F 1 SKT

Kantor Cabang : CIMAHI - 1014
FKTP : NGAMPRAH - 10022501

TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN
1 100225010121P000 30-01-2021 30-01-2021 0000058261656 ENI ROHAENI P

573 00:00 08:16
2 100225010121P000 30-01-2021 30-01-2021 0000497761863 AISAH P

584 00:00 10:14
3 100225010121P000 30-01-2021 30-01-2021 0000498094841 IIN P

580 00:00 09:25
4 100225010121P000 30-01-2021 30-01-2021 0000498359823 ROHANAH P

581 00:00 09:26
5 100225010121P000 30-01-2021 30-01-2021 0000498688367 ROSMIATI P
576 00:00 09:17
6 100225010121P000 30-01-2021 30-01-2021 0001518541301 IMAS KOMARIAH P
585 00:00 10:19
7 100225010121P000 30-01-2021 30-01-2021 0001523644817 NIA KURNIAWATI P

583 00:00 09:42
8 100225010121P000 30-01-2021 30-01-2021 0001733845623 ASEP WARSA L
575 00:00 09:08
9 100225010121P000 30-01-2021 30-01-2021 0002078518915 SEPTIADI HIDAYAT L

582 00:00 09:41
10 100225010121P000 30-01-2021 30-01-2021 0002262617357 TATI P
574 00:00 08:32
11 100225010121P000 30-01-2021 30-01-2021 0002778214566 ENDI SUHENDI L

579 00:00 09:23
12 100225010121P000 30-01-2021 30-01-2021 0002840001309 TARNO L
577 00:00 09:19
13 100225010121P000 30-01-2021 30-01-2021 0002902673992 RATNA P

578 00:00 09:21
14 100225010121P000 29-01-2021 29-01-2021 0000416117204 ADE WIDANINGSIH P
565 00:00 10:25
15 100225010121P000 29-01-2021 29-01-2021 0000496709752 ASEP DANI KUSNAEDI L

561 00:00 08:03
16 100225010121P000 29-01-2021 29-01-2021 0000498289094 YULI INDRIYANI P

570 00:00 11:14
17 100225010121P000 29-01-2021 29-01-2021 0000498626583 DENI ALIANJAR L

564 00:00 10:22
STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS
- Secondary hypertension Berobat Jalan Hipertensi
PBI (APBN) Sequelae of cerebral infarction Rujuk Vertikal
PBI (APBN) Myalgia Berobat Jalan
PBI (APBN) Antenatal screening Berobat Jalan
PBI (APBN) Generalized enlarged lymph nodes Berobat Jalan
PBI (APBD) Non-insulin-dependent diabetes Rujuk Vertikal

mellitus
PEKERJA MANDIRI Myalgia Berobat Jalan
PEKERJA MANDIRI Acute sinusitis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Orchitis and epididymitis Rujuk Vertikal
PEKERJA MANDIRI Other specified diabetes mellitus Berobat Jalan Diabetes Mellitus
PEGAWAI SWASTA Low back pain Berobat Jalan
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan
- Acute nasopharyngitis [common Berobat Jalan

cold]
PBI (APBN) Epilepsy Rujuk Vertikal
PEGAWAI SWASTA Dyspepsia Berobat Jalan
PBI (APBN) Acute bronchiolitis Rujuk Vertikal

18 100225010121P000 29-01-2021 29-01-2021 0001439254247 LUCKY SUSANTO L
567 00:00 10:28
19 100225010121P000 29-01-2021 29-01-2021 0001675037002 DEDEH KURNIA P

566 00:00 10:27
20 100225010121P000 29-01-2021 29-01-2021 0002049731559 MIRA SARI P
569 00:00 10:50
21 100225010121P000 29-01-2021 29-01-2021 0002240313524 NENENG FEBRI MARYANI P
571 00:00 11:14
100225010121P000 29-01-2021 29-01-2021 NIZAM ANDREAN PRADIPTA
22 562 00:00 08:36 0002288661219 NAPITUPULU L
23 100225010121P000 29-01-2021 29-01-2021 0002840011997 ANDA L

568 00:00 10:32
100225010121P000 29-01-2021 29-01-2021
24 572 00:00 11:15 0003056087957 SINTA NUGRAHA P
25 100225010121P000 28-01-2021 28-01-2021 0000058231258 YAYAT KARYATI P

557 00:00 08:06
26 100225010121P000 28-01-2021 31-01-2021 0000498145926 JUHANAH P
586 00:00 17:19
27 100225010121P000 28-01-2021 28-01-2021 0001278781525 FENNI GUSMITA P

558 00:00 08:25
28 100225010121P000 28-01-2021 04-02-2021 0001408718878 Reni Puspitasari P
589 00:00 08:40
29 100225010121P000 28-01-2021 28-01-2021 0002439248196 RACHMAT L

560 00:00 08:57
30 100225010121P000 28-01-2021 31-01-2021 0002840001309 TARNO L

587 00:00 17:20
100225010121P000 28-01-2021 28-01-2021

31 559 00:00 08:31 0002888130161 EMUN L
32 100225010121P000 27-01-2021 27-01-2021 0000057610765 EDDY ERNANTO SETYONO L

522 00:00 08:33
100225010121P000 27-01-2021 27-01-2021 IIN INDIATI PURNAMA DEWI
33 529 00:00 09:07 0000058526458 P
34 100225010121P000 27-01-2021 27-01-2021 0000058551243 CUCU SULASTRI P

537 00:00 10:05
PEKERJA MANDIRI Respiratory tuberculosis, not Berobat Jalan
confirmed bacteriologically or
histologically
PBI (APBD) Acute abdomen Berobat Jalan
PENERIMA PENSIUN Arthrosis, unspecified Rujuk Vertikal

PNS
cold]
Lack of expected normal
- physiological development Rujuk Vertikal
PBI (APBN) End-stage renal disease Rujuk Vertikal
PEGAWAI SWASTA Acute upper respiratory infections

of multiple and unspecified sites Berobat Jalan
- Congestive heart failure Rujuk Vertikal
PBI (APBN) Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Epilepsy Rujuk Vertikal
PEGAWAI SWASTA Routine postpartum follow-up Berobat Jalan
PEKERJA MANDIRI Chronic kidney disease Rujuk Vertikal

cold]
PEKERJA MANDIRI Chronic obstructive pulmonary

disease, unspecified Berobat Jalan
- Non-insulin-dependent diabetes Rujuk Vertikal

mellitus
Non-insulin-dependent diabetes
PNS DAERAH mellitus with unspecified Rujuk Vertikal
complications
PNS PUSAT Other arthritis Berobat Jalan

35 100225010121P000 27-01-2021 27-01-2021 0000497959582 RISWATI P
532 00:00 09:58
36 100225010121P000 27-01-2021 27-01-2021 0000498380872 NENG TINI P
546 00:00 12:38
37 0000498579041 HENI P
100225010121P000 27-01-2021 27-01-2021
533 00:00 10:00
38 100225010121P000 27-01-2021 27-01-2021 0001012438743 ARISKA SRIRAHAYU P

535 00:00 10:02
39 100225010121P000 27-01-2021 27-01-2021 0001012489479 TUTI ROSWATI P
519 00:00 07:56
40 100225010121P000 27-01-2021 27-01-2021 0001202857075 MUHAMAD YUSUP KAMIL L
525 00:00 08:48 ADIPIA
41 100225010121P000 27-01-2021 27-01-2021 0001408718878 Reni Puspitasari P

556 00:00 16:34
42 100225010121P000 27-01-2021 27-01-2021 0001429940349 TATI P

527 00:00 08:56
43 100225010121P000 27-01-2021 27-01-2021 0001515644098 Sumardi L

545 00:00 12:29
44 100225010121P000 27-01-2021 27-01-2021 0001643841887 NADIRA CANDANI YUDISTIRA P

549 00:00 12:45
45 100225010121P000 27-01-2021 27-01-2021 0001665523877 Ali Nurdin L
523 00:00 08:37
46 100225010121P000 27-01-2021 27-01-2021 0001665524665 KUSWANA DANA MIHARJA L

524 00:00 08:38
47 100225010121P000 27-01-2021 27-01-2021 0001666716693 LINA APRILIANI P
538 00:00 10:06
48 100225010121P000 27-01-2021 27-01-2021 0001675027034 NURJANAH P

528 00:00 09:02
49 100225010121P000 27-01-2021 27-01-2021 0001778949922 MOCH. RIVALDI RAMDHANI L
542 00:00 11:44
50 100225010121P000 27-01-2021 27-01-2021 0001862041779 ENTIS SUTISNA L

521 00:00 08:32
51 100225010121P000 27-01-2021 27-01-2021 0001959234366 WIGNYO SUHARI L
541 00:00 11:31
52 100225010121P000 27-01-2021 27-01-2021 0002044203794 KILAN RAMADHAN L

536 00:00 10:04
PBI (APBN) Urinary tract infection, site not Berobat Jalan
specified
PBI (APBN) Diseases of pulp and periapical Berobat Jalan
tissues
- Diarrhoea and gastroenteritis of Berobat Jalan
presumed infectious origin
PBI (APBN) Dyspepsia Berobat Jalan
PBI (APBN) Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal
PEGAWAI SWASTA Epilepsy Rujuk Vertikal
PEGAWAI SWASTA Single spontaneous delivery Sembuh
- Secondary hypertension Rujuk Vertikal
PEGAWAI SWASTA Other disorders of teeth and Berobat Jalan

supporting structures
PEGAWAI SWASTA Other disorders of teeth and Berobat Jalan

PBI (APBD) Schizophrenia Rujuk Vertikal
PBI (APBD) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan
PBI (APBD) Contraceptive management Berobat Jalan
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Acute nasopharyngitis [common Berobat Jalan

cold]
- Dyspepsia Berobat Jalan

100225010121P000 27-01-2021 27-01-2021
53 531 00:00 09:13 0002078518915 SEPTIADI HIDAYAT L
54 100225010121P000 27-01-2021 27-01-2021 0002208522576 DARYATI P

518 00:00 07:53
55 100225010121P000 27-01-2021 27-01-2021 0002234918722 ENTIN P

540 00:00 10:08
56 100225010121P000 27-01-2021 27-01-2021 0002258214873 MUHAMMAD FAHAD JAVAS AL L

544 00:00 11:49 GHOZY
57 100225010121P000 27-01-2021 27-01-2021 0002258286017 ADE SUKMAWATI P

526 00:00 08:54
58 100225010121P000 27-01-2021 27-01-2021 0002302330612 TITIN SUPARTIKA P
530 00:00 09:13
100225010121P000 27-01-2021 27-01-2021
59 543 00:00 11:47 0002614970902 MUHAMMAD AL FATIH L
60 100225010121P000 27-01-2021 27-01-2021 0002622649026 RINA YULIANAWATI P

548 00:00 12:42
61 100225010121P000 27-01-2021 27-01-2021 0002797686099 NIA ROHNIA P
539 00:00 10:07
62 100225010121P000 27-01-2021 27-01-2021 0002797707082 LILI SUPATMA L

534 00:00 10:01
63 100225010121P000 27-01-2021 27-01-2021 0002877620242 HERI SUDRAJAT L
520 00:00 08:23
100225010121P000 26-01-2021 26-01-2021

64 513 00:00 11:02 0000058264064 UMAH P
65 100225010121P000 26-01-2021 26-01-2021 0000058290017 IPAH LISMAYANI P

495 00:00 10:34
100225010121P000 26-01-2021 26-01-2021
66 515 00:00 11:04 0000058419246 SUKAESIH P
67 100225010121P000 26-01-2021 26-01-2021 0000058536696 NUNUNG NUGRAHAWATI P

516 00:00 11:33
68 100225010121P000 26-01-2021 26-01-2021 0000058575802 YOYO SUTARDI L
501 00:00 10:49
69 100225010121P000 26-01-2021 26-01-2021 0000165539474 NYI ROSIDAH P

493 00:00 10:20
70 100225010121P000 26-01-2021 26-01-2021 0000416117204 ADE WIDANINGSIH P
502 00:00 10:50
PEKERJA MANDIRI Unilateral or unspecified inguinal
hernia, without obstruction or Rujuk Vertikal
gangrene
PEKERJA MANDIRI Other arthritis Berobat Jalan

cold]
PEKERJA MANDIRI Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus

mellitus
PEGAWAI SWASTA Congestive heart failure Rujuk Vertikal

PEGAWAI SWASTA Diseases of pulp and periapical Berobat Jalan

tissues

cold]
- Aneurysm of unspecified site Rujuk Vertikal
Diabetes Mellitus
- Myalgia Berobat Jalan Hipertensi
PENERIMA PENSIUN Surgical follow-up care, Rujuk Vertikal

PNS unspecified
PENERIMA PENSIUN Other disorders of gingiva and Diabetes Mellitus
PNS edentulous alveolar ridge Berobat Jalan Hipertensi
- Coronary artery aneurysm Rujuk Vertikal
PNS DAERAH Essential (primary) hypertension Berobat Jalan
PNS DAERAH Tinnitus Rujuk Vertikal
- Chest pain, unspecified Berobat Jalan

100225010121P000 26-01-2021 26-01-2021
71 497 00:00 10:43 0000497538718 DESI aryani P
100225010121P000 26-01-2021 26-01-2021

72 488 00:00 08:48 0000497578904 IMAS P
73 100225010121P000 26-01-2021 26-01-2021 0000498013751 SANTI P

510 00:00 10:58
74 100225010121P000 26-01-2021 26-01-2021 0000498297104 RAHMAT L

500 00:00 10:47
75 100225010121P000 26-01-2021 26-01-2021 0000498320728 NUR HIDAYANTI P
508 00:00 10:57
76 100225010121P000 26-01-2021 26-01-2021 0000498645044 KOMARUDIN L

494 00:00 10:22
77 100225010121P000 26-01-2021 26-01-2021 0000498739059 YANA L
517 00:00 12:19
78 100225010121P000 26-01-2021 27-01-2021 0001453324645 KINAR AYu shifa P

550 00:00 12:47
79 100225010121P000 26-01-2021 26-01-2021 0001467083799 UU KOMARA P
487 00:00 08:16
80 100225010121P000 26-01-2021 26-01-2021 0001675016469 LALA KOMALA P

512 00:00 11:00
81 100225010121P000 26-01-2021 26-01-2021 0001675027484 INDRA. K L
504 00:00 10:52
82 100225010121P000 26-01-2021 26-01-2021 0001675029205 HERNA. H P

491 00:00 09:55
83 100225010121P000 26-01-2021 26-01-2021 0001675036675 DEWI SULASTRI P

506 00:00 10:55
84 100225010121P000 26-01-2021 26-01-2021 0001675039285 SUTNI P

507 00:00 10:56
85 100225010121P000 26-01-2021 26-01-2021 0001675505553 RIZKY MEILIANTY P

509 00:00 10:58 NURHIDAYAH
86 100225010121P000 26-01-2021 26-01-2021 0001807833971 euis sutijah P
511 00:00 10:59
87 100225010121P000 26-01-2021 26-01-2021 0001818418296 MUHAMAD SAPEI L

503 00:00 10:51
88 100225010121P000 26-01-2021 27-01-2021 0001854126876 RInA ANGGRAENI P
547 00:00 12:40
89 100225010121P000 26-01-2021 26-01-2021 0001862041779 ENTIS SUTISNA L

499 00:00 10:46
Postprocedural disorders of eye
PBI (APBN) and adnexa, not elsewhere Berobat Jalan
classified
Sequelae of stroke, not specified as

- haemorrhage or infarction Rujuk Vertikal
- Contraceptive management Berobat Jalan

cold]
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus
- Schizophrenia Rujuk Vertikal
PEKERJA MANDIRI Pulpitis Berobat Jalan
- Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
- Other and unspecified abdominal Berobat Jalan

pain
PBI (APBD) Cerebral infarction, unspecified Berobat Jalan
PBI (APBD) Other noninflammatory disorders Berobat Jalan

of vagina
PEKERJA MANDIRI Antenatal screening Berobat Jalan
- Essential (primary) hypertension Berobat Jalan
- Myalgia Berobat Jalan Diabetes Mellitus Diabetes Mellitus

tissues
- Myalgia Berobat Jalan

90 100225010121P000 26-01-2021 26-01-2021 0001900462307 enos jubaedah P
490 00:00 09:06
91 100225010121P000 26-01-2021 26-01-2021 0002255264379 FANIA SALSABILAH P
496 00:00 10:41
100225010121P000 26-01-2021 26-01-2021 DEWI SARTIKA HUTABARAT
92 514 00:00 11:03 0002475492107 P
93 100225010121P000 26-01-2021 26-01-2021 0002710171438 NIA KURNIA P

505 00:00 10:53
94 100225010121P000 26-01-2021 26-01-2021 0002797709826 TITIK SUPARTI P

498 00:00 10:44
95 100225010121P000 26-01-2021 26-01-2021 0002907062245 NAURA RUBY ARNETA P
489 00:00 09:00
96 100225010121P000 25-01-2021 25-01-2021 0000058293459 CICIH SUTARSIH P
463 00:00 10:02
100225010121P000 25-01-2021 25-01-2021

97 484 00:00 11:18 0000495963909 NINGSIH P
98 100225010121P000 25-01-2021 25-01-2021 0000497764091 JERI FIRMANSYAH L

457 00:00 08:15
99 100225010121P000 25-01-2021 25-01-2021 0000497851402 NYAI ENIN P

481 00:00 11:08
100 100225010121P000 25-01-2021 25-01-2021 0000497963665 ANI KURAESIN P
480 00:00 11:06
101 100225010121P000 25-01-2021 25-01-2021 0000498371692 MARIAH P

466 00:00 10:10
102 100225010121P000 25-01-2021 25-01-2021 0000498607356 NURAENI P

469 00:00 10:22
100225010121P000 25-01-2021 25-01-2021

103 470 00:00 10:24 0000498608032 GINA RAHAYU P
104 100225010121P000 25-01-2021 25-01-2021 0000498636797 WULAN RATNASARI P

482 00:00 11:12
105 100225010121P000 25-01-2021 26-01-2021 0000498637001 WIWIN WIDIYANTI P
492 00:00 10:15
100225010121P000 25-01-2021 25-01-2021

106 460 00:00 08:58 0001148618632 AGUS UMAR L
107 100225010121P000 25-01-2021 25-01-2021 0001310528406 lilis juariah P

467 00:00 10:14
- Secondary hypertension Rujuk Vertikal
- Anaemia, unspecified Rujuk Vertikal
PEKERJA MANDIRI Special screening examination for

other diseases and disorders Berobat Jalan
- Dyspepsia Berobat Jalan
- Haemorrhoids Berobat Jalan
PBI (APBN) Haemangioma and lymphangioma, Rujuk Vertikal

any site
Other disorders of gingiva and

PBI (APBN) edentulous alveolar ridge Berobat Jalan
PBI (APBN) Tuberculosis of other specified Rujuk Vertikal

organs
Acute upper respiratory infections

PBI (APBN) of multiple and unspecified sites Berobat Jalan

tissues
PEKERJA MANDIRI Other specified diabetes mellitus Diabetes Mellitus

Berobat Jalan Hipertensi
PEKERJA MANDIRI Tinnitus Rujuk Vertikal

108 100225010121P000 25-01-2021 25-01-2021 0001426460275 NOOR WAHYU BUDIANTO L
485 00:00 11:22
109 100225010121P000 25-01-2021 25-01-2021 0001428392878 ENENG RAHMAWATI P
456 00:00 07:58
110 100225010121P000 25-01-2021 03-02-2021 0001456643259 ADE SOPYAN L
588 00:00 08:14
111 100225010121P000 25-01-2021 25-01-2021 0001462340035 ENTANG SUMARNA L
468 00:00 10:19
112 100225010121P000 25-01-2021 25-01-2021 0001515646945 DEDEH SULASTRI P
462 00:00 09:58
113 100225010121P000 25-01-2021 29-01-2021 0001665532337 ELA NURLAELA P
563 00:00 08:53
114 100225010121P000 25-01-2021 25-01-2021 0001675026011 DEDE P

476 00:00 10:49
115 100225010121P000 25-01-2021 25-01-2021 0002062183217 YANI SURYANI P

478 00:00 10:59
116 100225010121P000 25-01-2021 25-01-2021 0002075307838 INDRI RIANTI P

459 00:00 08:33
117 100225010121P000 25-01-2021 25-01-2021 0002087668271 marna permana L

475 00:00 10:47
118 100225010121P000 25-01-2021 25-01-2021 0002087669024 een suhenah P
474 00:00 10:44
119 100225010121P000 25-01-2021 25-01-2021 0002238324985 KASMINAH P

473 00:00 10:27
120 100225010121P000 25-01-2021 25-01-2021 0002284547455 SURYANA MAULUDIN L
477 00:00 10:59
121 100225010121P000 25-01-2021 25-01-2021 0002451921581 MUHAMMAD NABIL AUFA L

486 00:00 13:56
122 100225010121P000 25-01-2021 25-01-2021 0002500833993 OYA P
458 00:00 08:16
123 100225010121P000 25-01-2021 25-01-2021 0002608862556 ENCE LILI L

471 00:00 10:24
479 00:00 11:04

483 00:00 11:15
126 0002797692581 NENGSIH P
100225010121P000 25-01-2021 25-01-2021
465 00:00 10:05
- Diseases of pulp and periapical Berobat Jalan
tissues
PBI (APBN) Idiopathic thrombocytopenic Rujuk Vertikal
purpura
PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal
PEGAWAI SWASTA Angina pectoris, unspecified Rujuk Vertikal
- Presence of (intrauterine) Berobat Jalan

contraceptive device
PBI (APBN) Hypertensive heart disease Rujuk Vertikal
PBI (APBD) Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Epilepsy Rujuk Vertikal
PEKERJA MANDIRI Pure hypercholesterolaemia Berobat Jalan
- Heart failure, unspecified Rujuk Vertikal

tissues
PEKERJA MANDIRI Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus
PBI (APBN) Atopic dermatitis Berobat Jalan

cold]

tissues
PBI (APBN) Papillomavirus as the cause of Rujuk Vertikal
diseases classified to other chapters
127 100225010121P000 25-01-2021 25-01-2021 0002840006349 AISYAH NUR JAMILAH P
472 00:00 10:25
100225010121P000 25-01-2021 25-01-2021
128 464 00:00 10:04 0002856669197 RINI ROHAETI P
129 100225010121P000 24-01-2021 24-01-2021 0001664926288 NUNUNG NURHAYATI P

455 00:00 07:38
130 100225010121P000 23-01-2021 23-01-2021 0000497570679 SARAH NOVIANI P

446 00:00 09:44
131 100225010121P000 23-01-2021 23-01-2021 0000497787726 TRISNAWATI DEWI INTAN P

444 00:00 08:37
132 100225010121P000 23-01-2021 23-01-2021 0000498688367 ROSMIATI P
448 00:00 10:09
133 100225010121P000 23-01-2021 23-01-2021 0001428681666 KOMAEDI L
449 00:00 10:13
134 100225010121P000 23-01-2021 23-01-2021 0001428682252 SAODAH P

450 00:00 10:15
135 100225010121P000 23-01-2021 23-01-2021 0001664926288 NUNUNG NURHAYATI P
454 00:00 11:53
136 100225010121P000 23-01-2021 23-01-2021 0001665495415 WAHYUDIN L

451 00:00 10:18
137 100225010121P000 23-01-2021 23-01-2021 0002210594589 E ROHAETI P
452 00:00 10:20
138 100225010121P000 23-01-2021 23-01-2021 0002210594837 RAHMAT L

453 00:00 10:22
139 100225010121P000 23-01-2021 23-01-2021 0002797706619 ADE RUKMANA L
447 00:00 09:46
140 100225010121P000 23-01-2021 23-01-2021 0002907062245 NAURA RUBY ARNETA P

445 00:00 09:08
141 100225010121P000 22-01-2021 22-01-2021 0000058423601 juju P
439 00:00 10:43
142 100225010121P000 22-01-2021 22-01-2021 0000496685676 MAE DATI P

438 00:00 10:38
143 100225010121P000 22-01-2021 22-01-2021 0000497578904 IMAS P

433 00:00 10:13
144 100225010121P000 22-01-2021 22-01-2021 0001012422137 EEN SUHAENI P

441 00:00 10:45
145 100225010121P000 22-01-2021 22-01-2021 0001274409573 AJAT SUDRAJAT L
431 00:00 09:57
PBI (APBN) Scabies Berobat Jalan

PEGAWAI SWASTA Postpartum care and examination Berobat Jalan
PBI (APBN) Acute suppurative otitis media Berobat Jalan
PBI (APBN) Tinnitus Rujuk Vertikal
PBI (APBN) Generalized enlarged lymph nodes Berobat Jalan
PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan
PEGAWAI SWASTA Single spontaneous delivery Sembuh
PBI (APBN) Unspecified haematuria Berobat Jalan
PBI (APBN) Haemangioma, any site Rujuk Vertikal
PENERIMA PENSIUN Chronic ischaemic heart disease Berobat Jalan

PNS
PBI (APBN) Dental caries, unspecified Berobat Jalan
- Sequelae of cerebral infarction Rujuk Vertikal
- Epilepsy Rujuk Vertikal

146 100225010121P000 22-01-2021 22-01-2021 0001277187862 WARSITO SUMAWIJAYA L
426 00:00 08:14
147 100225010121P000 22-01-2021 22-01-2021 0001277188211 ONIE KRISNA WARSITO P
425 00:00 08:12
148 100225010121P000 22-01-2021 22-01-2021 0001389913672 RATNAWATI P
440 00:00 10:44
149 100225010121P000 22-01-2021 22-01-2021 0001675029104 ai patmawati P
428 00:00 09:33
150 100225010121P000 22-01-2021 22-01-2021 0001959234884 hesti indah winarni P
443 00:00 10:55
151 100225010121P000 22-01-2021 22-01-2021 0002062183217 YANI SURYANI P
437 00:00 10:38
152 100225010121P000 22-01-2021 22-01-2021 0002230274643 DEWI HERDIANTI P

435 00:00 10:22
153 100225010121P000 22-01-2021 22-01-2021 0002270932312 ETI KURYATI P

429 00:00 09:43
100225010121P000 22-01-2021 22-01-2021

154 424 00:00 08:05 0002309226759 MINTARSIH P
100225010121P000 22-01-2021 22-01-2021

155 427 00:00 09:30 0002489586647 EMPOK P
156 100225010121P000 22-01-2021 22-01-2021 0002745751419 SARIAH P

434 00:00 10:20
157 100225010121P000 22-01-2021 22-01-2021 0002840001748 LINDA P

442 00:00 10:45
158 100225010121P000 22-01-2021 22-01-2021 0002864065105 SITI ASIAH P

432 00:00 10:11
159 100225010121P000 22-01-2021 22-01-2021 0002864065127 ZEVINDRA NURAZAMI L

436 00:00 10:36
160 100225010121P000 21-01-2021 21-01-2021 0000497141537 YUNITA FAUZIAH P

415 00:00 09:41
161 100225010121P000 21-01-2021 21-01-2021 0000497583404 TATA MUSTOFA L
409 00:00 08:29
162 100225010121P000 21-01-2021 21-01-2021 0000498036374 CICIH SUTARSIH P

418 00:00 09:47
PEKERJA MANDIRI Angina pectoris Berobat Jalan
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Fever of other and unknown origin Berobat Jalan
- Rheumatic heart disease, Berobat Jalan

unspecified
PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal
PEKERJA MANDIRI Generalized enlarged lymph nodes Berobat Jalan
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEKERJA MANDIRI Cerebral infarction, unspecified Rujuk Vertikal
PEKERJA MANDIRI Non-insulin-dependent diabetes Diabetes Mellitus Diabetes Mellitus

mellitus Berobat Jalan Hipertensi
PENERIMA PENSIUN Hypertensive heart disease with

PNS (congestive) heart failure Rujuk Vertikal
PEKERJA MANDIRI Rheumatoid arthritis, unspecified Berobat Jalan
- Cutaneous abscess, furuncle and Berobat Jalan

carbuncle

cold]

cold]
PBI (APBN) Acne, unspecified Berobat Jalan
PBI (APBN) Respiratory tuberculosis, not Berobat Jalan Diabetes Mellitus Diabetes Mellitus
histologically
PBI (APBN) Cluster headache syndrome Berobat Jalan

100225010121P000 21-01-2021 21-01-2021
163 421 00:00 10:34 0000498888101 EUIS WININGSIH P
164 100225010121P000 21-01-2021 27-01-2021 0000499568242 ANGGI ROSMAWATI P

555 00:00 16:07

416 00:00 09:43
166 100225010121P000 21-01-2021 21-01-2021 0001012489773 EHA P

419 00:00 09:50
100225010121P000 21-01-2021 21-01-2021

167 411 00:00 08:37 0001148618632 AGUS UMAR L
168 100225010121P000 21-01-2021 21-01-2021 0001675504337 WULANSARI P

410 00:00 08:32
169 100225010121P000 21-01-2021 21-01-2021 0001823774771 ACHWAN SUTIKNO L
408 00:00 08:17
170 100225010121P000 21-01-2021 21-01-2021 0001854126876 RInA ANGGRAENI P

422 00:00 10:36
171 100225010121P000 21-01-2021 21-01-2021 0002073453737 FARIDA P
406 00:00 08:02
172 100225010121P000 21-01-2021 21-01-2021 0002083684465 SARIAH P

407 00:00 08:16
100225010121P000 21-01-2021 21-01-2021
173 417 00:00 09:45 0002491485006 ARKA PRADIPTA KARIM L
174 100225010121P000 21-01-2021 21-01-2021 0002797678214 ISMI AULIA P

412 00:00 08:44
175 100225010121P000 21-01-2021 21-01-2021 0002797704077 WATISIH P

423 00:00 10:42
176 100225010121P000 21-01-2021 21-01-2021 0002840003122 ENAH P
420 00:00 10:31
177 100225010121P000 20-01-2021 20-01-2021 0000165539474 NYI ROSIDAH P

395 00:00 12:40
178 100225010121P000 20-01-2021 20-01-2021 0000496679624 SITI ROHMAH P
388 00:00 09:45
179 100225010121P000 20-01-2021 20-01-2021 0000497973194 WAWAN HERWANA L

393 00:00 12:36
180 100225010121P000 20-01-2021 20-01-2021 0000498028825 DARMINI P
402 00:00 12:51
Essential (primary) hypertension Diabetes Mellitus
PBI (APBD) Berobat Jalan Hipertensi

cold]
- Low back pain Berobat Jalan
PEKERJA MANDIRI Diabetes Mellitus

Congestive heart failure Rujuk Vertikal Hipertensi
- Acute lymphadenitis of face, head Rujuk Vertikal

and neck
PEKERJA MANDIRI Epidermal cyst Rujuk Vertikal
PEKERJA MANDIRI Chest pain, unspecified Rujuk Vertikal
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus

PBI (APBN) Fibroadenosis of breast Rujuk Vertikal
- Diabetic retinopathy Rujuk Vertikal Diabetes Mellitus
PNS DAERAH Myalgia Berobat Jalan
PBI (APBN) Schizophrenia Rujuk Vertikal

181 100225010121P000 20-01-2021 20-01-2021 0000498147939 DANDI R L
385 00:00 08:22
182 100225010121P000 20-01-2021 20-01-2021 0001277458672 BOY SUNARYA L
390 00:00 09:54
183 100225010121P000 20-01-2021 20-01-2021 0001298820914 TATI SUMIATI P
391 00:00 11:19
184 100225010121P000 20-01-2021 20-01-2021 0001320788441 indiyani P
398 00:00 12:46
185 100225010121P000 20-01-2021 20-01-2021 0001453324645 KINAR AYu shifa P
405 00:00 12:55
186 100225010121P000 20-01-2021 20-01-2021 0002049731559 MIRA SARI P
394 00:00 12:38
187 100225010121P000 20-01-2021 20-01-2021 0002290493283 CACIH P

389 00:00 09:50
100225010121P000 20-01-2021 20-01-2021

188 0002493353597 SUTARDI L
386 00:00 08:32
189 100225010121P000 20-01-2021 20-01-2021 0002498721625 ISUM SUMIYATI P

404 00:00 12:54
190 100225010121P000 20-01-2021 20-01-2021 0002619251458 SETIA PERMADI L
397 00:00 12:45

401 00:00 12:50
192 100225010121P000 20-01-2021 20-01-2021 0002797690599 RAFI RAMADANSYAH L
400 00:00 12:49
193 100225010121P000 20-01-2021 20-01-2021 0002840003278 ROHANAH P

396 00:00 12:42
194 100225010121P000 20-01-2021 20-01-2021 0002873127317 DINTAYA KUSNAWIJAYA L
403 00:00 12:52
195 100225010121P000 20-01-2021 20-01-2021 0002873127328 NIA MULYAWATI P
399 00:00 12:47
196 100225010121P000 20-01-2021 20-01-2021 0002904671564 IROS ROSIDAH P
387 00:00 09:09
197 100225010121P000 20-01-2021 20-01-2021 0002914494502 MEYSA KARISMA RAMADHANI P
392 00:00 12:30
- Stroke, not specified as Rujuk Vertikal

haemorrhage or infarction
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal

cold]
cold]
PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
PBI (APBN) Cerebral infarction, unspecified Rujuk Vertikal
Cardiac catheterization as the

cause of abnormal reaction of the
patient, or of later complication,
without mention of misadventure at
PEKERJA MANDIRI the time of the procedure Berobat Jalan

cold]
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi
PEGAWAI SWASTA General counselling and advice on Berobat Jalan

contraception
cold]
198 100225010121P000 19-01-2021 19-01-2021 0000497570679 SARAH NOVIANI P
379 00:00 11:50
199 100225010121P000 19-01-2021 19-01-2021 0000497583944 JULAEHA P
380 00:00 11:52
200 100225010121P000 19-01-2021 19-01-2021 0000497838789 JUARIAH P
370 00:00 10:21
201 100225010121P000 19-01-2021 19-01-2021 0000498139648 INEU P
378 00:00 11:49
202 100225010121P000 19-01-2021 19-01-2021 0000498320728 NUR HIDAYANTI P
372 00:00 11:42
203 100225010121P000 19-01-2021 19-01-2021 0000498688367 ROSMIATI P
377 00:00 11:48
204 100225010121P000 19-01-2021 19-01-2021 0000498754552 NIA RUSMIATI P

373 00:00 11:43
205 100225010121P000 19-01-2021 19-01-2021 0001012492102 WARSIH P

381 00:00 11:53
206 100225010121P000 19-01-2021 19-01-2021 0001385884337 TATI P

367 00:00 09:46
207 100225010121P000 19-01-2021 19-01-2021 0001665528759 NURHAYATI P

382 00:00 11:54
100225010121P000 19-01-2021 19-01-2021
208 366 00:00 09:17 0001675024244 LILIS P
209 100225010121P000 19-01-2021 19-01-2021 0002062183217 YANI SURYANI P

376 00:00 11:47
210 100225010121P000 19-01-2021 19-01-2021 0002218763294 ZAHRA KANIA PUTRI UNTORO P
369 00:00 10:02
211 100225010121P000 19-01-2021 19-01-2021 0002275673016 SITI SARAH NUR HALIMAH P

374 00:00 11:44
212 100225010121P000 19-01-2021 19-01-2021 0002290493283 CACIH P
384 00:00 11:56
213 100225010121P000 19-01-2021 19-01-2021 0002445996328 DASEP SUPRIADI L

383 00:00 11:55
214 100225010121P000 19-01-2021 19-01-2021 0002797681173 SUPRIHATINI P

371 00:00 10:24
215 100225010121P000 19-01-2021 19-01-2021 0002797703987 YIYIH P

365 00:00 08:42
PBI (APBN) Otitis media, unspecified Berobat Jalan
PBI (APBN) Myalgia Berobat Jalan Diabetes Mellitus
PBI (APBN) Rheumatic heart disease, Rujuk Vertikal

unspecified

cold]

cold]
PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBD) Scabies Berobat Jalan
Diabetes Mellitus
PBI (APBD) Secondary hypertension Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Localized enlarged lymph nodes Berobat Jalan
- Psoriasis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Diseases of pulp and periapical Berobat Jalan

tissues
cold]
KEPALA DESA DAN Myalgia Berobat Jalan

PERANGKAT DESA
PBI (APBN) Other amnesia Rujuk Vertikal
PBI (APBN) Heart failure, unspecified Rujuk Vertikal

216 100225010121P000 19-01-2021 19-01-2021 0002856669085 DEYA ANJANI P
375 00:00 11:46
217 100225010121P000 19-01-2021 19-01-2021 0002873127317 DINTAYA KUSNAWIJAYA L
368 00:00 09:51
218 100225010121P000 18-01-2021 18-01-2021 0000058318773 RUKIAH P
337 00:00 08:00
219 100225010121P000 18-01-2021 18-01-2021 0000058420585 ENTJE DJAJA L
349 00:00 09:41
220 100225010121P000 18-01-2021 18-01-2021 0000498056095 NASIH P
348 00:00 09:25
221 100225010121P000 18-01-2021 18-01-2021 0000498469162 TITI P
360 00:00 10:11
222 100225010121P000 18-01-2021 18-01-2021 0000498487858 JAJANG SUPRIYATNA L

345 00:00 09:16
223 0000498639429 DIAN N L

100225010121P000 18-01-2021 18-01-2021
350 00:00 09:50
224 100225010121P000 18-01-2021 18-01-2021 0001012486847 NANI P

352 00:00 10:05
225 100225010121P000 18-01-2021 18-01-2021 0001012492866 ADE SUKAESIH P

346 00:00 09:21
226 100225010121P000 18-01-2021 18-01-2021 0001198523428 NONENG P
353 00:00 10:06
227 100225010121P000 18-01-2021 18-01-2021 0001524169664 MUHAMAD FAHRI ALFARIZI P

347 00:00 09:23
100225010121P000 18-01-2021 18-01-2021
228 355 00:00 10:08 0001665501412 ERNA WATI DEWI P
100225010121P000 18-01-2021 18-01-2021 MUHAMAD RAKA ALBIANSAH

229 356 00:00 10:09 0001665501423 L
230 100225010121P000 18-01-2021 18-01-2021 0001675026011 DEDE P

358 00:00 10:10
231 100225010121P000 18-01-2021 18-01-2021 0001675038183 SUTARDI L
359 00:00 10:11
232 0001675504337 WULANSARI P

100225010121P000 18-01-2021 18-01-2021
340 00:00 08:41
PBI (APBN) Open wound of ankle and foot Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi
PENERIMA PENSIUN Hypertensive heart disease Berobat Jalan

PNS
PENERIMA PENSIUN Hyperplasia of prostate Rujuk Vertikal
PNS
PBI (APBN) Other arthritis Berobat Jalan
PBI (APBN) Other chronic obstructive Berobat Jalan

pulmonary disease
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal

histologically
- Typhoid fever Berobat Jalan

PBI (APBD) of multiple and unspecified sites Berobat Jalan

PBI (APBD) Other arthritis Berobat Jalan
- Respiratory tuberculosis, not Rujuk Vertikal

histologically
233 100225010121P000 18-01-2021 18-01-2021 0001960040261 ati CUARTIAH P
342 00:00 09:08
234 100225010121P000 18-01-2021 18-01-2021 0001971000966 MAHESHSWARA L
339 00:00 08:36 OKTAVIANDRA
235 100225010121P000 18-01-2021 18-01-2021 0002063801733 MIS MAMAH P
341 00:00 08:54
236 100225010121P000 18-01-2021 18-01-2021 0002252235701 RAMADHANI WURI SALSABIL P
351 00:00 10:01
237 100225010121P000 18-01-2021 18-01-2021 0002255263108 EULIS NENDA P
354 00:00 10:07
238 100225010121P000 18-01-2021 18-01-2021 0002436618982 EVI SUNARTI P
336 00:00 07:15
239 100225010121P000 18-01-2021 18-01-2021 0002742079656 HOLIL HENDAR L

364 00:00 11:50
240 100225010121P000 18-01-2021 18-01-2021 0002778671338 HENI KURNIAWATI P

363 00:00 10:32
241 100225010121P000 18-01-2021 18-01-2021 0002797690274 R GERRY FIRMANSYAH L

343 00:00 09:11
242 100225010121P000 18-01-2021 18-01-2021 0002840012526 ASEP JUNAEDI L

338 00:00 08:22
243 100225010121P000 18-01-2021 18-01-2021 0002864064003 ARIFIN MAULANA L
344 00:00 09:15
244 100225010121P000 18-01-2021 18-01-2021 0002875356843 UTOM L

357 00:00 10:09
245 100225010121P000 18-01-2021 18-01-2021 0002877159148 H. ENDIN ROSIDIN L
362 00:00 10:24
246 100225010121P000 18-01-2021 18-01-2021 0002881701685 ROBBY MIFTAHUL L

361 00:00 10:17 DHYAULHAQ
247 100225010121P000 17-01-2021 17-01-2021 0000497047331 PURWATI P
335 00:00 00:14
248 100225010121P000 16-01-2021 16-01-2021 0000497047331 PURWATI P

334 00:00 22:38
100225010121P000 16-01-2021 16-01-2021
249 320 00:00 08:35 0000498072835 YUYUN P
250 100225010121P000 16-01-2021 16-01-2021 0000499031976 WIWIN SUMARNI P

319 00:00 08:19
251 100225010121P000 16-01-2021 16-01-2021 0001515647081 IRMA FEBRYANI P
324 00:00 09:43
- Blepharospasm Rujuk Vertikal
PBI (APBD) Hypertensive heart disease Berobat Jalan
- Asthma Rujuk Vertikal
PEGAWAI SWASTA Antenatal screening Berobat Jalan

cold]
- Visual disturbance, unspecified Rujuk Vertikal
PBI (APBN) Coronary artery aneurysm Berobat Jalan Hipertensi Hipertensi

cold]
- Hyperplasia of prostate Rujuk Vertikal
- Other chronic obstructive Rujuk Vertikal

pulmonary disease
PBI (APBN) Postpartum care and examination Berobat Jalan
PBI (APBN) Single spontaneous delivery Sembuh
Excessive and frequent

PBI (APBN) menstruation with regular cycle Rujuk Vertikal
- Status asthmaticus Rujuk Vertikal
PEKERJA MANDIRI Disorders of refraction and Rujuk Vertikal

accommodation
100225010121P000 16-01-2021 16-01-2021 MUHAMAD FAHRI ALFARIZI
252 332 00:00 10:28 0001524169664 P
253 100225010121P000 16-01-2021 16-01-2021 0001741015989 IRWIN L

333 00:00 10:30
254 100225010121P000 16-01-2021 16-01-2021 0002062183217 YANI SURYANI P

329 00:00 10:22
255 100225010121P000 16-01-2021 16-01-2021 0002070440559 MOHAMAD ANWARI L

322 00:00 08:54
256 100225010121P000 16-01-2021 16-01-2021 0002210594589 E ROHAETI P

327 00:00 10:18
257 100225010121P000 16-01-2021 16-01-2021 0002210594837 RAHMAT L
328 00:00 10:19
258 100225010121P000 16-01-2021 16-01-2021 0002262111726 ANJAR KOSWARA L
321 00:00 08:45
259 100225010121P000 16-01-2021 16-01-2021 0002742079656 HOLIL HENDAR L

325 00:00 10:11
100225010121P000 16-01-2021 16-01-2021
260 331 00:00 10:26 0002797700229 USEP CAHYANA L
261 100225010121P000 16-01-2021 16-01-2021 0002881701685 ROBBY MIFTAHUL L

330 00:00 10:24 DHYAULHAQ
262 100225010121P000 15-01-2021 15-01-2021 0000055145259 SRI HARYANI P
306 00:00 09:01
100225010121P000 15-01-2021 15-01-2021

263 309 00:00 09:34 0000058254603 ERNAWATI P
100225010121P000 15-01-2021 15-01-2021

264 314 00:00 10:24 0000058419246 SUKAESIH P
100225010121P000 15-01-2021 15-01-2021

265 311 00:00 09:42 0000058505286 EUIS SURYATI P
100225010121P000 15-01-2021 15-01-2021

266 305 00:00 08:46 0000497583281 ENENG CAHYANI P
100225010121P000 15-01-2021 15-01-2021

267 312 00:00 10:22 0000498013751 SANTI P
268 100225010121P000 15-01-2021 15-01-2021 0000498109454 ENDANG JUHANA L

302 00:00 08:09
- of multiple and unspecified sites Berobat Jalan

cold]
PEKERJA MANDIRI Hypo-osmolality and Berobat Jalan

hyponatraemia
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
PEGAWAI SWASTA Enlarged lymph nodes, unspecified Rujuk Vertikal

cold]
Cutaneous abscess, furuncle and
PBI (APBN) carbuncle, unspecified Berobat Jalan
- Viral and other specified intestinal Berobat Jalan

infections
PNS DAERAH Chronic ischaemic heart disease Rujuk Vertikal Hipertensi
PENERIMA PENSIUN Chronic obstructive pulmonary

TNI disease, unspecified Berobat Jalan
PENERIMA PENSIUN Acute upper respiratory infections Diabetes Mellitus

PNS of multiple and unspecified sites Berobat Jalan Hipertensi
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

PNS DAERAH Rujuk Vertikal Hipertensi
Hypertensive heart disease with

PBI (APBN) (congestive) heart failure Rujuk Vertikal

PBI (APBN) Hypertensive heart disease Berobat Jalan

269 100225010121P000 15-01-2021 15-01-2021 0000498312731 UJI L
318 00:00 10:31
100225010121P000 15-01-2021 15-01-2021
270 308 00:00 09:24 0000498429044 DARYATI P
100225010121P000 15-01-2021 15-01-2021

271 315 00:00 10:25 0000498487858 JAJANG SUPRIYATNA L
100225010121P000 15-01-2021 15-01-2021

317 00:00 10:27
272 0001310155479 KURAESIH P
273 100225010121P000 15-01-2021 15-01-2021 0001675026674 MILA. T P

310 00:00 09:35
274 100225010121P000 15-01-2021 15-01-2021 0001675032445 TUTI SUMIATI P
313 00:00 10:23
275 100225010121P000 15-01-2021 15-01-2021 0002094108085 EEN SUHAENI P
303 00:00 08:37
276 100225010121P000 15-01-2021 15-01-2021 0002302329745 KURDI L

304 00:00 08:45
277 100225010121P000 15-01-2021 15-01-2021 0002436085361 NURLELA P

316 00:00 10:26
278 100225010121P000 14-01-2021 14-01-2021 0000495026998 SUTIANAH P

290 00:00 09:04
279 100225010121P000 14-01-2021 14-01-2021 0000496681479 CACIH P

292 00:00 09:25
280 100225010121P000 14-01-2021 14-01-2021 0000496930882 ENTIN ROHANAH P
301 00:00 14:08
281 0000498071261 AGI P

100225010121P000 14-01-2021 14-01-2021
297 00:00 09:48
100225010121P000 14-01-2021 14-01-2021

282 289 00:00 09:00 0000498380016 IDA RESMIATI P
283 100225010121P000 14-01-2021 14-01-2021 0000498574348 NINGRUM P

295 00:00 09:46
284 100225010121P000 14-01-2021 14-01-2021 0001385883832 DAYAT HIDAYAT L
299 00:00 14:06
Diabetes Mellitus
PBI (APBN) Secondary hypertension Rujuk Vertikal Hipertensi

Human immunodeficiency virus

[HIV] disease resulting in
- infectious and parasitic diseases Rujuk Vertikal
- Heart failure Berobat Jalan
PBI (APBD) Diseases of pulp and periapical Berobat Jalan

tissues
PEKERJA MANDIRI Lesion of sciatic nerve Rujuk Vertikal
- Other disorders of ear, not Rujuk Vertikal

elsewhere classified
- Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus

cold]
PBI (APBN) Other disorders of skin and Berobat Jalan

subcutaneous tissue, not elsewhere
classified
Non-insulin-dependent diabetes Diabetes Mellitus Diabetes Mellitus

PBI (APBN) mellitus with unspecified Berobat Jalan
complications
PEKERJA MANDIRI Urinary tract infection, site not Berobat Jalan

specified
285 100225010121P000 14-01-2021 14-01-2021 0001675022736 ENAN P
287 00:00 08:55
286 100225010121P000 14-01-2021 14-01-2021 0001835248307 DEDE RUKIAH P
298 00:00 10:18
287 100225010121P000 14-01-2021 14-01-2021 0002058456857 AI SUMIATI P
288 00:00 08:55
288 100225010121P000 14-01-2021 14-01-2021 0002204734544 GIYANA L
296 00:00 09:47
289 100225010121P000 14-01-2021 14-01-2021 0002478976503 EMAN L
286 00:00 08:27
290 100225010121P000 14-01-2021 14-01-2021 0002478976896 ADE P
293 00:00 09:39
291 100225010121P000 14-01-2021 14-01-2021 0002797700229 USEP CAHYANA L

294 00:00 09:40
292 100225010121P000 14-01-2021 14-01-2021 0002856669085 DEYA ANJANI P

300 00:00 14:07
293 100225010121P000 13-01-2021 13-01-2021 0000497564469 BADRIAH P

277 00:00 11:00
294 0000497583404 TATA MUSTOFA L

100225010121P000 13-01-2021 13-01-2021
256 00:00 08:14
295 100225010121P000 13-01-2021 13-01-2021 0000497736753 ROHANA P

280 00:00 11:24
296 100225010121P000 13-01-2021 13-01-2021 0000497838789 JUARIAH P

264 00:00 09:28
297 100225010121P000 13-01-2021 13-01-2021 0000497902138 SAMAN L
258 00:00 08:21
298 100225010121P000 13-01-2021 13-01-2021 0000497908844 NANI SANILAH P

269 00:00 09:49
299 100225010121P000 13-01-2021 13-01-2021 0000498096099 ADANG L
259 00:00 08:55
100225010121P000 13-01-2021 13-01-2021

300 263 00:00 09:24 0000498107261 YENNY PRIANDINI P
301 100225010121P000 13-01-2021 13-01-2021 0000498182771 ROHATI P

257 00:00 08:19
302 100225010121P000 13-01-2021 13-01-2021 0000498423914 NENDAH P

279 00:00 11:21
PBI (APBD) Hypertensive heart disease Rujuk Vertikal
- Palpitations Rujuk Vertikal
PEKERJA MANDIRI Presbyopia Rujuk Vertikal

cold]

cold]
PBI (APBN) Open wound of ankle and foot Berobat Jalan
PBI (APBN) Rheumatoid arthritis, unspecified Berobat Jalan
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal

histologically Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Senile cataract Berobat Jalan
PBI (APBN) Gangrene, not elsewhere classified Rujuk Vertikal
PBI (APBN) Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
mellitus
- Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Secondary hypertension Rujuk Vertikal
Maternal care for malpresentation

PBI (APBN) of fetus, unspecified Rujuk Vertikal
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi

303 100225010121P000 13-01-2021 13-01-2021 0000498988539 WARYANI P
283 00:00 11:29
304 100225010121P000 13-01-2021 13-01-2021 0001012485036 NURAENI P
261 00:00 09:16
305 100225010121P000 13-01-2021 13-01-2021 0001314661228 ENTIN SUHARTINI P
274 00:00 10:52
306 100225010121P000 13-01-2021 13-01-2021 0001431192644 ROHATI P
267 00:00 09:43
307 100225010121P000 13-01-2021 13-01-2021 0001431690917 YUDI MULIADI, S.SOS L
262 00:00 09:19
308 100225010121P000 13-01-2021 13-01-2021 0001515646899 GANDA TARGANDA L
282 00:00 11:28
309 100225010121P000 13-01-2021 13-01-2021 0001665523686 Ayi Hasbullah L

276 00:00 10:57
310 100225010121P000 13-01-2021 13-01-2021 0001675505351 RISNO RISNANTO L

272 00:00 10:44
311 100225010121P000 13-01-2021 13-01-2021 0001845321423 siti dalfa nursofa P

270 00:00 10:08
312 100225010121P000 13-01-2021 13-01-2021 0001854934931 ANDRE PRIMA YUNIARTO L

260 00:00 09:12
100225010121P000 13-01-2021 13-01-2021
278 00:00 11:05
313 0002204248072 ANDRI GUNAWAN L
314 100225010121P000 13-01-2021 13-01-2021 0002208077381 KORIB L

281 00:00 11:27
315 100225010121P000 13-01-2021 13-01-2021 0002256912909 TITIN IRADIANI P
271 00:00 10:21
316 100225010121P000 13-01-2021 13-01-2021 0002270805941 MOCH. FIKRI MAULIDDIN L

275 00:00 10:54
100225010121P000 13-01-2021 13-01-2021
317 284 00:00 13:49 0002466134559 h.ADE KOSWARA L
100225010121P000 13-01-2021 13-01-2021

318 266 00:00 09:40 0002471092964 EMAS P
319 100225010121P000 13-01-2021 13-01-2021 0002697010288 AGUS SUPRIADI L

268 00:00 09:46
cold]
PBI (APBD) Fourth [trochlear] nerve palsy Rujuk Vertikal
PEKERJA MANDIRI Tularaemia Berobat Jalan
- Non-insulin-dependent diabetes Rujuk Vertikal

mellitus
PEGAWAI SWASTA Congestive heart failure Rujuk Vertikal

cold]
PEKERJA MANDIRI Visual disturbance, unspecified Rujuk Vertikal
Human immunodeficiency virus

[HIV] disease resulting in
- infectious and parasitic diseases Rujuk Vertikal
PEKERJA MANDIRI Stroke, not specified as Berobat Jalan

PEKERJA MANDIRI Ascites Rujuk Vertikal
PNS DAERAH Zoster [herpes zoster] Berobat Jalan
PEKERJA MANDIRI Diabetes Mellitus

Congestive heart failure Rujuk Vertikal Hipertensi
Chronic obstructive pulmonary

- disease, unspecified Rujuk Vertikal
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Hipertensi Hipertensi

320 100225010121P000 13-01-2021 13-01-2021 0002797682859 HELNI HIDAYAH P
273 00:00 10:46
321 100225010121P000 01-12-2021 12-01-2021 0000058257292 ENGKAT KARTINI P
245 10:59
100225010121P000 12-01-2021
322 239 01-12-2021 10:09 0000497779187 MIMIN AMINAH P
323 100225010121P000 01-12-2021 12-01-2021 0000497815468 MAE P

249 11:04
324 01-12-2021 0000497815773 AMINAH P

100225010121P000 12-01-2021
242 10:56
325 100225010121P000 01-12-2021 12-01-2021 0000497953945 ENOK P

233 08:32
326 100225010121P000 01-12-2021 12-01-2021 0000498056095 NASIH P
250 11:06
327 100225010121P000 01-12-2021 12-01-2021 0000498396835 ISAH P

253 11:09
328 100225010121P000 01-12-2021 12-01-2021 0000498553558 MIMIN P
251 11:07
329 100225010121P000 01-12-2021 12-01-2021 0000498579041 HENI P

252 11:08
330 100225010121P000 01-12-2021 12-01-2021 0001675007346 ENGKUS L
243 10:57
100225010121P000 12-01-2021
331 244 01-12-2021 10:58 0001675011216 TASYA P
332 100225010121P000 01-12-2021 12-01-2021 0001675013242 DEDE ABDUL. R L

254 11:10
333 100225010121P000 01-12-2021 12-01-2021 0001675029587 NAJIB harahap L

234 08:40
334 100225010121P000 01-12-2021 27-01-2021 0001675034346 NETI CUHAYATI P

554 16:05
335 100225010121P000 01-12-2021 12-01-2021 0001842470379 ODAH P
235 08:46
336 100225010121P000 01-12-2021 12-01-2021 0002081946093 ALIFFIA SUBHANINGRUM P

246 11:00
337 100225010121P000 01-12-2021 12-01-2021 0002208077381 KORIB L
231 08:08
- Schizophrenia, unspecified Rujuk Vertikal
PENERIMA PENSIUN Essential (primary) hypertension Berobat Jalan

TNI
Hypertensive heart disease with
PBI (APBN) (congestive) heart failure Rujuk Vertikal
PBI (APBN) Diarrhoea and gastroenteritis of Berobat Jalan

PBI (APBN) Insulin-dependent diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Carpal tunnel syndrome Berobat Jalan

cold]
PBI (APBD) Dyspepsia Berobat Jalan

PBI (APBD) Congestive heart failure Rujuk Vertikal
PBI (APBD) Antenatal screening for Berobat Jalan

chromosomal anomalies
PEKERJA MANDIRI Benign neoplasm of breast Rujuk Vertikal
PEGAWAI SWASTA Myalgia Berobat Jalan
PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal

338 100225010121P000 01-12-2021 12-01-2021 0002277605834 ITO P
232 08:28
339 100225010121P000 01-12-2021 12-01-2021 0002436085361 NURLELA P
240 10:52
340 100225010121P000 01-12-2021 12-01-2021 0002500833993 OYA P
237 09:21
341 100225010121P000 01-12-2021 12-01-2021 0002797702852 ANDIKA L
241 10:54
342 100225010121P000 01-12-2021 12-01-2021 0002797708149 EPI ROHAYATI P
247 11:01
343 100225010121P000 01-12-2021 12-01-2021 0002840012526 ASEP JUNAEDI L
236 09:09
344 01-12-2021 0002874787751 IYO WAHYUDIN L

100225010121P000 12-01-2021
238 09:27
345 100225010121P000 01-12-2021 12-01-2021 0002876911244 YUNI FATIMAH P

255 11:10
346 100225010121P000 01-12-2021 12-01-2021 0002902673992 RATNA P

248 11:03
347 100225010121P000 01-11-2021 22-01-2021 0000058526458 IIN INDIATI PURNAMA DEWI P

430 09:56
348 100225010121P000 01-11-2021 11-01-2021 0000166547316 RIFQI DELA PUTRA L
226 13:10
349 100225010121P000 01-11-2021 11-01-2021 0000426396194 CHINDI SRI RAHAYU P

229 13:14
350 100225010121P000 01-11-2021 11-01-2021 0000496940477 CUCU SUTISNA L
206 09:40
100225010121P000 27-01-2021
351 553 01-11-2021 16:02 0000497242269 NANDA ANDRIANA L
352 100225010121P000 01-11-2021 11-01-2021 0000497683541 SAMAN L

200 08:41
353 100225010121P000 01-11-2021 11-01-2021 0000497783441 SARIYAH P

199 08:09
354 100225010121P000 01-11-2021 11-01-2021 0000497971642 E. IMAS P

223 12:02
355 100225010121P000 01-11-2021 11-01-2021 0000498410605 KOMYATI P

205 09:35
- Rheumatic heart disease, Rujuk Vertikal
unspecified
PEGAWAI SWASTA Antenatal screening Berobat Jalan
PEKERJA MANDIRI Secondary hypertension Rujuk Vertikal Hipertensi Diabetes Mellitus
PBI (APBN) Coronary artery aneurysm Berobat Jalan Hipertensi Hipertensi
Respiratory tuberculosis, not Rujuk Vertikal

PEKERJA MANDIRI histologically

cold]
PNS DAERAH Hypertensive heart disease Rujuk Vertikal
PNS DAERAH Diseases of pulp and periapical Berobat Jalan

tissues
- Antenatal screening Berobat Jalan
PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
Respiratory tuberculosis,
PBI (APBN) bacteriologically and histologically Berobat Jalan
confirmed
PBI (APBN) Tuberculous arthritis, unspecified Rujuk Vertikal

site
- Stroke, not specified as Rujuk Vertikal

PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
356 100225010121P000 01-11-2021 11-01-2021 0000498487858 JAJANG SUPRIYATNA L
224 12:06
357 100225010121P000 01-11-2021 11-01-2021 0001012438721 MIMIN MINTARSIH P

219 11:53
358 100225010121P000 01-11-2021 11-01-2021 0001012484889 ROKAYAH P
216 11:46
359 100225010121P000 01-11-2021 11-01-2021 0001012486836 JENAL L
208 09:50
360 100225010121P000 01-11-2021 11-01-2021 0001012489378 ANAH ROHANAH P
214 11:40
361 100225010121P000 01-11-2021 21-01-2021 0001277458672 BOY SUNARYA L
414 09:25
362 100225010121P000 01-11-2021 11-01-2021 0001317679211 ELIS SRI SUSANTI P

201 08:47

222 12:00
364 100225010121P000 01-11-2021 11-01-2021 0001675026011 DEDE P

215 11:42

211 11:01
366 100225010121P000 01-11-2021 11-01-2021 0002034571184 atang L
202 08:52
367 100225010121P000 01-11-2021 11-01-2021 0002062183217 YANI SURYANI P

217 11:50
368 100225010121P000 01-11-2021 11-01-2021 0002081946093 ALIFFIA SUBHANINGRUM P
220 11:55
369 100225010121P000 01-11-2021 11-01-2021 0002268232244 FARID MUHAMMAD AKBAR L

210 10:29
370 100225010121P000 01-11-2021 11-01-2021 0002275673016 SITI SARAH NUR HALIMAH P
225 13:07
371 100225010121P000 01-11-2021 11-01-2021 0002425504511 ADE ROSTIKA FEBRIANI P

209 10:15
372 100225010121P000 01-11-2021 11-01-2021 0002439248196 RACHMAT L
207 09:49
373 100225010121P000 01-11-2021 11-01-2021 0002458691853 WAHYUDIN L

212 11:05
374 100225010121P000 01-11-2021 11-01-2021 0002757723906 ALFIN RADJATA RULYANA L
213 11:16
PBI (APBN) Chronic obstructive pulmonary Berobat Jalan
disease with acute exacerbation,
unspecified

cold]
PBI (APBN) Acute pharyngitis, unspecified Berobat Jalan
- Injury of ulnar artery at wrist and Rujuk Vertikal

hand level
- Hypertensive heart disease Rujuk Vertikal
- Allergic rhinitis, unspecified Rujuk Vertikal

cold]
PEGAWAI SWASTA Cellulitis, unspecified Berobat Jalan
PENERIMA PENSIUN Hyperplasia of prostate Rujuk Vertikal

PNS
PEKERJA MANDIRI Acute pharyngitis, unspecified Berobat Jalan
PEKERJA MANDIRI Other disorders of teeth and Berobat Jalan

PEGAWAI SWASTA Contraceptive management Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal
- Disorder of lens, unspecified Rujuk Vertikal
PEGAWAI SWASTA Fever, unspecified Berobat Jalan

375 100225010121P000 01-11-2021 11-01-2021 0002766449575 SYAFITRI RIZKY RAMADHAN P
227 13:11
376 100225010121P000 01-11-2021 11-01-2021 0002839999847 SUHAERI L
228 13:13
377 100225010121P000 01-11-2021 27-01-2021 0002856669085 DEYA ANJANI P
552 16:00
378 100225010121P000 01-11-2021 11-01-2021 0002924961838 IKAH P
203 09:08
100225010121P000 11-01-2021
379 218 01-11-2021 11:52 0002928847094 ABIL SIDIQ ARSALAAN L
380 01-11-2021 0003056551874 PITRIAH P

100225010121P000 11-01-2021
221 11:57
381 100225010121P000 01-09-2021 09-01-2021 0000054155158 ACHMAD KUSBINI L

195 10:38
100225010121P000 09-01-2021
382 189 01-09-2021 10:08 0000058544357 DRS. ASEP KUSHENDI L
383 100225010121P000 01-09-2021 09-01-2021 0000165904986 FACHRI AHMAD DARMAWAN L

187 09:45
384 100225010121P000 01-09-2021 09-01-2021 0000497690831 LILIS NURHAYATI P

194 10:37
100225010121P000 09-01-2021
385 197 01-09-2021 10:41 0000498072835 YUYUN P
100225010121P000 09-01-2021
386 182 01-09-2021 09:30 0000498094402 ELYUNI P
387 100225010121P000 01-09-2021 09-01-2021 0000498607356 NURAENI P

183 09:35
100225010121P000 09-01-2021
388 185 01-09-2021 09:40 0001423377123 SUKAESIH P
389 100225010121P000 01-09-2021 09-01-2021 0001437932676 CUCU P

191 10:13
390 100225010121P000 01-09-2021 09-01-2021 0001675500298 BADA L

193 10:35
391 100225010121P000 01-09-2021 09-01-2021 0002210594589 E ROHAETI P

190 10:11
tissues
tissues
PEKERJA MANDIRI Radiculopathy, lumbar region Rujuk Vertikal

PBI (APBD) Diarrhoea and gastroenteritis of Berobat Jalan

PNS DAERAH Essential (primary) hypertension Berobat Jalan
Unspecified diabetes mellitus with

- multiple complications Rujuk Vertikal
PNS DAERAH Acute pharyngitis Berobat Jalan

cold]
Other specified abnormal uterine
PBI (APBN) and vaginal bleeding Berobat Jalan
Diabetes Mellitus
PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Hipertensi
Essential (primary) hypertension Diabetes Mellitus

- Berobat Jalan Hipertensi
PEKERJA MANDIRI Arthrosis, unspecified Berobat Jalan

392 100225010121P000 01-09-2021 09-01-2021 0002210594837 RAHMAT L
196 10:39
393 100225010121P000 01-09-2021 09-01-2021 0002243690458 IRMAN SEPTIAN L
186 09:43
394 100225010121P000 01-09-2021 09-01-2021 0002258286017 ADE SUKMAWATI P
180 08:21
395 100225010121P000 01-09-2021 09-01-2021 0002473300686 POPON P
198 11:58
396 100225010121P000 01-09-2021 09-01-2021 0002747077975 JAJANG ROHANA L
179 08:15
397 100225010121P000 01-09-2021 09-01-2021 0002797686549 NIA KANIA P
181 09:12
398 100225010121P000 01-09-2021 09-01-2021 0002797703537 IMAS NURHAYATI P

192 10:34
399 100225010121P000 01-09-2021 09-01-2021 0002840010423 AYAT L

188 10:06
400 100225010121P000 01-09-2021 09-01-2021 0002907120543 NENG KAMELIA P

184 09:38
401 100225010121P000 01-08-2021 08-01-2021 0000058551243 CUCU SULASTRI P

164 09:35
402 100225010121P000 01-08-2021 08-01-2021 0000497044923 DEDE RATNANENGSIH P
170 09:59
403 100225010121P000 01-08-2021 08-01-2021 0000497552591 FANI KOMALA P

178 13:09
404 100225010121P000 01-08-2021 08-01-2021 0000497732332 UUN L
162 08:37
405 100225010121P000 01-08-2021 08-01-2021 0000497862134 RISMAYANTI P

175 12:13
406 100225010121P000 01-08-2021 08-01-2021 0000498490007 DEWI NURPAIDAH P
165 09:37
407 100225010121P000 01-08-2021 08-01-2021 0000498663628 UJANG OMAN L

167 09:42
100225010121P000 08-01-2021
408 177 01-08-2021 13:07 0001012487769 ANGGA PRAYOGA L
409 100225010121P000 01-08-2021 08-01-2021 0001515626368 YATI DARYATI P

169 09:53
410 100225010121P000 01-08-2021 08-01-2021 0001675011352 ANIH P
176 13:06
cold]
cold]
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Diabetes Mellitus
PEKERJA MANDIRI Gastric ulcer Rujuk Vertikal
PBI (APBN) Ascites Rujuk Vertikal
- Urticaria, unspecified Berobat Jalan
PEGAWAI SWASTA Fever of other and unknown origin Berobat Jalan
PNS PUSAT Myalgia Berobat Jalan

cold]
PBI (APBN) Congestive heart failure Rujuk Vertikal

cold]
PBI (APBN) Other disorders of urinary system Berobat Jalan
PBI (APBN) bacteriologically and histologically Berobat Jalan
confirmed
- Radiculopathy Berobat Jalan Hipertensi

411 100225010121P000 01-08-2021 08-01-2021 0001675029587 NAJIB harahap L
171 10:01
412 100225010121P000 01-08-2021 08-01-2021 0002200315566 UJANG TARMA L
163 08:40
413 100225010121P000 01-08-2021 08-01-2021 0002200732211 DARYAT L
166 09:42
414 100225010121P000 01-08-2021 08-01-2021 0002697788856 TOTO P
161 08:32
415 100225010121P000 01-08-2021 08-01-2021 0002710172169 AHMAD MUKAROM L
172 10:02
416 100225010121P000 01-08-2021 08-01-2021 0002797691062 SHIENTHA YULIYANTI P
174 12:12
417 100225010121P000 01-08-2021 27-01-2021 0002797707082 LILI SUPATMA L

551 15:57
418 100225010121P000 01-08-2021 08-01-2021 0002864065105 SITI ASIAH P

168 09:44
419 100225010121P000 01-08-2021 08-01-2021 0002905931698 RAFKA PUTRA ALFARIZKI L

173 10:04
420 100225010121P000 01-07-2021 07-01-2021 0000058418076 SITI HASANAH P

136 08:58
421 100225010121P000 01-07-2021 07-01-2021 0000058541984 ENAY SITI SUMINAR SANUSI P
159 12:16
422 100225010121P000 01-07-2021 07-01-2021 0000497044462 IIM P

132 08:20
423 100225010121P000 01-07-2021 07-01-2021 0000497583944 JULAEHA P
143 10:07
100225010121P000 07-01-2021
424 144 01-07-2021 10:41 0000497637966 MALIK'UL SYAHRUL L
425 100225010121P000 01-07-2021 07-01-2021 0000497953146 AAM ABIDIN L

139 09:15
426 100225010121P000 01-07-2021 07-01-2021 0000498293335 LELA ALIE P

141 09:34
427 100225010121P000 01-07-2021 07-01-2021 0000498346885 KOKOM KOMARIAH P

146 10:58
428 100225010121P000 01-07-2021 07-01-2021 0000498441071 DEDE HALIMAH P

140 09:23
429 100225010121P000 01-07-2021 07-01-2021 0000498498851 ADE KOSWARA L
131 08:19
PBI (APBD) Tinnitus Rujuk Vertikal
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal Hipertensi Hipertensi
PBI (APBD) Stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Congestive heart failure Berobat Jalan Hipertensi Hipertensi
- Epilepsy Rujuk Vertikal

cold]
PENERIMA PENSIUN Heart failure Rujuk Vertikal

PNS
PENERIMA PENSIUN Stroke, not specified as Rujuk Vertikal
PNS haemorrhage or infarction
- Atrial fibrillation and flutter Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus
PBI (APBN) bacteriologically and histologically Rujuk Vertikal
confirmed
PBI (APBN) Other and unspecified injuries of Rujuk Vertikal

head
PBI (APBN) Chronic ischaemic heart disease Rujuk Vertikal
PBI (APBN) Tension-type headache Rujuk Vertikal
- Congestive heart failure Berobat Jalan Diabetes Mellitus Diabetes Mellitus

430 100225010121P000 01-07-2021 07-01-2021 0001012484608 MUHAMAD HAMDANI L
153 11:18
431 100225010121P000 01-07-2021 07-01-2021 0001462340035 ENTANG SUMARNA L
150 11:11
432 100225010121P000 01-07-2021 07-01-2021 0001665528355 SITI JULAEHA P
134 08:46
433 100225010121P000 01-07-2021 07-01-2021 0001665528783 NENG SITI RODIAH P
154 11:28
100225010121P000 07-01-2021
434 151 01-07-2021 11:12 0001675007346 ENGKUS L
100225010121P000 07-01-2021
435 149 01-07-2021 11:09 0001675011216 TASYA P
436 100225010121P000 01-07-2021 07-01-2021 0001675012511 SAMIN L

137 09:02
437 100225010121P000 01-07-2021 07-01-2021 0001719586214 NANANG RUSYANA L

142 09:55
147 11:02
439 100225010121P000 01-07-2021 07-01-2021 0001835248307 DEDE RUKIAH P

138 09:08
152 11:16
441 100225010121P000 01-07-2021 07-01-2021 0002040627699 YETI KURNIAWATI P

156 11:43
442 100225010121P000 01-07-2021 07-01-2021 0002040628342 ISMI NUR HIDAYATTULOH P

157 11:49
443 100225010121P000 01-07-2021 07-01-2021 0002298506387 PUPU RUBAIAH P

133 08:35
444 100225010121P000 01-07-2021 07-01-2021 0002393319003 EDI SETIA NUR.,IR L

135 08:54
445 100225010121P000 01-07-2021 07-01-2021 0002437525811 UJANG SUHANDA L
160 19:49
446 100225010121P000 01-07-2021 07-01-2021 0002619103329 ASIH HODIJAH P

145 10:55
158 11:52

155 11:29
PEGAWAI SWASTA Pain, not elsewhere classified Berobat Jalan
PBI (APBN) Hypertensive heart disease Rujuk Vertikal
- Antenatal screening Berobat Jalan


- Presbyopia Rujuk Vertikal
- Chronic rhinitis Rujuk Vertikal
PEGAWAI SWASTA Cellulitis Berobat Jalan
- Asthma Berobat Jalan

cold]

tissues
PNS PUSAT Diseases of pulp and periapical Berobat Jalan

tissues
- Hypertensive heart disease Rujuk Vertikal
PEGAWAI SWASTA Stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Low back pain, site unspecified Rujuk Vertikal

tissues

cold]
449 100225010121P000 01-07-2021 07-01-2021 0002797686099 NIA ROHNIA P
148 11:07
100225010121P000 06-01-2021
450 091 01-06-2021 09:23 0000058261645 S. SULAEMAN L
451 100225010121P000 01-06-2021 06-01-2021 0000202042866 SITI AYSYAH SITORUS P

084 08:17
452 100225010121P000 01-06-2021 06-01-2021 0000497690831 LILIS NURHAYATI P

102 11:11
453 100225010121P000 01-06-2021 06-01-2021 0000497761997 NURHAYATI P

083 07:16
454 100225010121P000 01-06-2021 06-01-2021 0000497976232 NUNUNG P
093 09:40
455 100225010121P000 01-06-2021 06-01-2021 0000498037061 YAYAT L
090 09:20
456 100225010121P000 01-06-2021 06-01-2021 0000498380872 NENG TINI P

127 14:49
100225010121P000 06-01-2021
457 088 01-06-2021 09:04 0000498534164 YANTO L
458 100225010121P000 01-06-2021 06-01-2021 0000498615028 TINI HERMAWATI P

094 09:57
459 100225010121P000 01-06-2021 06-01-2021 0000498988539 WARYANI P
129 14:51
460 100225010121P000 01-06-2021 06-01-2021 0000498989261 TARYANAH P

106 11:31

098 10:24
462 100225010121P000 01-06-2021 06-01-2021 0001138829027 KOSWARA L

089 09:12
100225010121P000 06-01-2021
463 101 01-06-2021 10:33 0001314661228 ENTIN SUHARTINI P
464 100225010121P000 01-06-2021 06-01-2021 0001675044461 VIRNA NAZLA DWI AZIZAH P

128 14:50

265 09:36
466 100225010121P000 01-06-2021 06-01-2021 0001900462307 enos jubaedah P
086 08:58
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

- Berobat Jalan Hipertensi
PNS DAERAH Bacterial pneumonia, unspecified Rujuk Vertikal
PBI (APBN) Fever, unspecified Berobat Jalan
PBI (APBN) Routine postpartum follow-up Berobat Jalan
- Other chronic obstructive Berobat Jalan

pulmonary disease
PBI (APBN) Rheumatism, unspecified Berobat Jalan

PBI (APBN) carbuncle, unspecified Rujuk Vertikal
PBI (APBN) Fracture of foot, unspecified , open Rujuk Vertikal

cold]
PEGAWAI SWASTA Foreign body in cornea Rujuk Vertikal
PEKERJA MANDIRI Other benign neoplasm of

connective and other soft tissue of Berobat Jalan
abdomen
PBI (APBD) Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Schizophrenia Berobat Jalan
- Uterovaginal prolapse, unspecified Rujuk Vertikal

467 100225010121P000 01-06-2021 06-01-2021 0002181674338 CAHYATI P
082 07:06
100225010121P000 06-01-2021 MUHAMMAD FIRDAUS RAFLY
468 099 01-06-2021 10:27 0002186960657 RISHANTO L
469 100225010121P000 01-06-2021 06-01-2021 0002222746626 SOPANDI L

092 09:37
470 100225010121P000 01-06-2021 06-01-2021 0002710174961 DEDE CINTA ASIH P

096 10:10
471 100225010121P000 01-06-2021 06-01-2021 0002738204447 SITI AISAH P

100 10:30
472 100225010121P000 01-06-2021 06-01-2021 0002750065997 ICIH P
095 10:04
473 100225010121P000 01-06-2021 06-01-2021 0002760223599 MUHAMAD NUSA SHOLEH L
130 14:52 GUMILAR
474 100225010121P000 01-06-2021 06-01-2021 0002797691951 TASYA CANTIKA P

126 12:08
475 100225010121P000 01-06-2021 06-01-2021 0002797708689 DITHA OKTAVIANI P
087 09:01
476 100225010121P000 01-05-2021 05-01-2021 0000058363503 HJ.ENOK MARINI P

069 08:04
477 100225010121P000 01-05-2021 05-01-2021 0000058418627 AMIR L
077 10:36
478 100225010121P000 01-05-2021 06-01-2021 0000058420416 ENDI SUWARDI L

121 12:00
100225010121P000 05-01-2021
479 072 01-05-2021 09:22 0000058505286 EUIS SURYATI P
480 100225010121P000 01-05-2021 06-01-2021 0000495877757 NENAH SITI NURHASANAH P

110 11:40
481 100225010121P000 01-05-2021 05-01-2021 0000497761997 NURHAYATI P

080 14:45
482 100225010121P000 01-05-2021 06-01-2021 0000497815468 MAE P
122 12:01
483 100225010121P000 01-05-2021 06-01-2021 0000498012535 KARA L

111 11:42
484 100225010121P000 01-05-2021 06-01-2021 0000498080889 ENENG RATNA P
123 12:02
PBI (APBD) Routine postpartum follow-up Berobat Jalan

- Chronic kidney disease Rujuk Vertikal

cold]
PEKERJA MANDIRI Hyphaema Berobat Jalan
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal
- Cough Berobat Jalan
PBI (APBN) Hordeolum and chalazion Berobat Jalan
- Blighted ovum and Rujuk Vertikal

nonhydatidiform mole
PENERIMA PENSIUN Secondary hypertension Rujuk Vertikal Diabetes Mellitus

PNS
PENERIMA PENSIUN Senile cataract Rujuk Vertikal
PNS
PENERIMA PENSIUN Hypertensive heart disease Berobat Jalan

PNS
Stroke, not specified as Diabetes Mellitus Diabetes Mellitus
PNS DAERAH haemorrhage or infarction Rujuk Vertikal Hipertensi
PBI (APBN) Gastritis, unspecified Berobat Jalan

cold]
100225010121P000 05-01-2021
485 076 01-05-2021 10:28 0000498094402 ELYUNI P
100225010121P000 06-01-2021
486 113 01-05-2021 11:45 0000498598964 EMAY MAESAROH P
487 100225010121P000 01-05-2021 06-01-2021 0001012489661 ELIS RIKA P

107 11:33
488 100225010121P000 01-05-2021 05-01-2021 0001012493395 HADA L

078 10:47
489 100225010121P000 01-05-2021 06-01-2021 0001012494734 ASRI YANTI P
117 11:53
490 100225010121P000 01-05-2021 06-01-2021 0001263918587 SAEFUL NUR L

115 11:49
114 11:48
100225010121P000 06-01-2021
492 118 01-05-2021 11:55 0001453321855 DWI WAHYUNI P
493 100225010121P000 01-05-2021 06-01-2021 0001675012511 SAMIN L

105 11:28
494 100225010121P000 01-05-2021 06-01-2021 0001675039634 WAWAN WARGAWAN L

124 12:04
100225010121P000 06-01-2021
495 116 01-05-2021 11:51 0001675505351 RISNO RISNANTO L
496 100225010121P000 01-05-2021 06-01-2021 0001897059251 IBNU IBRACHIM MUAKBAR L

103 11:20
497 100225010121P000 01-05-2021 05-01-2021 0002040627543 dedi hidayatulloh L

073 09:36
100225010121P000 06-01-2021
498 104 01-05-2021 11:23 0002040627699 YETI KURNIAWATI P
499 100225010121P000 01-05-2021 05-01-2021 0002181674338 CAHYATI P

081 22:47
500 100225010121P000 01-05-2021 05-01-2021 0002262578758 DANIA P

068 08:00
100225010121P000 05-01-2021
501 071 01-05-2021 08:26 0002275676739 DEDEH KURNIASIH P
Diabetes Mellitus
PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Hipertensi

PBI (APBN) Other gastritis Rujuk Vertikal
PEKERJA MANDIRI Pleural effusion, not elsewhere Berobat Jalan

classified
- Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
PEGAWAI SWASTA Rheumatoid arthritis, unspecified Berobat Jalan
PEKERJA MANDIRI Other disorders of gingiva and

edentulous alveolar ridge Berobat Jalan
- Hypertensive heart disease Berobat Jalan
PBI (APBD) Hypertensive heart disease Berobat Jalan
PEKERJA MANDIRI Acute upper respiratory infections

PEKERJA MANDIRI Other disorders of teeth and Berobat Jalan

- Heart failure Berobat Jalan

- edentulous alveolar ridge Berobat Jalan
PBI (APBD) Single spontaneous delivery Sembuh
PEKERJA MANDIRI Atrial septal defect Rujuk Vertikal
PEKERJA MANDIRI Essential (primary) hypertension Diabetes Mellitus

Rujuk Vertikal Hipertensi Hipertensi
502 100225010121P000 01-05-2021 06-01-2021 0002471092964 EMAS P
125 12:05
503 100225010121P000 01-05-2021 06-01-2021 0002607778181 ARINI PUSPA WANGSANI P
112 11:44
504 100225010121P000 01-05-2021 06-01-2021 0002622605499 ENDANG RUKMANA L
109 11:38
505 100225010121P000 01-05-2021 06-01-2021 0002797686685 MEGA KARTINI P
120 11:57
506 100225010121P000 01-05-2021 06-01-2021 0002797687359 DINA PANDAN AYU P
119 11:57
507 100225010121P000 01-05-2021 05-01-2021 0002797704077 WATISIH P
070 08:10

079 11:04
509 100225010121P000 01-05-2021 06-01-2021 0002904517776 YOGIE RAMADHAN L

108 11:36
510 100225010121P000 01-04-2021 04-01-2021 0000057939153 EUIS TITI P

026 09:11
100225010121P000 04-01-2021
511 058 01-04-2021 13:42 0000058264064 UMAH P
100225010121P000 04-01-2021
512 051 01-04-2021 13:23 0000058419246 SUKAESIH P
513 100225010121P000 01-04-2021 04-01-2021 0000058419843 DUYOH L

023 08:37
100225010121P000 04-01-2021
514 062 01-04-2021 13:55 0000495969388 JUWITA NINGSIH P
515 100225010121P000 01-04-2021 04-01-2021 0000497564469 BADRIAH P

048 13:01
100225010121P000 04-01-2021
516 065 01-04-2021 14:16 0000497714951 WAHYU EDI SUDRAJAT L
517 100225010121P000 01-04-2021 04-01-2021 0000497752749 PATNASIH P

041 10:59
518 100225010121P000 01-04-2021 04-01-2021 0000498003704 SUHARTINI P

039 10:45
PBI (APBN) Inguinal hernia Berobat Jalan
PEGAWAI SWASTA Hypertensive heart disease Berobat Jalan
- Tinnitus Rujuk Vertikal Diabetes Mellitus
- Uterovaginal prolapse, unspecified Rujuk Vertikal
PEGAWAI SWASTA Atopic dermatitis Berobat Jalan
PNS DAERAH Cyst of kidney, acquired Rujuk Vertikal
Diabetes Mellitus
- Haemorrhoids Berobat Jalan Hipertensi
PENERIMA PENSIUN Varicose veins of other specified Diabetes Mellitus

PNS sites Berobat Jalan Hipertensi
PENERIMA PENSIUN Chronic ischaemic heart disease Rujuk Vertikal

PNS
Allergic contact dermatitis,

PBI (APBN) unspecified cause Berobat Jalan
PBI (APBN) Other rheumatoid arthritis Berobat Jalan

- edentulous alveolar ridge Berobat Jalan
PBI (APBN) Heart failure Berobat Jalan

100225010121P000 04-01-2021
519 034 01-04-2021 10:02 0000498065308 KOKOM KOMARIAH P

040 10:50
521 100225010121P000 01-04-2021 04-01-2021 0000498460825 OMAN L

044 12:54
522 100225010121P000 01-04-2021 04-01-2021 0000498498851 ADE KOSWARA L

029 09:22
100225010121P000 04-01-2021
523 024 01-04-2021 08:46 0000498534164 YANTO L
524 100225010121P000 01-04-2021 04-01-2021 0000498594475 WIWI SOLIHAT P

016 05:49
525 100225010121P000 01-04-2021 04-01-2021 0000498645044 KOMARUDIN L
037 10:33
526 100225010121P000 01-04-2021 04-01-2021 0000513425103 NURLAELA P

067 15:52
527 100225010121P000 01-04-2021 04-01-2021 0001012422137 EEN SUHAENI P
047 12:57
528 100225010121P000 01-04-2021 04-01-2021 0001012487049 HALIMI L

027 09:12
100225010121P000 04-01-2021
529 020 01-04-2021 08:14 0001012498637 SUMARNI P
530 100225010121P000 01-04-2021 04-01-2021 0001079897771 BUDI SANTOSO L

017 07:59
100225010121P000 04-01-2021
531 059 01-04-2021 13:43 0001264531151 HM FAJAR JULYANSYAH L
532 100225010121P000 01-04-2021 04-01-2021 0001266876426 MUHAMAD DAFFA FIRDAUS L

046 12:56
533 100225010121P000 01-04-2021 04-01-2021 0001277990267 rukmini P

066 14:36
100225010121P000 04-01-2021
534 064 01-04-2021 14:14 0001437932676 CUCU P
535 100225010121P000 01-04-2021 04-01-2021 0001515641466 M.A. Sudarna L

043 11:13
Unspecified diabetes mellitus Diabetes Mellitus
PBI (APBN) Berobat Jalan Hipertensi Hipertensi

PBI (APBN) carbuncle, unspecified Rujuk Vertikal
PBI (APBN) Congestive heart failure Berobat Jalan Diabetes Mellitus
PBI (APBN) Secondary hypertension Berobat Jalan
PBI (APBN) Congestive heart failure Berobat Jalan
Insulin-dependent diabetes mellitus

PBI (APBN) with multiple complications Rujuk Vertikal
- Coronary artery aneurysm Rujuk Vertikal
Special screening examination for

- other diseases and disorders Berobat Jalan

cold]
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal

PEGAWAI SWASTA Congestive heart failure Berobat Jalan

536 100225010121P000 01-04-2021 04-01-2021 0001665497676 DANA L
028 09:14
537 100225010121P000 01-04-2021 04-01-2021 0001665525071 Nani R P
049 13:19
538 100225010121P000 01-04-2021 04-01-2021 0001665532337 ELA NURLAELA P
022 08:33
539 100225010121P000 01-04-2021 04-01-2021 0001675022837 SUPARMAN L
057 13:41
540 100225010121P000 01-04-2021 04-01-2021 0001675024648 LILIS P
018 08:04
541 100225010121P000 01-04-2021 04-01-2021 0001675032445 TUTI SUMIATI P
060 13:48
542 100225010121P000 01-04-2021 04-01-2021 0001777778223 ADE WARSIH P

053 13:29
100225010121P000 04-01-2021
543 063 01-04-2021 14:11 0001865676093 susanti L
544 100225010121P000 01-04-2021 04-01-2021 0001967681946 tina yuliantin P

021 08:16
545 100225010121P000 01-04-2021 04-01-2021 0002056104707 ahri karma L

032 09:42
546 100225010121P000 01-04-2021 04-01-2021 0002059544665 IWAN HERDIAWAN L
045 12:55
547 100225010121P000 01-04-2021 06-01-2021 0002186960657 MUHAMMAD FIRDAUS RAFLY L

085 08:41 RISHANTO
548 100225010121P000 01-04-2021 04-01-2021 0002226179676 RAFARDHAN SIROZUDIN L
033 09:55 ZUMHUR
549 100225010121P000 01-04-2021 04-01-2021 0002230331343 HJ. SARIPAH P

019 08:06
100225010121P000 04-01-2021
550 035 01-04-2021 10:20 0002273701318 HJ. SUMARNAH P
551 100225010121P000 01-04-2021 04-01-2021 0002527075822 TARYA L

061 13:49
552 100225010121P000 01-04-2021 04-01-2021 0002623503396 SRI HARYATI P

055 13:34
553 100225010121P000 01-04-2021 04-01-2021 0002797677639 ATIH SUKAESIH P
042 11:05
554 100225010121P000 01-04-2021 04-01-2021 0002797683287 KHALISYA TALITA PUTRI P

052 13:28
PBI (APBD) Congestive heart failure Berobat Jalan
PBI (APBN) Stroke, not specified as Rujuk Vertikal

PBI (APBD) Secondary hypertension Berobat Jalan
PBI (APBD) Malignant neoplasm of breast Rujuk Vertikal

- Congestive heart failure Rujuk Vertikal Hipertensi
- Congestive heart failure Berobat Jalan
PEGAWAI SWASTA Myalgia Berobat Jalan
- Fracture of clavicle, closed Rujuk Vertikal
- Thalassaemia Rujuk Vertikal
Diabetes Mellitus
- Secondary hypertension Berobat Jalan Hipertensi Hipertensi

555 100225010121P000 01-04-2021 04-01-2021 0002797686549 NIA KANIA P
056 13:38
556 100225010121P000 01-04-2021 04-01-2021 0002839993762 ABAD RAMLANI L
050 13:21
557 100225010121P000 01-04-2021 04-01-2021 0002875271894 NENENG SUHAEMI P
038 10:33
558 100225010121P000 01-04-2021 04-01-2021 0002876911233 IJUH SUMINAR P
030 09:26
559 100225010121P000 01-04-2021 04-01-2021 0002876911244 YUNI FATIMAH P
054 13:30
560 100225010121P000 01-04-2021 04-01-2021 0002890019013 NENIH P
036 10:27
561 100225010121P000 01-04-2021 14-01-2021 0002915100753 RUSTANDI L

285 08:25
562 100225010121P000 01-03-2021 03-01-2021 0000498594475 WIWI SOLIHAT P

014 06:00
563 100225010121P000 01-03-2021 03-01-2021 0000513425103 NURLAELA P

015 17:05
564 100225010121P000 01-02-2021 02-01-2021 0000498335207 AI SUMARNI P

002 09:05
565 100225010121P000 01-02-2021 02-01-2021 0000498493934 MAEMUNAH P
005 09:28
100225010121P000 02-01-2021
566 011 01-02-2021 10:06 0000498524444 MULYATI P
100225010121P000 02-01-2021
567 001 01-02-2021 08:55 0001665495268 IDA P
568 100225010121P000 01-02-2021 02-01-2021 0001862041779 ENTIS SUTISNA L

004 09:27
569 100225010121P000 01-02-2021 02-01-2021 0001878033846 eti P

013 10:12
100225010121P000 02-01-2021
570 012 01-02-2021 10:09 0002234291894 NURUL AZZAHRA P
100225010121P000 02-01-2021
571 003 01-02-2021 09:15 0002278556987 TATI P
572 100225010121P000 01-02-2021 02-01-2021 0002487633906 UJAT L

007 09:41
PBI (APBN) Conjunctivitis Berobat Jalan
PEKERJA MANDIRI Rheumatoid arthritis, unspecified Rujuk Vertikal
- Unspecified diabetes mellitus Rujuk Vertikal
PEGAWAI SWASTA Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus Diabetes Mellitus
mellitus
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal
PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBN) Congestive heart failure Berobat Jalan
Sequelae of stroke, not specified as

- haemorrhage or infarction Rujuk Vertikal
Other disorders of optic [2nd] Diabetes Mellitus

PBI (APBD) nerve and visual pathways Rujuk Vertikal Hipertensi
- Other headache syndromes Berobat Jalan
PEKERJA MANDIRI Other benign neoplasm of

connective and other soft tissue of Berobat Jalan
abdomen
PEKERJA MANDIRI Disorders of refraction and Diabetes Mellitus

accommodation Rujuk Vertikal Hipertensi
- Stroke, not specified as Berobat Jalan

573 100225010121P000 01-02-2021 02-01-2021 0002487634154 OOM P
006 09:32
574 100225010121P000 01-02-2021 02-01-2021 0002839994649 YANI MULYANI P
010 09:49
575 100225010121P000 01-02-2021 02-01-2021 0002876911233 IJUH SUMINAR P
009 09:47

F 1 SKT

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

F 1 SKT

Uploaded by

Copyright:

Available Formats

Kantor Cabang : CIMAHI - 1014

FKTP : NGAMPRAH - 10022501

1 100225010121P000 30-01-2021 30-01-2021 0000058261656 ENI ROHAENI P

2 100225010121P000 30-01-2021 30-01-2021 0000497761863 AISAH P

3 100225010121P000 30-01-2021 30-01-2021 0000498094841 IIN P

4 100225010121P000 30-01-2021 30-01-2021 0000498359823 ROHANAH P

7 100225010121P000 30-01-2021 30-01-2021 0001523644817 NIA KURNIAWATI P

9 100225010121P000 30-01-2021 30-01-2021 0002078518915 SEPTIADI HIDAYAT L

11 100225010121P000 30-01-2021 30-01-2021 0002778214566 ENDI SUHENDI L

13 100225010121P000 30-01-2021 30-01-2021 0002902673992 RATNA P

15 100225010121P000 29-01-2021 29-01-2021 0000496709752 ASEP DANI KUSNAEDI L

16 100225010121P000 29-01-2021 29-01-2021 0000498289094 YULI INDRIYANI P

17 100225010121P000 29-01-2021 29-01-2021 0000498626583 DENI ALIANJAR L

- Secondary hypertension Berobat Jalan Hipertensi

PBI (APBN) Sequelae of cerebral infarction Rujuk Vertikal

PBI (APBN) Myalgia Berobat Jalan

PBI (APBN) Antenatal screening Berobat Jalan

PBI (APBN) Generalized enlarged lymph nodes Berobat Jalan

PBI (APBD) Non-insulin-dependent diabetes Rujuk Vertikal

PEKERJA MANDIRI Myalgia Berobat Jalan

PEKERJA MANDIRI Acute sinusitis, unspecified Rujuk Vertikal

PEKERJA MANDIRI Orchitis and epididymitis Rujuk Vertikal

PEGAWAI SWASTA Low back pain Berobat Jalan

PBI (APBN) Acute nasopharyngitis [common Berobat Jalan

PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan

- Acute nasopharyngitis [common Berobat Jalan

PBI (APBN) Epilepsy Rujuk Vertikal

PEGAWAI SWASTA Dyspepsia Berobat Jalan

PBI (APBN) Acute bronchiolitis Rujuk Vertikal

19 100225010121P000 29-01-2021 29-01-2021 0001675037002 DEDEH KURNIA P

23 100225010121P000 29-01-2021 29-01-2021 0002840011997 ANDA L

25 100225010121P000 28-01-2021 28-01-2021 0000058231258 YAYAT KARYATI P

27 100225010121P000 28-01-2021 28-01-2021 0001278781525 FENNI GUSMITA P

29 100225010121P000 28-01-2021 28-01-2021 0002439248196 RACHMAT L

30 100225010121P000 28-01-2021 31-01-2021 0002840001309 TARNO L

100225010121P000 28-01-2021 28-01-2021

32 100225010121P000 27-01-2021 27-01-2021 0000057610765 EDDY ERNANTO SETYONO L

34 100225010121P000 27-01-2021 27-01-2021 0000058551243 CUCU SULASTRI P

PBI (APBD) Acute abdomen Berobat Jalan

PENERIMA PENSIUN Arthrosis, unspecified Rujuk Vertikal

PBI (APBN) End-stage renal disease Rujuk Vertikal

PEGAWAI SWASTA Acute upper respiratory infections

- Congestive heart failure Rujuk Vertikal

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PEKERJA MANDIRI Epilepsy Rujuk Vertikal

PEGAWAI SWASTA Routine postpartum follow-up Berobat Jalan

PEKERJA MANDIRI Chronic kidney disease Rujuk Vertikal

PBI (APBN) Acute nasopharyngitis [common Berobat Jalan

PEKERJA MANDIRI Chronic obstructive pulmonary

- Non-insulin-dependent diabetes Rujuk Vertikal

PNS PUSAT Other arthritis Berobat Jalan

38 100225010121P000 27-01-2021 27-01-2021 0001012438743 ARISKA SRIRAHAYU P

41 100225010121P000 27-01-2021 27-01-2021 0001408718878 Reni Puspitasari P

42 100225010121P000 27-01-2021 27-01-2021 0001429940349 TATI P

43 100225010121P000 27-01-2021 27-01-2021 0001515644098 Sumardi L

44 100225010121P000 27-01-2021 27-01-2021 0001643841887 NADIRA CANDANI YUDISTIRA P

46 100225010121P000 27-01-2021 27-01-2021 0001665524665 KUSWANA DANA MIHARJA L

48 100225010121P000 27-01-2021 27-01-2021 0001675027034 NURJANAH P

50 100225010121P000 27-01-2021 27-01-2021 0001862041779 ENTIS SUTISNA L

52 100225010121P000 27-01-2021 27-01-2021 0002044203794 KILAN RAMADHAN L

PBI (APBN) Dyspepsia Berobat Jalan

PBI (APBN) Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal

PEGAWAI SWASTA Epilepsy Rujuk Vertikal