PX Jamkesda Februari2018

DAFTAR TAGIHAN KLAIM RAWAT JALAN PASIEN JAMKESDA PUSKESMAS BATULICIN I KAB.
TANAH BUMBU
PROPINSI : KALIMANTAN SELATAN BULAN : Februari

KABUPATEN : TANAH BUMBU TAHUN : 2018
UMUR / JK TANGGAL Pelayanan Kesehatan Dan Besaran Tarif sesuai PERDA (Rp) DOKTER / JUMLAH
NO NAMA PASIEN NO.KTP L P KUNJUNGAN DIAGNOSA Konsul Petugas Jaga TAGIHAN
Poli Umum IGD Poli Gigi Poli KIA Lab
1 Ngaliman 6310080712870001 31 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000

2 Muntarni 6310084910820001 36 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
3 Mislaen 6310104406530001 65 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
4 Muhdi 6310081504580003 60 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
5 Sriyati 6310085209630001 55 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
6 Keswati 6310085001710003 47 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
7 Ni Kadek Sudiasih 6310084101750004 43 01/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
8 Nasrin 6310100406430001 75 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
9 Suwandi 6310080107520069 66 01/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
10 Suwanto 6310081012720003 46 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
11 Anik Maryani 6310084407800003 38 01/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
12 M. Risky Maulana H 6310080205110001 7 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
13 Aisyah Fitri Dwi Puspida 6310074406160001 2 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
14 Wahyu Sri Kadarsih 6310084205860001 32 01/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
15 Nurin Syifa 6310067010120003 6 01/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
16 Nur Syifa Puspa Sari 6310075106120001 6 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
17 Rizal Murif 6310082202170001 1 01/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
18 Varhisa Aprilia 6310076904170001 1 01/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
19 Anggun Nur Raya 6310075302170001 1 01/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
20 Dimas Adi Saputra 6310071712060002 12 01/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
21 Muh. Bagas Hendrawan 6310082904050003 13 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
22 M. Sultan Harianto 6310080404070001 11 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
23 Hizbullah 6310080907070003 11 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
24 Maulana Akbar 6310081912050002 13 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
25 Muhammad Evan Aldian 3305180409070001 11 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
26 Muhammad Hilal Rama 6310082409060001 12 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
27 Andika Trianto 6310080111100002 8 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
28 Widiyana Rahmawati 6310084909070005 11 01/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
29 Maya Astuti 6310086605070001 11 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
30 M. Aldi Saputra 6310090712060004 12 01/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
31 Andi Fatua Rifansyah 6310081511060001 12 01/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
32 Marsya Putri Prasetia 6310084104070002 11 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
33 Elsa Amelia 6310084501070001 11 01/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
34 Bambang Agus Suran 6310082404980002 20 02/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
36 Sumiati 6310074106840002 34 02/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
37 Muhammad Rahim 6310080107020055 16 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
38 Zaenal Abidin 6310070707860002 32 02/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
39 Hariyanti 6310037005880001 30 02/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
40 Sukardi 6310082107760001 42 02/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
41 Rahini 6310084107610014 57 02/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
42 Abdul Kohar 6310081702930002 25 02/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
43 Tumari 6310082803830003 35 02/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
44 Sinah 6310084104580001 60 02/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
45 Sutinah 6310085107670002 51 02/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
46 Sunari 6310080809530001 65 02/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
47 Astuti 6310105009690001 49 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
48 Rabiatull Nasyitah 6310074912160001 2 02/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
49 Irfan Fauji 6310100512990001 19 02/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
50 Rahmat Aditya 6310071904140001 4 02/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
51 Jumaini 6310084107010035 17 02/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
52 Erwin 6303100310920002 26 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
53 Alwarizky Ramadhan 6310071706170001 1 02/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
54 M. Sandy Pratama 6310080101070008 11 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
55 Hernia Elynti 6310066005060001 12 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
56 Muhammad Aswan 6310091902080008 10 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
57 Nor Ifansyah 6310071102070002 11 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
58 Muhammad Arsani 6310080502050005 13 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
59 Aldo Abdillah 6310080504060001 12 02/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
60 Aulia Elfiana Putri 6310085905070001 11 02/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
61 Paradilah Novitasari 6310074511060001 12 02/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
63 Karya Meja 6310080507640005 34 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
64 Armanur Lesta Prayogi 6310080404010001 17 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
65 Ahmad Nur Arif Billah 6310071003130002 5 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
66 Pan Safari 6310080107010045 17 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
67 I Wayan Ristawan 6310073007030001 15 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
68 Novita Sarah 6310086011010005 17 03/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
69 Tumisih 6310085111680002 50 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
70 Sahlah 6310106410640001 54 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
71 Munifan 6310084107820024 36 03/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
72 Sukardi 6310080107550054 63 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
73 Bambang Waluyo 6310081807660001 52 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
74 Jumini 6310085209580001 60 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
75 Kholisatun 6310105406750002 43 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
76 Nur Wahyudin 6310070906960001 22 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
77 Trubus 6310080709600001 58 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
78 Burhansyah 6310082005650001 53 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
79 Taim 6310080806550003 63 03/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
80 Slamet Apaus Juwedi 6310011111820001 36 03/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
81 Kepin Adiansyah 6310070609130003 5 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
82 Fania Noor Hidayah 6310075608170002 1 03/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
83 Najwa Putri Nur Afifah 6310084608160001 2 03/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
84 Naura Hasna Annida 6310075503140001 4 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
85 Muhammad Furqon S 5203132008070004 11 03/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
86 Juriah Novianti 6310085611070003 11 03/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
87 Lukmanul Hakim 6310072512070001 11 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
88 Muhammad Reyhan 6310082402080002 10 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
89 Azril Ridkhodatulaisy 6310082511070001 11 03/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
90 Sandra Hedrani 6310096201080001 10 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
91 Nanda Hafifah 6310085108070001 11 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
92 Marfina Sari 6310084203080001 10 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
93 B. Khairi Tazkiyah 6310074710070001 11 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
94 Ahmad Saeful Fadhli 6310082812070004 11 03/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
95 Septya Ramadani 6310082209070001 11 03/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
96 Safrina Aulia Rahmah 6310084109070001 11 03/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
97 Fiqa Sahala Sulistyan 6310066005080005 10 03/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
101 Hermansyah 6310090708720006 40 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
102 Parsilah 6310086608590001 59 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
103 Ni Luh Sudarsi 6310086103710001 47 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
104 Umyati 6310084107650017 53 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
105 Kasniah 6310094307650002 53 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
106 Siti Rohmah 6310095704730005 45 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
107 Mujiati 6310084504620002 56 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
108 Rohimah 6310084501800001 38 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
109 Robiah 6310085302800002 38 05/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
110 Agus Purnomo 6310101408920003 26 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
111 Subandi 6310101812500001 68 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
112 Marisrom 6310084107670046 51 05/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
113 Linda Sriyanti 6310084311890001 29 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
114 Jumanis 6310084107460014 72 05/02/2018 Diabetes Rp 10,000 dr. Toto H Rp 10,000
115 Anisa Norahma 6310075412130001 1 05/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
116 Dina Maulida 6310094502110002 7 05/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
117 Muhammad Jamaluddin 6310071902160001 2 05/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
118 Tiara Lestari 6310085311090001 9 05/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
119 Riani Kusnianti 6310084707050003 13 05/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
120 Heni Krisyana 6310080106980001 10 05/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
121 Diah Ayu Tiara Dewi 6310065905020001 16 05/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
122 Aisyah Fitri Dwi Puspida 6310074406160001 2 05/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
123 Rizma Ramadayanti 6310104709090003 9 05/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
124 Syafira Natasya RP 6310075501170001 1 05/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
125 Misnawati 6310094809040006 14 05/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
127 Agus Purnomo 6310101408920003 26 06/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
128 Sarmo 6310080107680058 50 06/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
129 Dedy Septa Kustiawan 6310081309850002 33 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
130 Muhammad Arsyad M 6310082601120001 6 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
131 Winarsih 6310084707770002 41 06/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
132 Rimula 6310091703830002 35 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
133 Patriah 6310080107490015 69 06/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
134 Kamsiah 6310086502690001 49 06/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
135 Siti Tunjiah 6310085707990004 19 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
136 Misran 6310082708720001 46 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
137 Halimatul Adawiyah 6310095511800007 38 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
138 Rahmawati 6310085105850003 33 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
139 Salasiah 6310086607700001 48 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
140 Wati 6310094403700003 48 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
141 Hauzan Irhab Nabil 6310072905170001 1 06/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
142 Rayhan Fauzan 6310071306140001 4 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
143 Muhammad Febriyadi 6310070102160001 2 06/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
144 Muhammad Faturrahman 6310082107050003 13 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
145 Sabiq Bagus Pratama 6310041606060003 12 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
146 Muhammad Bayhacky 6310081807070002 11 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
147 Laely Anisa Hayati 6310074302070002 11 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
148 Ayu Susilo Wati 6310086502070001 11 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
149 M. Agung Sedayu 6310051911060001 12 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
150 Rahmad Padliansyah 6310082801070006 11 06/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
151 Diki Cahya Saputra 6310072908070001 11 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
152 Wahyudi 6310090402050005 13 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
153 Icha 6310084107070027 11 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
154 Sherina Mely Agustina 6310084811070002 11 06/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
155 Sindy Ayu Cahyani 6310086908070001 11 06/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
156 Isbik Fairus Ahmad 6310070302070003 11 06/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
157 Narko 6302170807890001 29 07/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
159 Suwarni 6310084107480035 70 07/02/2018 Diabetes Rp 10,000 dr. Toto H Rp 10,000
160 Agus Purnomo 6310101408920003 26 07/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
161 Hermansyah 6310090708720006 46 07/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
163 Pan Safari 6310080107010045 17 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
164 Aminullah 6310080107530073 65 07/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
165 Wagimin 6310080101470004 71 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
166 Suripah 6310085312710002 47 07/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
167 Mahdin 6310081604470001 71 07/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
168 Rahmah 6310097012810008 38 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
169 Ahmad Zaidi 6310090205790003 39 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
170 I Made Wiarta 6310080609980001 20 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
171 Siti Jamrah 6310094107620173 56 07/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
172 Sarikin Thobin 6310090303050012 13 07/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
173 Jamidin 6310081303910001 27 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
174 Mayra Putri Febianti 6310075602120001 6 07/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
175 Febryansyah 6310081312030001 15 07/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
176 Muhammad Raihan 6310080506060005 12 07/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
177 Dina Rahayu 6310085806070001 11 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
178 Noerman Hakim 6310071810060001 12 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
179 Ardiyanto 6310091505050016 13 07/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
180 Tuhfatun Maqiyah 6310086809060002 12 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
181 Sopia Nur Fitriani 6310084310060001 12 07/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
182 Restifa Nazwa Azhura 6310084707070011 11 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
183 Ira Damayanti 6310095610020001 16 07/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
184 Adi Firmansyah 6301072411110004 7 07/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
185 M. Ridho Sukarna 6310081405090001 9 07/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
186 Putri Zahrah 6310085704070006 11 07/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
187 Novi Arini 6310086304070001 11 07/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
188 Rita Setia 6310087107060002 12 07/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
190 Sugianto 6310082506730001 45 08/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
191 Saryono 6310080510510001 67 08/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
192 M. Sidik 6310080107710036 47 08/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
193 Ahmad Rifa'i 6310102106790001 39 08/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
194 Narsiah 6310084312680001 50 08/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
195 Suci Yani 6310085005930005 25 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
196 Sutianah 6310095010670006 51 08/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
197 I. Tohriadi 6310086007500001 68 08/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
198 Jayuli 6310080307690001 49 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
199 Samilah 6310084107610032 57 08/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
200 Subandi 6310101812500001 68 08/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
201 Hamsan Murad 6310060101290001 89 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
202 Devi Anggelia Rahma 6310076512120002 6 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
203 Ahmad Alilintar 6310101301120002 6 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
204 Koriah 6310084707970001 22 08/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
205 Andi Saputra 6310081002040002 14 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
206 Vikri Dwi Romdani 6310101308090002 9 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
207 M. Rozi Zein Alfakih 6310070408060001 2 08/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
208 Susi Hariyanti 6310086103010001 17 08/02/2018 Dyspepsia Rp 10,000 dr. Toto H Rp 10,000
209 Fatimah Azahra 6310075808130002 5 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
210 Ahmad Nur Arif Billah 6310071003130002 5 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
211 Muhammad Febri Aditya 6310070909100002 8 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
212 Restu Asti Drajat 6310070905070001 11 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
213 Agus Andriawan 6310082008050001 13 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
214 Ikhlas Adisfitriawan 6310080811060004 12 08/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
215 Mochamad Faris Ardian 6310080108060003 12 08/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
216 Nadia Novianti 6310086511060002 12 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
217 Muhamad Irwan 6310080101070008 11 08/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
218 Mawarti Jannah 6310085902070003 11 08/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
219 Adi Riyanto 6310082904050004 13 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
220 Agus Indriawan 6310081608070001 11 08/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
222 Wage 6310080304820001 36 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
223 Siti Sukarsih 6310085708610001 57 09/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
224 Riyanti 6310105912770001 41 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
225 Ni Ketut Ariani 6310086005760001 42 09/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
226 Ni Wayan Sulastri 6310084901660001 52 09/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
227 Rusmini 6310086010790001 39 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
228 Taim 6310080806550003 63 09/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
229 Baiq Humaira Rafania S 6310074811160001 2 09/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
230 Putri Maya Sari 6310085210060002 12 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
231 Yu'uki Rahmayanti 6310075209050003 13 09/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
232 Pawitri 6310084206050003 13 09/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
233 Sholeha 6310084107040042 13 09/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
234 Herma Rosalya Indah 6310084908040001 14 09/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
235 Sri Wahyuni 6310084202030002 15 09/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
236 Fadiah Hairunnisa 6310095906050002 13 09/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
237 Lira Tiurma Simanjuntak 6310084609050001 13 09/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
238 Umi Fidayanti 6310084704040001 14 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
239 Mela Safitri 6310064111040001 14 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
240 Saiful Pajar 6310060209060001 12 09/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
241 Muhammad Rifqi Ardhani 6310072911150001 3 09/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
243 Hamsani 6310090805820004 30 10/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
244 Siti Rohmah 6310095704730005 45 10/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
245 Danu Aris Kurniawan 6310080304980001 20 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
246 I Gede Adi Irawan 6310081705910001 27 10/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
247 Ni Nengah Putriani 6310085302950001 23 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
248 Kamini 6310085004800002 38 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
249 Rusmini 6310086010790001 39 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
250 Bambang Waluyo 6310081807660001 52 10/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
251 Nazril Fahreza 6310071909170001 1 10/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
252 Rosyita Juni Syam 6310084207050001 13 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
253 Mu'minawati 6310094507050005 13 10/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
254 Nanda Kartika Dewi 6310076601050001 13 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
255 Dheya Hasanah 6310086906050001 13 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
256 Lesma 6310095804040009 14 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
257 Ni Made Sucipta Puntari 6310085303040001 14 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
258 Nurfariyanti 6310085508050002 13 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
259 Dahniar Monadisa 6310084107060046 13 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
260 Lina Ramadani 6310086208110001 7 10/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
261 Hatmi Susanti 6310096210000003 18 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
262 Imel Maulida 6310075301130002 5 10/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
263 Davida Afilyas 6310072304150002 3 10/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
264 I Made Andi Wirawan 6310070208170001 1 10/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
265 Novita Anggraini 6310105111050001 13 10/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
266 Umar Sidik 6310101207000001 18 10/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
267 Sunari 6310080809530001 65 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
268 Bejo 6310100212520001 66 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
269 Suparni 6310084107620023 56 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
270 Ni Ketut Ahiani 6310086005760001 42 12/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
271 Suwarno 6310081009770001 41 12/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
272 Abdul Sani 6310090107430039 75 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
273 Sariati 6310085705750001 43 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
274 Daliman 6310080107540005 64 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
275 Supinah 6310084107670079 51 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
276 Jumini 6310085209580001 60 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
277 Sukardi 6310080107550054 63 12/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
278 Sar'i 6310083004760001 42 12/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
279 Aslamiah 6310075607800002 38 12/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
280 Wahyu Nur Iksan 6310080701040001 14 12/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
281 Irfan Aprilia 6310082404110002 7 12/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
282 Rizki Hendrian 6310061101050005 13 12/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
283 Muhammad Andriansyah 6310091411030004 15 12/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
284 Wahyu Nur Iksan 6310080701040001 14 12/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
285 I Ketut Pande Prayana 6310070101050001 13 12/02/2018 Dermatitis Rp 10,000 dr. Toto H Rp 10,000
286 M. Wahyudi 6310081210040003 14 12/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
287 Adam Firdaus 6310082005030003 14 12/02/2018 Konjungtifitis Rp 10,000 dr. Toto H Rp 10,000
288 Ferry Susanto 6310082609030002 15 12/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
289 Sapril Hadi Putra 6310022704030001 15 12/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
290 Komaruzzaman 6310081208050001 13 12/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
291 Andrean Rahmadani 6310082208050001 13 12/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
292 Rukiyah 6310084809730001 45 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
293 Suwarto 6310080107530069 65 13/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
294 Samsudin 6310082511730002 45 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
295 Dwi Lestari 6310084603940001 24 13/02/2018 Gastritis Rp 10,000 dr. Toto H Rp 10,000
296 Rehanun 6310085407740001 44 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
297 Ni Wayan Sulastri 6310084901660001 52 13/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
298 Wagimin 6310080101470004 71 13/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
299 Jamilah 6310085605620001 56 13/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
300 H. Muridun 6310081503600002 58 13/02/2018 Hipertensi Rp 10,000 dr. Toto H Rp 10,000
301 Gisel Aprilia 6310074904140004 4 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
302 Keiza Aisyila Azahwa 6302144307120001 6 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
303 Ahmad Alieffatul Anam 6310071405160001 2 13/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
304 Farzana Susanto 6310084410170001 1 13/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
305 Muhammad Azrilriyansy 6310080907110001 7 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
306 Farhan Susanto 6310080410170002 1 13/02/2018 Febris Rp 10,000 dr. Toto H Rp 10,000
307 Toni Hermawan 6310081204090002 9 13/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000
308 Ni Kadek Sukmasari 6310086602050001 13 13/02/2018 Diare Rp 10,000 dr. Toto H Rp 10,000
309 Alia 6310095112060010 12 13/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
310 Muhammad Habibi 6310060307130002 5 13/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
311 Ruhayah 6310065305130001 5 13/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
312 Lutfi Khari 6310092601120002 6 13/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
313 Rosa Rahmawati 6310087012040001 14 13/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
314 Rokhimatul Aliya 6310076511150001 3 13/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
315 Rina Indriyani 3602134811970002 21 14/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
316 Jumadi 6310080101820004 36 14/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
317 Men Suparti 6310084107520044 66 14/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
318 Rahmawati 6310085105850003 33 14/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
319 Ernawati 6310086404910003 27 14/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
320 H. M. Alwi 6310100702520002 66 14/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
321 Andi Santoso 6310082111820001 36 14/02/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
322 Wulan Sari'ah 6310084102040004 14 14/02/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
323 Maulida Syafitri 6310074805050003 13 14/02/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
324 Arja Luthfi Aditya 6310100702120001 6 14/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
325 Vino Alfajar 6310061508160002 2 14/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
326 Desy Marcela 6310095107050003 13 14/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
327 Aprillia Noer 6310074204120001 6 14/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
328 M. Sandika 6310060908060004 12 14/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
329 Nadila Rahmawati 6310085504050001 13 14/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
330 Muhammad Ahda 6310060309120001 6 14/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
331 Jessi Manuella 6310075006160001 2 14/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
332 Sayem 6310084107580073 60 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
333 Siti Rohmah 6310095704730005 45 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
334 Taryo 6310080107490020 69 15/02/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
335 Murdiati 6304174207800002 32 15/02/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
336 Samilah 6310084107610032 57 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
337 Saminah 6310084204490001 69 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
338 Saipul Anwar 6310082005680001 30 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
339 Emah 6310084107680078 50 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
340 Sukirman 6310080408500001 68 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
341 L. Tohriadi 6310086007500001 68 15/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
342 Suyono 6310051901860003 32 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
343 Hamsyah Arsyad 6310080311150001 3 15/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
344 Firda Kamelia Zahro 6310085512050003 13 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
345 Yusria Fika Agustina 6310085708030001 15 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
346 Muhammad Raditya P 6310010112110001 7 15/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
347 Nauval Abhicandra 6310072302170002 1 15/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
348 Rizki Satrio 6310080607100001 8 15/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
349 Faradisti Editia 6310076611160001 2 15/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
350 Alwarizky Ramadhan 6310071706170001 1 15/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
351 Karmila Saputri 6310076411130001 5 15/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
352 Hamsan Murad 6310060101290001 89 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
353 Dimas Rasya M. Dani 6310072206100001 8 15/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
354 Agal Saputra 6310083006140001 4 15/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
355 Lalu Suaeb 6310082504630002 55 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
356 Rubianti 6310105608780001 40 17/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
357 Dwi Lestari 6310084603940001 24 17/02/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
358 Mahnun 6310084107530074 61 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
359 Bambang Waluyo 6310081807660001 52 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
360 Satinah 6310084107430006 75 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
361 Lalu Arum 6310080107520030 66 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
362 Rohimah 6310084501800001 38 17/02/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
363 Edi Haryadi 6310082911720002 46 17/02/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
364 Modo 6310080107520033 66 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
365 Selamet Harini 6310084810830002 35 17/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
366 Kasniah 6310094307650002 53 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
367 I Nyoman Rakta 6310080207600001 58 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
368 Sutinah 6310085107670002 51 17/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
369 Muhammad Reza 6310071912160001 2 17/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
370 Riyandi 6310081101110002 7 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
371 Meyra Arsyla 6310084905160002 2 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
372 Muhammad Defriyadi 6310080412100001 8 17/02/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
373 Sri Eka Mulyani 6310074603090001 9 17/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
374 Safrudin Hidayat 6310073012110003 7 17/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
375 Syumaeni 6310075207170003 1 17/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
376 Putri Aulia 6310085403110001 7 17/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
377 Merlisa Aily Zahra 6310074510080001 10 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
378 Syarifa Adinda Sari 6310074405170001 1 17/02/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
379 Ferdianto Saputra 6310072810140001 4 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
380 Haikal Mahmud 6310072105150001 3 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
381 Caricha Olivia 6310085901110002 7 17/02/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
382 Fitha Loka 6310094401100003 8 17/02/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
383 Jaminah 6310084509310001 87 19/02/2018 Diabetes Rp 10,000 dr. Rehmia Rp 10,000
384 Siti Rohmah 6310095704730005 45 19/02/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
385 Saripandi 6310101106770002 41 19/02/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
386 Ni Made Ladri 6310085212570001 61 19/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
387 Sunarmi 6310084302530001 65 19/02/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
388 I Wayan Samudra 6310080604510001 67 2/19/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
389 Salbiah 6310084501630001 55 2/19/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
390 Herlisa Tifani 6310095005850022 33 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
391 Lasminah 6310086812890003 29 2/19/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
392 Nur Hayati 6310085202860002 32 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
393 Robiah 6310085302800002 38 2/19/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
394 Muh Rodjib Farizqo 6310082705120001 6 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
395 Tiara Lestari 6310085311090001 9 2/19/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
396 Sohibul Asy'ary 6310080909170001 1 2/19/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
397 Fitriana 6310086511030001 15 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
398 Sefti Nur Aulia 6310074309140001 4 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
399 I Kadek Agus Suartana 6310072602170001 1 2/19/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
400 Doni Inggar Saputra 6310100808040002 14 2/19/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
401 Farzana Susanto 6310084410170001 1 2/19/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
402 I Gusti Ngurah Wahyu 6310080101040007 14 2/19/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
403 Muhammad Zaini 6310050601150001 3 2/19/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
404 Arja Luthfi Aditya 6310100702120001 6 2/19/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
405 Nur Aulia Rahmah 6310076407170001 1 2/19/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
406 Lufie Aulia Nur Azizak 6310074409140001 4 2/19/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
407 Rosidah Nuraya 6310105607080001 10 2/19/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
408 Rabiatul Nasyitah 6310074912160001 2 2/19/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
409 Muhammad Hilmi Muzak 6310081711100002 8 2/19/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
410 Aslamiah 6310075607800002 38 2/19/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
411 Ratna 6310094105710003 47 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
412 Pairan 6310080404670001 51 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
413 Azifatul Latifah 6310084807930001 25 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
414 Siti Halisah 6310096606700003 48 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
415 Saijo 6310081711490001 69 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
416 Nurliyan 6310085810780001 40 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
417 Dwi Lestari 6310084603940001 24 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
418 Rahmadi 6310091608890005 29 2/20/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
419 Muslimin 6310081201840003 34 2/20/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
420 I Made Bawa 6310080301740002 44 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
421 Linda Emelia 6310075008870001 31 2/20/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
422 Mega 6310094705870001 31 2/20/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
424 Siti Sukarsih 6310085708610001 57 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
425 Wariyah 6310084105760002 42 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
426 Turni 6310084107570037 61 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
427 Waginah 6310084107750029 43 2/20/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
428 I Wayan Sumanda 6310081708600001 58 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
429 Sutianah 6310095010670006 51 2/20/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
430 Rizky Perbianto 6310070202120001 6 2/20/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
431 M. Ajie Fahlepi 6371041811000008 18 2/20/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
432 Priyanka Sekar Arum 6310086708170001 1 2/20/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
433 Muhammad Rafi 6310092605060010 12 2/20/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
434 M. Heri Hermawan 6310082002020004 16 2/20/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
435 Dika Pratama 6310070611150001 3 2/20/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
436 Nilam Cahaya 6310086001120001 6 2/20/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
437 Nayla Rathifa Al - Aqila 6310075305130001 5 2/20/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
438 Daliman 6310080107540005 64 2/21/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
439 Tumari 6310082803830003 35 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
440 Abdul Wahab Saleh 6310080107550058 63 2/21/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
441 Sulimah 6310105504780001 40 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
442 Rahini 6310084107610014 57 2/21/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
443 Wagiyah 6310085402650001 53 2/21/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
444 Hariyanti 6310037005880001 30 2/21/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
445 Sri Hartini 6310106710840003 34 2/21/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
446 M. Sidik 6310080107710036 47 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
447 Mega 6310094705870001 31 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
448 Natasya Aulia Putri 6310076111170002 1 2/21/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
449 Enggi Ningtyasih 6310085705100001 8 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
450 Safia Dela Virnanda 6310075609160003 2 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
451 Anggira Yudi Safitri 6310075003130003 5 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
452 Juweni 6310085406740002 44 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
453 Muhammad Khalid Zeed 6310072009170001 1 2/21/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
454 Aisya Okta Viani 6310087110110001 7 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
455 Siti Mardiana 6310084312950002 23 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
456 Gibriel Arga Ibrahim 6310072112160001 2 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
457 Nayra Anggrainy 6310096304140001 4 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
458 Neni Armedi 6310094401070004 11 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
459 Suprihatun Laila 6310085807030001 15 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
460 Yuyun 6310064107010013 17 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
461 Muhammad Suhron 6310081503000003 19 2/21/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
462 Herdiani 6310085609080001 10 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
463 Muhamad Fauzan 6310071403150001 3 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
464 Muhammad Arka Maulana 6310062501140001 4 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
465 Riana 6310084101100003 8 2/21/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
466 Muhammad Rony 6310090904100005 8 2/21/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
467 Raiyen Stia Dwi Nova 6310086711080001 10 2/21/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
468 Ahmad Shoufi 6310082901120001 6 2/21/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
469 Muhammad Suhron 6310081503000003 19 2/21/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
470 Kadihan 6310085111850004 29 2/22/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
471 Wagimin 6310080101470004 71 2/22/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
472 Saminah 6310084204490001 69 2/22/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
473 Saryono 6310080510510001 67 2/22/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
474 Masripati 6310084107750064 43 2/22/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
475 Martini 6310105010820008 36 2/22/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
476 Samnah 6310085105650001 53 2/22/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
477 Paiman Suwandi 6310102512820006 36 2/22/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
478 Nurlatifah 6310085311120001 6 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
479 Ahmad Ikhsani 6310072303160002 2 2/22/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
480 Dwi Alfarizi Ramadhani 6310081706160002 2 2/22/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
481 Cantika Euistia Hamida 6310085306100001 8 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
482 Muhammad Akmaluddin 6310090801100005 7 2/22/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
483 Selvia Anggreini 6310084208110001 7 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
484 Decha Nurmalasari 6310084108080001 10 2/22/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
485 Sukriadi 6310080607510001 67 2/22/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
486 Fitha Loka 6310094401100003 8 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
487 Amelia Salwa Afifah 6310074701070001 11 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
488 Muhammad Qusyairi 6310060610150002 3 2/22/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
489 Mahira Hasnah Kamila 6310066802160001 2 2/22/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
490 Laili Fitriah 6310096808110002 7 2/22/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
491 Taim 6310080806550003 63 2/23/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
492 M. Sulaiman 6310080406730002 45 2/23/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
493 Siti Rohmah 6310095704730005 45 2/23/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
494 Abdul Wahab Saleh 6310080107550058 63 2/23/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
495 Taryo 6310080107490020 69 2/23/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
496 Painah 6310087011690001 49 2/23/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
497 Siti Salamah 6310085502720001 46 2/23/2018 Konjungtifitis Rp 10,000 dr. Rehmia Rp 10,000
498 Samilah 6310084107610032 57 2/23/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
499 Muhammad Alhamdhanie 6310070605170001 1 2/23/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
500 Muhamad Rega Al-Syarif 6310080102160002 2 2/23/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
501 Muhamad Al-Fajar J 6310062502170002 1 2/23/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
502 Dino Prastiawan 6310070511140001 4 2/23/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
503 Niken Alyssa Putri 6310074809140002 4 2/23/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
504 Muhammad Ikbal Arif 6310061603150002 3 2/23/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
505 Muhammad Rizky P 6310072802110001 7 2/23/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
506 Elsy Dian Pratiwi 6310084907000002 18 2/23/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
507 Wahyu Hamdan R 6310052108110001 7 2/23/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
508 Alfianor 6310092103890003 29 2/24/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
509 Satori 1602130311860003 32 2/24/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
510 Sri Wahyuni 6310084104850003 33 2/24/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
512 Sukardi 6310080107550054 63 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
513 Tasminah 6310084107820097 36 2/24/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
514 Patimah 6401014304850002 33 2/24/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
515 Bukari 6310082508590002 59 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
516 Rusdati 6310084107670080 51 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
517 Mahnun 6310084107570074 61 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
518 Bambang Waluyo 6310081807660001 52 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
519 Sumini 6310086707480001 70 2/24/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
520 Jumadi 6310080101820004 36 2/24/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
521 Ema Fitriani 6401014801100001 8 2/24/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
522 Sofy Aulia 6310106406120001 6 2/24/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
523 M. Andika 6310082510100001 8 2/24/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
524 Doni Maulana 6310080502010001 17 2/24/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
525 Fitha Loka 6310094401100003 8 2/24/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
526 Meyra Arsyla 6310084905160002 2 2/24/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
527 Salsabila Putri 6310076209150001 3 2/24/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
528 Safia Dela Virnanda 6310075609160003 2 2/24/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
529 Gunadi 6310080107600039 58 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
530 Tinem 6310084107580053 60 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
531 Daliman 6310080107540005 64 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
532 Asiah 6310084107530018 65 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
533 Supinah 6310084107670079 51 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
534 Salbiah 6310084501630001 55 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
535 Asri 6310102503710001 47 2/26/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
536 Sunari 6310080809530001 65 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
537 I Nyoman Rakta 6310080207600001 58 2/26/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
538 Sri Wahyuni 6310084104850003 33 2/26/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
539 Narsinah 6310084508490002 69 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
540 Yayan S 6310101804550001 63 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
541 Sulastri 6310105210560001 62 2/26/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
542 Khikal Sulaiman 6310071507170001 1 2/26/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
543 Shohibul Asy'ari 6310080909170001 1 2/26/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
544 Wanda Artika Sari Devi 6310085805090001 9 2/26/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
545 Elisa Puspita 6310086812090001 9 2/26/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
546 Rahmatullah Husada 6310075503130001 5 2/26/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
547 Putri Fazarina Ningrum 6310075712100001 8 2/26/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
548 Adi Irawan 6310102901030001 15 2/26/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
549 Rusmini 6310086010790001 39 2/26/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
550 Muhamad Rizki Maulana 6310072910100001 8 2/26/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
551 Haikal Indra Pratama 6310060508160003 2 2/26/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
552 Vika Firnanda 6310064703150001 3 2/26/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
553 Muhammad Ilham Maulana 6310073110150001 3 2/26/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
554 Rasydatumarwa 6310076606130001 5 2/26/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
555 Wahyu Candra Saputra 6310101310110001 7 2/26/2018 Dermatitis Rp 10,000 dr. Rehmia Rp 10,000
556 Siti Rohmah 6310095704730005 45 2/27/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
557 Mujiati 6310084206640001 54 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
558 Suwandi 6310080107520069 62 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
559 Taim 6310080806550003 63 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
560 Mahmudin 6310081008760004 42 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
561 I Wayan Sumandia 6310081708600001 58 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
562 Kamini 6310085004800002 38 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
563 Jumiah 6310084107570071 61 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
564 Syamsir Rahman 6310091002700009 48 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
565 Sutinah 6310085107670002 51 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
566 Suliati 6310085109810001 37 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
567 Karmila Saputri 6310076411130001 5 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
568 Sahrul Amri 6310082606060003 12 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
569 Darajatu Parjan 6310080901120001 6 2/27/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
570 Rinatri Kurniawati 6310084603020002 16 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
571 Naraliva Kalisha 6310076102090001 9 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
572 Paiman Suwandi 6310102512820006 36 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
573 Ahmad Fiki 6310072702140002 4 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
574 M. Maulana Akbar Angga 6310080103030004 15 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
575 Maulidda Nurul Izzah 6310074212170001 1 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
576 Ahmad Kurniawan 6310080912110001 7 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
577 Syafira Adinda Sari 6310074405170001 1 2/27/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
578 Layem 6310085007420001 76 2/27/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
579 Abdul Aziz 6310080811070001 11 2/27/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
580 Nuriah 6310104508600001 58 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
581 Kholisatun 6310105406750002 43 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
582 Gufrom 6310100501650003 53 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
583 Novi Ratna Sari 6310074411940002 24 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
584 Keswati 6310085001710003 47 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
585 Supono 6310080503600001 58 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
586 Bejo 6310100212520001 66 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
587 Normatika 6310084710870001 31 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
588 Lalu Suaeb 6310082504630002 55 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
589 Asikin Noor 6310080112550001 63 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
590 Inarti 6310086309810002 37 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
591 Parmin 6310080107500010 68 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
592 Siti Rokayah 6310085208830001 35 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
593 Fahrur Rozi 6310090707740010 44 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
594 Gunadi 6310080107600039 58 2/28/2018 Hipertensi Rp 10,000 dr. Rehmia Rp 10,000
595 Kavin Ardana Sumantri 6310072412160001 2 2/28/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
596 Carissa Putri 6310066504120003 6 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
597 M. Ramadani 6310080910050006 13 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
598 Yupi Saprudin 6310090902030007 13 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
599 Prasetia Adi Putra 6310081406050001 13 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
600 Muhammad Fadhillah 6310081110050001 13 2/28/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
601 I Gusti Ngurah Wahyu 6310080101040007 14 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
602 M. Ridha Badali 6310081801050001 13 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
603 Dwi Hendriawan 6310080905040003 14 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
604 Tegar Mangku Alamsyah 6310081707050001 13 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
605 Sarikin Thobin 6310090303050012 13 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
606 M. Rifki Hidayatulloh 6310081903040001 14 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
607 Andi Saputra 6310081002040002 14 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
608 Putu Supyan adnyana 6310082409020002 16 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
609 Lutfi Salim 3203216802040001 14 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
610 Dares Rengga Tatas 6310081510040001 14 2/28/2018 Febris Rp 10,000 dr. Rehmia Rp 10,000
611 I Komang Agus Setiawan 6310081408010001 17 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
612 Aden Jaya Kusuma 6310080301050001 13 2/28/2018 Gastritis Rp 10,000 dr. Rehmia Rp 10,000
613 Deni Sputra 6310082005040005 14 2/28/2018 Dyspepsia Rp 10,000 dr. Rehmia Rp 10,000
614 Ahmaad Ariyanto 6310080702040002 14 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
615 Muhammad Noval Prayoga 6310060703050004 13 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
616 Supriadi 6310081402050002 13 2/28/2018 Ispa Rp 10,000 dr. Rehmia Rp 10,000
617 Hairil Usman 6310092108040004 14 2/28/2018 Diare Rp 10,000 dr. Rehmia Rp 10,000
Total Rp 6,170,000 Rp 6,170,000
Mengetahui : Tanah Bumbu, 03 Maret 2018

Kepala Puskesmas Batulicin I Puskesmas Batulicin 1
dr. Rinasary Aras Nisa Ul Fitriah

NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031
DAFTAR TAGIHAN KLAIM RAWAT JALAN PASIEN JAMKESDA PUSKESMAS BATULICIN I KAB. TANAH BUMBU

1 2 3 4 5 05/01/1900 7 8 9 10 11 12 13 15
1 Ririn Rusdianti 6310085008990002 19 01/02/2018 ANC Rp 10,000 Kisnawati Rp 10,000
2 Indun Rochana 6310086909850001 33 01/02/2018 ANC Rp 10,000 Kisnawati Rp 10,000
3 Titik Hardianti Rohmah 6310085011000003 18 01/02/2018 ANC Rp 10,000 Paramita Rp 10,000
4 Supriyati 6310085604900003 28 2/1/2018 ANC Rp 10,000 Maysaroh Rp 10,000
5 Sutaryah 6310085806870001 31 2/1/2018 ANC Rp 10,000 Maysaroh Rp 10,000
6 Suratmi 6310084707850001 33 2/1/2018 ANC Rp 10,000 Paramita Rp 10,000
7 Suratmi 6310084707850001 33 2/2/2018 ANC Rp 10,000 Sarifah Rp 10,000
8 Harsiah 6310084510880002 30 2/2/2018 ANC Rp 10,000 Mujiati Rp 10,000
9 Siti Robingati 6310084605820001 36 2/2/2018 ANC Rp 10,000 Maysaroh Rp 10,000
10 Miskiyah 6302195501860001 32 2/2/2018 ANC Rp 10,000 Maysaroh Rp 10,000
11 Firda Yuli 6310086104960004 22 2/2/2018 ANC Rp 10,000 Paramita Rp 10,000
12 Fitriani 6310085405900001 28 2/2/2018 ANC Rp 10,000 Maysaroh Rp 10,000
13 Firda Yuli 6310086104960004 22 2/3/2018 ANC Rp 10,000 Paramita Rp 10,000
14 Nurmila 6302065105960007 22 2/3/2018 ANC Rp 10,000 Mujiati Rp 10,000
15 Norhayati 6310086212840002 34 2/3/2018 ANC Rp 10,000 Maysaroh Rp 10,000
16 Rumiati 6310086009910001 27 2/3/2018 ANC Rp 10,000 Paramita Rp 10,000
17 Mia Oktayana 5203056010000002 20 2/6/2018 ANC Rp 10,000 Paramita Rp 10,000
18 Nurholisah 6310104112750001 43 2/6/2018 ANC Rp 10,000 Maysaroh Rp 10,000
19 Hijriah 6310096609820003 36 2/6/2018 ANC Rp 10,000 Paramita Rp 10,000
20 Suhayati 6310085610820002 36 2/7/2018 ANC Rp 10,000 Paramita Rp 10,000
21 Khomsiah 6310084910940003 24 2/8/2018 ANC Rp 10,000 Kisnawati Rp 10,000
22 Sri Agus Yunanti 6310084201800004 38 2/8/2018 ANC Rp 10,000 Paramita Rp 10,000
23 Sunarsih 6310085001890001 29 2/8/2018 ANC Rp 10,000 Kisnawati Rp 10,000
24 Siti Maesaroh 6310086907850004 33 2/9/2018 ANC Rp 10,000 Kursiah Rp 10,000
25 Lis Mardiyah 6310084601930001 25 2/10/2018 ANC Rp 10,000 Mujiati Rp 10,000
26 Siti Robingati 6310084605820001 36 2/10/2018 ANC Rp 10,000 Kisnawati Rp 10,000
27 Novi Ratna Sari 6310074411940002 24 2/10/2018 ANC Rp 10,000 Paramita Rp 10,000
28 Khusnul hatimah 6310094204920002 26 2/11/2018 ANC Rp 10,000 Mujiati Rp 10,000
29 Siti Nurjanah 6310086307910002 27 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
30 Yuliani 6310087107880003 30 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
31 Dariyah 6310084705970002 21 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
32 Anggi Tursini 6310085410920001 26 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
33 Khusnul hatimah 6310094204920002 26 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
34 Tur Yanti 6310086605910001 27 2/12/2018 ANC Rp 10,000 Maysaroh Rp 10,000
35 Darsiah 6310084309800001 38 2/12/2018 ANC Rp 10,000 Maysaroh Rp 10,000
36 Debby Rafenia Agustin 1802204608000001 18 2/12/2018 ANC Rp 10,000 Paramita Rp 10,000
37 Sumiati 6310084811930001 25 2/12/2018 ANC Rp 10,000 Paramita Rp 10,000
38 Fitriyah 6310084107800097 38 2/12/2018 ANC Rp 10,000 Sarifah Rp 10,000
39 Rina Wati Dewi 6310085612970002 21 2/12/2018 ANC Rp 10,000 Paramita Rp 10,000
40 Rohmin 6310080107970021 21 2/12/2018 ANC Rp 10,000 Aditya Rp 10,000
41 Tur Yanti 6310086605910001 27 2/13/2018 ANC Rp 10,000 Mujiati Rp 10,000
42 Yeni Silfia 6310087008910002 27 2/13/2018 ANC Rp 10,000 Maysaroh Rp 10,000
43 Anggi Tursini 6310085410920001 26 2/13/2018 ANC Rp 10,000 Kisnawati Rp 10,000
44 Sartini 6310086811820001 36 2/14/2018 ANC Rp 10,000 Paramita Rp 10,000
45 Indun Rochana 6310086909850001 33 2/19/2018 ANC Rp 10,000 Mujiati Rp 10,000
46 Kamah 6310086005820001 36 2/21/2018 ANC Rp 10,000 Aditya Rp 10,000
47 Notik Deviani 6310085709900000 28 2/21/2018 ANC Rp 10,000 Aditya Rp 10,000
48 Putu Yulia Dewi 6310087007930000 25 2/22/2018 ANC Rp 10,000 Aditya Rp 10,000
49 Ratna Dewi 6310054806940004 24 2/22/2018 ANC Rp 10,000 Mujiati Rp 10,000
50 Siti Rokhmah 6310086505800002 38 2/22/2018 ANC Rp 10,000 Mujiati Rp 10,000
51 Naila Rahmah 6310095411920004 27 2/22/2018 ANC Rp 10,000 Paramita Rp 10,000
52 Asih Fuji Astuti 6310084612960001 22 2/23/2018 ANC Rp 10,000 Maysaroh Rp 10,000
53 Puji Sayati 6310085608850001 33 2/23/2018 ANC Rp 10,000 Kisnawati Rp 10,000
54 Murni 6302194107900011 28 2/23/2018 ANC Rp 10,000 Paramita Rp 10,000
55 Kristiyani 6310085010850004 33 2/24/2018 ANC Rp 10,000 Kisnawati Rp 10,000
56 Mia Oktayana 5203056010000002 20 2/27/2018 ANC Rp 10,000 Paramita Rp 10,000
57 Harsiah 6310084510880002 30 2/27/2018 ANC Rp 10,000 Paramita Rp 10,000
58 Sumiati 6310084811930001 25 2/27/2018 ANC Rp 10,000 Mujiati Rp 10,000
59 Fitriyah 6310084107800097 38 2/28/2018 ANC Rp 10,000 Maysaroh Rp 10,000
TOTAL Rp 590,000 Rp 590,000


NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031

1 2 3 4 5 05/01/1900 7 8 9 10 11 12 13 15
1 Suroto 6310081811770003 41 2/1/2018 BTA Rp 30,000 Irna Ali Rp 30,000
2 Maulida J 6310084207990004 20 2/2/2018 HB Rp 7,500 Irna Ali Rp 7,500
3 Guntur 6310081001930003 25 2/2/2018 Malaria Rp 15,000 Irna Ali Rp 15,000
4 Sri Mulyati 6310085005810001 37 2/3/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
5 Sunarsih 6310105011750001 43 2/3/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
6 Rumiati 6310086009910001 27 2/3/2018 HB Rp 7,500 Irna Ali Rp 7,500
7 Ni Made Suarningsih 6310085604770001 40 2/3/2018 Golda Rp 15,000 Irna Ali Rp 15,000
8 Indun Rochana 6310086909850001 33 2/3/2018 HCG Rp 10,000 Irna Ali Rp 10,000
9 Ni Wayan Kartini 6310076104140001 4 2/3/2018 Golda Rp 15,000 Irna Ali Rp 15,000
10 Ni Putu Ari 6310084101130002 5 2/3/2018 Golda Rp 15,000 Irna Ali Rp 15,000
11 Erna Damayanti 6310086306010001 17 2/3/2018 Golda Rp 15,000 Irna Ali Rp 15,000
12 Rahma Aulia 6310084803020002 16 2/3/2018 Golda Rp 15,000 Irna Ali Rp 15,000
13 Norhayati 6310086212840002 32 2/5/2018 HB + HCG Rp 17,500 Irna Ali Rp 17,500
14 Ni Wayan Raka Sanjaya 6310080402070003 11 2/5/2018 Golda Rp 15,000 Irna Ali Rp 15,000
15 Kasniah 6310094307650002 53 2/6/2018 BTA Rp 30,000 Irna Ali Rp 30,000
16 Tri Sakti 6310060110840001 34 2/6/2018 Malaria Rp 15,000 Irna Ali Rp 15,000
17 Slamet 6310011111820001 36 2/6/2018 Malaria Rp 15,000 Irna Ali Rp 15,000
18 Hijriah 6310096609820003 36 2/6/2018 HB + Golda+HCG Rp 32,500 Irna Ali Rp 32,500
19 Mia Oktayana 5203056010000002 20 2/6/2018 HB + Golda Rp 22,500 Irna Ali Rp 22,500
20 Nur Wahyudin 6310070906960001 22 2/6/2018 BTA Rp 30,000 Irna Ali Rp 30,000
21 Suroto 6310081811770003 41 2/7/2018 BTA Rp 30,000 Irna Ali Rp 30,000
22 Suhayati 6310085610820002 36 2/7/2018 HB Rp 7,500 Irna Ali Rp 7,500
23 Nur Wahyudin 6310070906960001 22 2/7/2018 BTA Rp 30,000 Irna Ali Rp 30,000
24 Kasniah 6310094307650002 53 2/8/2018 BTA Rp 30,000 Irna Ali Rp 30,000
25 Khomsiah 6310084910940003 24 2/9/2018 HB Rp 7,500 Irna Ali Rp 7,500
26 Sulistiati 6310086808870001 31 2/9/2018 Golda Rp 15,000 Irna Ali Rp 15,000
27 Subandi 6310101812500001 68 2/9/2018 BTA Rp 30,000 Irna Ali Rp 30,000
28 Suwanto 6310080107900026 28 2/9/2018 Malaria Rp 15,000 Irna Ali Rp 15,000
29 Aufa Azza Nabila 6310085603120001 6 2/10/2018 Golda Rp 15,000 Irna Ali Rp 15,000
30 Ni Luh Ria Rahayu 6310085607070003 11 2/10/2018 Golda Rp 15,000 Irna Ali Rp 15,000
31 Subandi 6310101812500001 68 2/10/2018 BTA Rp 30,000 Irna Ali Rp 30,000
32 Siti Robingati 6310084605820001 36 2/10/2018 Golda Rp 15,000 Irna Ali Rp 15,000
33 Winda Lestari 6310084107970051 21 2/12/2018 Golda Rp 15,000 Irna Ali Rp 15,000
34 Manisah 6310084406830001 35 2/12/2018 Golda Rp 15,000 Irna Ali Rp 15,000
35 Siti Rohani 6310084107930054 25 2/12/2018 HCG Rp 10,000 Irna Ali Rp 10,000
36 Ririn Rusdiyanti 6310085008990002 19 2/12/2018 HB Rp 7,500 Irna Ali Rp 7,500
37 Anggi 6310085410920001 26 2/13/2018 HB Rp 7,500 Irna Ali Rp 7,500
38 Ira Oktavia 6310086710930001 25 2/13/2018 HB + Golda Rp 22,500 Irna Ali Rp 22,500
39 Darsiah 6310084309800001 36 2/13/2018 HB Rp 7,500 Irna Ali Rp 7,500
40 M. Ma'ruf 3510040809760009 42 2/14/2018 Malaria Rp 15,000 Irna Ali Rp 15,000
41 Nurhayani 5202104107700237 48 2/14/2018 HCG Rp 10,000 Irna Ali Rp 10,000
42 Salbiah 6310074108660001 52 2/17/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
43 I Wayan Ade Saputra 6310082403020002 16 2/17/2018 Golda Rp 15,000 Irna Ali Rp 15,000
44 Indun Rochana 6310086909850001 33 2/19/2018 HB + Golda Rp 22,500 Irna Ali Rp 22,500
45 Foniati 6310084603850001 33 2/19/2018 Golda Rp 15,000 Irna Ali Rp 15,000
46 Nurul Hikmah 6310027105940002 23 2/20/2018 Cholesterol + HB Rp 27,500 Irna Ali Rp 27,500
47 Matsih 6310081804630001 55 2/21/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
48 Notik Deviani 6310085709900002 28 2/21/2018 HB + Golda+HCG Rp 32,500 Irna Ali Rp 32,500
49 Barokah 6310086108690001 49 2/21/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
50 Kamah 6310086005820001 36 2/21/2018 HCG Rp 10,000 Irna Ali Rp 10,000
51 Misyadi 6310081206740002 44 2/21/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
52 Mihani 6310084501720001 46 2/22/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
53 Saminah 6310084204490001 55 2/22/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
54 Nur Wahyudin 6310070906960001 22 2/23/2018 Golda Rp 15,000 Irna Ali Rp 15,000
55 Nurita Lusiana Dewi 6310084107990040 19 2/24/2018 HB Rp 7,500 Irna Ali Rp 7,500
56 Nur Syahbandi 6310091102980010 20 2/26/2018 BTA Rp 30,000 Irna Ali Rp 30,000
57 Sumiati 6310084811930001 25 2/27/2018 HB Rp 7,500 Irna Ali Rp 7,500
58 Sutianah 6310095010670006 51 2/27/2018 Cholesterol Rp 20,000 Irna Ali Rp 20,000
59 Nur Syahbandi 6310091102980010 20 2/27/2018 BTA Rp 30,000 Irna Ali Rp 30,000
60 Jamilah 6310085605620001 56 2/28/2018 HB Rp 7,500 Irna Ali Rp 7,500
61 Fitriyah 6310084107800097 38 2/28/2018 HB Rp 7,500 Irna Ali Rp 7,500
62 Evi Rohmatul 6310074811020003 16 2/28/2018 Golda Rp 15,000 Irna Ali Rp 15,000
TOTAL Rp 1,095,000 Rp 1,095,000


NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031

1 2 3 4 5 05/01/1900 7 8 9 10 11 12 13 15
1 Ni Kadek Sudiasih 6310084101750004 43 1/25/2017 Ispa Rp 10,000 Dwi Lestari Rp 10,000
2 I Made Bawa 6310080301740002 44 1/25/2017 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
3 Ni Made Wati 6310084207790002 39 1/25/2017 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
4 I Ketut Murta 6310081506900002 28 1/25/2017 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
5 Emi Susanto 6310084606830001 35 1/30/2017 Ispa Rp 10,000 Dwi Lestari Rp 10,000
6 Afiza Oktafiyana 6310076210150001 3 1/31/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
7 Manisah 6310084604800003 38 2/2/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
8 Umiyah 6310084107400001 78 2/2/2018 Hipertensi Rp 10,000 Dwi Lestari Rp 10,000
9 Kastami 6310080107620015 56 2/2/2018 Hipertensi Rp 10,000 Dwi Lestari Rp 10,000
10 Nanik Ulfah 6310084602980001 21 2/2/2018 Febris Rp 10,000 Dwi Lestari Rp 10,000
11 Ni Komang Sutiasih 6310086604880001 30 2/2/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
12 Ni Luh Suartini 6310084101810003 37 2/3/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
13 Karsinun 6310080507760003 42 2/3/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
14 Maimanah 6310054109790001 39 2/3/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
15 Ni Komang Lastri 6302194809920001 26 2/5/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
16 Rina Ramadani 6310074307160003 2 2/5/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
17 Winda Lestari 6310076003170003 1 2/5/2018 Febris Rp 10,000 Dwi Lestari Rp 10,000
18 Dimas Pratama 6310072107120001 6 2/6/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
19 I Putu Dias Saputra 6310072212110001 7 2/6/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
20 Ni Made Sruti Damayan 6310085307110001 7 2/6/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
21 Syafira Natasya Rivana 6310075501170001 1 2/6/2018 Febris Rp 10,000 Dwi Lestari Rp 10,000
22 Nurytin 6310084401930002 25 2/7/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
23 Khusnul Hotimah 6310085107100001 8 2/7/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
24 Agal Saputra 6310083006140001 4 2/7/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
25 Dimas Pratama 6310072107120001 6 2/7/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
26 Dania Aulia Putri 6310084511100001 8 2/9/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
27 Aulia Maharani 6310085405000001 8 2/9/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
28 I Gusti Ketut Niscaya 6310082801600001 58 2/12/2018 Hipertensi Rp 10,000 Dwi Lestari Rp 10,000
29 Wahyuti 6310084107960043 22 2/12/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
30 Syafira Natasya Rivana 6310075501170001 1 2/12/2018 Febris Rp 10,000 Dwi Lestari Rp 10,000
31 Umiyah 6310084201070001 11 2/12/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
32 Melody Naysila Rahmah 6310086702130001 5 2/12/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
33 Rafel Ahmad Fauzi 6310070504160001 2 2/12/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
34 Ervina Maharani 3324045612030002 15 2/12/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
35 Winda Lestari 6310084107970051 21 2/13/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
36 Ni Komang Karmini 6310086506910001 27 2/13/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
37 Siti Rodiyah 6310075001950001 23 2/13/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
38 Ngatmini 6310104103900002 28 2/14/2018 Dyspepsia Rp 10,000 Dwi Lestari Rp 10,000
39 Manisah 6310084406830001 35 2/14/2018 Febris Rp 10,000 Dwi Lestari Rp 10,000
40 Ni Komang Sutiasih 6310086604880001 30 2/14/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
41 Ni Komang Santina 6310084908920001 26 2/15/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
42 Ni Luh Suartini 6310084101810003 37 2/20/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
43 Ni Ketut Astini Agustin 6310074508150001 3 2/20/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
44 Irsya Fitratul Akbar 6310071603160001 2 2/21/2018 Diare Rp 10,000 Dwi Lestari Rp 10,000
45 Norma 6310086808020002 17 2/21/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
46 Wariyah 6310084105760002 42 2/22/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
47 Dariyah 6310084507670002 51 2/22/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
48 I Komang Marnadi 6310080110850003 33 2/22/2018 Dermatitis Rp 10,000 Dwi Lestari Rp 10,000
49 Hartiyah 6310084707890004 29 2/22/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
50 Murnianah 6310034902820002 36 2/24/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
51 I Made Tegik 6310080107570029 61 2/24/2018 Hipertensi Rp 10,000 Dwi Lestari Rp 10,000
52 Nani Yuni Asri 6310084107970053 21 2/24/2018 Gastritis Rp 10,000 Dwi Lestari Rp 10,000
53 Sanipah 6310085602740001 44 2/25/2018 Ispa Rp 10,000 Dwi Lestari Rp 10,000
54 Nurhalimah 6310084410830001 35 1/31/2017 Ispa Rp 10,000 Kursiah Rp 10,000
55 Ely Ermawati 6310085311900001 28 2/2/2018 Gastritis Rp 10,000 Kursiah Rp 10,000
56 Siti Yulaikah 6310084808830002 35 2/2/2018 Ispa Rp 10,000 Kursiah Rp 10,000
57 Sulastri 3324064205560002 62 2/2/2018 Hipertensi Rp 10,000 Kursiah Rp 10,000
58 Muhammad Rafail 6310082712120001 6 2/2/2018 Dermatitis Rp 10,000 Kursiah Rp 10,000
59 Sultan Djorgi Indra S 6310080103030003 15 2/2/2018 Ispa Rp 10,000 Kursiah Rp 10,000
60 Anisah 6310085607820002 56 2/3/2018 Hipertensi Rp 10,000 Kursiah Rp 10,000
61 Doni Hernando 6310082508020001 16 2/3/2018 Dermatitis Rp 10,000 Kursiah Rp 10,000
62 Princess Pingka Adieb 6302194806080002 10 2/3/2018 Diare Rp 10,000 Kursiah Rp 10,000
63 Helda Arminawati 6310095608940002 24 2/4/2018 Dyspepsia Rp 10,000 Kursiah Rp 10,000
64 Arief Hidayat 6310081502030002 15 2/4/2018 Diare Rp 10,000 Kursiah Rp 10,000
65 Wahyudi 6310082002030003 15 2/4/2018 Diare Rp 10,000 Kursiah Rp 10,000
66 Ismi Badriyah 6310084504000003 18 2/4/2018 Diare Rp 10,000 Kursiah Rp 10,000
67 Diego Adi Nugroho 6310072406140001 4 2/5/2018 Diare Rp 10,000 Kursiah Rp 10,000
68 Haniah 6310085008710001 47 2/6/2018 Gastritis Rp 10,000 Kursiah Rp 10,000
69 Amisa Ariyanti 6310085601070003 11 2/9/2018 Diare Rp 10,000 Kursiah Rp 10,000
70 Muhammad Ripandi 6310081404000005 18 2/9/2018 Ispa Rp 10,000 Kursiah Rp 10,000
71 Shafwa Alya 6310075807170001 1 2/10/2018 Febris Rp 10,000 Kursiah Rp 10,000
72 Muslikah 6310085206800001 38 2/13/2018 Ispa Rp 10,000 Kursiah Rp 10,000
73 Jumariah 6310084403820001 36 2/13/2018 Gastritis Rp 10,000 Kursiah Rp 10,000
74 Asiah 6310084107560004 62 2/13/2018 Hipertensi Rp 10,000 Kursiah Rp 10,000
75 M. Yofa Ariansyah 6310051508080001 10 2/14/2018 Ispa Rp 10,000 Kursiah Rp 10,000
76 Doni Hernando 6310082508020001 16 2/14/2018 Dermatitis Rp 10,000 Kursiah Rp 10,000
77 Marwati 6310086808030001 15 2/14/2018 Diare Rp 10,000 Kursiah Rp 10,000
78 Agus Supriono 6310080208040001 14 2/19/2018 Diare Rp 10,000 Kursiah Rp 10,000
79 Winda Astuti 6310085002990001 19 2/21/2018 ANC Rp 10,000 Kursiah Rp 10,000
80 Jumariah 6310084403820001 36 2/21/2018 ANC Rp 10,000 Kursiah Rp 10,000
81 Suryati 6310054507890003 20 2/21/2018 ANC Rp 10,000 Kursiah Rp 10,000
82 Jumaiyah 6310086801810001 37 2/21/2018 ANC Rp 10,000 Kursiah Rp 10,000
83 M. Sarwanto 6310100403950004 23 2/23/2018 Ispa Rp 10,000 Kursiah Rp 10,000
84 Sarmi 6310085210720003 46 1/26/2018 Ispa Rp 10,000 Rahayu Rp 10,000
85 I Komang Yadi Saputra 6310081609080001 10 1/26/2018 Ispa Rp 10,000 Rahayu Rp 10,000
86 Katinen 6310084107470031 71 1/31/2018 Hipertensi Rp 10,000 Rahayu Rp 10,000
87 Helda Yanti 6310096704980004 20 1/31/2018 Dermatitis Rp 10,000 Rahayu Rp 10,000
88 Ni Putu Zivanna 6310086312120001 6 1/31/2018 Diare Rp 10,000 Rahayu Rp 10,000
89 Ni Made Suarningsih 6310085604770001 41 2/1/2018 Gastritis Rp 10,000 Rahayu Rp 10,000
90 Noer Hasanah 6310084210690001 49 2/2/2018 Hipertensi Rp 10,000 Rahayu Rp 10,000
91 I Wayan Ristawan 6310073007030001 15 2/5/2018 Ispa Rp 10,000 Rahayu Rp 10,000
92 Ikadek Raka Tresta 6310070808140002 4 2/6/2018 Febris Rp 10,000 Rahayu Rp 10,000
93 Tunik Asih 6310084107790073 39 2/8/2018 Dermatitis Rp 10,000 Rahayu Rp 10,000
94 Sutrisno 6310080804710001 47 2/9/2018 Ispa Rp 10,000 Rahayu Rp 10,000
95 Muhammad Fakhrul R 6310070207160001 2 2/10/2018 Febris Rp 10,000 Rahayu Rp 10,000
96 Muhamad Arrozid 6310071306110001 7 2/10/2018 Diare Rp 10,000 Rahayu Rp 10,000
97 I Putu Marvel 6310072706150002 3 2/13/2018 Diare Rp 10,000 Rahayu Rp 10,000
98 I Gede Surya Mandala 6310083009090001 9 2/14/2018 Ispa Rp 10,000 Rahayu Rp 10,000
99 Maulida Asyifatul Kolby 6310076512140002 4 2/17/2018 Diare Rp 10,000 Rahayu Rp 10,000
100 Debby Salsabila Rahma 6310085408110001 7 2/17/2018 Ispa Rp 10,000 Rahayu Rp 10,000
101 Endri Ratnawati 6310086409870001 31 2/19/2018 Ispa Rp 10,000 Rahayu Rp 10,000
102 Dayu Ketut Tilem 6310086407350001 83 2/19/2018 Hipertensi Rp 10,000 Rahayu Rp 10,000
103 Santoso 6310082901690001 49 2/21/2018 Gastritis Rp 10,000 Rahayu Rp 10,000
104 Widya Istutik 6310086901860002 32 2/22/2018 Gastritis Rp 10,000 Rahayu Rp 10,000
105 Ollivia Nadila Putri 6310076712140003 4 2/22/2018 Diare Rp 10,000 Rahayu Rp 10,000
106 Elly Dewi Cahyanti 6310086109100001 8 1/27/2018 Ispa Rp 10,000 Suci Rp 10,000
107 Heni Selfiana 6310076110080001 10 1/27/2018 Ispa Rp 10,000 Suci Rp 10,000
108 Misliyah 6310085009880002 30 1/29/2018 Gastritis Rp 10,000 Suci Rp 10,000
109 Andiansyah 6310080105850004 33 1/29/2018 Ispa Rp 10,000 Suci Rp 10,000
110 Raya Aici 6310084107880067 30 1/30/2018 Dermatitis Rp 10,000 Suci Rp 10,000
111 Nadiya Kayla Rahmah 6310074611120001 6 1/31/2018 Diare Rp 10,000 Suci Rp 10,000
112 Khalimah 6310084503800002 38 2/1/2018 Dyspepsia Rp 10,000 Suci Rp 10,000
113 Sarumi 6310085906640001 54 2/6/2018 Hipertensi Rp 10,000 Suci Rp 10,000
114 Aulia Safitri 6310085509030001 15 2/6/2018 Diare Rp 10,000 Suci Rp 10,000
115 Nayla Husna 6310074307170002 1 2/12/2018 Febris Rp 10,000 Suci Rp 10,000
116 Khalimah 6310084503800002 38 2/15/2018 Dyspepsia Rp 10,000 Suci Rp 10,000
117 Mega Royani 6310086810910001 27 2/15/2018 Gastritis Rp 10,000 Suci Rp 10,000
118 Siti Maesarah 6310087010950001 23 2/15/2018 Dyspepsia Rp 10,000 Suci Rp 10,000
119 Raya Aici 6310084107880067 30 2/15/2018 Dyspepsia Rp 10,000 Suci Rp 10,000
120 Triningsih 6310086805930002 25 2/15/2018 Dyspepsia Rp 10,000 Suci Rp 10,000
121 Mega Royani 6310086810910001 27 2/15/2018 Gastritis Rp 10,000 Suci Rp 10,000
122 Dwi Lestari 6310084603940001 24 2/15/2018 Gastritis Rp 10,000 Suci Rp 10,000
123 Eny Kusrini 6310086104360008 32 1/23/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
124 Raudatun Nisa 6310094409940003 24 1/24/2018 Dermatitis Rp 10,000 Zaenab Rp 10,000
125 Nur Aisyah 6310074408140001 4 1/26/2018 Diare Rp 10,000 Zaenab Rp 10,000
126 Masdariah 6310084109830001 35 1/27/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
127 Eny Kusrini 6310086104360008 32 1/29/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
128 Nuriah 6310085304480001 70 1/29/2018 Hipertensi Rp 10,000 Zaenab Rp 10,000
129 Nur Aqila Nayliah 6310075610170001 1 1/29/2018 Febris Rp 10,000 Zaenab Rp 10,000
130 Siti Abdiyana Humairah 6310076505140001 4 1/29/2018 Diare Rp 10,000 Zaenab Rp 10,000
131 Putri Nurjannah 6310074907000001 18 2/1/2018 Dyspepsia Rp 10,000 Zaenab Rp 10,000
132 Talib 6310080101450001 73 2/2/2018 Hipertensi Rp 10,000 Zaenab Rp 10,000
133 Salwa Nur Azizah 6310074807170001 1 2/2/2018 Febris Rp 10,000 Zaenab Rp 10,000
134 Taufik Hidayat 6310082509020001 16 2/3/2018 Dyspepsia Rp 10,000 Zaenab Rp 10,000
135 Siti Alrifah 6310075609160001 2 2/5/2018 Febris Rp 10,000 Zaenab Rp 10,000
136 Suratmi 3402044108890002 29 2/7/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
137 Cahya Mahlinda 6310107107960001 22 2/7/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
138 Siti Rodhiyah 6310085804880002 30 2/7/2018 Dyspepsia Rp 10,000 Zaenab Rp 10,000
139 Titin Kurniatin 6310084703880001 30 2/7/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
140 Fitri Harwat 6310086608840001 34 2/7/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
141 M. Zaenuri 6310081701770001 41 2/10/2018 Ispa Rp 10,000 Zaenab Rp 10,000
142 Wasilatul Fadilah 6310076412160002 2 2/10/2018 Febris Rp 10,000 Zaenab Rp 10,000
143 Ahmad Zaini 6310081711710001 47 2/12/2018 Ispa Rp 10,000 Zaenab Rp 10,000
144 Sakirah 6310084207570001 61 2/12/2018 Hipertensi Rp 10,000 Zaenab Rp 10,000
145 Raudatun Nisa 6310094409940003 24 2/12/2018 Dyspepsia Rp 10,000 Zaenab Rp 10,000
146 Sri Sulastri 6310086406760001 42 2/12/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
147 Muhammad Aditya S 6310072605160001 2 2/13/2018 Febris Rp 10,000 Zaenab Rp 10,000
148 Riski Aulia 6310081208010001 17 2/15/2018 Diare Rp 10,000 Zaenab Rp 10,000
149 Siti Aminah 6310084107730007 45 2/19/2018 Dyspepsia Rp 10,000 Zaenab Rp 10,000
150 Maslinah 6310085002620003 56 2/20/2018 Gastritis Rp 10,000 Zaenab Rp 10,000
151 Slamet Asmawi 6310080101820003 36 2/20/2018 Ispa Rp 10,000 Zaenab Rp 10,000
152 Siti Winarsih 6310086009870001 31 2/21/2018 Ispa Rp 10,000 Zaenab Rp 10,000
153 Olivia Selviani 6310085205160001 2 1/31/2018 Febris Rp 10,000 Ida Rp 10,000
154 I Made Jipan Bramandita 6310070812140001 4 2/5/2018 Diare Rp 10,000 Ida Rp 10,000
155 Jumilah 6310085205540001 64 2/10/2018 Hipertensi Rp 10,000 Ida Rp 10,000
156 Kaesya Aulia Vany 6310074511140001 4 2/20/2018 Diare Rp 10,000 Ida Rp 10,000
157 Santoso 6310082901690001 49 2/21/2018 Hipertensi Rp 10,000 Ida Rp 10,000
TOTAL Rp 1,570,000 Rp 1,570,000


NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031
PROPINSI : KALIMANTAN SELATAN BULAN : Januari

1 2 3 4 5 1/5/1900 7 8 9 10 11 12 13 15
1 Hamsani 6310090805820004 56 2/1/2018 Insisi Abses Rp 30,000 Sulasmini Rp 30,000
2 Ngaliman 6310080712870001 31 2/1/2018 Dresing Rp 15,000 Sulasmini Rp 15,000
4 Bambang Agus Suranto 6310082404980002 20 2/2/2018 Jahit Luka Berat Rp 100,000 Hady P Rp 100,000
5 Sumiati 6310074106840002 34 2/2/2018 Insisi Abses Rp 30,000 Hady P Rp 30,000
6 Ngaliman 6310080712870001 31 2/3/2018 Dresing Rp 15,000 Suharmi Rp 15,000
7 Karya Meja 6310080507640005 54 2/3/2018 Jahit Luka Sedang Rp 50,000 Hady P Rp 50,000
8 Muhamad Rahim 6310080107020055 16 2/3/2018 Abl Bnda Asing Rp 50,000 Sulasmini Rp 50,000
9 Armanur Lesta Prayogi 6310080404010001 17 2/3/2018 Insisi Abses Rp 30,000 Hj. Dewi Rp 30,000
10 Ahmad Arif Billah 6310071003130002 5 2/3/2018 Abl Bnda Asing Rp 50,000 Sulasmini Rp 50,000
11 Ipan Safari 6310080107010045 17 2/3/2018 Pasang Infus Rp 15,000 Sulasmini Rp 15,000
12 I Wayan Ristawan 6310073007030001 15 2/3/2018 Insisi Abses Rp 30,000 Hendrawan Rp 30,000
13 Novita Sarah 6310086011010005 17 2/3/2018 Jahit Luka Berat Rp 100,000 Hady P Rp 100,000
14 Ipan Safari 6310080107010045 17 2/3/2018 Insisi Abses Rp 30,000 Hendrawan Rp 30,000
15 Muhammad Arsyad M 6310082601120001 6 2/3/2018 Dresing Rp 15,000 Linartha P.L Rp 15,000
16 Muhamad Rahim 6310080107020055 16 2/3/2018 Dresing Rp 15,000 Linartha P.L Rp 15,000
20 Agus Purnomo 6310101408920003 24 2/6/2018 Ekstirpasi Rp 100,000 Hady P Rp 100,000
21 Sarmo 6310080107680058 50 2/6/2018 Ekstirpasi Rp 100,000 Sulasmini Rp 100,000
22 Dedy Septa Kustiawan 6310081309850002 33 2/6/2018 Insisi Abses Rp 30,000 Sulasmini Rp 30,000
23 Marko 6302170807890001 29 2/7/2018 Jahit Luka Berat Rp 100,000 Sulasmini Rp 100,000
25 Suwarni 6310084107480035 70 2/7/2018 Insisi Abses Rp 30,000 Hendrawan Rp 30,000
26 Agus Purnomo 6310101408920003 24 2/7/2018 Dresing Rp 15,000 Hendrawan Rp 15,000
27 Hermansyah 6310090708720006 50 2/7/2018 Insisi Abses Rp 30,000 Hendrawan Rp 30,000
28 Ngaliman 6310080712870001 31 2/8/2018 Dresing Rp 15,000 Moch Farid Rp 15,000
30 Abdul Sani 6310090107430039 84 2/10/2018 Dresing Rp 15,000 Hady P Rp 15,000
31 I Made Tegik 6310080107570029 61 2/10/2018 Insisi Abses Rp 30,000 Suharmi Rp 30,000
33 Hamsani 6310090805820004 56 2/10/2018 Ekstirpasi Rp 100,000 Hj. Dewi Rp 100,000
34 Prima Mory Gunawan 6310090909890012 29 2/12/2018 Jahit Luka Berat Rp 100,000 Sulasmini Rp 100,000
35 Dedy Septa Kustiawan 6310081309850002 33 2/12/2018 Lepas Jahitan Rp 20,000 Linartha P.L Rp 20,000
36 Selamet 6310080206830002 35 2/12/2018 Jahit Luka Sedang Rp 50,000 Linartha P.L Rp 50,000
37 Budiono 6310081207540001 64 2/12/2018 Pasang O2 Rp 30,000 Hady P Rp 30,000
38 Muhamad Rahim 6310080107020055 16 2/12/2018 Jahit Luka Sedang Rp 50,000 Sulasmini Rp 50,000
39 Rizky Nur Fadilah 6310082507090003 19 2/12/2018 Jahit Luka Berat Rp 100,000 Hj. Dewi Rp 100,000
40 Irfan Aprilia 6310082404110002 17 2/12/2018 Pasang Infus Rp 15,000 Moch Farid Rp 15,000
41 Rizky Nur Fadilah 6310082507090003 19 2/13/2018 Dresing Rp 15,000 Sulasmini Rp 15,000
42 Hamsyah Arsyad 6310080311150001 3 2/13/2018 Abl Bnda Asing Rp 50,000 Suharmi Rp 50,000
43 Bayu Purnomo 6310081804970001 21 2/13/2018 Ekstirpasi Rp 100,000 Hendrawan Rp 100,000
44 Prima Mory Gunawan 6310090909890012 29 2/14/2018 Dresing Rp 15,000 Suharmi Rp 15,000
45 Ngaliman 6310080712870001 31 2/14/2018 Dresing Rp 15,000 Hady P Rp 15,000
46 Muhamad Rahim 6310080107020055 16 2/14/2018 Dresing Rp 15,000 Hj. Dewi Rp 15,000
47 Irdina Hairun Nisa 6310075010130001 5 2/14/2018 Ekstirpasi Rp 100,000 Suharmi Rp 100,000
48 Selamet 6310080206830002 35 2/15/2018 Dresing Rp 15,000 Hady P Rp 15,000
50 Ngaliman 6310080712870001 31 2/16/2018 Dresing Rp 15,000 Hendrawan Rp 15,000
51 Ngaliman 6310080712870001 31 2/17/2018 Dresing Rp 15,000 Hendrawan Rp 15,000
52 Ngaliman 6310080712870001 31 2/18/2018 Dresing Rp 15,000 Hj. Dewi Rp 15,000
53 Ngaliman 6310080712870001 31 2/19/2018 Dresing Rp 15,000 Linartha P.L Rp 15,000
54 Najib 6310081008950001 23 2/19/2018 Insisi Abses Rp 30,000 Hj. Dewi Rp 30,000
55 Sunari 6310080809530001 65 2/19/2018 Ekstirpasi Rp 100,000 Hj. Dewi Rp 100,000
56 Jamilah 6310085605620001 56 2/19/2018 Pasang O2 Rp 30,000 Sulasmini Rp 30,000
57 Muhamad Rahim 6310080107020055 16 2/19/2018 Dresing Rp 15,000 Suharmi Rp 15,000
58 Muhdi 6310081504580003 60 2/19/2018 Insisi Abses Rp 30,000 Moch Farid Rp 30,000
59 Saiful Fahmi 6310080202000002 18 2/19/2018 Ekstirpasi Rp 100,000 Sulasmini Rp 100,000
60 Rehanun 6310085407740001 44 2/20/2018 Insisi Abses Rp 30,000 Suharmi Rp 30,000
61 Tasminah 6310084107820097 36 2/20/2018 Insisi Abses Rp 30,000 Suharmi Rp 30,000
62 Diana Putri 6310075102120001 16 2/20/2018 Abl Bnda Asing Rp 50,000 Moch Farid Rp 50,000
63 Dwiki Sada Prasitio 6310072702130002 5 2/20/2018 Pasang Infus Rp 15,000 Hendrawan Rp 15,000
64 Wahyu Candra Saputra 6310101310110001 7 2/20/2018 Pasang O2 Rp 30,000 Hendrawan Rp 30,000
65 Yelshi Asri Kesmitha 6310105707100001 8 2/20/2018 Ekstirpasi Rp 100,000 Salmawati L Rp 100,000
66 Sri Eka Mulyani 6310074603090001 9 2/20/2018 Ekstirpasi Rp 100,000 Moch Farid Rp 100,000
67 Qayla Wafiyyati Q 6310075002160001 2 2/20/2018 Dresing Rp 15,000 Hj. Dewi Rp 15,000
68 I Made Kamajaya 6310080503750007 43 2/21/2018 Pasang Infus Rp 15,000 Sulasmini Rp 15,000
69 Ngaliman 6310080712870001 31 2/21/2018 Dresing Rp 15,000 Linartha P.L Rp 15,000
71 Siti Mardiana 6310084312950002 23 2/22/2018 Ekstirpasi Rp 100,000 Hj. Dewi Rp 100,000
72 Wahyu Candra Saputra 6310101310110001 7 2/22/2018 Pasang O2 Rp 30,000 Salmawati L Rp 30,000
74 Yelshi Asri Kesmitha 6310105707100001 8 2/23/2018 Dresing Rp 15,000 Hendrawan Rp 15,000
76 Suryani 6310084602990001 19 2/24/2018 Dresing Rp 15,000 Moch Farid Rp 15,000
77 Sri Lestari 6310086006000002 18 2/24/2018 Abl Bnda Asing Rp 50,000 Hj. Dewi Rp 50,000
78 M. Syamlani 6310080107000072 18 2/24/2018 Insisi Abses Rp 30,000 Hj. Dewi Rp 30,000
81 Pairan 6310080404670001 51 2/26/2018 Dresing Rp 15,000 Hj. Dewi Rp 15,000
82 Agus Rianto 6310081205860002 32 2/26/2018 Ekstirpasi Rp 100,000 Hj. Dewi Rp 100,000
84 Pairan 6310080404670001 51 2/27/2018 Dresing Rp 15,000 Sulasmini Rp 15,000
85 Ahmad Samsul 6310101202790002 39 2/27/2018 Ekstirpasi Rp 100,000 Hj. Dewi Rp 100,000
87 Ahmad Tukidi 6310091010759018 43 2/28/2018 Ekstirpasi Rp 100,000 Sulasmini Rp 100,000
TOTAL Rp 3,390,000 Rp 3,390,000


NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031

1 Nur'aini 6310104406880005 29 2/1/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000

2 Kuryati 6310104409880001 29 2/1/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
3 Sri Wahyuni 6310105007890002 32 2/1/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
4 Rima 6310086605080002 9 2/1/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
5 Rina Santi Worianingrum 6310105004890011 28 2/1/2018 Tbl komposit 2 gigi Rp 30,000 drg. Wiwit L Rp 30,000
6 Nur Maulida 6310107006000001 17 2/1/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
7 Abdul Kohar 6310081702930003 29 2/2/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
8 Hafis 6310071405160001 6 2/2/2018 Cbt 2 Gigi Rp 30,000 drg. Wiwit L Rp 30,000
9 Nadia Putri Lestari 6310105112010001 16 2/3/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
10 Fiqa Sahala Sulityan I 6310066005080006 9 2/3/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
11 St. Nurzulita 6310106811910004 25 2/3/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
12 Ahmad Zulfan Hilmi 6310081709110001 6 2/6/2018 Cbt 2 Gigi Rp 30,000 drg. Wiwit L Rp 30,000
13 Marsa Amanda 6310105506020001 9 2/6/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
14 BQ. Fadita Barokat 6310084901150001 3 2/6/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
15 Ahmad Agil S 6310083009100001 8 2/6/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
16 Hafiz Dwi 6310082609110001 6 2/6/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
17 Hairul Usman 6310092108040004 15 2/7/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
18 Unen S 6310080507650002 52 2/7/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
19 Joko Riyanto 3314031212810003 36 2/7/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
20 Rahmawati 6310084107020037 16 2/7/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
21 Dahmurotun 6310086906880001 24 2/7/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
22 Aqila Z 6310084707120001 6 2/8/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
23 Anita 6310086805930003 26 2/8/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
24 Dinar Suciati 6310086402950001 23 2/8/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
25 Yuli Ernawati 6310084207880001 29 2/9/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
26 Vahlevi Amalia Putri 6310106304860001 32 2/9/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
27 Ike Nurjanah 6310084609020001 16 2/10/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
28 Alysa Hasanah 6310084911100001 7 2/10/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
29 Herniah 6310085707820004 26 2/10/2018 Konsultasi Rp 15,000 drg. Wiwit L Rp 15,000
30 Asifa Azzahra 6310084811100002 7 2/10/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
31 Aidha Okta 6310107110120001 6 2/10/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
32 Rizki Satrio 6310080607100001 7 2/10/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
33 Muhamad Lani 6310080103870001 31 2/12/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
34 Rahmad Efendi 6310080101980001 20 2/12/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
35 Ni Nengah Suari 6310084903730005 45 2/12/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
36 Jumaah 6310085207730001 45 2/12/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
37 Muhammad Rizqi Aditya 6310070603140001 3 2/12/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
38 Anisa Aulia Putri 6310076204120001 5 2/12/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
39 Aidha Okta Jelita 6310107110120001 6 2/13/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
40 Rukiah 6310084809730001 42 2/13/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
41 Dedi 6310083001020002 15 2/13/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
42 Rubianti 6310105608780001 40 2/13/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
43 Ahmad Zailani Mustafa 6303192406110001 6 2/14/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
44 Riski Puriawan 6310082406020001 16 2/15/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
45 Teguh Wiyono 6310101606780002 40 2/15/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
46 Ngatmini 6310104103900002 28 2/15/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
47 Zaskya Adila Putri 6310085912100002 2 2/17/2018 Cbt 2 Gigi Rp 30,000 drg. Wiwit L Rp 30,000
48 I Made Cendana 6310080310040001 14 2/17/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
49 Heru Yunia Slamet 6310100106960001 22 2/17/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
50 Herliani 6371015711760006 41 2/17/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
51 Fahri Apriliansyah 6310101204110001 6 2/19/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
52 Ratnasari 6310086407070003 10 2/19/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
53 Adik Rohayah Amalina 6310104709820004 35 2/20/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
54 Cinta Romanda 6310094807070009 10 2/20/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
55 Munara Alhuna 6310086003110001 7 2/20/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
56 Misran 6310082502630001 54 2/21/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
57 Mahda Halisyah 6310094404030010 14 2/22/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
58 Siti Masitah 6310104804970002 4 2/22/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
59 Salsabila Qurrotu'ain 6310086704100001 7 2/22/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
60 Nadia Asyifa 6310074401120001 5 2/22/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
61 April Lia Noer 6310074204120001 6 2/23/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
62 Maulana Husain Zahabi 6310083112110001 7 2/23/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
63 Mu'adi 6310100204740001 43 2/23/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
64 Rendi Ardian 6310102812110002 6 2/23/2018 Cbt 2 Gigi Rp 30,000 drg. Wiwit L Rp 30,000
65 Cinta Romanda 6310094807070009 10 2/23/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
66 Egy Tegar Irawan 6310085910110001 6 2/23/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
67 Tamsiri 6310084710630002 54 2/24/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
68 Nadia Asyifa 6310074401120001 6 2/24/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
69 Adrian 6310102704050001 13 2/24/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
70 Ike Nurjanah 6310084609020001 15 2/24/2018 Cbt 2 Gigi Rp 30,000 drg. Wiwit L Rp 30,000
71 Ibnah Nurhayah 6310084508030001 14 2/24/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
72 Sartika Putri Mulyani 6310086002120002 6 2/24/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
73 Vahlevi Amalia Putri 6310106304860001 32 2/26/2018 Tbl komposit Rp 15,000 drg. Wiwit L Rp 15,000
74 Diah Ayu Tiara Dewi 6310065905020001 15 2/26/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
75 Ngatmini 6310104103900002 28 2/26/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
76 Jainor Minawati 6310095503740007 44 2/26/2018 Scalling 4 Regio Rp 120,000 drg. Wiwit L Rp 120,000
77 Juwita Rahayu 6310084311100004 7 2/26/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
78 Nanda Yunita Sari 6310085806090002 9 2/27/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
79 M. Rizal Firdaus 6310080102120001 6 2/27/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
80 Ngatmini 6310104103900002 28 2/27/2018 Tbl komposit 2 gigi Rp 30,000 drg. Wiwit L Rp 30,000
81 Endang Jamayanti 6310086802030001 15 2/27/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
82 Tamsiri 6310084710630002 54 2/27/2018 Cbt gg dg Kompl. Rp 50,000 drg. Wiwit L Rp 50,000
83 Ernawati 6310085307820005 35 2/27/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
84 Adia Rafa F 6310074409130001 4 2/28/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
85 Pahrudin 6310081212770001 40 2/28/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
86 Riska Kurniasari 6310086104850001 32 2/28/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
87 Sunardi 6310090810950002 21 2/28/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000
88 Ian Ferdi Yuniar 6310082006100001 8 2/28/2018 Cabut Gigi Rp 15,000 drg. Wiwit L Rp 15,000
TOTAL Rp 2,610,000 Rp 2,610,000


NIP, 19720403 200604 2 024 NIP.19850529 201001 2 031
Daftar Pasien Bulan Februari 2018
UMUR / JK TANGGAL
NO NAMA PASIEN L P KUNJUNGAN DIAGNOSA
1 2 4 5 6 7
1 Muntarni 36 01/02/2018 Ispa
2 Mislaen 65 01/02/2018 Hipertensi
3 Muhdi 60 01/02/2018 Hipertensi
4 Sriyati 55 01/02/2018 Hipertensi
5 Keswati 47 01/02/2018 Hipertensi
6 Ni Kadek Sudiasih 43 01/02/2018 Gastritis
7 Nasrin 75 01/02/2018 Hipertensi
8 Suwandi 66 01/02/2018 Hipertensi
9 Suwanto 46 01/02/2018 Ispa
10 Anik Maryani 38 01/02/2018 Dyspepsia
11 M. Risky Maulana H 7 01/02/2018 Diare
12 Aisyah Fitri Dwi Puspida 2 01/02/2018 Diare
13 Wahyu Sri Kadarsih 32 01/02/2018 Dyspepsia
14 Nurin Syifa 6 01/02/2018 Dermatitis
15 Nur Syifa Puspa Sari 6 01/02/2018 Diare
16 Rizal Murif 1 01/02/2018 Febris
17 Varhisa Aprilia 1 01/02/2018 Febris
18 Anggun Nur Raya 1 01/02/2018 Febris
19 Dimas Adi Saputra 12 01/02/2018 Dermatitis
20 Muh. Bagas Hendrawan 13 01/02/2018 Ispa
21 M. Sultan Harianto 11 01/02/2018 Diare
22 Hizbullah 11 01/02/2018 Diare
23 Maulana Akbar 13 01/02/2018 Ispa
24 Muhammad Evan Aldian 11 01/02/2018 Diare
25 Muhammad Hilal Rama 12 01/02/2018 Ispa
26 Andika Trianto 8 01/02/2018 Diare
27 Widiyana Rahmawati 11 01/02/2018 Dermatitis
28 Maya Astuti 11 01/02/2018 Diare
29 M. Aldi Saputra 12 01/02/2018 Dermatitis
30 Andi Fatua Rifansyah 12 01/02/2018 Febris
31 Marsya Putri Prasetia 11 01/02/2018 Ispa
32 Elsa Amelia 11 01/02/2018 Diare
33 Tumisih 50 03/02/2018 Hipertensi
34 Sahlah 54 03/02/2018 Hipertensi
35 Munifan 36 03/02/2018 Dermatitis
36 Sukardi 63 03/02/2018 Hipertensi
37 Bambang Waluyo 52 03/02/2018 Hipertensi
38 Jumini 60 03/02/2018 Hipertensi
39 Kholisatun 43 03/02/2018 Ispa
40 Nur Wahyudin 22 03/02/2018 Ispa
41 Trubus 58 03/02/2018 Hipertensi
42 Burhansyah 53 03/02/2018 Hipertensi
43 Taim 63 03/02/2018 Hipertensi
44 Slamet Apaus Juwedi 36 03/02/2018 Dermatitis
45 Kepin Adiansyah 5 03/02/2018 Diare
46 Fania Noor Hidayah 1 03/02/2018 Febris
47 Najwa Putri Nur Afifah 2 03/02/2018 Febris
48 Naura Hasna Annida 4 03/02/2018 Diare
49 Muhammad Furqon S 11 03/02/2018 Gastritis
50 Juriah Novianti 11 03/02/2018 Febris
51 Lukmanul Hakim 11 03/02/2018 Diare
52 Muhammad Reyhan 10 03/02/2018 Ispa
53 Azril Ridkhodatulaisy 11 03/02/2018 Gastritis
54 Sandra Hedrani 10 03/02/2018 Ispa
55 Nanda Hafifah 11 03/02/2018 Ispa
56 Marfina Sari 10 03/02/2018 Diare
57 B. Khairi Tazkiyah 11 03/02/2018 Ispa
58 Ahmad Saeful Fadhli 11 03/02/2018 Diare
59 Septya Ramadani 11 03/02/2018 Ispa
60 Safrina Aulia Rahmah 11 03/02/2018 Febris
61 Fiqa Sahala Sulistyan 10 03/02/2018 Febris
62 Hermansyah 40 05/02/2018 Ispa
63 Parsilah 59 05/02/2018 Hipertensi
64 Ni Luh Sudarsi 47 05/02/2018 Ispa
65 Umyati 53 05/02/2018 Hipertensi
66 Kasniah 53 05/02/2018 Hipertensi
67 Siti Rohmah 45 05/02/2018 Ispa
68 Mujiati 56 05/02/2018 Hipertensi
69 Rohimah 38 05/02/2018 Ispa
70 Robiah 38 05/02/2018 Dermatitis
71 Agus Purnomo 26 05/02/2018 Ispa
72 Subandi 68 05/02/2018 Hipertensi
73 Marisrom 51 05/02/2018 Hipertensi
74 Linda Sriyanti 29 05/02/2018 Ispa
75 Jumanis 72 05/02/2018 Diabetes
76 Anisa Norahma 1 05/02/2018 Diare
77 Dina Maulida 7 05/02/2018 Dermatitis
78 Muhammad Jamaluddin 2 05/02/2018 Diare
79 Tiara Lestari 9 05/02/2018 Febris
80 Riani Kusnianti 13 05/02/2018 Diare
81 Heni Krisyana 10 05/02/2018 Febris
82 Diah Ayu Tiara Dewi 16 05/02/2018 Dermatitis
83 Aisyah Fitri Dwi Puspida 2 05/02/2018 Diare
84 Rizma Ramadayanti 9 05/02/2018 Dermatitis
85 Syafira Natasya RP 1 05/02/2018 Febris
86 Winarsih 41 06/02/2018 Konjungtifitis
87 Rimula 35 06/02/2018 Ispa
88 Patriah 69 06/02/2018 Dyspepsia
89 Kamsiah 49 06/02/2018 Hipertensi
90 Siti Tunjiah 19 06/02/2018 Ispa
91 Misran 46 06/02/2018 Ispa
92 Halimatul Adawiyah 38 06/02/2018 Ispa
93 Rahmawati 33 06/02/2018 Dermatitis
94 Salasiah 48 06/02/2018 Ispa
95 Wati 48 06/02/2018 Ispa
96 Hauzan Irhab Nabil 1 06/02/2018 Febris
97 Rayhan Fauzan 4 06/02/2018 Diare
98 Muhammad Febriyadi 2 06/02/2018 Febris
99 Muhammad Faturrahman 13 06/02/2018 Ispa
100 Sabiq Bagus Pratama 12 06/02/2018 Diare
101 Muhammad Bayhacky 11 06/02/2018 Diare
102 Laely Anisa Hayati 11 06/02/2018 Diare
103 Ayu Susilo Wati 11 06/02/2018 Dermatitis
104 M. Agung Sedayu 12 06/02/2018 Dermatitis
105 Rahmad Padliansyah 11 06/02/2018 Diare
106 Diki Cahya Saputra 11 06/02/2018 Dermatitis
107 Wahyudi 13 06/02/2018 Ispa
108 Icha 11 06/02/2018 Ispa
109 Sherina Mely Agustina 11 06/02/2018 Dermatitis
110 Sindy Ayu Cahyani 11 06/02/2018 Ispa
111 Isbik Fairus Ahmad 11 06/02/2018 Febris
112 Aminullah 65 07/02/2018 Hipertensi
113 Wagimin 71 07/02/2018 Ispa
114 Suripah 47 07/02/2018 Dyspepsia
115 Mahdin 71 07/02/2018 Hipertensi
116 Rahmah 38 07/02/2018 Ispa
117 Ahmad Zaidi 39 07/02/2018 Ispa
118 I Made Wiarta 20 07/02/2018 Ispa
119 Siti Jamrah 56 07/02/2018 Hipertensi
120 Sarikin Thobin 13 07/02/2018 Dermatitis
121 Jamidin 27 07/02/2018 Ispa
122 Mayra Putri Febianti 6 07/02/2018 Dermatitis
123 Febryansyah 15 07/02/2018 Diare
124 Muhammad Raihan 12 07/02/2018 Gastritis
125 Dina Rahayu 11 07/02/2018 Ispa
126 Noerman Hakim 12 07/02/2018 Ispa
127 Ardiyanto 13 07/02/2018 Konjungtifitis
128 Tuhfatun Maqiyah 12 07/02/2018 Ispa
129 Sopia Nur Fitriani 12 07/02/2018 Dermatitis
130 Restifa Nazwa Azhura 11 07/02/2018 Ispa
131 Ira Damayanti 16 07/02/2018 Dermatitis
132 M. Ridho Sukarna 9 07/02/2018 Dermatitis
133 Novi Arini 11 07/02/2018 Gastritis
134 Rita Setia 12 07/02/2018 Gastritis
135 Sugianto 45 08/02/2018 Dyspepsia
136 Saryono 67 08/02/2018 Hipertensi
137 M. Sidik 47 08/02/2018 Dyspepsia
138 Ahmad Rifa'i 39 08/02/2018 Konjungtifitis
139 Narsiah 50 08/02/2018 Hipertensi
140 Suci Yani 25 08/02/2018 Diare
141 Sutianah 51 08/02/2018 Gastritis
142 I. Tohriadi 68 08/02/2018 Hipertensi
143 Jayuli 49 08/02/2018 Ispa
144 Samilah 57 08/02/2018 Hipertensi
145 Subandi 68 08/02/2018 Hipertensi
146 Devi Anggelia Rahma 6 08/02/2018 Diare
147 Ahmad Alilintar 6 08/02/2018 Ispa
148 Koriah 22 08/02/2018 Gastritis
149 Andi Saputra 14 08/02/2018 Ispa
150 Vikri Dwi Romdani 9 08/02/2018 Diare
151 M. Rozi Zein Alfakih 2 08/02/2018 Febris
152 Susi Hariyanti 17 08/02/2018 Dyspepsia
153 Fatimah Azahra 5 08/02/2018 Diare
154 Ahmad Nur Arif Billah 5 08/02/2018 Diare
155 Muhammad Febri Aditya 8 08/02/2018 Ispa
156 Restu Asti Drajat 11 08/02/2018 Ispa
157 Agus Andriawan 13 08/02/2018 Ispa
158 Ikhlas Adisfitriawan 12 08/02/2018 Ispa
159 Mochamad Faris Ardian 12 08/02/2018 Dermatitis
160 Nadia Novianti 12 08/02/2018 Diare
161 Muhamad Irwan 11 08/02/2018 Konjungtifitis
162 Mawarti Jannah 11 08/02/2018 Konjungtifitis
163 Adi Riyanto 13 08/02/2018 Diare
164 Agus Indriawan 11 08/02/2018 Diare
165 Wage 36 09/02/2018 Ispa
166 Siti Sukarsih 57 09/02/2018 Hipertensi
167 Riyanti 41 09/02/2018 Ispa
168 Ni Ketut Ariani 42 09/02/2018 Dermatitis
169 Ni Wayan Sulastri 52 09/02/2018 Hipertensi
170 Taim 63 09/02/2018 Hipertensi
171 Baiq Humaira Rafania S 2 09/02/2018 Diare
172 Putri Maya Sari 12 09/02/2018 Ispa
173 Yu'uki Rahmayanti 13 09/02/2018 Gastritis
174 Pawitri 13 09/02/2018 Dermatitis
175 Sholeha 13 09/02/2018 Diare
176 Herma Rosalya Indah 14 09/02/2018 Diare
177 Sri Wahyuni 15 09/02/2018 Dermatitis
178 Fadiah Hairunnisa 13 09/02/2018 Febris
179 Lira Tiurma Simanjuntak 13 09/02/2018 Diare
180 Umi Fidayanti 14 09/02/2018 Ispa
181 Mela Safitri 14 09/02/2018 Ispa
182 Saiful Pajar 12 09/02/2018 Ispa
183 Muhammad Rifqi Ardhani 3 09/02/2018 Diare
184 Siti Rohmah 45 10/02/2018 Dermatitis
185 Danu Aris Kurniawan 20 10/02/2018 Ispa
186 I Gede Adi Irawan 27 10/02/2018 Dermatitis
187 Ni Nengah Putriani 23 10/02/2018 Ispa
188 Kamini 38 10/02/2018 Ispa
190 Nazril Fahreza 1 10/02/2018 Febris
191 Rosyita Juni Syam 13 10/02/2018 Ispa
192 Mu'minawati 13 10/02/2018 Dermatitis
193 Nanda Kartika Dewi 13 10/02/2018 Ispa
194 Dheya Hasanah 13 10/02/2018 Ispa
195 Lesma 14 10/02/2018 Ispa
196 Ni Made Sucipta Puntari 14 10/02/2018 Ispa
197 Nurfariyanti 13 10/02/2018 Ispa
198 Dahniar Monadisa 13 10/02/2018 Ispa
199 Lina Ramadani 7 10/02/2018 Diare
200 Hatmi Susanti 18 10/02/2018 Ispa
201 Imel Maulida 5 10/02/2018 Diare
202 Davida Afilyas 3 10/02/2018 Diare
203 I Made Andi Wirawan 1 10/02/2018 Febris
204 Novita Anggraini 13 10/02/2018 Dermatitis
205 Umar Sidik 18 10/02/2018 Ispa
206 Sunari 65 12/02/2018 Hipertensi
207 Bejo 66 12/02/2018 Hipertensi
208 Suparni 56 12/02/2018 Hipertensi
209 Ni Ketut Ahiani 42 12/02/2018 Dermatitis
210 Suwarno 41 12/02/2018 Konjungtifitis
211 Abdul Sani 75 12/02/2018 Hipertensi
212 Sariati 43 12/02/2018 Hipertensi
213 Daliman 64 12/02/2018 Hipertensi
214 Supinah 51 12/02/2018 Hipertensi
215 Jumini 60 12/02/2018 Hipertensi
216 Sukardi 63 12/02/2018 Hipertensi
217 Sar'i 42 12/02/2018 Ispa
218 Aslamiah 38 12/02/2018 Ispa
219 Wahyu Nur Iksan 14 12/02/2018 Diare
220 Irfan Aprilia 7 12/02/2018 Diare
221 Rizki Hendrian 13 12/02/2018 Dermatitis
222 Muhammad Andriansyah 15 12/02/2018 Konjungtifitis
223 Wahyu Nur Iksan 14 12/02/2018 Diare
224 I Ketut Pande Prayana 13 12/02/2018 Dermatitis
225 M. Wahyudi 14 12/02/2018 Gastritis
226 Adam Firdaus 14 12/02/2018 Konjungtifitis
227 Ferry Susanto 15 12/02/2018 Diare
228 Sapril Hadi Putra 15 12/02/2018 Gastritis
229 Komaruzzaman 13 12/02/2018 Ispa
230 Andrean Rahmadani 13 12/02/2018 Ispa
231 Rukiyah 45 13/02/2018 Diare
232 Suwarto 65 13/02/2018 Gastritis
233 Samsudin 45 13/02/2018 Diare
234 Dwi Lestari 24 13/02/2018 Gastritis
235 Rehanun 44 13/02/2018 Diare
236 Ni Wayan Sulastri 52 13/02/2018 Hipertensi
237 Wagimin 71 13/02/2018 Hipertensi
238 Jamilah 56 13/02/2018 Hipertensi
239 H. Muridun 58 13/02/2018 Hipertensi
240 Gisel Aprilia 4 13/02/2018 Diare
241 Keiza Aisyila Azahwa 6 13/02/2018 Diare
242 Ahmad Alieffatul Anam 2 13/02/2018 Febris
243 Farzana Susanto 1 13/02/2018 Febris
244 Muhammad Azrilriyansy 7 13/02/2018 Diare
245 Farhan Susanto 1 13/02/2018 Febris
246 Toni Hermawan 9 13/02/2018 Ispa
247 Ni Kadek Sukmasari 13 13/02/2018 Diare
248 Alia 12 13/02/2018 Dermatitis
249 Muhammad Habibi 5 13/02/2018 Febris
250 Ruhayah 5 13/02/2018 Diare
251 Lutfi Khari 6 13/02/2018 Ispa
252 Rosa Rahmawati 14 13/02/2018 Diare
253 Rokhimatul Aliya 3 13/02/2018 Diare
254 Rina Indriyani 21 14/02/2018 Ispa
255 Jumadi 36 14/02/2018 Ispa
256 Men Suparti 66 14/02/2018 Hipertensi
257 Rahmawati 33 14/02/2018 Ispa
258 Ernawati 27 14/02/2018 Ispa
259 H. M. Alwi 66 14/02/2018 Hipertensi
260 Andi Santoso 36 14/02/2018 Konjungtifitis
261 Wulan Sari'ah 14 14/02/2018 Dyspepsia
262 Maulida Syafitri 13 14/02/2018 Gastritis
263 Arja Luthfi Aditya 6 14/02/2018 Febris
264 Vino Alfajar 2 14/02/2018 Febris
265 Desy Marcela 13 14/02/2018 Diare
266 Aprillia Noer 6 14/02/2018 Diare
267 M. Sandika 12 14/02/2018 Febris
268 Nadila Rahmawati 13 14/02/2018 Diare
269 Muhammad Ahda 6 14/02/2018 Febris
270 Jessi Manuella 2 14/02/2018 Diare
271 Sayem 60 15/02/2018 Hipertensi
272 Siti Rohmah 45 15/02/2018 Ispa
273 Taryo 69 15/02/2018 Gastritis
274 Samilah 57 15/02/2018 Hipertensi
275 Saminah 69 15/02/2018 Hipertensi
276 Saipul Anwar 30 15/02/2018 Ispa
277 Emah 50 15/02/2018 Hipertensi
278 Sukirman 68 15/02/2018 Hipertensi
279 L. Tohriadi 68 15/02/2018 Hipertensi
280 Suyono 32 15/02/2018 Ispa
281 Hamsyah Arsyad 3 15/02/2018 Diare
282 Firda Kamelia Zahro 13 15/02/2018 Ispa
283 Muhammad Raditya P 7 15/02/2018 Dermatitis
284 Nauval Abhicandra 1 15/02/2018 Diare
285 Rizki Satrio 8 15/02/2018 Dermatitis
286 Faradisti Editia 2 15/02/2018 Diare
287 Alwarizky Ramadhan 1 15/02/2018 Febris
288 Karmila Saputri 5 15/02/2018 Diare
289 Dimas Rasya M. Dani 8 15/02/2018 Ispa
290 Agal Saputra 4 15/02/2018 Diare
291 Lalu Suaeb 55 17/02/2018 Hipertensi
292 Rubianti 40 17/02/2018 Dermatitis
293 Dwi Lestari 24 17/02/2018 Gastritis
294 Mahnun 61 17/02/2018 Hipertensi
296 Satinah 75 17/02/2018 Hipertensi
297 Lalu Arum 66 17/02/2018 Hipertensi
298 Rohimah 38 17/02/2018 Dyspepsia
299 Edi Haryadi 46 17/02/2018 Gastritis
300 Modo 66 17/02/2018 Hipertensi
301 Selamet Harini 35 17/02/2018 Ispa
303 I Nyoman Rakta 58 17/02/2018 Hipertensi
304 Sutinah 51 17/02/2018 Hipertensi
305 Muhammad Reza 2 17/02/2018 Febris
306 Riyandi 7 17/02/2018 Diare
307 Meyra Arsyla 2 17/02/2018 Diare
308 Muhammad Defriyadi 8 17/02/2018 Konjungtifitis
309 Sri Eka Mulyani 9 17/02/2018 Febris
310 Safrudin Hidayat 7 17/02/2018 Febris
311 Syumaeni 1 17/02/2018 Febris
312 Putri Aulia 7 17/02/2018 Dermatitis
313 Merlisa Aily Zahra 10 17/02/2018 Diare
314 Syarifa Adinda Sari 1 17/02/2018 Febris
315 Ferdianto Saputra 4 17/02/2018 Diare
316 Haikal Mahmud 3 17/02/2018 Diare
317 Caricha Olivia 7 17/02/2018 Diare
318 Fitha Loka 8 17/02/2018 Konjungtifitis
319 Jaminah 87 19/02/2018 Diabetes
320 Siti Rohmah 45 19/02/2018 Dermatitis
321 Saripandi 41 19/02/2018 Ispa
322 Ni Made Ladri 61 19/02/2018 Hipertensi
323 Sunarmi 65 19/02/2018 Hipertensi
324 I Wayan Samudra 67 2/19/2018 Hipertensi
325 Salbiah 55 2/19/2018 Hipertensi
326 Herlisa Tifani 33 2/19/2018 Dermatitis
327 Lasminah 29 2/19/2018 Konjungtifitis
328 Nur Hayati 32 2/19/2018 Dermatitis
329 Robiah 38 2/19/2018 Ispa
330 Muh Rodjib Farizqo 6 2/19/2018 Dermatitis
331 Tiara Lestari 9 2/19/2018 Diare
332 Sohibul Asy'ary 1 2/19/2018 Febris
333 Fitriana 15 2/19/2018 Dermatitis
334 Sefti Nur Aulia 4 2/19/2018 Dermatitis
335 I Kadek Agus Suartana 1 2/19/2018 Febris
336 Doni Inggar Saputra 14 2/19/2018 Ispa
337 Farzana Susanto 1 2/19/2018 Febris
338 I Gusti Ngurah Wahyu 14 2/19/2018 Dermatitis
339 Muhammad Zaini 3 2/19/2018 Diare
340 Arja Luthfi Aditya 6 2/19/2018 Diare
341 Nur Aulia Rahmah 1 2/19/2018 Diare
342 Lufie Aulia Nur Azizak 4 2/19/2018 Diare
343 Rosidah Nuraya 10 2/19/2018 Ispa
344 Rabiatul Nasyitah 2 2/19/2018 Febris
345 Muhammad Hilmi Muzak 8 2/19/2018 Konjungtifitis
346 Aslamiah 38 2/19/2018 Ispa
347 Ratna 47 2/20/2018 Hipertensi
348 Pairan 51 2/20/2018 Hipertensi
349 Azifatul Latifah 25 2/20/2018 Ispa
350 Siti Halisah 48 2/20/2018 Ispa
351 Saijo 69 2/20/2018 Hipertensi
352 Nurliyan 40 2/20/2018 Ispa
353 Dwi Lestari 24 2/20/2018 Ispa
354 Rahmadi 29 2/20/2018 Gastritis
355 Muslimin 34 2/20/2018 Gastritis
356 I Made Bawa 44 2/20/2018 Ispa
357 Linda Emelia 31 2/20/2018 Dyspepsia
358 Mega 31 2/20/2018 Dermatitis
360 Siti Sukarsih 57 2/20/2018 Hipertensi
361 Wariyah 42 2/20/2018 Ispa
362 Turni 61 2/20/2018 Hipertensi
363 Waginah 43 2/20/2018 Ispa
364 I Wayan Sumanda 58 2/20/2018 Hipertensi
365 Sutianah 51 2/20/2018 Hipertensi
366 Rizky Perbianto 6 2/20/2018 Diare
367 M. Ajie Fahlepi 18 2/20/2018 Dermatitis
368 Priyanka Sekar Arum 1 2/20/2018 Diare
369 Muhammad Rafi 12 2/20/2018 Dermatitis
370 M. Heri Hermawan 16 2/20/2018 Dermatitis
371 Dika Pratama 3 2/20/2018 Diare
372 Nilam Cahaya 6 2/20/2018 Diare
373 Nayla Rathifa Al - Aqila 5 2/20/2018 Diare
374 Daliman 64 2/21/2018 Hipertensi
375 Tumari 35 2/21/2018 Ispa
376 Sulimah 40 2/21/2018 Dermatitis
377 Rahini 57 2/21/2018 Hipertensi
378 Wagiyah 53 2/21/2018 Hipertensi
379 Hariyanti 30 2/21/2018 Konjungtifitis
380 Sri Hartini 34 2/21/2018 Konjungtifitis
381 M. Sidik 47 2/21/2018 Ispa
382 Mega 31 2/21/2018 Dermatitis
383 Natasya Aulia Putri 1 2/21/2018 Febris
384 Enggi Ningtyasih 8 2/21/2018 Ispa
385 Safia Dela Virnanda 2 2/21/2018 Diare
386 Anggira Yudi Safitri 5 2/21/2018 Diare
387 Juweni 44 2/21/2018 Ispa
388 Muhammad Khalid Zeed 1 2/21/2018 Febris
389 Aisya Okta Viani 7 2/21/2018 Diare
390 Siti Mardiana 23 2/21/2018 Ispa
391 Gibriel Arga Ibrahim 2 2/21/2018 Diare
392 Nayra Anggrainy 4 2/21/2018 Diare
393 Neni Armedi 11 2/21/2018 Dermatitis
394 Suprihatun Laila 15 2/21/2018 Dermatitis
395 Yuyun 17 2/21/2018 Dermatitis
396 Muhammad Suhron 19 2/21/2018 Konjungtifitis
397 Herdiani 10 2/21/2018 Ispa

PX Jamkesda Februari2018

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DAFTAR TAGIHAN KLAIM RAWAT JALAN PASIEN JAMKESDA PUSKESMAS BATULICIN I KAB.

PROPINSI : KALIMANTAN SELATAN BULAN : Februari

1 Ngaliman 6310080712870001 31 01/02/2018 Ispa Rp 10,000 dr. Toto H Rp 10,000

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

PROPINSI : KALIMANTAN SELATAN BULAN : Februari

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

PROPINSI : KALIMANTAN SELATAN BULAN : Februari

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

PROPINSI : KALIMANTAN SELATAN BULAN : Februari

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

PROPINSI : KALIMANTAN SELATAN BULAN : Januari

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

PROPINSI : KALIMANTAN SELATAN BULAN : Februari

1 Nur'aini 6310104406880005 29 2/1/2018 Konsultasi Rp 20,000 drg. Wiwit L Rp 20,000

Mengetahui : Tanah Bumbu, 03 Maret 2018

dr. Rinasary Aras Nisa Ul Fitriah

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