan

2932 06-12-2019 100718011219P003361 0001596840816 DEDI HERMAWAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2933 06-12-2019 100718011219P003363 0001596840838 MASLAELAH L PBI (APBD) Cough Berobat Jalan

2934 06-12-2019 100718011219P003364 0001596840849 AAM AMBALIA SARI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2935 06-12-2019 100718011219P003366 0001596840851 SITI ANISAH L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2936 06-12-2019 100718011219P003368 0001596840862 AAS ARISMA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2937 06-12-2019 100718011219P003370 0001596840873 JUPRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2938 06-12-2019 100718011219P003372 0001596840884 SUPRIATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2939 06-12-2019 100718011219P003375 0001596840895 JUNENGSIH P PBI (APBD) Cough Berobat Jalan

2940 06-12-2019 100718011219P003377 0001596886176 RASIMAN L PBI (APBD) Dyspepsia Berobat Jalan

2941 06-12-2019 100718011219P003382 0001596886187 MARTIAH P PBI (APBD) Dyspepsia Berobat Jalan

2942 06-12-2019 100718011219P003385 0001596886198 ASEP L PBI (APBD) Dyspepsia Berobat Jalan

2943 06-12-2019 100718011219P003445 0001596886211 ARYA NOVAL L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2944 06-12-2019 100718011219P003446 0001596886222 ABAS L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2945 06-12-2019 100718011219P003447 0001596886233 SUNARTI P PBI (APBD) Dyspepsia Berobat Jalan

2946 06-12-2019 100718011219P003448 0001596886244 KAIS SAPUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2947 06-12-2019 100718011219P003507 0001596886255 ROHAENI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2948 06-12-2019 100718011219P003449 0001596886266 IKA ROSITA P PBI (APBD) Cough Berobat Jalan

2949 06-12-2019 100718011219P003509 0001596886277 SITI ROHILAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2950 06-12-2019 100718011219P003510 0001596886288 MUHAMAD RIZQY ALHAETAMI L PBI (APBD) Cough Berobat Jalan

2951 06-12-2019 100718011219P003511 0001596886299 DADI HUMAEDI L PBI (APBD) Dyspepsia Berobat Jalan

2952 06-12-2019 100718011219P002863 0001596886301 IJAH P PBI (APBD) Dyspepsia Berobat Jalan

2953 06-12-2019 100718011219P002862 0001596886312 MARYAM NURUL FADILLAH P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2954 06-12-2019 100718011219P002861 0001596886323 NENI YULIANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2955 06-12-2019 100718011219P002860 0001596886334 NUNI SOFIYANI P PBI (APBD) Cough Berobat Jalan

2956 06-12-2019 100718011219P002859 0001596886345 WAHYUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2957 06-12-2019 100718011219P002858 0001596886356 MASTUROH P PBI (APBD) Dyspepsia Berobat Jalan

2958 06-12-2019 100718011219P002857 0001596886378 SAPEI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2959 06-12-2019 100718011219P002856 0001596886389 M BAHARUDIN L PBI (APBD) Gastritis and duodenitis Berobat Jalan

2960 06-12-2019 100718011219P002855 0001596886391 RONI P PBI (APBD) Dyspepsia Berobat Jalan

2961 06-12-2019 100718011219P002854 0001596886413 D HAMZAH Z L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2962 06-12-2019 100718011219P002853 0001596886424 ABD FATAH HSN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2963 06-12-2019 100718011219P002852 0001596886435 S ROHMAN FATMAWATI P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2964 06-12-2019 100718011219P003513 0001596886446 DEDE HERMAWAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2965 06-12-2019 100718011219P003515 0001596886457 RIDWAN L PBI (APBD) Cough Berobat Jalan

2966 06-12-2019 100718011219P003517 0001596886468 MAAD L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2967 06-12-2019 100718011219P003518 0001596886479 SARIMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2968 06-12-2019 100718011219P003520 0001596886481 SUMARNA L PBI (APBD) Dyspepsia Berobat Jalan

2969 06-12-2019 100718011219P003522 0001596886492 JOHANAH P PBI (APBD) Cough Berobat Jalan

2970 06-12-2019 100718011219P003524 0001596886503 TOIBATUL SA'DIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2971 06-12-2019 100718011219P003526 0001596886525 M MULKI AL-AZIZ L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2972 06-12-2019 100718011219P003528 0001596886536 JAJA JULIANA L PBI (APBD) Dyspepsia Berobat Jalan

2973 06-12-2019 100718011219P003530 0001596886547 OMAH P PBI (APBD) Cough Berobat Jalan

2974 06-12-2019 100718011219P003531 0001596886558 SITI NAILA P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2975 06-12-2019 100718011219P003533 0001596886569 SANTA L PBI (APBD) Dyspepsia Berobat Jalan

2976 06-12-2019 100718011219P003534 0001596886571 SUMIYATI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2977 06-12-2019 100718011219P003536 0001596886582 MULYANAH P PBI (APBD) Dyspepsia Berobat Jalan

2978 06-12-2019 100718011219P003537 0001596886604 M SUPARDI L PBI (APBD) Cough Berobat Jalan

2979 06-12-2019 100718011219P003539 0001596886615 AJAT SUKADI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2980 06-12-2019 100718011219P003540 0001596886626 ADRIYANA L PBI (APBD) Cough Berobat Jalan

2981 06-12-2019 100718011219P003542 0001596886648 SARNI SILVIA PUTRI P PBI (APBD) Dyspepsia Berobat Jalan

2982 06-12-2019 100718011219P003543 0001596886659 ULUNG SANJAYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

2983 06-12-2019 100718011219P003545 0001596886661 PADIL L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2984 06-12-2019 100718011219P003547 0001596886672 KULSUM P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2985 06-12-2019 100718011219P003548 0001596886683 FIRMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2986 06-12-2019 100718011219P003549 0001596907596 NASIH P PBI (APBD) Dyspepsia Berobat Jalan

2987 06-12-2019 100718011219P003551 0001596907607 ADE HERMAWAN L PBI (APBD) Dyspepsia Berobat Jalan

2988 06-12-2019 100718011219P003552 0001596907618 MIMI MARYAMI P PBI (APBD) Cough Berobat Jalan

2989 06-12-2019 100718011219P003553 0001596919972 RASTI SITI FAUZIAH P PBI (APBD) Cough Berobat Jalan

2990 06-12-2019 100718011219P003555 0001596919983 MUHAMAD RIZWAN L PBI (APBD) Cough Berobat Jalan

2991 06-12-2019 100718011219P003556 0001596942551 CARWAN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2992 06-12-2019 100718011219P003558 0001596942562 SITI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
2993 06-12-2019 100718011219P003560 0001596942573 RUBIAH P PBI (APBD) Dyspepsia Berobat Jalan

2994 06-12-2019 100718011219P003562 0001596942584 MINAH P PBI (APBD) Cough Berobat Jalan

2995 06-12-2019 100718011219P003563 0001596942595 SARTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
2996 06-12-2019 100718011219P003565 0001596942606 SITI ROHAETI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

2997 06-12-2019 100718011219P003568 0001596942628 AMI P PBI (APBD) Cough Berobat Jalan

2998 06-12-2019 100718011219P001203 0001596942674 LAMRAH P PBI (APBD) Dyspepsia Berobat Jalan

2999 06-12-2019 100718011219P001204 0001596942685 FITRI YADI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3000 06-12-2019 100718011219P001212 0001596942696 M. TONO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3001 06-12-2019 100718011219P001216 0001596942707 SANAIAH P PBI (APBD) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3002 06-12-2019 100718011219P001218 0001596942718 IMAS P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3003 06-12-2019 100718011219P001220 0001596942729 M. JAMALLUDIN L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3004 06-12-2019 100718011219P001222 0001596942731 HALIMATU SADIAH P PBI (APBD) Cough Berobat Jalan

3005 06-12-2019 100718011219P001225 0001596942742 MUHAMAD RAFI L PBI (APBD) Cough Berobat Jalan

3006 06-12-2019 100718011219P001227 0001596942753 RAHMAT HIDAYATULLAH L PBI (APBD) Cough Berobat Jalan

3007 06-12-2019 100718011219P001230 0001596942764 AGUS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3008 06-12-2019 100718011219P001232 0001596942775 ANGGUN P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3009 06-12-2019 100718011219P001234 0001596942786 ANDRE SOPIYAN L PBI (APBD) Dyspepsia Berobat Jalan

3010 06-12-2019 100718011219P001237 0001596942797 IROH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3011 06-12-2019 100718011219P001240 0001596942808 RAFY OKTAVIANSYAH L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3012 06-12-2019 100718011219P001243 0001596942819 NAZILATUL NAFSY P PBI (APBD) Cough Berobat Jalan

3013 06-12-2019 100718011219P001245 0001596942821 NYAI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3014 06-12-2019 100718011219P001249 0001596942832 NURDIN L PBI (APBD) Dyspepsia Berobat Jalan

3015 06-12-2019 100718011219P001253 0001596942843 BUHORI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3016 06-12-2019 100718011219P001259 0001596942854 NAWAWI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3017 06-12-2019 100718011219P001262 0001596942865 DENDI RUSTANDI L PBI (APBD) Dyspepsia Berobat Jalan

3018 06-12-2019 100718011219P001267 0001596942876 RAYHAN AL SYADDAD L PBI (APBD) Cough Berobat Jalan

3019 06-12-2019 100718011219P001272 0001596942887 SAEPUDIN L PBI (APBD) Dyspepsia Berobat Jalan

3020 06-12-2019 100718011219P001275 0001596942898 MISRAN L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3021 06-12-2019 100718011219P001277 0001596942909 AJI MUHAMAD SAPUTRA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3022 06-12-2019 100718011219P001279 0001596942911 AGUS KARTONO L PBI (APBD) Dyspepsia Berobat Jalan

3023 06-12-2019 100718011219P001280 0001596942922 IPAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3024 06-12-2019 100718011219P001282 0001596942933 AENA AGUSTINA P PBI (APBD) Cough Berobat Jalan

3025 06-12-2019 100718011219P001284 0001596942955 KIKI HARYANTI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3026 06-12-2019 100718011219P001288 0001596942966 AL KHALISI ZIKRI HADI L PBI (APBD) Cough Berobat Jalan

3027 06-12-2019 100718011219P001290 0001596942977 UJANG L PBI (APBD) Dyspepsia Berobat Jalan

3028 06-12-2019 100718011219P001292 0001596942988 TUTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3029 06-12-2019 100718011219P001296 0001596943012 SAIRAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3030 06-12-2019 100718011219P001297 0001596943023 MELI HENGKIYANA P PBI (APBD) Cough Berobat Jalan

3031 06-12-2019 100718011219P000583 0001596944507 SAPINAH P PBI (APBD) Cough Berobat Jalan

3032 06-12-2019 100718011219P000584 0001596944518 LUTPI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3033 06-12-2019 100718011219P000585 0001596944529 TURHADI L PBI (APBD) Dyspepsia Berobat Jalan

3034 06-12-2019 100718011219P000586 0001596944531 DADI SUNARDI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3035 06-12-2019 100718011219P000587 0001596944542 LEHA P PBI (APBD) Cough Berobat Jalan

3036 06-12-2019 100718011219P000588 0001596944553 AZRI LEFAUZI L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3037 06-12-2019 100718011219P000589 0001596944564 RASNAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3038 06-12-2019 100718011219P000590 0001596944575 YONO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3039 06-12-2019 100718011219P000591 0001596944586 WIWIN P PBI (APBD) Cough Berobat Jalan

3040 06-12-2019 100718011219P000592 0001596944608 WAWAN SETIAWAN L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3041 06-12-2019 100718011219P000593 0001596944619 WARTA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3042 06-12-2019 100718011219P000594 0001596944621 M. MIFTAHUL FALABI L PBI (APBD) Cough Berobat Jalan

3043 06-12-2019 100718011219P000595 0001596944632 SARIKUM L PBI (APBD) Dyspepsia Berobat Jalan

3044 06-12-2019 100718011219P000596 0001596944643 ROHENI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3045 06-12-2019 100718011219P000597 0001596944654 M. HIKAM. L PBI (APBD) Cough Berobat Jalan

3046 06-12-2019 100718011219P000598 0001596944676 IIP SARIPUDIN L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3047 06-12-2019 100718011219P000599 0001596944687 ERUM P PBI (APBD) Dyspepsia Berobat Jalan

3048 06-12-2019 100718011219P000600 0001596944698 FIRGIANSYAH L PBI (APBD) Cough Berobat Jalan

3049 06-12-2019 100718011219P000601 0001596944711 HAMIM L PBI (APBD) Gastritis and duodenitis Berobat Jalan

3050 06-12-2019 100718011219P000602 0001596944722 ARNACI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3051 06-12-2019 100718011219P000603 0001596944733 ST. SAMSIAH P PBI (APBD) Dyspepsia Berobat Jalan

3052 06-12-2019 100718011219P000604 0001596944744 AAP SUHAYAT L PBI (APBD) Cough Berobat Jalan

3053 06-12-2019 100718011219P000605 0001596944755 AFINA DAMAYANTI P PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3054 06-12-2019 100718011219P000606 0001596944766 UMINAH SETIAWATI P PBI (APBD) Dyspepsia Berobat Jalan

3055 06-12-2019 100718011219P000607 0001596944777 RIZA AL FADHILLA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3056 06-12-2019 100718011219P000608 0001596944788 REIHAN IZZUL FADHILA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3057 06-12-2019 100718011219P000609 0001596944801 SARINAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3058 06-12-2019 100718011219P000610 0001596944812 M. ALIF RIVAL FALLAH L PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3059 06-12-2019 100718011219P000611 0001596944823 SARMID L PBI (APBD) Cough Berobat Jalan

3060 06-12-2019 100718011219P000612 0001596944834 SA'IAH P PBI (APBD) Dyspepsia Berobat Jalan

3061 06-12-2019 100718011219P000613 0001596944856 JUHAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3062 06-12-2019 100718011219P000614 0001596944867 AANG SUPRIATNA L PBI (APBD) Dyspepsia Berobat Jalan

3063 06-12-2019 100718011219P000615 0001596944878 DESI RAHMAWATI P PBI (APBD) Cough Berobat Jalan

3064 06-12-2019 100718011219P000616 0001596944891 M. FAUZI SETYA PUTRA L PBI (APBD) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3065 06-12-2019 100718011219P000617 0001596944902 AMAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3066 06-12-2019 100718011219P000618 0001596944913 JAKARIA L PBI (APBD) Cough Berobat Jalan

3067 06-12-2019 100718011219P000619 0001596944924 NURHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

3068 06-12-2019 100718011219P000620 0001596944935 MUHAMAD WAHYUDIN L PBI (APBD) Cough Berobat Jalan

3069 06-12-2019 100718011219P000621 0001596944946 HERI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3070 06-12-2019 100718011219P000622 0001596944957 UROH ROHAYATI P PBI (APBD) Dyspepsia Berobat Jalan

3071 06-12-2019 100718011219P000623 0001596944968 ABDUL ROHMAN L PBI (APBD) Cough Berobat Jalan

3072 06-12-2019 100718011219P000624 0001852357825 FAIRUZT ZULFADLI RABBANI P PBI (APBD) Cough Berobat Jalan

3073 06-12-2019 100718011219P000625 0001894223946 FARHAN RIZKYANSAH L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3074 06-12-2019 100718011219P000626 0001904381425 ZAFRI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3075 06-12-2019 100718011219P000627 0001960638096 HJ. OON P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
3076 06-12-2019 100718011219P000628 0002036960853 ALI RAHMAN L PBI (APBD) Cough Berobat Jalan

3077 06-12-2019 100718011219P000629 0002040044308 SARIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3078 06-12-2019 100718011219P000630 0002061457661 WAHAB L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3079 06-12-2019 100718011219P000631 0002061457727 APUD SARIPUDIN L PBI (APBD) Dyspepsia Berobat Jalan

3080 06-12-2019 100718011219P000632 0002061458302 AISYAH P PBI (APBD) Cough Berobat Jalan

3081 06-12-2019 100718011219P000633 0002225053978 AAZ PAUZI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3082 06-12-2019 100718011219P001355 0002225054463 RIZKY FAZRI L PBI (APBD) Cough Berobat Jalan

3083 06-12-2019 100718011219P000767 0002242905636 ALI L PBI (APBD) Dyspepsia Berobat Jalan

3084 06-12-2019 100718011219P000768 0002242906031 NANI P PBI (APBD) Cough Berobat Jalan

3085 06-12-2019 100718011219P000769 0002242906211 NITA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3086 06-12-2019 100718011219P000770 0002242906626 ALDIYANSYAH L PBI (APBD) Cough Berobat Jalan

3087 06-12-2019 100718011219P000771 0002242906931 TRIYANI P PBI (APBD) Gastritis and duodenitis Berobat Jalan

3088 06-12-2019 100718011219P000772 0002433760727 MUHAMAD BAGAS ARDIANSAH L PBI (APBD) Cough Berobat Jalan

3089 06-12-2019 100718011219P001298 0002641911647 RAVA PRASETIO L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

3090 06-12-2019 100718011219P004377 0002687417627 SARNACI P PBI (APBD) Asthma Sembuh

3091 05-12-2019 100718011219P001440 0000046437142 ASROR L PNS DAERAH Acute amoebic dysentery Berobat Jalan

3092 05-12-2019 100718011219P001442 0000789538206 MUSRANI L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3093 05-12-2019 100718011219P001444 0000789815103 WATI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3094 05-12-2019 100718011219P000023 0000790109493 ARSIH P PBI (APBN) Cough Berobat Jalan

3095 05-12-2019 100718011219P001446 0000790209235 MIMIN L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3096 05-12-2019 100718011219P001448 0000790537612 HERLINA P PBI (APBN) Dyspepsia Berobat Jalan

3097 05-12-2019 100718011219P001450 0000790583332 DEBI P PBI (APBN) Cough Berobat Jalan

3098 05-12-2019 100718011219P004389 0000790626598 SUNIAH P PBI (APBN) Essential (primary) Sembuh Hipertensi
hypertension
3099 05-12-2019 100718011219P000026 0000790642102 H SAMUDIN L PBI (APBN) Cough Berobat Jalan

3100 05-12-2019 100718011219P001452 0000790656726 ROHENI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3101 05-12-2019 100718011219P001454 0000791091009 MARKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3102 05-12-2019 100718011219P001456 0000791161492 YENI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3103 05-12-2019 100718011219P000024 0000791205849 NETI P PBI (APBN) Cough Berobat Jalan

3104 05-12-2019 100718011219P001457 0000791324741 BAI P PBI (APBN) Cough Berobat Jalan

3105 05-12-2019 100718011219P000025 0000791402995 SUTRAWI L PBI (APBN) Cough Berobat Jalan

3106 05-12-2019 100718011219P001202 0000791461203 MISRA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
3107 05-12-2019 100718011219P001205 0000791461236 JANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
3108 05-12-2019 100718011219P001206 0000791461607 NITI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3109 05-12-2019 100718011219P001208 0000791462643 ADE L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3110 05-12-2019 100718011219P001210 0000791463824 MARNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3111 05-12-2019 100718011219P001213 0000791464419 TONI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3112 05-12-2019 100718011219P001217 0000791464476 PAJRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3113 05-12-2019 100718011219P001294 0000791465321 ANTON L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3114 05-12-2019 100718011219P001458 0000791479629 SANAH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3115 05-12-2019 100718011219P001300 0000791480924 YULI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3116 05-12-2019 100718011219P001459 0000791480957 KOKON L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3117 05-12-2019 100718011219P001460 0000791481363 ENONG MARDIAH P PBI (APBN) Cough Berobat Jalan

3118 05-12-2019 100718011219P001461 0000791481903 TITA KARLITA P PBI (APBN) Cough Berobat Jalan

3119 05-12-2019 100718011219P001463 0000791482487 IBI NANI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3120 05-12-2019 100718011219P001464 0000791482779 MAHDUM L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3121 05-12-2019 100718011219P001466 0000791482937 SARNIAH P PBI (APBN) Cough Berobat Jalan

3122 05-12-2019 100718011219P001468 0000791482948 NENDI L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3123 05-12-2019 100718011219P001304 0000791490813 NUROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3124 05-12-2019 100718011219P001469 0000791491882 SITI ASPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3125 05-12-2019 100718011219P001471 0000791492984 ARTA L PBI (APBN) Dyspepsia Berobat Jalan

3126 05-12-2019 100718011219P001473 0000791494018 ADANG L PBI (APBN) Cough Berobat Jalan

3127 05-12-2019 100718011219P001475 0000791494143 ARIS L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3128 05-12-2019 100718011219P001514 0000791495267 SAPINAH P PBI (APBN) Cough Berobat Jalan

3129 05-12-2019 100718011219P001515 0000791495807 SITI NURSIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

3130 05-12-2019 100718011219P001516 0000791498013 SUPINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

3131 05-12-2019 100718011219P001517 0000791498226 AGUS L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3132 05-12-2019 100718011219P001518 0000791498867 MIRTA L PBI (APBN) Cough Berobat Jalan

3133 05-12-2019 100718011219P001519 0000791499328 SURTI P PBI (APBN) Cough Berobat Jalan

3134 05-12-2019 100718011219P001520 0000791499868 DEDE IRAWAN L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3135 05-12-2019 100718011219P001521 0000791499925 ITOH P PBI (APBN) Viral infection, unspecified Berobat Jalan

3136 05-12-2019 100718011219P001321 0000791501196 ICIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
3137 05-12-2019 100718011219P001523 0000791501343 MUHARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3138 05-12-2019 100718011219P001524 0000791501534 AYUDI L PBI (APBN) Cough Berobat Jalan

3139 05-12-2019 100718011219P001525 0000791504526 RASTA L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3140 05-12-2019 100718011219P001526 0000791504695 MARSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

3141 05-12-2019 100718011219P001527 0000791504728 RASMANI L PBI (APBN) Viral infection, unspecified Berobat Jalan

3142 05-12-2019 100718011219P001528 0000791504785 RISWANUDIN L PBI (APBN) Viral infection, unspecified Berobat Jalan

3143 05-12-2019 100718011219P001529 0000791505437 RIPAN APANDI L PBI (APBN) Acute amoebic dysentery Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3144 05-12-2019 100718011219P001530 0000791505639 JUMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
3145 05-12-2019 100718011219P001531 0000791506438 MIMIN RANIPAH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3146 05-12-2019 100718011219P001532 0000791507889 SURAKMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

3147 05-12-2019 100718011219P001533 0000791511028 JOHARI L PBI (APBN) Dyspepsia Berobat Jalan

3148 05-12-2019 100718011219P001534 0000791511322 ROSIH P PBI (APBN) Viral infection, unspecified Berobat Jalan

3149 05-12-2019 100718011219P001535 0000791511445 SITI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3150 05-12-2019 100718011219P001536 0000791513741 KARSA L PBI (APBN) Viral infection, unspecified Berobat Jalan

3151 05-12-2019 100718011219P001537 0000791513954 NARSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

3152 05-12-2019 100718011219P000816 0000791521029 RAMIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3153 05-12-2019 100718011219P000820 0000791521446 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3154 05-12-2019 100718011219P001538 0000791521817 ADITIA L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3155 05-12-2019 100718011219P001539 0000791523347 DESWITA MAHARANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

3156 05-12-2019 100718011219P001540 0000791523461 SATRA L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3157 05-12-2019 100718011219P001541 0000791526497 AHMAD RAIS L PBI (APBN) Viral infection, unspecified Berobat Jalan

3158 05-12-2019 100718011219P001542 0000791526789 MUHAMAD SARDI L PBI (APBN) Dyspepsia Berobat Jalan

3159 05-12-2019 100718011219P001543 0000791528962 EDAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

3160 05-12-2019 100718011219P001681 0000791529579 EDI IRAWAN L PBI (APBN) Viral infection, unspecified Berobat Jalan

3161 05-12-2019 100718011219P001683 0000791530086 ENDANG ATA SUPYANA L PBI (APBN) Viral infection, unspecified Berobat Jalan

3162 05-12-2019 100718011219P001684 0000791530132 IPAH HAPIPAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

3163 05-12-2019 100718011219P000822 0000791530266 DEHAN AGUSTINA PUTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3164 05-12-2019 100718011219P000824 0000791530457 NASRUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3165 05-12-2019 100718011219P000825 0000791530648 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3166 05-12-2019 100718011219P000827 0000791530975 SAEPUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3167 05-12-2019 100718011219P000829 0000791533809 NURAEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3168 05-12-2019 100718011219P001685 0000791534259 ENCIH P PBI (APBN) Viral infection, unspecified Berobat Jalan

3169 05-12-2019 100718011219P001687 0000791534316 DEWI NURHAYATI P PBI (APBN) Viral infection, unspecified Berobat Jalan

3170 05-12-2019 100718011219P001689 0000791534665 LUSI P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3171 05-12-2019 100718011219P001691 0000791534788 TETI P PBI (APBN) Cough Berobat Jalan

3172 05-12-2019 100718011219P001692 0000791535734 SALDI L PBI (APBN) Cough Berobat Jalan

3173 05-12-2019 100718011219P001693 0000791537703 ROHMAN L PBI (APBN) Viral infection, unspecified Berobat Jalan

3174 05-12-2019 100718011219P001695 0000791537951 ENI P PBI (APBN) Cough Berobat Jalan

3175 05-12-2019 100718011219P001697 0000791538265 LINDA P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3176 05-12-2019 100718011219P001698 0000791538524 HANI L PBI (APBN) Viral infection, unspecified Berobat Jalan

3177 05-12-2019 100718011219P001700 0000791538996 SANAH P PBI (APBN) Viral infection, unspecified Berobat Jalan

3178 05-12-2019 100718011219P001701 0000791539086 SAMAN L PBI (APBN) Viral infection, unspecified Berobat Jalan

3179 05-12-2019 100718011219P001703 0000791539852 LINA P PBI (APBN) Cough Berobat Jalan

3180 05-12-2019 100718011219P001705 0000791540605 PELI AULIA JULIANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3181 05-12-2019 100718011219P001708 0000791540739 MUHAMAD UDO L PBI (APBN) Viral infection, unspecified Berobat Jalan

3182 05-12-2019 100718011219P002653 0000791541156 DAHLAN L PBI (APBN) Cough Berobat Jalan

3183 05-12-2019 100718011219P003450 0000791542181 JAJA MIHARJA L PBI (APBN) Cough Berobat Jalan

3184 05-12-2019 100718011219P003451 0000791542451 INA ROINA P PBI (APBN) Cough Berobat Jalan

3185 05-12-2019 100718011219P003452 0000791543553 JAMIAN L PBI (APBN) Cough Berobat Jalan

3186 05-12-2019 100718011219P003453 0000791544396 SUPRIYATNA L PBI (APBN) Cough Berobat Jalan

3187 05-12-2019 100718011219P000830 0000791545522 RUHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3188 05-12-2019 100718011219P000833 0000791546196 BADAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3189 05-12-2019 100718011219P001326 0000791546793 ELIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3190 05-12-2019 100718011219P001328 0000791548604 BENLI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3191 05-12-2019 100718011219P001334 0000791549458 JAMILAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3192 05-12-2019 100718011219P001337 0000791549932 SANU L PBI (APBN) Cough Berobat Jalan

3193 05-12-2019 100718011219P001339 0000791550527 KARSIH P PBI (APBN) Cough Berobat Jalan

3194 05-12-2019 100718011219P001341 0000791552068 SUNIAH P PBI (APBN) Cough Berobat Jalan

3195 05-12-2019 100718011219P001342 0000791552812 CITRA L PBI (APBN) Viral infection, unspecified Berobat Jalan

3196 05-12-2019 100718011219P001343 0000791553284 IRPAN SURYANA L PBI (APBN) Cough Berobat Jalan

3197 05-12-2019 100718011219P001345 0000791553778 ENENG ARNASIH P PBI (APBN) Cough Berobat Jalan

3198 05-12-2019 100718011219P003454 0000791554307 M GALANG MARIPAT L PBI (APBN) Cough Berobat Jalan

3199 05-12-2019 100718011219P001356 0000791554397 SANAN L PBI (APBN) Cough Berobat Jalan

3200 05-12-2019 100718011219P001357 0000791554522 ANAH P PBI (APBN) Cough Berobat Jalan

3201 05-12-2019 100718011219P003455 0000791554836 SANAH P PBI (APBN) Cough Berobat Jalan

3202 05-12-2019 100718011219P003456 0000791557143 ARWASIH P PBI (APBN) Cough Berobat Jalan

3203 05-12-2019 100718011219P003457 0000791557244 NIAH P PBI (APBN) Cough Berobat Jalan

3204 05-12-2019 100718011219P003458 0000791557795 OTIN P PBI (APBN) Cough Berobat Jalan

3205 05-12-2019 100718011219P003459 0000791559393 APID L PBI (APBN) Cough Berobat Jalan

3206 05-12-2019 100718011219P003460 0000791560427 YUDANI L PBI (APBN) Cough Berobat Jalan

3207 05-12-2019 100718011219P003461 0000791560844 SAPURI L PBI (APBN) Cough Berobat Jalan

3208 05-12-2019 100718011219P003462 0000791561485 KATMAH P PBI (APBN) Cough Berobat Jalan

3209 05-12-2019 100718011219P003463 0000791564152 TOTO L PBI (APBN) Cough Berobat Jalan

3210 05-12-2019 100718011219P003464 0000791564332 YAYAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3211 05-12-2019 100718011219P003465 0000791564387 RAHMAWATI P PBI (APBN) Cough Berobat Jalan

3212 05-12-2019 100718011219P003466 0000791566007 MASJEN L PBI (APBN) Cough Berobat Jalan

3213 05-12-2019 100718011219P003467 0000791567818 SARINAH P PBI (APBN) Cough Berobat Jalan

3214 05-12-2019 100718011219P003468 0000791570259 RINA P PBI (APBN) Cough Berobat Jalan

3215 05-12-2019 100718011219P003469 0000791570349 DASUKI L PBI (APBN) Cough Berobat Jalan

3216 05-12-2019 100718011219P001358 0000791654589 ATIAH P PBI (APBN) Cough Berobat Jalan

3217 05-12-2019 100718011219P001359 0000791661273 KATIM L PBI (APBN) Cough Berobat Jalan

3218 05-12-2019 100718011219P001360 0000791661576 KARTANI P PBI (APBN) Cough Berobat Jalan

3219 05-12-2019 100718011219P001361 0000791662015 SITI AISAH P PBI (APBN) Cough Berobat Jalan

3220 05-12-2019 100718011219P001362 0000791662397 ANIAH P PBI (APBN) Cough Berobat Jalan

3221 05-12-2019 100718011219P001364 0000791662498 AMINAH P PBI (APBN) Cough Berobat Jalan

3222 05-12-2019 100718011219P001367 0000791663016 ANISAH P PBI (APBN) Cough Berobat Jalan

3223 05-12-2019 100718011219P001368 0000791663771 SAKAR L PBI (APBN) Cough Berobat Jalan

3224 05-12-2019 100718011219P001370 0000791666199 SITI ROHMAH P PBI (APBN) Cough Berobat Jalan

3225 05-12-2019 100718011219P001372 0000791667009 SUAEBAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
3226 05-12-2019 100718011219P001375 0000791670161 AMPRUNG L PBI (APBN) Cough Berobat Jalan

3227 05-12-2019 100718011219P001376 0000791670385 MARHAMAH P PBI (APBN) Cough Berobat Jalan

3228 05-12-2019 100718011219P001377 0000791670903 MARYONO L PBI (APBN) Cough Berobat Jalan

3229 05-12-2019 100718011219P001378 0000791670971 SITI HANDAYANI P PBI (APBN) Cough Berobat Jalan

3230 05-12-2019 100718011219P001397 0000791671702 IKRA L PBI (APBN) Cough Berobat Jalan

3231 05-12-2019 100718011219P001399 0000791672016 LILIS P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3232 05-12-2019 100718011219P001400 0000791729537 SUDITA L PBI (APBN) Cough Berobat Jalan

3233 05-12-2019 100718011219P001401 0000791731067 AJIS L PBI (APBN) Cough Berobat Jalan

3234 05-12-2019 100718011219P001403 0000791731866 MARWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3235 05-12-2019 100718011219P001405 0000791733295 NANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3236 05-12-2019 100718011219P001407 0000791734162 SUHERMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3237 05-12-2019 100718011219P001408 0000791734959 TITI MARYANTI P PBI (APBN) Cough Berobat Jalan

3238 05-12-2019 100718011219P001410 0000791735005 M KHUDORI L PBI (APBN) Cough Berobat Jalan

3239 05-12-2019 100718011219P001411 0000791791481 SAETI P PBI (APBN) Cough Berobat Jalan

3240 05-12-2019 100718011219P001413 0000792076871 HARIS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3241 05-12-2019 100718011219P001415 0000792077343 NURDI L PBI (APBN) Cough Berobat Jalan

3242 05-12-2019 100718011219P001417 0001050378805 MARSIH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3243 05-12-2019 100718011219P000021 0001050379391 ASMINAH P PBI (APBN) Cough Berobat Jalan

3244 05-12-2019 100718011219P001419 0001050380368 RASDI L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3245 05-12-2019 100718011219P003470 0001050382394 ENENG SEPTIA MAULIDA P PBI (APBN) Cough Berobat Jalan

3246 05-12-2019 100718011219P001421 0001302231868 MISA L PEKERJA MANDIRI Cough Berobat Jalan Hipertensi Hipertensi

3247 05-12-2019 100718011219P001422 0001596838487 SITI PAZIAH P PBI (APBD) Cough Berobat Jalan

3248 05-12-2019 100718011219P001424 0001596886637 NURHASAN L PBI (APBD) Cough Berobat Jalan

3249 05-12-2019 100718011219P003471 0001596943034 MUHAMAD RIAN L PBI (APBD) Cough Berobat Jalan

3250 05-12-2019 100718011219P003472 0001596943045 M. SAHRUDIN L PBI (APBD) Cough Berobat Jalan

3251 05-12-2019 100718011219P003473 0001596943056 LISTA NOVIANTI P PBI (APBD) Cough Berobat Jalan

3252 05-12-2019 100718011219P003474 0001596943067 UMRI L PBI (APBD) Cough Berobat Jalan

3253 05-12-2019 100718011219P003475 0001596943078 IJAH P PBI (APBD) Cough Berobat Jalan

3254 05-12-2019 100718011219P003476 0001596943089 NITA AGUSTINA L PBI (APBD) Cough Berobat Jalan

3255 05-12-2019 100718011219P003477 0001596943091 MALINDA WULANDARI P PBI (APBD) Cough Berobat Jalan

3256 05-12-2019 100718011219P003478 0001596943102 JARSINAH P PBI (APBD) Cough Berobat Jalan

3257 05-12-2019 100718011219P003479 0001596943113 MOCH RIDWANSYAH L PBI (APBD) Cough Berobat Jalan

3258 05-12-2019 100718011219P003480 0001596943124 RIZKA AMELIA P PBI (APBD) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3259 05-12-2019 100718011219P003481 0001596943135 ADAM MALIK L PBI (APBD) Cough Berobat Jalan

3260 05-12-2019 100718011219P003482 0001596943157 ROBERT L PBI (APBD) Cough Berobat Jalan

3261 05-12-2019 100718011219P003483 0001596943168 REZA L PBI (APBD) Cough Berobat Jalan

3262 05-12-2019 100718011219P003484 0001596943179 TITA NOVITA SARI P PBI (APBD) Cough Berobat Jalan

3263 05-12-2019 100718011219P003485 0001596943181 DARIAH P PBI (APBD) Cough Berobat Jalan

3264 05-12-2019 100718011219P003486 0001596943192 ARI YUNDANI L PBI (APBD) Cough Berobat Jalan

3265 05-12-2019 100718011219P003487 0001596943203 ROMSAH P PBI (APBD) Cough Berobat Jalan

3266 05-12-2019 100718011219P003488 0001596943225 SUMYATI P PBI (APBD) Cough Berobat Jalan

3267 05-12-2019 100718011219P003489 0001596943236 SUHANA P PBI (APBD) Cough Berobat Jalan

3268 05-12-2019 100718011219P003490 0001596943247 UDIN L PBI (APBD) Cough Berobat Jalan

3269 05-12-2019 100718011219P003491 0001596943258 SURYA L PBI (APBD) Cough Berobat Jalan

3270 05-12-2019 100718011219P003492 0001596943269 FAJRI L PBI (APBD) Cough Berobat Jalan

3271 05-12-2019 100718011219P003493 0001596943271 WISNU AJI L PBI (APBD) Cough Berobat Jalan

3272 05-12-2019 100718011219P003494 0001596943282 DURAJAK L PBI (APBD) Cough Berobat Jalan

3273 05-12-2019 100718011219P003495 0001596943293 NARIAH P PBI (APBD) Cough Berobat Jalan

3274 05-12-2019 100718011219P003496 0001596943304 YOYOH P PBI (APBD) Cough Berobat Jalan

3275 05-12-2019 100718011219P003497 0001596943326 TATANG L PBI (APBD) Cough Berobat Jalan

3276 05-12-2019 100718011219P003498 0001596943337 ARINI P PBI (APBD) Cough Berobat Jalan

3277 05-12-2019 100718011219P003499 0001596943348 MUHAMAD RIZKI L PBI (APBD) Cough Berobat Jalan

3278 05-12-2019 100718011219P003500 0001596943359 ANTONI DEDI L PBI (APBD) Cough Berobat Jalan

3279 05-12-2019 100718011219P003501 0001596943361 ASPIAH P PBI (APBD) Cough Berobat Jalan

3280 05-12-2019 100718011219P003502 0001596943372 ASMA L PBI (APBD) Cough Berobat Jalan

3281 05-12-2019 100718011219P003503 0001596943383 ENENG NIA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3282 05-12-2019 100718011219P003504 0001596943394 SURTI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3283 05-12-2019 100718011219P003505 0001596943405 MOH. YUSUP L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3284 05-12-2019 100718011219P003506 0001596943416 SOLEHUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3285 05-12-2019 100718011219P003508 0001596943427 AAN DARWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3286 05-12-2019 100718011219P003512 0001596943438 MUSDALIFATUN NIZAR P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3287 05-12-2019 100718011219P003514 0001596943449 M. AL BAROYA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3288 05-12-2019 100718011219P003516 0001596943451 EMAN SULAEMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3289 05-12-2019 100718011219P003519 0001596943462 EVI SUKAESIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3290 05-12-2019 100718011219P003521 0001596943473 EKAL KURNIAWAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3291 05-12-2019 100718011219P003523 0001596943484 M. AMSOR L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3292 05-12-2019 100718011219P003525 0001596943495 MUSA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3293 05-12-2019 100718011219P003527 0001596943506 MUMUN MUSDALIPATUN NIFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3294 05-12-2019 100718011219P003529 0001596943517 M. YUSUP L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3295 05-12-2019 100718011219P003532 0001596943528 MASTUROH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3296 05-12-2019 100718011219P003535 0001596943539 SAEPUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3297 05-12-2019 100718011219P003538 0001596943541 RINA NURPAJRIAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3298 05-12-2019 100718011219P003541 0001596943552 DIDIN BAHRUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3299 05-12-2019 100718011219P003544 0001596943563 IKBAL HARIS L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3300 05-12-2019 100718011219P003546 0001596943574 M. HERY HAERUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3301 05-12-2019 100718011219P003550 0001596943585 YAYAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3302 05-12-2019 100718011219P003554 0001596943596 FIDA ILMIATUN NAFISAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3303 05-12-2019 100718011219P003557 0001596943607 SRI AMELIA PUTRI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3304 05-12-2019 100718011219P003559 0001596943618 SAHAMAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3305 05-12-2019 100718011219P003561 0001596943631 ALIMUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3306 05-12-2019 100718011219P003564 0001596943642 ENCUM P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3307 05-12-2019 100718011219P003566 0001596943653 NANA NAHRUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3308 05-12-2019 100718011219P003567 0001596943664 KHOLISOTUL FARIDOH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3309 05-12-2019 100718011219P003569 0001596943675 WAFLATUL WAHDAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3310 05-12-2019 100718011219P003570 0001596943686 WAHIDATUL HUJAZIROH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3311 05-12-2019 100718011219P003571 0001596943697 MUHAMAD JAENUDN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3312 05-12-2019 100718011219P003572 0001596943708 JUMASIH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3313 05-12-2019 100718011219P003573 0001596943719 DEDEN WAHYUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3314 05-12-2019 100718011219P003574 0001596943721 SITI UMAYAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3315 05-12-2019 100718011219P003575 0001596943732 MU'MIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3316 05-12-2019 100718011219P003576 0001596943754 AIMU'MIWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3317 05-12-2019 100718011219P003577 0001596943765 MOCH. ASEP BADRI PAUJI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3318 05-12-2019 100718011219P003578 0001596943776 M. NURDIN ALI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3319 05-12-2019 100718011219P003579 0001596943787 NENG ILA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3320 05-12-2019 100718011219P003580 0001596943798 NANANG NURYADI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3321 05-12-2019 100718011219P003581 0001596943809 ETI KUSMAETI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3322 05-12-2019 100718011219P003582 0001596943811 SILVA NUR AULIA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3323 05-12-2019 100718011219P003583 0001596943822 MUHAMAD HAIKAL AL-FAUJI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3324 05-12-2019 100718011219P003584 0001596943833 SUHAEDAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3325 05-12-2019 100718011219P003585 0001596943844 MUHAMAD SEGA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3326 05-12-2019 100718011219P003586 0001596943855 MUHAMAD ALFI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3327 05-12-2019 100718011219P003587 0001596943866 NAZWA AIDA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3328 05-12-2019 100718011219P003588 0001596943877 HUSEN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3329 05-12-2019 100718011219P003589 0001596943899 MOCH. SOFYANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3330 05-12-2019 100718011219P003590 0001596943901 USWATUN HASANNAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3331 05-12-2019 100718011219P003591 0001596943912 M. MIFTAHUDIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3332 05-12-2019 100718011219P003592 0001596943934 MASNAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3333 05-12-2019 100718011219P003593 0001596943945 AGUS L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3334 05-12-2019 100718011219P003594 0001596943956 AAL FITRO ABDULLAH L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3335 05-12-2019 100718011219P003595 0001596943967 OANG L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3336 05-12-2019 100718011219P003596 0001596943978 ISAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3337 05-12-2019 100718011219P003597 0001596943989 ROHAYATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3338 05-12-2019 100718011219P003598 0001596943991 ISTAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3339 05-12-2019 100718011219P003599 0001596944002 UDIN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3340 05-12-2019 100718011219P003600 0001596944013 WALDAN HAERUDIN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3341 05-12-2019 100718011219P003601 0001596944024 SARHOD L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3342 05-12-2019 100718011219P003602 0001596944035 SAROH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3343 05-12-2019 100718011219P003603 0001596944046 SUKMA JAYA SAMIAJI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3344 05-12-2019 100718011219P003604 0001596944057 WIWIN P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3345 05-12-2019 100718011219P003605 0001596944068 IDA FARIDA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3346 05-12-2019 100718011219P003606 0001596944079 SELPI PEBRIANTI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3347 05-12-2019 100718011219P003607 0001596944081 M. ENJI MAULANA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3348 05-12-2019 100718011219P003608 0001596944092 BAMBANG L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3349 05-12-2019 100718011219P003609 0001596944103 OOM P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3350 05-12-2019 100718011219P003610 0001596944114 INDI SEPTIANI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3351 05-12-2019 100718011219P003611 0001596944125 EZI SAEFUL ROHMAT L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3352 05-12-2019 100718011219P003612 0001596944136 IIN SULASTRI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3353 05-12-2019 100718011219P003613 0001596944147 IRGI VIRGIAWAN LUBAWI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3354 05-12-2019 100718011219P003614 0001596944158 ARNASIH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3355 05-12-2019 100718011219P003615 0001596944169 SRI DEVI RIZEKI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3356 05-12-2019 100718011219P003616 0001596944171 IKBAL MAULANA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3357 05-12-2019 100718011219P003617 0001596944182 NOPRIADI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3358 05-12-2019 100718011219P003618 0001596944193 YAYAH SETIAWATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3359 05-12-2019 100718011219P003619 0001596944204 ALIKA MEYLANI EFENDY P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3360 05-12-2019 100718011219P003620 0001596944215 INDRA KRISNAWAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3361 05-12-2019 100718011219P003621 0001596944226 DIAH PITALOKA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3362 05-12-2019 100718011219P003622 0001596944237 DAVI IBRA KRISNAWAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3363 05-12-2019 100718011219P003623 0001596944248 BERI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3364 05-12-2019 100718011219P003624 0001596944259 SAHANI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3365 05-12-2019 100718011219P003625 0001596944261 AI'AMYATI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3366 05-12-2019 100718011219P003627 0001596944272 ARYA SOMA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3367 05-12-2019 100718011219P003628 0001596944283 NAZWA NOFIANTI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3368 05-12-2019 100718011219P003629 0001596944294 ENTIH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3369 05-12-2019 100718011219P003630 0001596944305 ASEP SUPRIYATNA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3370 05-12-2019 100718011219P003631 0001596944316 MELINDA APRILIA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3371 05-12-2019 100718011219P003632 0001596944327 EJOT P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3372 05-12-2019 100718011219P003633 0001596944338 ELIS P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3373 05-12-2019 100718011219P003634 0001596944349 AENI RAMADANI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3374 05-12-2019 100718011219P003635 0001596944351 SODIK L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3375 05-12-2019 100718011219P003636 0001596944362 EUIS P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3376 05-12-2019 100718011219P003637 0001596944384 MUHAMAD APANDI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3377 05-12-2019 100718011219P003638 0001596944395 SARDE L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3378 05-12-2019 100718011219P003639 0001596944406 JARNAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3379 05-12-2019 100718011219P003640 0001596944417 SURJANA L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3380 05-12-2019 100718011219P003641 0001596944428 SITI AMINAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3381 05-12-2019 100718011219P003642 0001596944441 UDRI L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3382 05-12-2019 100718011219P003643 0001596944452 MISNI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3383 05-12-2019 100718011219P003644 0001596944474 HASAN L PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3384 05-12-2019 100718011219P003645 0001596944485 NURSIH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3385 05-12-2019 100718011219P003646 0001596944496 IRA SAPITRI P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3386 05-12-2019 100718011219P001427 0001598242059 ALDA FITRIA LESTARI P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3387 05-12-2019 100718011219P001430 0001886318594 jarni P PEKERJA MANDIRI Cough Berobat Jalan

3388 05-12-2019 100718011219P001431 0001992307195 RANAH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3389 05-12-2019 100718011219P000020 0001992391863 KARYATI P PBI (APBN) Cough Berobat Jalan

3390 05-12-2019 100718011219P001434 0002119128041 KARNO L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3391 05-12-2019 100718011219P001435 0002309972128 M DAFA ZAIDAN L PBI (APBN) Acute amoebic dysentery Berobat Jalan

3392 05-12-2019 100718011219P001436 0002314997234 MENI KARMENI P PEGAWAI SWASTA Acute amoebic dysentery Berobat Jalan

3393 05-12-2019 100718011219P001437 0002641910578 NURLALVIAH P PBI (APBN) Acute amoebic dysentery Berobat Jalan

3394 05-12-2019 100718011219P000027 0002687283898 WADI L PBI (APBD) Cough Berobat Jalan

3395 05-12-2019 100718011219P000022 0002687639106 ENDIN SAMSUDIN L PBI (APBD) Cough Berobat Jalan

3396 05-12-2019 100718011219P001438 0002687769832 MAMAN L PBI (APBD) Acute amoebic dysentery Berobat Jalan

3397 04-12-2019 100718011219P001069 0000046679883 SABIAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan Hipertensi
PNS infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3398 04-12-2019 100718011219P001070 0000046680221 JUMRIAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3399 04-12-2019 100718011219P001071 0000046737123 UUM FARIDA P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3400 04-12-2019 100718011219P001072 0000046737134 MOCH RIZKI DAQOIK L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3401 04-12-2019 100718011219P001073 0000195187814 SRI RAHAYU P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3402 04-12-2019 100718011219P001074 0000207619661 SUPARMAN L PENERIMA PENSIUN TNI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3403 04-12-2019 100718011219P001075 0000790044906 MADSARI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3404 04-12-2019 100718011219P001076 0000790058531 NANA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3405 04-12-2019 100718011219P001077 0000790177498 ARTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3406 04-12-2019 100718011219P001078 0000790242401 MILA P PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi
infections of multiple and
unspecified sites
3407 04-12-2019 100718011219P001079 0000790242603 JULAEHA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3408 04-12-2019 100718011219P001080 0000790245944 ANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3409 04-12-2019 100718011219P000011 0000790312599 ROHINAH P PBI (APBN) Missed abortion Rujuk Vertikal

3410 04-12-2019 100718011219P001081 0000790402476 MISNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3411 04-12-2019 100718011219P001082 0000790402781 YAYA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3412 04-12-2019 100718011219P001083 0000790413175 ISAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3413 04-12-2019 100718011219P001084 0000790414029 SANIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3414 04-12-2019 100718011219P001085 0000790505662 SAMAI P PBI (APBN) Cough Berobat Jalan

3415 04-12-2019 100718011219P001086 0000790512221 ASMAH P PBI (APBN) Cough Berobat Jalan

3416 04-12-2019 100718011219P001087 0000790579247 ARSIH P PBI (APBN) Cough Berobat Jalan

3417 04-12-2019 100718011219P001088 0000790631695 AJIJI L PBI (APBN) Cough Berobat Jalan

3418 04-12-2019 100718011219P001089 0000790691411 WARTINI P PBI (APBN) Cough Berobat Jalan

3419 04-12-2019 100718011219P001090 0000790699026 SAADAH P PBI (APBN) Cough Berobat Jalan

3420 04-12-2019 100718011219P001091 0000790798882 DARISE L PBI (APBN) Cough Berobat Jalan

3421 04-12-2019 100718011219P000013 0000790858517 NENI P PBI (APBN) Other abnormal products Rujuk Vertikal
of conception
3422 04-12-2019 100718011219P001092 0000790920257 ERIK L PBI (APBN) Cough Berobat Jalan

3423 04-12-2019 100718011219P004376 0000790976799 RAMAN L PBI (APBN) Essential (primary) Sembuh
hypertension
3424 04-12-2019 100718011219P001093 0000791029877 TATI P PBI (APBN) Cough Berobat Jalan

3425 04-12-2019 100718011219P001094 0000791039373 SARIAH P PBI (APBN) Cough Berobat Jalan

3426 04-12-2019 100718011219P001095 0000791040249 WATI P PBI (APBN) Cough Berobat Jalan

3427 04-12-2019 100718011219P000718 0000791053751 LEXA P PBI (APBN) Cough Berobat Jalan

3428 04-12-2019 100718011219P000721 0000791054201 SAMAH P PBI (APBN) Cough Berobat Jalan

3429 04-12-2019 100718011219P000722 0000791054954 SAMIN L PBI (APBN) Cough Berobat Jalan

3430 04-12-2019 100718011219P000723 0000791055303 TARDI L PBI (APBN) Cough Berobat Jalan

3431 04-12-2019 100718011219P000724 0000791055865 ACIH P PBI (APBN) Cough Berobat Jalan

3432 04-12-2019 100718011219P000725 0000791056866 ARMIN L PBI (APBN) Cough Berobat Jalan

3433 04-12-2019 100718011219P000726 0000791057092 TARSIH P PBI (APBN) Cough Berobat Jalan

3434 04-12-2019 100718011219P000727 0000791057237 MASNIAH P PBI (APBN) Cough Berobat Jalan

3435 04-12-2019 100718011219P000728 0000791057463 AAN L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3436 04-12-2019 100718011219P000729 0000791057542 DEWI P PBI (APBN) Cough Berobat Jalan

3437 04-12-2019 100718011219P000730 0000791057586 SAEPUL B L PBI (APBN) Cough Berobat Jalan

3438 04-12-2019 100718011219P000731 0000791057889 ENJUM P PBI (APBN) Cough Berobat Jalan

3439 04-12-2019 100718011219P000732 0000791058205 ENE UMET P PBI (APBN) Cough Berobat Jalan

3440 04-12-2019 100718011219P000733 0000791058374 RIKA P PBI (APBN) Cough Berobat Jalan

3441 04-12-2019 100718011219P000734 0000791058431 SUSAN P PBI (APBN) Cough Berobat Jalan

3442 04-12-2019 100718011219P001096 0000791058464 JUMINAH P PBI (APBN) Cough Berobat Jalan

3443 04-12-2019 100718011219P000735 0000791059083 WINARTO L PBI (APBN) Cough Berobat Jalan

3444 04-12-2019 100718011219P000736 0000791059239 M DARIL L PBI (APBN) Cough Berobat Jalan

3445 04-12-2019 100718011219P001097 0000791063256 RUMIYATI P PBI (APBN) Cough Berobat Jalan

3446 04-12-2019 100718011219P000737 0000791067543 SUHERNA L PBI (APBN) Cough Berobat Jalan

3447 04-12-2019 100718011219P000738 0000791067723 SARDI L PBI (APBN) Cough Berobat Jalan

3448 04-12-2019 100718011219P000739 0000791068386 NINING P PBI (APBN) Cough Berobat Jalan

3449 04-12-2019 100718011219P000740 0000791069747 NURHAYATI P PBI (APBN) Cough Berobat Jalan

3450 04-12-2019 100718011219P000741 0000791069758 ASNEN L PBI (APBN) Cough Berobat Jalan

3451 04-12-2019 100718011219P000742 0000791070941 ASRAMAN L PBI (APBN) Cough Berobat Jalan

3452 04-12-2019 100718011219P000743 0000791072019 ASTINAH P PBI (APBN) Cough Berobat Jalan

3453 04-12-2019 100718011219P000744 0000791072379 SAKUR L PBI (APBN) Cough Berobat Jalan

3454 04-12-2019 100718011219P000745 0000791073966 DIRJA L PBI (APBN) Cough Berobat Jalan

3455 04-12-2019 100718011219P001098 0000791076767 SURYATI P PBI (APBN) Cough Berobat Jalan

3456 04-12-2019 100718011219P001099 0000791076881 IWAN L PBI (APBN) Cough Berobat Jalan

3457 04-12-2019 100718011219P001100 0000791077329 SUDAR L PBI (APBN) Cough Berobat Jalan

3458 04-12-2019 100718011219P001101 0000791077893 RUPIAH P PBI (APBN) Cough Berobat Jalan

3459 04-12-2019 100718011219P001102 0000791081256 MISA L PBI (APBN) Cough Berobat Jalan

3460 04-12-2019 100718011219P001103 0000791090032 MULYADI L PBI (APBN) Cough Berobat Jalan

3461 04-12-2019 100718011219P001104 0000791090335 AEP L PBI (APBN) Cough Berobat Jalan

3462 04-12-2019 100718011219P001105 0000791090752 IWAN L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3463 04-12-2019 100718011219P001106 0000791091325 JERI L PBI (APBN) Cough Berobat Jalan

3464 04-12-2019 100718011219P001107 0000791091696 DIDI L PBI (APBN) Cough Berobat Jalan

3465 04-12-2019 100718011219P001108 0000791091944 UCU L PBI (APBN) Cough Berobat Jalan

3466 04-12-2019 100718011219P001109 0000791092271 MISJA L PBI (APBN) Cough Berobat Jalan

3467 04-12-2019 100718011219P001110 0000791092585 SARMIAH P PBI (APBN) Cough Berobat Jalan

3468 04-12-2019 100718011219P001111 0000791092833 MISRI P PBI (APBN) Cough Berobat Jalan

3469 04-12-2019 100718011219P001112 0000791093237 SANTANA L PBI (APBN) Cough Berobat Jalan

3470 04-12-2019 100718011219P001113 0000791093272 MEMED L PBI (APBN) Cough Berobat Jalan

3471 04-12-2019 100718011219P001114 0000791093924 KENOT P PBI (APBN) Cough Berobat Jalan

3472 04-12-2019 100718011219P001115 0000791094238 SUMINAR P PEGAWAI SWASTA Cough Berobat Jalan

3473 04-12-2019 100718011219P001116 0000791094363 ROHMAN L PBI (APBN) Cough Berobat Jalan

3474 04-12-2019 100718011219P001117 0000791095026 ARIL L PBI (APBN) Cough Berobat Jalan

3475 04-12-2019 100718011219P001118 0000791095318 KEMED L PBI (APBN) Cough Berobat Jalan

3476 04-12-2019 100718011219P001119 0000791096106 TARSAN L PBI (APBN) Cough Berobat Jalan

3477 04-12-2019 100718011219P001120 0000791096242 RANTA L PBI (APBN) Cough Berobat Jalan

3478 04-12-2019 100718011219P001121 0000791102171 ANAH P PBI (APBN) Cough Berobat Jalan

3479 04-12-2019 100718011219P000746 0000791103734 AANG L PBI (APBN) Cough Berobat Jalan

3480 04-12-2019 100718011219P000747 0000791107042 HALIMAH P PBI (APBN) Cough Berobat Jalan

3481 04-12-2019 100718011219P000748 0000791113656 SANEYA P PBI (APBN) Cough Berobat Jalan

3482 04-12-2019 100718011219P001122 0000791124489 JAMUNAH P PBI (APBN) Cough Berobat Jalan

3483 04-12-2019 100718011219P000749 0000791165889 MISNAH P PBI (APBN) Cough Berobat Jalan

3484 04-12-2019 100718011219P000750 0000791166982 NOPI L PBI (APBN) Cough Berobat Jalan

3485 04-12-2019 100718011219P000751 0000791167184 MIMIN P PBI (APBN) Cough Berobat Jalan

3486 04-12-2019 100718011219P000752 0000791167476 TINAH P PBI (APBN) Cough Berobat Jalan

3487 04-12-2019 100718011219P000753 0000791175666 ABDULLOH L PBI (APBN) Cough Berobat Jalan

3488 04-12-2019 100718011219P000754 0000791175767 ASNI P PBI (APBN) Cough Berobat Jalan

3489 04-12-2019 100718011219P000755 0000791175925 WAHYU L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3490 04-12-2019 100718011219P000756 0000791176487 MARIAM P PBI (APBN) Cough Berobat Jalan

3491 04-12-2019 100718011219P000757 0000791179784 ACENG L PBI (APBN) Cough Berobat Jalan

3492 04-12-2019 100718011219P000758 0000791179931 ARMENAH P PBI (APBN) Cough Berobat Jalan

3493 04-12-2019 100718011219P000759 0000791180032 ACIH P PBI (APBN) Cough Berobat Jalan

3494 04-12-2019 100718011219P000760 0000791180212 KUSNAENI L PBI (APBN) Cough Berobat Jalan

3495 04-12-2019 100718011219P000761 0000791180291 SUMINAH P PBI (APBN) Cough Berobat Jalan

3496 04-12-2019 100718011219P000762 0000791182473 HERNI P PBI (APBN) Cough Berobat Jalan

3497 04-12-2019 100718011219P000763 0000791184508 ROHIM L PBI (APBN) Cough Berobat Jalan

3498 04-12-2019 100718011219P000764 0000791187939 MUSTARI L PBI (APBN) Cough Berobat Jalan

3499 04-12-2019 100718011219P000765 0000791189008 AMAH P PBI (APBN) Cough Berobat Jalan

3500 04-12-2019 100718011219P000766 0000791189289 MELI SAPUTRI P PBI (APBN) Cough Berobat Jalan

3501 04-12-2019 100718011219P000810 0000791189616 KERIS MONITRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3502 04-12-2019 100718011219P000811 0000791190088 DEWI SAPITRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3503 04-12-2019 100718011219P000812 0000791190775 SARKIMAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3504 04-12-2019 100718011219P000813 0000791190944 SURDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3505 04-12-2019 100718011219P000814 0000791191113 SARAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3506 04-12-2019 100718011219P000815 0000791191394 SAEPUDIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3507 04-12-2019 100718011219P000817 0000791191855 NIA AGUSTINA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3508 04-12-2019 100718011219P000818 0000791192316 DEDE SUPRIAWAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3509 04-12-2019 100718011219P000819 0000791193475 SANA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3510 04-12-2019 100718011219P000821 0000791194037 SARWITI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3511 04-12-2019 100718011219P000823 0000791194465 M ALI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3512 04-12-2019 100718011219P000826 0000791195422 M AJAT L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3513 04-12-2019 100718011219P000828 0000791197648 ANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3514 04-12-2019 100718011219P000831 0000791199009 MISNA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3515 04-12-2019 100718011219P000832 0000791199189 BARUDIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3516 04-12-2019 100718011219P001123 0000791199325 KALSUM P PBI (APBN) Cough Berobat Jalan

3517 04-12-2019 100718011219P001124 0000791200157 KARTIMAN L PBI (APBN) Cough Berobat Jalan

3518 04-12-2019 100718011219P001137 0000791200304 ASKINAH P PBI (APBN) Dyspepsia Berobat Jalan

3519 04-12-2019 100718011219P001125 0000791200383 M AAN PAISAL L PBI (APBN) Cough Berobat Jalan

3520 04-12-2019 100718011219P001126 0000791201024 WAHYU AGUSTIAWAN L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3521 04-12-2019 100718011219P001127 0000791201147 M REHAN MAULAN L PBI (APBN) Dyspepsia Berobat Jalan

3522 04-12-2019 100718011219P000834 0000791203162 HAELANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3523 04-12-2019 100718011219P001128 0000791203241 MASTIRAH P PBI (APBN) Dyspepsia Berobat Jalan

3524 04-12-2019 100718011219P000835 0000791205434 SAKMI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3525 04-12-2019 100718011219P000836 0000791206817 ROHIM L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3526 04-12-2019 100718011219P001129 0000791208033 ARIPIN L PBI (APBN) Dyspepsia Berobat Jalan

3527 04-12-2019 100718011219P000837 0000791208606 AUNIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3528 04-12-2019 100718011219P000838 0000791216414 SAHANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3529 04-12-2019 100718011219P000839 0000791216515 ANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3530 04-12-2019 100718011219P000840 0000791217055 ANING L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3531 04-12-2019 100718011219P000848 0000791218686 ARSIKAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3532 04-12-2019 100718011219P000849 0000791219856 ABIDIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3533 04-12-2019 100718011219P000850 0000791220251 ANDA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3534 04-12-2019 100718011219P000851 0000791220317 ADE L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3535 04-12-2019 100718011219P000852 0000791223287 RUSNIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3536 04-12-2019 100718011219P000853 0000791223445 SAODAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3537 04-12-2019 100718011219P000854 0000791224839 RINAWATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3538 04-12-2019 100718011219P000855 0000791225482 SARNATA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3539 04-12-2019 100718011219P000856 0000791226347 SUNARIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3540 04-12-2019 100718011219P000857 0000791226516 SUNARTO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3541 04-12-2019 100718011219P000858 0000791227912 SAKAR L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3542 04-12-2019 100718011219P000859 0000791228013 WANTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3543 04-12-2019 100718011219P000860 0000791228272 ERAY L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3544 04-12-2019 100718011219P000861 0000791228373 SISKAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3545 04-12-2019 100718011219P000862 0000791229014 WIJI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3546 04-12-2019 100718011219P001130 0000791229576 RASIK L PBI (APBN) Dyspepsia Berobat Jalan

3547 04-12-2019 100718011219P000863 0000791229666 ASRIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3548 04-12-2019 100718011219P000864 0000791229903 ROHANAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3549 04-12-2019 100718011219P001131 0000791229925 RISA SUHARTI P PEGAWAI SWASTA Dyspepsia Berobat Jalan

3550 04-12-2019 100718011219P001132 0000791229971 SATUN L PBI (APBN) Dyspepsia Berobat Jalan

3551 04-12-2019 100718011219P001133 0000791230577 SUKARAH P PBI (APBN) Dyspepsia Berobat Jalan

3552 04-12-2019 100718011219P001134 0000791230781 SUKMARA L PBI (APBN) Dyspepsia Berobat Jalan

3553 04-12-2019 100718011219P001135 0000791231624 SITI SAROH P PBI (APBN) Dyspepsia Berobat Jalan

3554 04-12-2019 100718011219P000865 0000791231668 ROHAYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3555 04-12-2019 100718011219P001136 0000791232142 MADROPI L PBI (APBN) Dyspepsia Berobat Jalan

3556 04-12-2019 100718011219P000866 0000791233367 ATI KHOSIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3557 04-12-2019 100718011219P000991 0000791234864 ROTINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3558 04-12-2019 100718011219P001138 0000791235415 SARIP L PBI (APBN) Dyspepsia Berobat Jalan

3559 04-12-2019 100718011219P000992 0000791235663 MARSIH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3560 04-12-2019 100718011219P000994 0000791236179 RIPAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3561 04-12-2019 100718011219P000996 0000791236315 SURTA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3562 04-12-2019 100718011219P001139 0000791236798 JARNIAH P PBI (APBN) Dyspepsia Berobat Jalan

3563 04-12-2019 100718011219P001141 0000791237294 AMIR L PBI (APBN) Dyspepsia Berobat Jalan

3564 04-12-2019 100718011219P001143 0000791237744 MIRA L PBI (APBN) Dyspepsia Berobat Jalan

3565 04-12-2019 100718011219P001144 0000791237777 JANAH P PBI (APBN) Dyspepsia Berobat Jalan

3566 04-12-2019 100718011219P000998 0000791239061 SUPARMAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3567 04-12-2019 100718011219P001000 0000791239419 BURHAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3568 04-12-2019 100718011219P001003 0000791239555 YENI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3569 04-12-2019 100718011219P001004 0000791240139 AJIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3570 04-12-2019 100718011219P001006 0000791242299 MEILINDA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3571 04-12-2019 100718011219P001008 0000791242391 HERDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3572 04-12-2019 100718011219P001010 0000791245315 JASMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3573 04-12-2019 100718011219P001011 0000791245359 JASIR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3574 04-12-2019 100718011219P001013 0000791245642 SUKINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3575 04-12-2019 100718011219P001015 0000791246158 SADIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3576 04-12-2019 100718011219P001016 0000791246182 MISRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3577 04-12-2019 100718011219P001018 0000791246351 IRPAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3578 04-12-2019 100718011219P001021 0000791246542 KOMARUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3579 04-12-2019 100718011219P001024 0000791246654 MUHAMAD PIKRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3580 04-12-2019 100718011219P001026 0000791246957 KAMDANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3581 04-12-2019 100718011219P001027 0000791248195 HAMIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3582 04-12-2019 100718011219P001146 0000791249231 ANI SAPITRI P PBI (APBN) Dyspepsia Berobat Jalan

3583 04-12-2019 100718011219P001148 0000791250715 ASMINAH P PBI (APBN) Dyspepsia Berobat Jalan

3584 04-12-2019 100718011219P001028 0000791261076 MUHAMAD ABDUL ROJAK L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3585 04-12-2019 100718011219P001029 0000791261087 PENDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3586 04-12-2019 100718011219P001030 0000791266331 RIKI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3587 04-12-2019 100718011219P001031 0000791272506 DEDE P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3588 04-12-2019 100718011219P001032 0000791283543 AHMAD SAYUMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3589 04-12-2019 100718011219P001033 0000791298977 SOPIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3590 04-12-2019 100718011219P001034 0000791309305 SAPRAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3591 04-12-2019 100718011219P001035 0000791309553 DIDI WAHYUDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3592 04-12-2019 100718011219P001149 0000791312927 M SIDIK L PBI (APBN) Dyspepsia Berobat Jalan

3593 04-12-2019 100718011219P001036 0000791327924 RATNA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3594 04-12-2019 100718011219P001037 0000791342425 LELA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3595 04-12-2019 100718011219P001150 0000791361347 JUMLI L PBI (APBN) Dyspepsia Berobat Jalan

3596 04-12-2019 100718011219P001151 0000791395165 UNAH P PBI (APBN) Dyspepsia Berobat Jalan

3597 04-12-2019 100718011219P001152 0000791395749 RADI L PBI (APBN) Dyspepsia Berobat Jalan

3598 04-12-2019 100718011219P001038 0000791395929 ASMAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3599 04-12-2019 100718011219P001153 0000791397955 JARKANI L PBI (APBN) Dyspepsia Berobat Jalan

3600 04-12-2019 100718011219P001039 0000791398776 ROHINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3601 04-12-2019 100718011219P001154 0000791399147 ROHIM L PBI (APBN) Dyspepsia Berobat Jalan

3602 04-12-2019 100718011219P001157 0000791400385 IROH P PBI (APBN) Dyspepsia Berobat Jalan

3603 04-12-2019 100718011219P001159 0000791400958 NANANG L PBI (APBN) Dyspepsia Berobat Jalan

3604 04-12-2019 100718011219P001040 0000791401195 ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3605 04-12-2019 100718011219P001162 0000791402343 DESI P PBI (APBN) Dyspepsia Berobat Jalan

3606 04-12-2019 100718011219P001041 0000791403636 JASIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3607 04-12-2019 100718011219P001164 0000791404007 SITI AISAH P PBI (APBN) Dyspepsia Berobat Jalan

3608 04-12-2019 100718011219P001166 0000791404244 SITI HALIMAH P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3609 04-12-2019 100718011219P001281 0000791405133 ARNATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3610 04-12-2019 100718011219P001283 0000791405739 NANDA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3611 04-12-2019 100718011219P001285 0000791406369 YATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3612 04-12-2019 100718011219P001286 0000791406483 RIPA PURNA SAUM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3613 04-12-2019 100718011219P001287 0000791406551 RENI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3614 04-12-2019 100718011219P001289 0000791407506 KAMAD L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3615 04-12-2019 100718011219P001291 0000791408204 TIKA REGINA OKTAPIANI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3616 04-12-2019 100718011219P001293 0000791408485 JAMSANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3617 04-12-2019 100718011219P001295 0000791409464 SANI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3618 04-12-2019 100718011219P001173 0000791410206 SANAWI L PBI (APBN) Dyspepsia Berobat Jalan

3619 04-12-2019 100718011219P001042 0000791411139 KOYAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3620 04-12-2019 100718011219P001175 0000791411398 ENTUS L PBI (APBN) Dyspepsia Berobat Jalan

3621 04-12-2019 100718011219P001043 0000791411747 SAHRUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3622 04-12-2019 100718011219P001176 0000791413266 RONI L PBI (APBN) Dyspepsia Berobat Jalan

3623 04-12-2019 100718011219P001177 0000791413424 KAMSINAH P PBI (APBN) Dyspepsia Berobat Jalan

3624 04-12-2019 100718011219P001179 0000791413558 SARNACA L PBI (APBN) Dyspepsia Berobat Jalan

3625 04-12-2019 100718011219P001181 0000791413863 ROHIM L PBI (APBN) Dyspepsia Berobat Jalan

3626 04-12-2019 100718011219P001183 0000791413975 RODIAH P PBI (APBN) Dyspepsia Berobat Jalan

3627 04-12-2019 100718011219P001185 0000791414166 YADI L PBI (APBN) Dyspepsia Berobat Jalan

3628 04-12-2019 100718011219P001186 0000791414515 ATIAH P PBI (APBN) Dyspepsia Berobat Jalan

3629 04-12-2019 100718011219P001187 0000791415911 JONI ISKANDAR L PBI (APBN) Dyspepsia Berobat Jalan

3630 04-12-2019 100718011219P001188 0000791416945 ANGGUN SARI P PBI (APBN) Dyspepsia Berobat Jalan

3631 04-12-2019 100718011219P001189 0000791417518 SAHIDI L PBI (APBN) Dyspepsia Berobat Jalan

3632 04-12-2019 100718011219P001190 0000791420837 RASMEDI L PBI (APBN) Dyspepsia Berobat Jalan

3633 04-12-2019 100718011219P001044 0000791421254 RINI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3634 04-12-2019 100718011219P001191 0000791421412 SUHERMAN L PBI (APBN) Dyspepsia Berobat Jalan

3635 04-12-2019 100718011219P001045 0000791424011 BARNAS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3636 04-12-2019 100718011219P001192 0000791424077 AMNAH P PBI (APBN) Dyspepsia Berobat Jalan

3637 04-12-2019 100718011219P001193 0000791426935 NENIH P PBI (APBN) Dyspepsia Berobat Jalan

3638 04-12-2019 100718011219P001194 0000791427273 SARASWATI P PBI (APBN) Dyspepsia Berobat Jalan

3639 04-12-2019 100718011219P001195 0000791427622 RASMUDI L PBI (APBN) Dyspepsia Berobat Jalan

3640 04-12-2019 100718011219P001196 0000791428476 ROSITA P PBI (APBN) Dyspepsia Berobat Jalan

3641 04-12-2019 100718011219P001197 0000791428858 ROHAETI P PBI (APBN) Dyspepsia Berobat Jalan

3642 04-12-2019 100718011219P001199 0000791430164 MILASARI P PBI (APBN) Dyspepsia Berobat Jalan

3643 04-12-2019 100718011219P001200 0000791430467 ALMINAH P PBI (APBN) Dyspepsia Berobat Jalan

3644 04-12-2019 100718011219P001046 0000791430941 YOYOH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3645 04-12-2019 100718011219P001201 0000791432471 EGA KOMALA SARI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3646 04-12-2019 100718011219P001207 0000791432651 M HENDAR L PBI (APBN) Dyspepsia Berobat Jalan

3647 04-12-2019 100718011219P001209 0000791432897 SANTA L PBI (APBN) Dyspepsia Berobat Jalan

3648 04-12-2019 100718011219P001211 0000791434146 SUARTA L PBI (APBN) Dyspepsia Berobat Jalan

3649 04-12-2019 100718011219P001215 0000791434326 SUHENAH P PBI (APBN) Dyspepsia Berobat Jalan

3650 04-12-2019 100718011219P001221 0000791434866 SUHRA L PBI (APBN) Dyspepsia Berobat Jalan

3651 04-12-2019 100718011219P001224 0000791438679 SAHDI L PBI (APBN) Dyspepsia Berobat Jalan

3652 04-12-2019 100718011219P001226 0000791439006 JARSINAH P PBI (APBN) Dyspepsia Berobat Jalan

3653 04-12-2019 100718011219P001228 0000791439377 ASMAWATI P PBI (APBN) Dyspepsia Berobat Jalan

3654 04-12-2019 100718011219P001233 0000791439625 KENON L PBI (APBN) Dyspepsia Berobat Jalan

3655 04-12-2019 100718011219P001236 0000791440176 NANI CAHCATI P PBI (APBN) Dyspepsia Berobat Jalan

3656 04-12-2019 100718011219P001241 0000791441572 MARYATI P PBI (APBN) Dyspepsia Berobat Jalan

3657 04-12-2019 100718011219P001244 0000791442898 SITI NURALISA P PBI (APBN) Dyspepsia Berobat Jalan

3658 04-12-2019 100718011219P001247 0000791443056 JAMHARI L PBI (APBN) Dyspepsia Berobat Jalan

3659 04-12-2019 100718011219P001248 0000791443337 RATNA P PBI (APBN) Dyspepsia Berobat Jalan

3660 04-12-2019 100718011219P001251 0000791443708 ABAS L PBI (APBN) Dyspepsia Berobat Jalan

3661 04-12-2019 100718011219P001254 0000791444068 ASNI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3662 04-12-2019 100718011219P001256 0000791444665 M ALI RIDWAN L PBI (APBN) Dyspepsia Berobat Jalan

3663 04-12-2019 100718011219P001257 0000791444711 M JAMILLUDIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3664 04-12-2019 100718011219P001261 0000791445249 RANGGA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3665 04-12-2019 100718011219P001263 0000791446915 SANIM L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3666 04-12-2019 100718011219P001266 0000791448309 SARAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3667 04-12-2019 100718011219P001268 0000791454587 SAKIRAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3668 04-12-2019 100718011219P001270 0000791455331 MARYADI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3669 04-12-2019 100718011219P001271 0000791456321 DEDEH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3670 04-12-2019 100718011219P001274 0000791456681 RUKIYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3671 04-12-2019 100718011219P001276 0000791458727 HALIL L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3672 04-12-2019 100718011219P001278 0000791460099 WINTA SUHARJADINATA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3673 04-12-2019 100718011219P001047 0000791491847 ROHENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3674 04-12-2019 100718011219P001048 0000791497089 TETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3675 04-12-2019 100718011219P001049 0000791499532 NIA KURNIAWATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3676 04-12-2019 100718011219P001050 0000791547423 SITI RODIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3677 04-12-2019 100718011219P001051 0000791575312 OMO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3678 04-12-2019 100718011219P001052 0000791660351 JEMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3679 04-12-2019 100718011219P001053 0000791660935 AAM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3680 04-12-2019 100718011219P001054 0001050381639 SAENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3681 04-12-2019 100718011219P001055 0001081382297 M ROBBY AWALUDIN HIDAYAT L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3682 04-12-2019 100718011219P001056 0001398341193 SATIMAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3683 04-12-2019 100718011219P001057 0001398342058 MUHAMAD SAPURI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3684 04-12-2019 100718011219P001058 0001596838318 VIKA ZAHROTUL ZANAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3685 04-12-2019 100718011219P001059 0001869552202 filzah irsalina halwa P ANGGOTA POLRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3686 04-12-2019 100718011219P001060 0001919366741 ST. ROHMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3687 04-12-2019 100718011219P001061 0001992252262 NANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3688 04-12-2019 100718011219P001062 0001992412361 GUGUN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3689 04-12-2019 100718011219P001063 0001992543039 RIZKI MAULANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3690 04-12-2019 100718011219P001064 0001992677861 ISDAYAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3691 04-12-2019 100718011219P000014 0002088606172 NENG WULANDARI P PEKERJA MANDIRI Acute maxillary sinusitis Rujuk Vertikal
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3692 04-12-2019 100718011219P001065 0002196588712 KHAYLA QUEENA RUBYANDRA P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3693 04-12-2019 100718011219P001066 0002202628026 RAFFASYA AZKA PERMANA L ANGGOTA POLRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3694 04-12-2019 100718011219P001067 0002274981568 KOMARIAH P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3695 04-12-2019 100718011219P000012 0002318045545 nunung nuraeni P PEKERJA MANDIRI Benign mammary Rujuk Vertikal
dysplasia
3696 04-12-2019 100718011219P000719 0002679043746 MASRIAH P PBI (APBN) Cough Berobat Jalan

3697 04-12-2019 100718011219P001068 0002679045772 ANDRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3698 03-12-2019 100718011219P000390 0000046285806 DARMIN DANUWIOTO L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan Hipertensi
PNS infections of multiple and
unspecified sites
3699 03-12-2019 100718011219P000391 0000046285817 SAMIAH P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan Hipertensi
PNS infections of multiple and
unspecified sites
3700 03-12-2019 100718011219P000668 0000046288427 BAEHAKI L PNS PUSAT Cough Berobat Jalan

3701 03-12-2019 100718011219P000392 0000046313133 MIMIN YUNINGSIH P PNS PUSAT Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3702 03-12-2019 100718011219P000393 0000046381836 BABAY MULIANINGSIH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3703 03-12-2019 100718011219P000394 0000046397698 OHAN NURDIN L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3704 03-12-2019 100718011219P000395 0000046442564 TATI P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
3705 03-12-2019 100718011219P000669 0000046579656 HJ. SATI'AH P PENERIMA PENSIUN Cough Berobat Jalan
PNS
3706 03-12-2019 100718011219P000396 0000046579724 HANIS GANI L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan Hipertensi
PNS infections of multiple and
unspecified sites
3707 03-12-2019 100718011219P000670 0000046678634 AHMAD SURYANTO L PNS DAERAH Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3708 03-12-2019 100718011219P000397 0000046678678 ANWAR L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3709 03-12-2019 100718011219P000398 0000046678781 ASEP SAEFULLOH L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3710 03-12-2019 100718011219P000399 0000046679005 ECIH SUKAESIH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3711 03-12-2019 100718011219P000671 0000046679016 E. NANO S L PNS DAERAH Cough Berobat Jalan

3712 03-12-2019 100718011219P000400 0000046679106 EMIN MINTARSIH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3713 03-12-2019 100718011219P000401 0000046679117 ENDANG MADHARI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3714 03-12-2019 100718011219P000672 0000046679308 FATHURROHMAN L PNS DAERAH Cough Berobat Jalan

3715 03-12-2019 100718011219P000402 0000046679411 JUNAESIH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3716 03-12-2019 100718011219P000673 0000046679591 MASTRA L PNS DAERAH Cough Berobat Jalan

3717 03-12-2019 100718011219P000403 0000046679668 MURIPAH P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3718 03-12-2019 100718011219P000404 0000046679725 NINING P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3719 03-12-2019 100718011219P000405 0000046679736 NURDI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3720 03-12-2019 100718011219P000406 0000046679848 ROHAENI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3721 03-12-2019 100718011219P000407 0000046680142 SUPRIANA SUHUD L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3722 03-12-2019 100718011219P000408 0000046680219 WOWO SUBROTO L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3723 03-12-2019 100718011219P000409 0000046680298 YAYA JAKARIA L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3724 03-12-2019 100718011219P000410 0000046716467 ETI P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infections of multiple and
unspecified sites
3725 03-12-2019 100718011219P000674 0000046745019 NGADIM FUADI L PNS DAERAH Cough Berobat Jalan

3726 03-12-2019 100718011219P000411 0000079036604 ETNI DWI SEPTIANI P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3727 03-12-2019 100718011219P000675 0000159560842 HOLISOH P PNS DAERAH Cough Berobat Jalan

3728 03-12-2019 100718011219P000676 0000202833696 OOM MULYANI P PNS DAERAH Cough Berobat Jalan

3729 03-12-2019 100718011219P000677 0000206678801 ITA WIWIN NOVITA P PNS DAERAH Cough Berobat Jalan

3730 03-12-2019 100718011219P000412 0000790015241 SOLEH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3731 03-12-2019 100718011219P000413 0000790029797 TARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3732 03-12-2019 100718011219P000414 0000790035006 RASNAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3733 03-12-2019 100718011219P000678 0000790035039 SAPTURI L PBI (APBN) Cough Berobat Jalan

3734 03-12-2019 100718011219P000415 0000790043602 ERNI HERLINA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3735 03-12-2019 100718011219P000416 0000790109188 EHA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3736 03-12-2019 100718011219P000679 0000790239767 AAS P PBI (APBN) Cough Berobat Jalan

3737 03-12-2019 100718011219P000680 0000790268995 ELAH P PBI (APBN) Cough Berobat Jalan

3738 03-12-2019 100718011219P000681 0000790279176 RIZKI L PBI (APBN) Cough Berobat Jalan

3739 03-12-2019 100718011219P000417 0000790298111 MOCH RIZIK L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3740 03-12-2019 100718011219P000682 0000790342064 JARNIKAH P PBI (APBN) Cough Berobat Jalan

3741 03-12-2019 100718011219P000683 0000790412499 SABDA L PBI (APBN) Cough Berobat Jalan

3742 03-12-2019 100718011219P000684 0000790492779 APIPAH P PBI (APBN) Cough Berobat Jalan

3743 03-12-2019 100718011219P000685 0000790552708 YENI P PBI (APBN) Cough Berobat Jalan

3744 03-12-2019 100718011219P000686 0000790585391 SUMI P PBI (APBN) Cough Berobat Jalan

3745 03-12-2019 100718011219P000418 0000790589542 INTAN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3746 03-12-2019 100718011219P000463 0000790598981 RASNAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3747 03-12-2019 100718011219P000687 0000790606394 JUJUM P PBI (APBN) Cough Berobat Jalan

3748 03-12-2019 100718011219P000419 0000790611107 ERUM P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3749 03-12-2019 100718011219P000688 0000790611502 NINA P PBI (APBN) Cough Berobat Jalan

3750 03-12-2019 100718011219P000689 0000790642102 H SAMUDIN L PBI (APBN) Cough Berobat Jalan

3751 03-12-2019 100718011219P000420 0000790657806 SUTISNA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3752 03-12-2019 100718011219P000690 0000790698464 DAMAN HURI L PBI (APBN) Cough Berobat Jalan

3753 03-12-2019 100718011219P000655 0000790704202 YULI P PBI (APBN) Other dermatitis Berobat Jalan

3754 03-12-2019 100718011219P000421 0000790716958 USUP L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3755 03-12-2019 100718011219P000691 0000790732686 SAMUN BAEHAKI L PBI (APBN) Cough Berobat Jalan

3756 03-12-2019 100718011219P000692 0000790751665 RUMINAH P PBI (APBN) Cough Berobat Jalan

3757 03-12-2019 100718011219P000656 0000790757739 SARAH P PBI (APBN) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3758 03-12-2019 100718011219P000422 0000790759203 MARSITI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3759 03-12-2019 100718011219P000693 0000790899412 ARSINAH P PBI (APBN) Cough Berobat Jalan

3760 03-12-2019 100718011219P000694 0000790913812 MARLIAH P PBI (APBN) Cough Berobat Jalan

3761 03-12-2019 100718011219P000657 0000790927301 ENENG P PBI (APBN) Other dermatitis Berobat Jalan

3762 03-12-2019 100718011219P000695 0000790929123 NURIAH P PBI (APBN) Cough Berobat Jalan

3763 03-12-2019 100718011219P000423 0000790933983 AJI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3764 03-12-2019 100718011219P000424 0000790934422 LENA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3765 03-12-2019 100718011219P000425 0000790934984 ARMIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3766 03-12-2019 100718011219P000426 0000790936751 ASNERI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3767 03-12-2019 100718011219P000427 0000790937302 SAID L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3768 03-12-2019 100718011219P000428 0000790937818 SAIDAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3769 03-12-2019 100718011219P000429 0000790937853 SARINAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3770 03-12-2019 100718011219P000430 0000790938303 SAHRONI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3771 03-12-2019 100718011219P000431 0000790939091 SAHRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3772 03-12-2019 100718011219P000432 0000790939236 UWIN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3773 03-12-2019 100718011219P000433 0000790939394 TASMIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3774 03-12-2019 100718011219P000434 0000790939743 EMUL L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3775 03-12-2019 100718011219P000435 0000790939855 IRIN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3776 03-12-2019 100718011219P000436 0000790956696 MISRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3777 03-12-2019 100718011219P000437 0000790962838 ERPAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3778 03-12-2019 100718011219P000438 0000790963378 HENDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3779 03-12-2019 100718011219P000439 0000790963468 ADE P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3780 03-12-2019 100718011219P000440 0000790964302 ANIS L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3781 03-12-2019 100718011219P000441 0000790965011 SARI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3782 03-12-2019 100718011219P000442 0000790965112 SAYA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3783 03-12-2019 100718011219P000443 0000790965371 ISAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3784 03-12-2019 100718011219P000444 0000790965707 JUMETI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3785 03-12-2019 100718011219P000445 0000790965786 LEO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3786 03-12-2019 100718011219P000446 0000790966811 OCA.M P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3787 03-12-2019 100718011219P000447 0000790967226 IYAS L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3788 03-12-2019 100718011219P000448 0000790967485 SARI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3789 03-12-2019 100718011219P000449 0000790967676 DANA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3790 03-12-2019 100718011219P000450 0000790967755 SARNA L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3791 03-12-2019 100718011219P000696 0000790967856 SITI ROHMAH P PBI (APBN) Cough Berobat Jalan

3792 03-12-2019 100718011219P000451 0000790968429 SANWANI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3793 03-12-2019 100718011219P000452 0000790968497 INAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3794 03-12-2019 100718011219P000453 0000790968881 DENDI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3795 03-12-2019 100718011219P000454 0000790969386 ASNIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3796 03-12-2019 100718011219P000455 0000790980041 RISMA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3797 03-12-2019 100718011219P000456 0000790980197 DARNAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3798 03-12-2019 100718011219P000457 0000790980311 AINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3799 03-12-2019 100718011219P000458 0000790980581 BADRI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3800 03-12-2019 100718011219P000459 0000790981121 LIAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3801 03-12-2019 100718011219P000460 0000790984642 JASRIP L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3802 03-12-2019 100718011219P000461 0000790985002 TINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3803 03-12-2019 100718011219P000462 0000790995407 NURHAYATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

3804 03-12-2019 100718011219P000464 0000790995532 SITI ABSAH P PBI (APBN) Myalgia Berobat Jalan

3805 03-12-2019 100718011219P000465 0000790996094 SOLEH L PBI (APBN) Myalgia Berobat Jalan

3806 03-12-2019 100718011219P000466 0000790996487 MELAWATI P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3807 03-12-2019 100718011219P000467 0000790997185 SAHRA L PBI (APBN) Myalgia Berobat Jalan

3808 03-12-2019 100718011219P000468 0000790997286 ARSANAH P PBI (APBN) Myalgia Berobat Jalan

3809 03-12-2019 100718011219P000469 0000790997771 RIZAL L PBI (APBN) Myalgia Berobat Jalan

3810 03-12-2019 100718011219P000470 0000790998254 LIA P PBI (APBN) Myalgia Berobat Jalan

3811 03-12-2019 100718011219P000471 0000790998838 MARYAMAH P PBI (APBN) Myalgia Berobat Jalan

3812 03-12-2019 100718011219P000472 0000790999356 SAPRI L PBI (APBN) Myalgia Berobat Jalan

3813 03-12-2019 100718011219P000473 0000790999503 ARKAMAN L PBI (APBN) Myalgia Berobat Jalan

3814 03-12-2019 100718011219P000474 0000791000111 KURNIAH P PBI (APBN) Myalgia Berobat Jalan

3815 03-12-2019 100718011219P000475 0000791007467 AISAH P PBI (APBN) Myalgia Berobat Jalan

3816 03-12-2019 100718011219P000476 0000791008863 KASAN L PBI (APBN) Myalgia Berobat Jalan

3817 03-12-2019 100718011219P000477 0000791010369 PIAH P PBI (APBN) Myalgia Berobat Jalan Hipertensi

3818 03-12-2019 100718011219P000478 0000791010696 IJUM P PBI (APBN) Myalgia Berobat Jalan Hipertensi

3819 03-12-2019 100718011219P000479 0000791010775 SAEPUDIN L PBI (APBN) Myalgia Berobat Jalan

3820 03-12-2019 100718011219P000480 0000791010797 YUYUN P PBI (APBN) Myalgia Berobat Jalan

3821 03-12-2019 100718011219P000481 0000791012351 NABO L PBI (APBN) Myalgia Berobat Jalan

3822 03-12-2019 100718011219P000482 0000791012529 EBAH P PBI (APBN) Myalgia Berobat Jalan

3823 03-12-2019 100718011219P000483 0000791012643 SUNARA L PBI (APBN) Myalgia Berobat Jalan

3824 03-12-2019 100718011219P000484 0000791012698 HERNA L PBI (APBN) Myalgia Berobat Jalan

3825 03-12-2019 100718011219P000485 0000791013003 KAMINAH P PBI (APBN) Myalgia Berobat Jalan

3826 03-12-2019 100718011219P000658 0000791014127 KIMAH P PBI (APBN) Other dermatitis Berobat Jalan

3827 03-12-2019 100718011219P000486 0000791014162 UKON L PBI (APBN) Myalgia Berobat Jalan

3828 03-12-2019 100718011219P000487 0000791015523 ARHADI L PBI (APBN) Myalgia Berobat Jalan

3829 03-12-2019 100718011219P000488 0000791015589 SAE P PBI (APBN) Myalgia Berobat Jalan

3830 03-12-2019 100718011219P000489 0000791016333 DEDEN L PBI (APBN) Myalgia Berobat Jalan

3831 03-12-2019 100718011219P000490 0000791016625 KAHAR L PBI (APBN) Myalgia Berobat Jalan

3832 03-12-2019 100718011219P000491 0000791017345 ATIH P PBI (APBN) Myalgia Berobat Jalan

3833 03-12-2019 100718011219P000492 0000791019044 AGUS L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3834 03-12-2019 100718011219P000493 0000791019202 ANGGI P PBI (APBN) Myalgia Berobat Jalan

3835 03-12-2019 100718011219P000494 0000791019268 LELA P PBI (APBN) Myalgia Berobat Jalan

3836 03-12-2019 100718011219P000495 0000791019707 ANDRI L PBI (APBN) Myalgia Berobat Jalan

3837 03-12-2019 100718011219P000697 0000791020203 NARITO L PBI (APBN) Cough Berobat Jalan

3838 03-12-2019 100718011219P000698 0000791020383 NURHASANAH P PBI (APBN) Cough Berobat Jalan

3839 03-12-2019 100718011219P000699 0000791021529 NURJANA L PBI (APBN) Cough Berobat Jalan

3840 03-12-2019 100718011219P000700 0000791021586 SARTA L PBI (APBN) Cough Berobat Jalan

3841 03-12-2019 100718011219P000701 0000791021722 SARCI P PBI (APBN) Cough Berobat Jalan

3842 03-12-2019 100718011219P000702 0000791022273 TARKAYA L PBI (APBN) Cough Berobat Jalan

3843 03-12-2019 100718011219P000703 0000791022655 MIRNAH P PBI (APBN) Cough Berobat Jalan

3844 03-12-2019 100718011219P000704 0000791022947 MILA P PBI (APBN) Cough Berobat Jalan

3845 03-12-2019 100718011219P000705 0000791024049 JASAD L PBI (APBN) Cough Berobat Jalan

3846 03-12-2019 100718011219P000706 0000791024736 SUHEM L PBI (APBN) Cough Berobat Jalan

3847 03-12-2019 100718011219P000707 0000791025456 WATI P PBI (APBN) Cough Berobat Jalan

3848 03-12-2019 100718011219P000720 0000791026413 SAPTUNAH P PBI (APBN) Cough Berobat Jalan

3849 03-12-2019 100718011219P000708 0000791028527 ASEP L PBI (APBN) Cough Berobat Jalan

3850 03-12-2019 100718011219P000496 0000791036662 JUJU P PBI (APBN) Myalgia Berobat Jalan

3851 03-12-2019 100718011219P000497 0000791037257 AGUS L PBI (APBN) Myalgia Berobat Jalan

3852 03-12-2019 100718011219P000498 0000791037729 EEP L PBI (APBN) Myalgia Berobat Jalan

3853 03-12-2019 100718011219P000499 0000791038743 SAHRI L PBI (APBN) Myalgia Berobat Jalan

3854 03-12-2019 100718011219P000500 0000791038787 RANAH P PBI (APBN) Myalgia Berobat Jalan

3855 03-12-2019 100718011219P000501 0000791039722 TISNA L PBI (APBN) Myalgia Berobat Jalan

3856 03-12-2019 100718011219P000513 0000791039913 MARSAN L PBI (APBN) Myalgia Berobat Jalan

3857 03-12-2019 100718011219P000502 0000791040677 IMAS P PBI (APBN) Myalgia Berobat Jalan

3858 03-12-2019 100718011219P000503 0000791041004 ABDULLAH L PBI (APBN) Myalgia Berobat Jalan

3859 03-12-2019 100718011219P000504 0000791041331 ETI P PBI (APBN) Myalgia Berobat Jalan

3860 03-12-2019 100718011219P000505 0000791041757 RUPINAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3861 03-12-2019 100718011219P000506 0000791042049 PIAN L PBI (APBN) Myalgia Berobat Jalan

3862 03-12-2019 100718011219P000507 0000791042308 ENONG L PBI (APBN) Myalgia Berobat Jalan

3863 03-12-2019 100718011219P000508 0000791042444 PIAN L PBI (APBN) Myalgia Berobat Jalan

3864 03-12-2019 100718011219P000509 0000791042815 ROHMAT L PBI (APBN) Myalgia Berobat Jalan

3865 03-12-2019 100718011219P000510 0000791042905 ARSAD L PBI (APBN) Myalgia Berobat Jalan

3866 03-12-2019 100718011219P000511 0000791042962 RATIAH P PBI (APBN) Myalgia Berobat Jalan

3867 03-12-2019 100718011219P000512 0000791043963 MISTA L PBI (APBN) Myalgia Berobat Jalan

3868 03-12-2019 100718011219P000514 0000791044209 SARWAMAH P PBI (APBN) Dyspepsia Berobat Jalan

3869 03-12-2019 100718011219P000515 0000791044514 YADI L PBI (APBN) Dyspepsia Berobat Jalan

3870 03-12-2019 100718011219P000517 0000791044672 ASRIAH P PBI (APBN) Dyspepsia Berobat Jalan

3871 03-12-2019 100718011219P000518 0000791044997 SAHRUL L PBI (APBN) Dyspepsia Berobat Jalan

3872 03-12-2019 100718011219P000519 0000791045346 RAMI P PBI (APBN) Dyspepsia Berobat Jalan

3873 03-12-2019 100718011219P000520 0000791046022 ASKEM L PBI (APBN) Dyspepsia Berobat Jalan

3874 03-12-2019 100718011219P000521 0000791047359 ELI L PBI (APBN) Dyspepsia Berobat Jalan

3875 03-12-2019 100718011219P000522 0000791048441 ALMINAH P PBI (APBN) Dyspepsia Berobat Jalan

3876 03-12-2019 100718011219P000523 0000791049172 REHAN L PBI (APBN) Dyspepsia Berobat Jalan

3877 03-12-2019 100718011219P000709 0000791049352 FITRI P PBI (APBN) Cough Berobat Jalan

3878 03-12-2019 100718011219P000710 0000791049914 ARNI P PBI (APBN) Cough Berobat Jalan

3879 03-12-2019 100718011219P000711 0000791050509 NENENG P PBI (APBN) Cough Berobat Jalan

3880 03-12-2019 100718011219P000712 0000791050634 DARMA L PBI (APBN) Cough Berobat Jalan

3881 03-12-2019 100718011219P000713 0000791050847 RACI P PBI (APBN) Cough Berobat Jalan

3882 03-12-2019 100718011219P000714 0000791051488 MASNI P PBI (APBN) Cough Berobat Jalan

3883 03-12-2019 100718011219P000715 0000791052939 SUADI L PBI (APBN) Cough Berobat Jalan

3884 03-12-2019 100718011219P000716 0000791053299 JUNAH P PBI (APBN) Cough Berobat Jalan

3885 03-12-2019 100718011219P000717 0000791053571 PENDI L PBI (APBN) Cough Berobat Jalan

3886 03-12-2019 100718011219P000524 0000791059307 CITRA L PBI (APBN) Dyspepsia Berobat Jalan

3887 03-12-2019 100718011219P000525 0000791059331 YAYAH P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3888 03-12-2019 100718011219P000526 0000791059689 IYUM P PBI (APBN) Dyspepsia Berobat Jalan

3889 03-12-2019 100718011219P000527 0000791060253 YAYAT L PBI (APBN) Dyspepsia Berobat Jalan

3890 03-12-2019 100718011219P000528 0000791061085 YANTI P PBI (APBN) Dyspepsia Berobat Jalan

3891 03-12-2019 100718011219P000529 0000791061445 IWAN L PBI (APBN) Dyspepsia Berobat Jalan

3892 03-12-2019 100718011219P000530 0000791061715 BAYATI P PBI (APBN) Dyspepsia Berobat Jalan

3893 03-12-2019 100718011219P000531 0000791061963 SAWACI P PBI (APBN) Dyspepsia Berobat Jalan

3894 03-12-2019 100718011219P000532 0000791062626 EPUN L PBI (APBN) Dyspepsia Berobat Jalan

3895 03-12-2019 100718011219P000533 0000791063583 HELI L PBI (APBN) Dyspepsia Berobat Jalan

3896 03-12-2019 100718011219P000534 0000791063649 MUMUN P PBI (APBN) Dyspepsia Berobat Jalan

3897 03-12-2019 100718011219P000535 0000791116244 JARNIAH P PBI (APBN) Dyspepsia Berobat Jalan

3898 03-12-2019 100718011219P000536 0000791141534 AMINAH P PBI (APBN) Dyspepsia Berobat Jalan

3899 03-12-2019 100718011219P000537 0000791142028 SANURI L PBI (APBN) Dyspepsia Berobat Jalan

3900 03-12-2019 100718011219P000538 0000791142355 ALISA P PBI (APBN) Dyspepsia Berobat Jalan

3901 03-12-2019 100718011219P000539 0000791142939 SUKRIAH P PBI (APBN) Dyspepsia Berobat Jalan

3902 03-12-2019 100718011219P000540 0000791143446 MAJEN L PBI (APBN) Dyspepsia Berobat Jalan

3903 03-12-2019 100718011219P000541 0000791144447 YUWANA L PBI (APBN) Dyspepsia Berobat Jalan

3904 03-12-2019 100718011219P000542 0000791146607 SURYADI L PBI (APBN) Dyspepsia Berobat Jalan

3905 03-12-2019 100718011219P000543 0000791147068 SARNIMAN L PBI (APBN) Dyspepsia Berobat Jalan

3906 03-12-2019 100718011219P000544 0000791149419 OMAN L PBI (APBN) Dyspepsia Berobat Jalan

3907 03-12-2019 100718011219P000545 0000791158228 PARHAN L PBI (APBN) Dyspepsia Berobat Jalan

3908 03-12-2019 100718011219P000546 0000791158702 ALI L PBI (APBN) Dyspepsia Berobat Jalan

3909 03-12-2019 100718011219P000547 0000791160737 KASMIAH P PBI (APBN) Dyspepsia Berobat Jalan

3910 03-12-2019 100718011219P000548 0000791161222 SAKMAN L PBI (APBN) Dyspepsia Berobat Jalan

3911 03-12-2019 100718011219P000549 0000791162897 JOHANDA L PBI (APBN) Dyspepsia Berobat Jalan

3912 03-12-2019 100718011219P000550 0000791167577 UDIN L PBI (APBN) Dyspepsia Berobat Jalan

3913 03-12-2019 100718011219P000551 0000791170312 SAJUM L PBI (APBN) Dyspepsia Berobat Jalan

3914 03-12-2019 100718011219P000552 0000791170738 REPA AGUSTIANI P PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3915 03-12-2019 100718011219P000553 0000791172966 EEM P PBI (APBN) Dyspepsia Berobat Jalan

3916 03-12-2019 100718011219P000554 0000791181426 ASMANA L PBI (APBN) Dyspepsia Berobat Jalan

3917 03-12-2019 100718011219P000555 0000791182552 JAHRA NOPIANTI P PBI (APBN) Dyspepsia Berobat Jalan

3918 03-12-2019 100718011219P000556 0000791183597 TARDI L PBI (APBN) Dyspepsia Berobat Jalan

3919 03-12-2019 100718011219P000557 0000791183711 SARTINI P PBI (APBN) Dyspepsia Berobat Jalan

3920 03-12-2019 100718011219P000659 0000791191686 SARIMAH P PBI (APBN) Other dermatitis Berobat Jalan

3921 03-12-2019 100718011219P000558 0000791194061 M AJIS L PBI (APBN) Dyspepsia Berobat Jalan

3922 03-12-2019 100718011219P000559 0000791199393 ULPAH P PBI (APBN) Dyspepsia Berobat Jalan

3923 03-12-2019 100718011219P000560 0000791209023 SANA L PBI (APBN) Dyspepsia Berobat Jalan

3924 03-12-2019 100718011219P000561 0000791211249 MARYANA L PBI (APBN) Dyspepsia Berobat Jalan

3925 03-12-2019 100718011219P000562 0000791212105 YETI P PBI (APBN) Dyspepsia Berobat Jalan

3926 03-12-2019 100718011219P000563 0000791221847 SOPIAN L PBI (APBN) Dyspepsia Berobat Jalan

3927 03-12-2019 100718011219P000564 0000791222398 CATUR L PBI (APBN) Dyspepsia Berobat Jalan

3928 03-12-2019 100718011219P000565 0000791239588 PENI DELIA P PBI (APBN) Other dermatitis Berobat Jalan

3929 03-12-2019 100718011219P000566 0000791244988 SAKRI L PBI (APBN) Other dermatitis Berobat Jalan

3930 03-12-2019 100718011219P000567 0000791245967 SAMIAH P PBI (APBN) Other dermatitis Berobat Jalan

3931 03-12-2019 100718011219P000568 0000791264294 SURNIAH P PBI (APBN) Other dermatitis Berobat Jalan

3932 03-12-2019 100718011219P000569 0000791385399 ANAH P PBI (APBN) Other dermatitis Berobat Jalan

3933 03-12-2019 100718011219P000570 0000791473195 IDIT L PBI (APBN) Other dermatitis Berobat Jalan

3934 03-12-2019 100718011219P000571 0000791473533 AAS P PBI (APBN) Other dermatitis Berobat Jalan

3935 03-12-2019 100718011219P000572 0000791474174 NURLAELA P PBI (APBN) Other dermatitis Berobat Jalan

3936 03-12-2019 100718011219P000573 0000791474354 M KURNIADI L PBI (APBN) Other dermatitis Berobat Jalan

3937 03-12-2019 100718011219P000574 0000791474848 KARTI P PBI (APBN) Other dermatitis Berobat Jalan

3938 03-12-2019 100718011219P000575 0000791475535 DEDIH L PBI (APBN) Other dermatitis Berobat Jalan

3939 03-12-2019 100718011219P000576 0000791476648 LILIS P PBI (APBN) Other dermatitis Berobat Jalan

3940 03-12-2019 100718011219P000577 0000791477436 M ARIP L PBI (APBN) Other dermatitis Berobat Jalan

3941 03-12-2019 100718011219P000578 0000791488348 AMAD L PBI (APBN) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3942 03-12-2019 100718011219P000579 0000791488708 M DEPI L PBI (APBN) Other dermatitis Berobat Jalan

3943 03-12-2019 100718011219P000580 0000791501703 EMAN HENDRAENI P PBI (APBN) Other dermatitis Berobat Jalan

3944 03-12-2019 100718011219P000581 0000791516834 MASKAH P PBI (APBN) Other dermatitis Berobat Jalan

3945 03-12-2019 100718011219P000582 0000791517003 SELPI P PBI (APBN) Other dermatitis Berobat Jalan

3946 03-12-2019 100718011219P000634 0000791518904 ARDAH P PBI (APBN) Other dermatitis Berobat Jalan

3947 03-12-2019 100718011219P000635 0000791520153 JUNAENI P PBI (APBN) Other dermatitis Berobat Jalan

3948 03-12-2019 100718011219P000636 0000791660766 EDI L PBI (APBN) Other dermatitis Berobat Jalan

3949 03-12-2019 100718011219P000637 0000791666594 KAHIR L PBI (APBN) Other dermatitis Berobat Jalan

3950 03-12-2019 100718011219P000638 0000791678171 AGUS HIDAYAT L PBI (APBN) Other dermatitis Berobat Jalan

3951 03-12-2019 100718011219P000639 0000791708556 SUHE P PBI (APBN) Other dermatitis Berobat Jalan

3952 03-12-2019 100718011219P000640 0000791790096 RADI L PBI (APBN) Other dermatitis Berobat Jalan

3953 03-12-2019 100718011219P000641 0001050379479 IWAT P PBI (APBN) Other dermatitis Berobat Jalan

3954 03-12-2019 100718011219P000642 0001050380537 AMIN L PBI (APBN) Other dermatitis Berobat Jalan

3955 03-12-2019 100718011219P000660 0001050382135 ODAH P PBI (APBN) Other dermatitis Berobat Jalan

3956 03-12-2019 100718011219P000371 0001398341305 IDA LAILA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3957 03-12-2019 100718011219P000372 0001398342069 ETI HARAWATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3958 03-12-2019 100718011219P000373 0001596838331 UMIYATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3959 03-12-2019 100718011219P000643 0001596838781 RAHIM L PBI (APBD) Other dermatitis Berobat Jalan

3960 03-12-2019 100718011219P000644 0001596838803 NENG SITI FAJRIYAH P PBI (APBD) Other dermatitis Berobat Jalan

3961 03-12-2019 100718011219P000127 0001596886367 ICA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3962 03-12-2019 100718011219P000374 0001596886402 S KHODIZAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3963 03-12-2019 100718011219P000661 0001596943923 DADI CAHYADI L PBI (APBD) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3964 03-12-2019 100718011219P000662 0001729688477 HERNI P PEKERJA MANDIRI Other dermatitis Berobat Jalan

3965 03-12-2019 100718011219P000375 0001812828958 ITOH MASITOH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3966 03-12-2019 100718011219P000376 0001895956672 siti wahyuni P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3967 03-12-2019 100718011219P000377 0001902686275 m. yuha efendi L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3968 03-12-2019 100718011219P000378 0001907748009 A. NAZIL MUNZAZI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3969 03-12-2019 100718011219P000379 0001919366616 YUNITA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3970 03-12-2019 100718011219P000380 0001919366853 ELA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3971 03-12-2019 100718011219P000645 0001919413348 DAFA MAULANA L PBI (APBN) Other dermatitis Berobat Jalan

3972 03-12-2019 100718011219P000646 0001919413361 ELIA PUTRI P PBI (APBN) Other dermatitis Berobat Jalan

3973 03-12-2019 100718011219P000381 0001919555133 SAEBANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3974 03-12-2019 100718011219P000382 0001964178527 H. BAI SUHANA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3975 03-12-2019 100718011219P000647 0001992272308 API'AH P PBI (APBN) Other dermatitis Berobat Jalan

3976 03-12-2019 100718011219P000383 0001992365177 HALIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3977 03-12-2019 100718011219P000648 0001992394866 NANANG L PBI (APBN) Other dermatitis Berobat Jalan

3978 03-12-2019 100718011219P000384 0001992451061 DEVI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3979 03-12-2019 100718011219P000649 0001992457732 SUMARNI P PBI (APBN) Other dermatitis Berobat Jalan

3980 03-12-2019 100718011219P000016 0001992533679 ARSIAH P PBI (APBN) Cough Berobat Jalan

3981 03-12-2019 100718011219P000650 0001992600281 AYU LESTARI P PBI (APBN) Other dermatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

3982 03-12-2019 100718011219P000385 0002051733047 mamad lomri L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3983 03-12-2019 100718011219P000651 0002221382698 ILYAS L PENERIMA PENSIUN Other dermatitis Berobat Jalan
PNS
3984 03-12-2019 100718011219P000652 0002250162731 NURUL FAUZIYAH P PNS PUSAT Other dermatitis Berobat Jalan

3985 03-12-2019 100718011219P000663 0002428412499 NIA KURNIA P PEKERJA MANDIRI Other dermatitis Berobat Jalan

3986 03-12-2019 100718011219P000386 0002482517441 NUGI HAIRUL PUTRA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3987 03-12-2019 100718011219P000653 0002610413289 MULYADI L PEKERJA MANDIRI Other dermatitis Berobat Jalan

3988 03-12-2019 100718011219P000387 0002629745436 JUMA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3989 03-12-2019 100718011219P000019 0002641909656 SUSI SUSANTI P PBI (APBN) Cough Berobat Jalan

3990 03-12-2019 100718011219P000388 0002641911816 FALDAN RAMADANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3991 03-12-2019 100718011219P000664 0002641914641 SISKA JULIANTI P PBI (APBN) Other dermatitis Berobat Jalan

3992 03-12-2019 100718011219P000389 0002643069306 SOPANDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3993 03-12-2019 100718011219P000015 0002647224538 NURJANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
3994 03-12-2019 100718011219P000665 0002679043623 ARUM SITI HASANAH P PBI (APBN) Other dermatitis Berobat Jalan

3995 03-12-2019 100718011219P000654 0002679044196 EMI P PBI (APBN) Other dermatitis Berobat Jalan

3996 03-12-2019 100718011219P000666 0002679044861 UMINAH P PBI (APBN) Cough Berobat Jalan

3997 03-12-2019 100718011219P000010 0002687046669 NURHOLISOH P PBI (APBD) Missed abortion Rujuk Vertikal

3998 03-12-2019 100718011219P000667 0002687639106 ENDIN SAMSUDIN L PBI (APBD) Cough Berobat Jalan

3999 03-12-2019 100718011219P000017 0002687639949 ARYO SAFUTRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4000 03-12-2019 100718011219P000018 0002774814568 MAULANA YUSUF L PBI (APBD) Dyspepsia Berobat Jalan

4001 02-12-2019 100718011219P000161 0000045211048 AYIB SUTISNA L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4002 02-12-2019 100718011219P000001 0000046285817 SAMIAH P PENERIMA PENSIUN Other intervertebral disc Rujuk Vertikal Hipertensi
PNS disorders
4003 02-12-2019 100718011219P000162 0000046393479 YUNIATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
4004 02-12-2019 100718011219P000034 0000079039236 SHOFIYATUN P PNS DAERAH Cough Berobat Jalan

4005 02-12-2019 100718011219P000163 0000195188049 GALIH HUTOMO FIRDAUS L PNS PUSAT Cough Berobat Jalan

4006 02-12-2019 100718011219P000164 0000789524559 AMSIAH P PBI (APBN) Dyspepsia Berobat Jalan

4007 02-12-2019 100718011219P000165 0000789525538 ASEP L PBI (APBN) Cough Berobat Jalan

4008 02-12-2019 100718011219P000166 0000789539782 MULYANAH P PBI (APBN) Dyspepsia Berobat Jalan

4009 02-12-2019 100718011219P000167 0000790034545 IRNA P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4010 02-12-2019 100718011219P000168 0000790168814 SACI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4011 02-12-2019 100718011219P000169 0000790175171 MIRA P PBI (APBN) Dyspepsia Berobat Jalan

4012 02-12-2019 100718011219P000035 0000790206535 MIRAH P PBI (APBN) Cough Berobat Jalan

4013 02-12-2019 100718011219P000170 0000790276072 MUHANAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

4014 02-12-2019 100718011219P000036 0000790289583 ROBI L PBI (APBN) Cough Berobat Jalan

4015 02-12-2019 100718011219P000037 0000790289998 OMO SUARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4016 02-12-2019 100718011219P000038 0000790290483 BEDAH P PBI (APBN) Dyspepsia Berobat Jalan

4017 02-12-2019 100718011219P000039 0000790297503 RASINAH P PBI (APBN) Dyspepsia Berobat Jalan

4018 02-12-2019 100718011219P000171 0000790297896 MINAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4019 02-12-2019 100718011219P000040 0000790299088 RUMSIAH P PBI (APBN) Cough Berobat Jalan

4020 02-12-2019 100718011219P000041 0000790299145 SAKRA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4021 02-12-2019 100718011219P000042 0000790299281 SARTA L PBI (APBN) Gastritis and duodenitis Berobat Jalan

4022 02-12-2019 100718011219P000043 0000790299325 SANAH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4023 02-12-2019 100718011219P000044 0000790299887 RUMINAH P PBI (APBN) Dyspepsia Berobat Jalan

4024 02-12-2019 100718011219P000045 0000790359489 NASRUDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4025 02-12-2019 100718011219P000046 0000790360424 ROHAYATI P PBI (APBN) Cough Berobat Jalan

4026 02-12-2019 100718011219P000047 0000790362551 SANASIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4027 02-12-2019 100718011219P000048 0000790366487 MIMIN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4028 02-12-2019 100718011219P000049 0000790368827 RASMIN L PBI (APBN) Dyspepsia Berobat Jalan

4029 02-12-2019 100718011219P000050 0000790370043 ROSITA P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4030 02-12-2019 100718011219P000051 0000790370436 ARSIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4031 02-12-2019 100718011219P000052 0000790373507 ROHAYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4032 02-12-2019 100718011219P000053 0000790374464 MASJIDIN L PBI (APBN) Cough Berobat Jalan

4033 02-12-2019 100718011219P000054 0000790375015 NIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4034 02-12-2019 100718011219P000055 0000790378277 PIAN L PBI (APBN) Dyspepsia Berobat Jalan

4035 02-12-2019 100718011219P000056 0000790378828 IDA P PBI (APBN) Cough Berobat Jalan

4036 02-12-2019 100718011219P000057 0000790379954 SURA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4037 02-12-2019 100718011219P000058 0000790379976 RUMSANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4038 02-12-2019 100718011219P000059 0000790381078 ARTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4039 02-12-2019 100718011219P000060 0000790381642 MARTA L PBI (APBN) Dyspepsia Berobat Jalan

4040 02-12-2019 100718011219P000061 0000790381686 SURYATI P PBI (APBN) Cough Berobat Jalan

4041 02-12-2019 100718011219P000062 0000790381991 HARDIANA L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4042 02-12-2019 100718011219P000063 0000790383058 SANWANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4043 02-12-2019 100718011219P000064 0000790383159 ANTON L PBI (APBN) Dyspepsia Berobat Jalan

4044 02-12-2019 100718011219P000065 0000790383666 ARDIN L PBI (APBN) Cough Berobat Jalan

4045 02-12-2019 100718011219P000066 0000790384149 ARMAN L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4046 02-12-2019 100718011219P000067 0000790385084 KASRAN L PBI (APBN) Dyspepsia Berobat Jalan

4047 02-12-2019 100718011219P000068 0000790385567 ASRIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4048 02-12-2019 100718011219P000069 0000790385703 SAKA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4049 02-12-2019 100718011219P000070 0000790385747 WAKINAH P PBI (APBN) Cough Berobat Jalan

4050 02-12-2019 100718011219P000071 0000790386153 PIPIH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4051 02-12-2019 100718011219P000072 0000790388021 ENTO L PBI (APBN) Cough Berobat Jalan

4052 02-12-2019 100718011219P000073 0000790388392 NAMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4053 02-12-2019 100718011219P000074 0000790388471 MASNEN L PBI (APBN) Dyspepsia Berobat Jalan

4054 02-12-2019 100718011219P000075 0000790388561 ROHINO L PBI (APBN) Cough Berobat Jalan

4055 02-12-2019 100718011219P000076 0000790389808 SUCI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4056 02-12-2019 100718011219P000077 0000790390012 JAWAWI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4057 02-12-2019 100718011219P000172 0000790390236 SANIIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4058 02-12-2019 100718011219P000173 0000790390282 SARTIMAN P PBI (APBN) Dyspepsia Berobat Jalan

4059 02-12-2019 100718011219P000174 0000790390326 JUMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4060 02-12-2019 100718011219P000175 0000790391169 ADE L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4061 02-12-2019 100718011219P000176 0000790391507 JANIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4062 02-12-2019 100718011219P000177 0000790392699 NANI L PBI (APBN) Cough Berobat Jalan

4063 02-12-2019 100718011219P000178 0000790392892 SISWANTO L PBI (APBN) Gastritis and duodenitis Berobat Jalan

4064 02-12-2019 100718011219P000179 0000790393228 WARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4065 02-12-2019 100718011219P000180 0000790394005 ALIS P PBI (APBN) Dyspepsia Berobat Jalan

4066 02-12-2019 100718011219P000181 0000790394523 LAMRI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4067 02-12-2019 100718011219P000182 0000790394916 DEWI P PBI (APBN) Cough Berobat Jalan

4068 02-12-2019 100718011219P000183 0000790395309 RODIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4069 02-12-2019 100718011219P000184 0000790395524 JURIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4070 02-12-2019 100718011219P000185 0000790397133 WIDIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4071 02-12-2019 100718011219P000186 0000790397458 PAHI L PBI (APBN) Dyspepsia Berobat Jalan

4072 02-12-2019 100718011219P000187 0000790397662 AMSA L PBI (APBN) Cough Berobat Jalan

4073 02-12-2019 100718011219P000188 0000790409913 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4074 02-12-2019 100718011219P000189 0000790438623 YATI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4075 02-12-2019 100718011219P000190 0000790438689 NURBAETI P PBI (APBN) Cough Berobat Jalan

4076 02-12-2019 100718011219P000191 0000790444629 RUKMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4077 02-12-2019 100718011219P000192 0000790501779 ARSIAH P PBI (APBN) Dyspepsia Berobat Jalan

4078 02-12-2019 100718011219P000193 0000790512377 EEN P PBI (APBN) Cough Berobat Jalan

4079 02-12-2019 100718011219P000194 0000790521917 JAKIM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4080 02-12-2019 100718011219P000195 0000790522198 ANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4081 02-12-2019 100718011219P000196 0000790523166 SARIMAH HJ P PBI (APBN) Dyspepsia Berobat Jalan

4082 02-12-2019 100718011219P000198 0000790523335 ASMAT L PBI (APBN) Dyspepsia Berobat Jalan

4083 02-12-2019 100718011219P000199 0000790528926 SILFI SITI ISLAMIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4084 02-12-2019 100718011219P000200 0000790529365 TUSI SEPTIA AHDA P PBI (APBN) Cough Berobat Jalan

4085 02-12-2019 100718011219P000201 0000790530017 ARSAP L PBI (APBN) Dyspepsia Berobat Jalan

4086 02-12-2019 100718011219P000202 0000790530772 ARSAH P PBI (APBN) Cough Berobat Jalan

4087 02-12-2019 100718011219P000203 0000790531839 SITI NURUL PATIMAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4088 02-12-2019 100718011219P000204 0000790534754 SACA L PBI (APBN) Cough Berobat Jalan

4089 02-12-2019 100718011219P000205 0000790569876 SURYADI L PBI (APBN) Gastritis and duodenitis Berobat Jalan

4090 02-12-2019 100718011219P000206 0000790574905 AMSI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4091 02-12-2019 100718011219P004362 0000790575153 JAKIMAH P PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified
complications
4092 02-12-2019 100718011219P000207 0000790577291 AMIN L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4093 02-12-2019 100718011219P000208 0000790604414 SUMAWAH P PBI (APBN) Dyspepsia Berobat Jalan

4094 02-12-2019 100718011219P000209 0000790605729 TUAH P PBI (APBN) Dyspepsia Berobat Jalan

4095 02-12-2019 100718011219P000078 0000790636983 ISAH P PBI (APBN) Cough Berobat Jalan

4096 02-12-2019 100718011219P000210 0000790645252 DIAN SRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4097 02-12-2019 100718011219P000211 0000790652057 SUMARNI P PBI (APBN) Dyspepsia Berobat Jalan

4098 02-12-2019 100718011219P000212 0000790652643 ASMAH P PBI (APBN) Dyspepsia Berobat Jalan

4099 02-12-2019 100718011219P000213 0000790652935 KUNAH P PBI (APBN) Cough Berobat Jalan

4100 02-12-2019 100718011219P000214 0000790665625 SUPINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4101 02-12-2019 100718011219P000215 0000790667256 KOMARIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4102 02-12-2019 100718011219P000216 0000790681713 SANI P PBI (APBN) Gastritis and duodenitis Berobat Jalan

4103 02-12-2019 100718011219P000217 0000790685741 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4104 02-12-2019 100718011219P002988 0000790708803 MUNAH P PBI (APBN) Insulin-dependent Berobat Jalan Hipertensi
diabetes mellitus with
other specified
complications
4105 02-12-2019 100718011219P000004 0000790712886 SARMAH P PBI (APBN) Dyspepsia Berobat Jalan

4106 02-12-2019 100718011219P000005 0000790714528 USMAN L PBI (APBN) Cough Berobat Jalan

4107 02-12-2019 100718011219P000218 0000790734925 ANI P PBI (APBN) Cough Berobat Jalan

4108 02-12-2019 100718011219P000079 0000790740718 SAINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4109 02-12-2019 100718011219P000219 0000790826321 KARIL L PBI (APBN) Cough Berobat Jalan

4110 02-12-2019 100718011219P000220 0000790848145 SITI SUHERNI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4111 02-12-2019 100718011219P000221 0000790887238 NURHAYATI P PBI (APBN) Cough Berobat Jalan

4112 02-12-2019 100718011219P000222 0000790924893 JURIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4113 02-12-2019 100718011219P000223 0000790925782 TEMI L PBI (APBN) Cough Berobat Jalan

4114 02-12-2019 100718011219P000224 0000790929336 DEDN L PBI (APBN) Dyspepsia Berobat Jalan

4115 02-12-2019 100718011219P000225 0000790929628 SARMAJA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4116 02-12-2019 100718011219P000080 0000790931766 UDIN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4117 02-12-2019 100718011219P000081 0000790932036 HALIMAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

4118 02-12-2019 100718011219P000226 0000790933195 ROHATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4119 02-12-2019 100718011219P000227 0000790933432 ANDA L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4120 02-12-2019 100718011219P000228 0000790933882 ROHMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4121 02-12-2019 100718011219P000082 0000790936402 LUKMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4122 02-12-2019 100718011219P000229 0000790957179 JURHANA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4123 02-12-2019 100718011219P000230 0000790957359 UPI P PBI (APBN) Dyspepsia Berobat Jalan

4124 02-12-2019 100718011219P000231 0000790958092 AGUS L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4125 02-12-2019 100718011219P000232 0000790958248 YANTO L PBI (APBN) Cough Berobat Jalan

4126 02-12-2019 100718011219P000233 0000790958384 WANAH P PBI (APBN) Dyspepsia Berobat Jalan

4127 02-12-2019 100718011219P000234 0000790958597 EMAN L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4128 02-12-2019 100718011219P000235 0000790958709 YENI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4129 02-12-2019 100718011219P000236 0000790959036 ARTA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4130 02-12-2019 100718011219P000237 0000790959194 AMELIA P PBI (APBN) Cough Berobat Jalan

4131 02-12-2019 100718011219P000238 0000790959802 AEP L PBI (APBN) Dyspepsia Berobat Jalan

4132 02-12-2019 100718011219P000239 0000790960983 NURI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4133 02-12-2019 100718011219P000240 0000790961027 ARMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4134 02-12-2019 100718011219P000241 0000790962041 KARDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4135 02-12-2019 100718011219P000242 0000790962254 RALIM L PBI (APBN) Gastritis and duodenitis Berobat Jalan

4136 02-12-2019 100718011219P000243 0000790969781 BAHARUDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4137 02-12-2019 100718011219P000244 0000790975337 YUYUN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4138 02-12-2019 100718011219P000245 0000790975541 LEHA P PBI (APBN) Cough Berobat Jalan

4139 02-12-2019 100718011219P000246 0000790976531 ASNAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4140 02-12-2019 100718011219P000247 0000790976733 WIKARTA L PBI (APBN) Cough Berobat Jalan

4141 02-12-2019 100718011219P000324 0000790976891 AGUSTANG L PBI (APBN) Cough Berobat Jalan

4142 02-12-2019 100718011219P000325 0000790977025 DIAH P PBI (APBN) Cough Berobat Jalan

4143 02-12-2019 100718011219P000326 0000790977069 ERIK L PBI (APBN) Cough Berobat Jalan

4144 02-12-2019 100718011219P000327 0000790977453 ATANG L PBI (APBN) Cough Berobat Jalan

4145 02-12-2019 100718011219P000328 0000790977868 WIYAH P PBI (APBN) Cough Berobat Jalan

4146 02-12-2019 100718011219P000329 0000790977881 KAJAB L PBI (APBN) Cough Berobat Jalan

4147 02-12-2019 100718011219P004295 0000790978757 INAH P PBI (APBN) Dyspepsia Berobat Jalan

4148 02-12-2019 100718011219P000330 0000790979231 KARWATI P PBI (APBN) Cough Berobat Jalan

4149 02-12-2019 100718011219P000331 0000790979714 KOMAR L PBI (APBN) Cough Berobat Jalan

4150 02-12-2019 100718011219P000332 0000790985924 RIPAH P PBI (APBN) Cough Berobat Jalan

4151 02-12-2019 100718011219P000333 0000790986093 DENI L PBI (APBN) Cough Berobat Jalan

4152 02-12-2019 100718011219P000334 0000790986835 SAWA L PBI (APBN) Cough Berobat Jalan

4153 02-12-2019 100718011219P000335 0000791000256 NURSIH P PBI (APBN) Cough Berobat Jalan

4154 02-12-2019 100718011219P000336 0000791000583 PIPIN L PBI (APBN) Cough Berobat Jalan

4155 02-12-2019 100718011219P000337 0000791000627 ARNAH P PBI (APBN) Cough Berobat Jalan

4156 02-12-2019 100718011219P000338 0000791001033 ANEN L PBI (APBN) Cough Berobat Jalan

4157 02-12-2019 100718011219P000339 0000791001358 AGUS L PBI (APBN) Cough Berobat Jalan

4158 02-12-2019 100718011219P000340 0000791001459 SURMAH P PBI (APBN) Cough Berobat Jalan

4159 02-12-2019 100718011219P000341 0000791001786 ANAM L PBI (APBN) Cough Berobat Jalan

4160 02-12-2019 100718011219P000342 0000791001854 ANAH P PBI (APBN) Cough Berobat Jalan

4161 02-12-2019 100718011219P000343 0000791026143 LILIS P PBI (APBN) Cough Berobat Jalan

4162 02-12-2019 100718011219P000344 0000791027234 ARWADI L PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4163 02-12-2019 100718011219P000083 0000791035751 RUMSINAH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4164 02-12-2019 100718011219P000084 0000791036109 WATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4165 02-12-2019 100718011219P000345 0000791052974 TINAH P PBI (APBN) Cough Berobat Jalan

4166 02-12-2019 100718011219P000346 0000791055639 AENI P PBI (APBN) Cough Berobat Jalan

4167 02-12-2019 100718011219P000347 0000791057081 ANDRI L PBI (APBN) Cough Berobat Jalan

4168 02-12-2019 100718011219P000348 0000791057169 SARMEDI L PBI (APBN) Cough Berobat Jalan

4169 02-12-2019 100718011219P000349 0000791070219 YATI P PBI (APBN) Cough Berobat Jalan

4170 02-12-2019 100718011219P000350 0000791072537 SUKATMA L PBI (APBN) Cough Berobat Jalan

4171 02-12-2019 100718011219P000351 0000791072627 DEDE P PBI (APBN) Cough Berobat Jalan

4172 02-12-2019 100718011219P000352 0000791072796 SUNATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4173 02-12-2019 100718011219P002989 0000791087883 KURDI L PBI (APBN) Insulin-dependent Berobat Jalan Diabetes
diabetes mellitus with Mellitus
other specified
complications
4174 02-12-2019 100718011219P000353 0000791106164 PAHMI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4175 02-12-2019 100718011219P000085 0000791107086 AAM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4176 02-12-2019 100718011219P000098 0000791107413 SITI ATIAH P PBI (APBN) Cough Berobat Jalan

4177 02-12-2019 100718011219P000128 0000791107694 SITI MAESAROH P PBI (APBN) Cough Berobat Jalan

4178 02-12-2019 100718011219P000129 0000791107997 ALMAN L PBI (APBN) Cough Berobat Jalan

4179 02-12-2019 100718011219P000354 0000791115693 ANARSIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4180 02-12-2019 100718011219P000130 0000791126493 KUSNI P PBI (APBN) Cough Berobat Jalan

4181 02-12-2019 100718011219P000355 0000791135605 SARMEDI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4182 02-12-2019 100718011219P000356 0000791135627 SUMYATI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4183 02-12-2019 100718011219P000131 0000791139407 YENI P PBI (APBN) Cough Berobat Jalan

4184 02-12-2019 100718011219P000132 0000791140498 ABIDIN L PBI (APBN) Cough Berobat Jalan

4185 02-12-2019 100718011219P000133 0000791140926 NURBAH P PBI (APBN) Cough Berobat Jalan

4186 02-12-2019 100718011219P000357 0000791141578 ARI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4187 02-12-2019 100718011219P000358 0000791143187 KARSIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4188 02-12-2019 100718011219P000359 0000791147092 NEHA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4189 02-12-2019 100718011219P000360 0000791152266 SALMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4190 02-12-2019 100718011219P000361 0000791152468 OCIH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4191 02-12-2019 100718011219P000362 0000791153188 SAMONG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4192 02-12-2019 100718011219P000363 0000791153447 SARTEM P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4193 02-12-2019 100718011219P000134 0000791156373 AGUS RISWANTO L PBI (APBN) Cough Berobat Jalan

4194 02-12-2019 100718011219P000135 0000791156766 DEDEN L PBI (APBN) Cough Berobat Jalan

4195 02-12-2019 100718011219P000136 0000791156891 IJAH P PBI (APBN) Cough Berobat Jalan

4196 02-12-2019 100718011219P000137 0000791157789 JAENUDIN L PBI (APBN) Cough Berobat Jalan

4197 02-12-2019 100718011219P000138 0000791157813 RASMANI L PBI (APBN) Cough Berobat Jalan

4198 02-12-2019 100718011219P000364 0000791158162 NANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4199 02-12-2019 100718011219P000365 0000791159769 HASANAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4200 02-12-2019 100718011219P000139 0000791166576 WARSIAH P PBI (APBN) Cough Berobat Jalan

4201 02-12-2019 100718011219P000140 0000791166745 WIWIN P PBI (APBN) Cough Berobat Jalan

4202 02-12-2019 100718011219P000141 0000791188558 SURJANI L PBI (APBN) Cough Berobat Jalan

4203 02-12-2019 100718011219P000366 0000791199854 JANA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4204 02-12-2019 100718011219P000367 0000791206402 ANIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4205 02-12-2019 100718011219P000368 0000791218866 LASTRI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4206 02-12-2019 100718011219P000369 0000791228463 NURDIYANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4207 02-12-2019 100718011219P000370 0000791254517 MUTIAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4208 02-12-2019 100718011219P000142 0000791279741 ASTI P PBI (APBN) Cough Berobat Jalan

4209 02-12-2019 100718011219P000248 0000791282801 EMAH P PBI (APBN) Dyspepsia Berobat Jalan

4210 02-12-2019 100718011219P000249 0000791293937 SURYANA L PBI (APBN) Cough Berobat Jalan

4211 02-12-2019 100718011219P000250 0000791295153 MARIAM P PBI (APBN) Dyspepsia Berobat Jalan

4212 02-12-2019 100718011219P000154 0000791308967 SUHERTI P PBI (APBN) Cough Berobat Jalan

4213 02-12-2019 100718011219P000304 0000791335225 AWINAH P PBI (APBN) Dyspepsia Berobat Jalan

4214 02-12-2019 100718011219P000003 0000791337521 JUJU P PBI (APBN) Cough Berobat Jalan

4215 02-12-2019 100718011219P000155 0000791338454 BILI L PBI (APBN) Cough Berobat Jalan

4216 02-12-2019 100718011219P000251 0000791402995 SUTRAWI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4217 02-12-2019 100718011219P000252 0000791417553 JURIAH P PBI (APBN) Cough Berobat Jalan

4218 02-12-2019 100718011219P000253 0000791419566 SARJAYASA L PBI (APBN) Cough Berobat Jalan

4219 02-12-2019 100718011219P000254 0000791419678 ARSAH P PBI (APBN) Dyspepsia Berobat Jalan

4220 02-12-2019 100718011219P000255 0000791420376 SARMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4221 02-12-2019 100718011219P000256 0000791450133 UBAY SUWARDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4222 02-12-2019 100718011219P000257 0000791450291 NURHASANAH P PBI (APBN) Dyspepsia Berobat Jalan

4223 02-12-2019 100718011219P000258 0000791450921 M AGUS ROMANSAH L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4224 02-12-2019 100718011219P000259 0000791451371 SITI JUBAEDAH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4225 02-12-2019 100718011219P000260 0000791451696 AHMAD YANI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4226 02-12-2019 100718011219P000261 0000791451909 RUMSINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4227 02-12-2019 100718011219P000262 0000791452225 MOH RIZWAN AHMAD L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4228 02-12-2019 100718011219P000263 0000791466647 MOH KIAN APRIANSYAH L PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4229 02-12-2019 100718011219P000264 0000791467031 DAYAT HIDAYAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4230 02-12-2019 100718011219P000265 0000791467705 UNTUNG SUWARDI L PBI (APBN) Cough Berobat Jalan

4231 02-12-2019 100718011219P000266 0000791468616 JUMINAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4232 02-12-2019 100718011219P000267 0000791469123 PRIYANTO L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4233 02-12-2019 100718011219P000268 0000791469977 RIPALTO L PBI (APBN) Cough Berobat Jalan

4234 02-12-2019 100718011219P000269 0000791471215 SUPARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4235 02-12-2019 100718011219P000270 0000791471867 YAYAH P PBI (APBN) Dyspepsia Berobat Jalan

4236 02-12-2019 100718011219P000271 0000791472003 SARTAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4237 02-12-2019 100718011219P000272 0000791472036 EMAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4238 02-12-2019 100718011219P000273 0000791472295 EMAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4239 02-12-2019 100718011219P000274 0000791472385 IIS L PBI (APBN) Cough Berobat Jalan

4240 02-12-2019 100718011219P000275 0000791472789 AAS P PBI (APBN) Dyspepsia Berobat Jalan

4241 02-12-2019 100718011219P000276 0000791473061 IMAS NURPITA SARI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4242 02-12-2019 100718011219P000277 0000791473612 ISDAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4243 02-12-2019 100718011219P000278 0000791474027 SITI RUKIMAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan

4244 02-12-2019 100718011219P000279 0000791474095 KUNTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4245 02-12-2019 100718011219P000280 0000791474264 WARSIH KURNIAWATI P PBI (APBN) Cough Berobat Jalan

4246 02-12-2019 100718011219P000281 0000791475671 ARIAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4247 02-12-2019 100718011219P000282 0000791477561 ROHENAH P PBI (APBN) Cough Berobat Jalan

4248 02-12-2019 100718011219P000283 0000791483567 HENDRI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4249 02-12-2019 100718011219P000284 0000791483815 MUHAMAD L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4250 02-12-2019 100718011219P000285 0000791484232 RASIDAM L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4251 02-12-2019 100718011219P000286 0000791484939 SUPIAYAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4252 02-12-2019 100718011219P000287 0000791486662 AMNAH P PBI (APBN) Cough Berobat Jalan

4253 02-12-2019 100718011219P000288 0000791487112 ROHAYATI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4254 02-12-2019 100718011219P000289 0000791487371 UJANG L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4255 02-12-2019 100718011219P000290 0000791487944 DEDE L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4256 02-12-2019 100718011219P000156 0000791493658 YADI SURYADI L PBI (APBN) Cough Berobat Jalan

4257 02-12-2019 100718011219P000305 0000791493906 MARYATI P PBI (APBN) Cough Berobat Jalan

4258 02-12-2019 100718011219P000306 0000791494277 IWANG L PBI (APBN) Cough Berobat Jalan

4259 02-12-2019 100718011219P000291 0000791500061 MOZA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4260 02-12-2019 100718011219P000307 0000791516002 AMIR L PBI (APBN) Cough Berobat Jalan

4261 02-12-2019 100718011219P000308 0000791516057 AMINAH P PBI (APBN) Cough Berobat Jalan

4262 02-12-2019 100718011219P000292 0000791516182 WARTO L PBI (APBN) Dyspepsia Berobat Jalan

4263 02-12-2019 100718011219P000293 0000791518454 SITI AULIA P PBI (APBN) Cough Berobat Jalan

4264 02-12-2019 100718011219P000294 0000791518522 RASAD L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4265 02-12-2019 100718011219P000295 0000791520232 HENDI L PBI (APBN) Cough Berobat Jalan

4266 02-12-2019 100718011219P000296 0000791520772 SARNAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4267 02-12-2019 100718011219P000309 0000791546376 MULYADI S L PBI (APBN) Cough Berobat Jalan

4268 02-12-2019 100718011219P000310 0000791547603 TIKA MARLINA P PBI (APBN) Cough Berobat Jalan

4269 02-12-2019 100718011219P000311 0000791557176 UKON L PBI (APBN) Cough Berobat Jalan

4270 02-12-2019 100718011219P000312 0000791557492 SARIAH P PBI (APBN) Cough Berobat Jalan

4271 02-12-2019 100718011219P000297 0000791575514 NENI P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4272 02-12-2019 100718011219P000298 0000791636556 KAMSAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4273 02-12-2019 100718011219P000313 0000791662724 DEPI P PBI (APBN) Cough Berobat Jalan

4274 02-12-2019 100718011219P000299 0000791700693 AGUS TAP L PBI (APBN) Cough Berobat Jalan

4275 02-12-2019 100718011219P000314 0000791749708 SUHERNI P PBI (APBN) Cough Berobat Jalan

4276 02-12-2019 100718011219P000315 0001050382181 DIANAH P PBI (APBN) Cough Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4277 02-12-2019 100718011219P000300 0001050382214 MULYATI P PBI (APBN) Dyspepsia Berobat Jalan

4278 02-12-2019 100718011219P000301 0001050382258 OOM P PBI (APBN) Gastritis and duodenitis Berobat Jalan

4279 02-12-2019 100718011219P000316 0001050382438 NANA P PBI (APBN) Cough Berobat Jalan

4280 02-12-2019 100718011219P000302 0001189923669 DONI SUDONI L PEGAWAI SWASTA Cough Berobat Jalan

4281 02-12-2019 100718011219P000303 0001282412823 PENDI L PEKERJA MANDIRI Dyspepsia Berobat Jalan

4282 02-12-2019 100718011219P000317 0001317116788 KAILA SYAHROTUL ZANAH P PBI (APBD) Cough Berobat Jalan

4283 02-12-2019 100718011219P000318 0001398341935 SITI MURIANAH P PBI (APBD) Cough Berobat Jalan

4284 02-12-2019 100718011219P000319 0001596943888 SULASIAH P PBI (APBD) Cough Berobat Jalan

4285 02-12-2019 100718011219P000320 0001812831333 RIZAL FAUZI L PBI (APBD) Cough Berobat Jalan

4286 02-12-2019 100718011219P000321 0001812832187 MAULANI INDI SARI P PBI (APBD) Cough Berobat Jalan

4287 02-12-2019 100718011219P000322 0001919463737 IKBAL MAULIDI L PBI (APBN) Cough Berobat Jalan

4288 02-12-2019 100718011219P000323 0001919463783 FADLI L PBI (APBN) Cough Berobat Jalan

4289 02-12-2019 100718011219P000143 0001919463851 M. AKBAR L PBI (APBN) Cough Berobat Jalan

4290 02-12-2019 100718011219P000144 0001919555436 HALIMI L PBI (APBN) Dyspepsia Berobat Jalan

4291 02-12-2019 100718011219P000145 0001992254771 SALDI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
4292 02-12-2019 100718011219P004361 0001992266054 RIZKI L PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified
complications
4293 02-12-2019 100718011219P000146 0001992272387 SUPRIATNA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4294 02-12-2019 100718011219P000147 0001992274604 EVA FAUZIAH P PBI (APBN) Cough Berobat Jalan

4295 02-12-2019 100718011219P000148 0001992310435 SITI SUARSIH P PBI (APBN) Acute obstructive laryngitis Berobat Jalan
[croup] and epiglottitis

4296 02-12-2019 100718011219P000149 0001992310852 SUHARTA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4297 02-12-2019 100718011219P004359 0001992387407 IMAL APANDI L PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4298 02-12-2019 100718011219P000150 0001992391975 EVAN FAUZAN L PBI (APBN) Cough Berobat Jalan

4299 02-12-2019 100718011219P004360 0001992448473 ABID BAHTIAR L PBI (APBN) Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified
complications
4300 02-12-2019 100718011219P000151 0001992455548 AMSORI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4301 02-12-2019 100718011219P000152 0001992517953 SALMAH P PBI (APBN) Cough Berobat Jalan

4302 02-12-2019 100718011219P000153 0001992566417 AHMAD IHWANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4303 02-12-2019 100718011219P002990 0002050737849 hj.sawedah P PEKERJA MANDIRI Insulin-dependent Berobat Jalan Diabetes
diabetes mellitus with Mellitus
other specified Hipertensi
complications
4304 02-12-2019 100718011219P000157 0002449722745 GITO WIDIYANTO L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
4305 02-12-2019 100718011219P000158 0002521846765 NADIA ANDRIYANI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

4306 02-12-2019 100718011219P000007 0002631193751 MAMAH P PBI (APBN) Dyspepsia Berobat Jalan

4307 02-12-2019 100718011219P000002 0002641916441 SITI MULYATI P PBI (APBN) Dyspepsia Berobat Jalan

4308 02-12-2019 100718011219P000159 0002647221941 M ZAKI MAULANA L PBI (APBN) Cough Berobat Jalan

4309 02-12-2019 100718011219P000160 0002647223403 KESYA LORO PUTRI P PBI (APBN) Cough Berobat Jalan

4310 02-12-2019 100718011219P000006 0002647223728 MIDAH P PBI (APBN) Cough Berobat Jalan

4311 02-12-2019 100718011219P000008 0002687609068 SITI MUFTAH DAJAKIROH P PBI (APBD) Cough Berobat Jalan

4312 02-12-2019 100718011219P000009 0002687636057 NURMILA P PBI (APBD) Malignant neoplasm of Rujuk Vertikal
other and ill-defined sites
4313 01-12-2019 100718011219P002881 0000046285806 DARMIN DANUWIOTO L PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4314 01-12-2019 100718011219P002898 0000046285817 SAMIAH P PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4315 01-12-2019 100718011219P002887 0000046299802 KARSAN L PNS DAERAH Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4316 01-12-2019 100718011219P002913 0000046579724 HANIS GANI L PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4317 01-12-2019 100718011219P002916 0000046579735 SITI SUNARSIH P PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4318 01-12-2019 100718011219P002928 0000046580275 SURNI L PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4319 01-12-2019 100718011219P002896 0000046679883 SABIAH P PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4320 01-12-2019 100718011219P002901 0000046680052 SUHANDI L PNS DAERAH Hypertensive heart Berobat Jalan Hipertensi Hipertensi
disease without
(congestive) heart failure
4321 01-12-2019 100718011219P004346 0000199057342 AAS SOHIPA P PNS DAERAH Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4322 01-12-2019 100718011219P002878 0000203187508 ARMACI P PNS DAERAH Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4323 01-12-2019 100718011219P002889 0000211164592 M. SANTIBI L PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4324 01-12-2019 100718011219P002905 0000789437542 ETI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4325 01-12-2019 100718011219P004354 0000789446417 ENENG P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4326 01-12-2019 100718011219P004355 0000789463539 ASMAN L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4327 01-12-2019 100718011219P004356 0000789501249 SURNI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4328 01-12-2019 100718011219P004357 0000789505751 SARJAM L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4329 01-12-2019 100718011219P002915 0000789818319 SITI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4330 01-12-2019 100718011219P004334 0000790090762 MUNAJAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4331 01-12-2019 100718011219P002924 0000790129899 MARNI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4332 01-12-2019 100718011219P004341 0000790226796 NENG SARINAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4333 01-12-2019 100718011219P002891 0000790242401 MILA P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4334 01-12-2019 100718011219P002925 0000790383609 MENAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4335 01-12-2019 100718011219P002918 0000790399517 TATI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4336 01-12-2019 100718011219P002909 0000790417383 ASMARIAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4337 01-12-2019 100718011219P004358 0000790424559 RODIAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4338 01-12-2019 100718011219P002912 0000790438577 NARSAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4339 01-12-2019 100718011219P002919 0000790446633 SARDAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4340 01-12-2019 100718011219P002914 0000790498056 MARIAM P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4341 01-12-2019 100718011219P002922 0000790565681 JARTI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4342 01-12-2019 100718011219P002917 0000790626598 SUNIAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4343 01-12-2019 100718011219P002923 0000790642596 YOYOH SUJANAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4344 01-12-2019 100718011219P002920 0000790671778 KASIAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4345 01-12-2019 100718011219P002921 0000790674074 NATI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4346 01-12-2019 100718011219P004349 0000790699419 SITI NURHAYATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4347 01-12-2019 100718011219P002927 0000790708803 MUNAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4348 01-12-2019 100718011219P004347 0000790887238 NURHAYATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4349 01-12-2019 100718011219P004335 0000790902347 ENE P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4350 01-12-2019 100718011219P002890 0000790911742 MASFUFAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4351 01-12-2019 100718011219P002907 0000790940801 SITI YUMYATI P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4352 01-12-2019 100718011219P002906 0000791010369 PIAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4353 01-12-2019 100718011219P002904 0000791010696 IJUM P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4354 01-12-2019 100718011219P004350 0000791022194 ROMI L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4355 01-12-2019 100718011219P004352 0000791066081 MULYATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4356 01-12-2019 100718011219P004340 0000791070219 YATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4357 01-12-2019 100718011219P002900 0000791088669 SUHAEBAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4358 01-12-2019 100718011219P004353 0000791091009 MARKI L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4359 01-12-2019 100718011219P002908 0000791114973 MADSARI L PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4360 01-12-2019 100718011219P004351 0000791121543 MURNAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4361 01-12-2019 100718011219P002888 0000791236089 KUBIL L PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4362 01-12-2019 100718011219P002876 0000791236348 AMNAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4363 01-12-2019 100718011219P002902 0000791346104 SULIBAN L PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4364 01-12-2019 100718011219P002899 0000791348523 SATIRAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4365 01-12-2019 100718011219P004348 0000791480946 INDRIYANI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4366 01-12-2019 100718011219P002894 0000791565287 MUTMAINAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4367 01-12-2019 100718011219P004339 0000791679778 RISA HIDAYATULOH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4368 01-12-2019 100718011219P004343 0000791793808 RANI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4369 01-12-2019 100718011219P002926 0001050380212 JARNAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4370 01-12-2019 100718011219P002893 0001050380379 MURNASIH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4371 01-12-2019 100718011219P002886 0001050382732 IYAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4372 01-12-2019 100718011219P002897 0001050383057 SALKAH L PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4373 01-12-2019 100718011219P002910 0001081381465 EUIS NURHAENI P PNS DAERAH Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4374 01-12-2019 100718011219P002895 0001290061102 RODIYAH P PENERIMA PENSIUN Hypertensive heart Berobat Jalan Hipertensi
PNS disease without
(congestive) heart failure
4375 01-12-2019 100718011219P002892 0001302231868 MISA L PEKERJA MANDIRI Hypertensive heart Berobat Jalan Hipertensi Hipertensi
disease without
(congestive) heart failure
4376 01-12-2019 100718011219P004332 0001328318076 UNAH MARYATI P PEGAWAI SWASTA Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4377 01-12-2019 100718011219P004338 0001596839253 MINAH P PBI (APBD) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4378 01-12-2019 100718011219P004336 0001596944801 SARINAH P PBI (APBD) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4379 01-12-2019 100718011219P002879 0001599607113 BAI P PBI (APBD) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4380 01-12-2019 100718011219P004333 0001801301861 hj TIHAT P PEKERJA MANDIRI Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4381 01-12-2019 100718011219P004345 0001992265828 SUSILAWATI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4382 01-12-2019 100718011219P002911 0001992449564 AMNAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4383 01-12-2019 100718011219P004342 0001992463604 FATIMAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4384 01-12-2019 100718011219P004337 0001992564797 OYO L PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
4385 01-12-2019 100718011219P004344 0002000388172 SUSI P PBI (APBN) Hypertensive heart Berobat Jalan
disease without
(congestive) heart failure
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SERANG - 1004

FKTP : SUMUR - 10071801

4386 01-12-2019 100718011219P002885 0002050737849 hj.sawedah P PEKERJA MANDIRI Hypertensive heart Berobat Jalan Diabetes
disease without Mellitus
(congestive) heart failure Hipertensi
4387 01-12-2019 100718011219P002883 0002679045996 HADI L PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure
4388 01-12-2019 100718011219P002903 0002679046007 SUTIAH P PBI (APBN) Hypertensive heart Berobat Jalan Hipertensi
disease without
(congestive) heart failure

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