F 2 SKT

Kantor Cabang : CIMAHI - 1014
FKTP : NGAMPRAH - 10022501

TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN
1 100225010221P000 28-02-2021 08-03-2021 0000498607571 CARMIASIH P

507 00:00 08:59
2 100225010221P000 28-02-2021 28-02-2021 0001810087299 rena riana lestari P

502 00:00 09:05
3 100225010221P000 28-02-2021 28-02-2021 0001810087299 rena riana lestari P

503 00:00 09:13
4 100225010221P000 28-02-2021 28-02-2021 0002462554528 WARTIKA P

505 00:00 18:11
5 100225010221P000 28-02-2021 28-02-2021 0002797691062 SHIENTHA YULIYANTI P
501 00:00 08:54
6 100225010221P000 27-02-2021 27-02-2021 0000058318773 RUKIAH P
485 00:00 08:04
7 100225010221P000 27-02-2021 27-02-2021 0000498065343 SHOVY MUSYFIQOH P

500 00:00 10:10
8 100225010221P000 27-02-2021 27-02-2021 0000498607571 CARMIASIH P
499 00:00 10:00
9 100225010221P000 27-02-2021 27-02-2021 0001012422137 EEN SUHAENI P

498 00:00 10:00
10 0001300356909 ROHATI P
100225010221P000 27-02-2021 27-02-2021
487 00:00 08:28
11 100225010221P000 27-02-2021 27-02-2021 0001515668534 DESTYA DWI WIDYANTI P

491 00:00 09:38
12 100225010221P000 27-02-2021 27-02-2021 0001641626188 DADAN IMAN SANTOSO L
496 00:00 09:45
100225010221P000 27-02-2021 27-02-2021

13 494 00:00 09:41 0002071791257 MAMAD L
14 100225010221P000 27-02-2021 27-02-2021 0002079128081 MEGAWATI P

490 00:00 09:36
15 100225010221P000 27-02-2021 27-02-2021 0002201077056 ALI MUHAMAD L
492 00:00 09:40
16 100225010221P000 27-02-2021 27-02-2021 0002797684569 RAHMAT L

495 00:00 09:43
17 100225010221P000 27-02-2021 27-02-2021 0002877021595 DAHYAR L
497 00:00 09:47
STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS
PBI (APBN) Routine postpartum follow-up Berobat Jalan
PEKERJA MANDIRI Single spontaneous delivery Sembuh
PEKERJA MANDIRI Routine postpartum follow-up Berobat Jalan
PBI (APBN) Single spontaneous delivery Sembuh
PENERIMA PENSIUN Hypertensive heart disease Berobat Jalan

PNS
PEKERJA MANDIRI Postpartum care and examination Berobat Jalan
PBI (APBN) Essential (primary) hypertension Berobat Jalan
Respiratory tuberculosis, not Rujuk Vertikal

confirmed bacteriologically or
PEKERJA MANDIRI histologically
PEGAWAI SWASTA Myalgia Berobat Jalan
PEGAWAI SWASTA Pterygium Rujuk Vertikal
PEKERJA MANDIRI Acute upper respiratory infections

of multiple and unspecified sites Berobat Jalan
- Acute nasopharyngitis [common Berobat Jalan

cold]
PEGAWAI SWASTA Cutaneous abscess, furuncle and Berobat Jalan
carbuncle
- Cutaneous abscess, furuncle and Berobat Jalan

carbuncle
PEKERJA MANDIRI Other general symptoms and signs Berobat Jalan
100225010221P000 27-02-2021 27-02-2021 MUHAMAD ARSYA AL FATIH
18 493 00:00 09:40 0003046219571 L
19 100225010221P000 26-02-2021 26-02-2021 0000166208376 IMAS ENCAH P

483 00:00 11:16
20 100225010221P000 26-02-2021 26-02-2021 0000498065343 SHOVY MUSYFIQOH P

473 00:00 10:17
21 100225010221P000 26-02-2021 26-02-2021 0000498324892 AGUS AMBIA L

469 00:00 09:07
100225010221P000 26-02-2021 26-02-2021

22 472 00:00 10:11 0000498487858 JAJANG SUPRIYATNA L
23 100225010221P000 26-02-2021 26-02-2021 0001012495239 KARTINI P

477 00:00 10:33
24 100225010221P000 26-02-2021 26-02-2021 0001473479379 ANWAR SANUSI L
475 00:00 10:26
25 100225010221P000 26-02-2021 26-02-2021 0001675029205 HERNA. H P

467 00:00 08:43
26 100225010221P000 26-02-2021 26-02-2021 0001675030511 RINA R P
465 00:00 01:25
27 100225010221P000 26-02-2021 26-02-2021 0001719586214 NANANG RUSYANA L

478 00:00 10:36
28 100225010221P000 26-02-2021 26-02-2021 0001719586225 HJ.DIAH SAHARAH P
479 00:00 10:40
29 100225010221P000 26-02-2021 26-02-2021 0001813923854 sumyati P

474 00:00 10:21
30 100225010221P000 26-02-2021 26-02-2021 0001852265441 UPIT P

476 00:00 10:29
31 100225010221P000 26-02-2021 26-02-2021 0001854934931 ANDRE PRIMA YUNIARTO L

470 00:00 09:54
32 100225010221P000 26-02-2021 26-02-2021 0002219179173 A. MAMAN L

482 00:00 10:48
33 100225010221P000 26-02-2021 26-02-2021 0002521320434 NENI P
480 00:00 10:42
100225010221P000 26-02-2021 26-02-2021

34 466 00:00 08:15 0002695481458 AGUNG MULYADI L
35 100225010221P000 26-02-2021 26-02-2021 0002695625818 ENOK P

484 00:00 18:50
PEGAWAI SWASTA Acute upper respiratory infections
of multiple and unspecified sites Berobat Jalan
- Stroke, not specified as Rujuk Vertikal

haemorrhage or infarction
- Cerebral infarction, unspecified Rujuk Vertikal
Respiratory tuberculosis,
PBI (APBN) bacteriologically and histologically Berobat Jalan
confirmed
PBI (APBN) Tinnitus Berobat Jalan
PBI (APBD) Cerebral infarction, unspecified Berobat Jalan Hipertensi Hipertensi
- Routine postpartum follow-up Berobat Jalan
- Zoster [herpes zoster] Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Vertigo of central origin Berobat Jalan
PEKERJA MANDIRI Myalgia Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Rujuk Vertikal
PEKERJA MANDIRI Coronary artery aneurysm Rujuk Vertikal
PEKERJA MANDIRI Dyspepsia Berobat Jalan
Disorders of excessive somnolence

- [hypersomnias] Rujuk Vertikal
PEKERJA MANDIRI Diabetic retinopathy Rujuk Vertikal

36 100225010221P000 26-02-2021 28-02-2021 0002797710491 MUHAMAD FAQIHUDIN FARUQ L
504 00:00 16:09
37 100225010221P000 26-02-2021 26-02-2021 0002877011594 IRMA P
481 00:00 10:43
38 100225010221P000 25-02-2021 25-02-2021 0000055902352 H ASEP RUSKANA L
454 00:00 09:19
100225010221P000 25-02-2021 25-02-2021
39 448 00:00 08:42 0000058261645 S. SULAEMAN L
40 100225010221P000 25-02-2021 25-02-2021 0000058363503 HJ.ENOK MARINI P

450 00:00 08:47
41 100225010221P000 25-02-2021 25-02-2021 0000498167662 YANTI P
459 00:00 09:24
42 100225010221P000 25-02-2021 25-02-2021 0000498325768 IMAM L
451 00:00 09:05
43 100225010221P000 25-02-2021 25-02-2021 0000498592945 RASIH P

457 00:00 09:23
44 100225010221P000 25-02-2021 25-02-2021 0000498907541 DEDE SUHAETI P
452 00:00 09:18
100225010221P000 25-02-2021 25-02-2021

45 453 00:00 09:18 0001012438743 ARISKA SRIRAHAYU P
46 100225010221P000 25-02-2021 25-02-2021 0001012484889 ROKAYAH P

455 00:00 09:21
47 100225010221P000 25-02-2021 25-02-2021 0001450672863 ALIM L

462 00:00 11:12
48 100225010221P000 25-02-2021 25-02-2021 0001675008281 IWAN S L

458 00:00 09:24
49 100225010221P000 25-02-2021 25-02-2021 0001675011352 ANIH P

449 00:00 08:42
50 100225010221P000 25-02-2021 25-02-2021 0001675012511 SAMIN L

456 00:00 09:21
51 100225010221P000 25-02-2021 25-02-2021 0001675030511 RINA R P
464 00:00 21:57
52 100225010221P000 25-02-2021 25-02-2021 0001810647044 YULIA NINGSIH P

460 00:00 10:52
53 100225010221P000 25-02-2021 25-02-2021 0001968317245 atih P
447 00:00 07:55
54 100225010221P000 25-02-2021 25-02-2021 0002295927472 supartini P

463 00:00 18:18
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan
cold]
PEKERJA MANDIRI Antenatal screening Berobat Jalan
PNS PUSAT Disorders of vestibular function Berobat Jalan
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

- Rujuk Vertikal Hipertensi
PENERIMA PENSIUN Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus

PNS
PBI (APBN) Dyspepsia Berobat Jalan
- Thyrotoxicosis with diffuse goitre Rujuk Vertikal
Other local infections of skin and

PBI (APBN) subcutaneous tissue Berobat Jalan
PEKERJA MANDIRI Coronary artery aneurysm Rujuk Vertikal
PBI (APBD) Acute nasopharyngitis [common Berobat Jalan

cold]
- Radiculopathy, lumbar region Rujuk Vertikal Hipertensi
- Secondary hypertension Berobat Jalan
- Single spontaneous delivery Sembuh
- Bullous erythema multiforme Rujuk Vertikal
- Senile cataract Rujuk Vertikal
PEGAWAI SWASTA Open wound of ankle and foot Rujuk Vertikal

100225010221P000 24-02-2021 24-02-2021
55 433 00:00 09:12 0000058419246 SUKAESIH P
56 100225010221P000 24-02-2021 24-02-2021 0000058420484 ENGKUS L

441 00:00 09:27
57 100225010221P000 24-02-2021 24-02-2021 0000211000858 ROHATI P

444 00:00 10:43
58 100225010221P000 24-02-2021 24-02-2021 0000498645044 KOMARUDIN L

443 00:00 10:08
59 100225010221P000 24-02-2021 25-02-2021 0001012495239 KARTINI P

461 00:00 11:10
100225010221P000 24-02-2021 24-02-2021
60 432 00:00 08:56 0001148618632 AGUS UMAR L
61 100225010221P000 24-02-2021 24-02-2021 0001515640408 Alis Juarni P

442 00:00 10:05
62 100225010221P000 24-02-2021 24-02-2021 0001675028125 TARMINI P

437 00:00 09:19
63 100225010221P000 24-02-2021 24-02-2021 0001818418296 MUHAMAD SAPEI L
440 00:00 09:25
64 100225010221P000 24-02-2021 24-02-2021 0001906176778 SUBARMAN L

430 00:00 08:39
65 100225010221P000 24-02-2021 24-02-2021 0002234918722 ENTIN P
435 00:00 09:16
66 100225010221P000 24-02-2021 24-02-2021 0002262111399 TI`AH P

431 00:00 08:43
67 100225010221P000 24-02-2021 24-02-2021 0002262111726 ANJAR KOSWARA L

429 00:00 08:37
68 100225010221P000 24-02-2021 24-02-2021 0002467978367 ENTIH P

436 00:00 09:18
69 100225010221P000 24-02-2021 24-02-2021 0002592522527 MIMIN P

438 00:00 09:20
70 100225010221P000 24-02-2021 24-02-2021 0002695001062 SITI NURJANAH P
439 00:00 09:22
71 100225010221P000 24-02-2021 25-02-2021 0002797707363 ARNI KURNIATI P

446 00:00 07:16
72 100225010221P000 24-02-2021 24-02-2021 0002840011997 ANDA L
434 00:00 09:15
PENERIMA PENSIUN Acute nasopharyngitis [common Diabetes Mellitus
PNS cold] Berobat Jalan Hipertensi
PENERIMA PENSIUN Hyperplasia of prostate Rujuk Vertikal

PNS
PENERIMA PENSIUN Malignant neoplasm of thyroid Rujuk Vertikal

PNS gland
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus
PBI (APBN) Other disorders of ear, not Berobat Jalan

elsewhere classified
PEKERJA MANDIRI Other specified diabetes mellitus Diabetes Mellitus
Berobat Jalan Hipertensi
- Other surgical follow-up care Rujuk Vertikal
PBI (APBD) Headache Berobat Jalan
- Cutaneous abscess, furuncle and Berobat Jalan Diabetes Mellitus Diabetes Mellitus
carbuncle
- Congestive heart failure Rujuk Vertikal
PEKERJA MANDIRI Low back pain Berobat Jalan
PEKERJA MANDIRI Secondary hypertension Berobat Jalan
PEGAWAI SWASTA Enlarged lymph nodes, unspecified Rujuk Vertikal
PEKERJA MANDIRI Acute nasopharyngitis [common Berobat Jalan

cold]

cold]
PBI (APBN) Lichen simplex chronicus Rujuk Vertikal

73 100225010221P000 23-02-2021 23-02-2021 0000053076093 SITI SOLIHAT P
410 00:00 10:26
100225010221P000 23-02-2021 23-02-2021

74 406 00:00 09:51 0000058505286 EUIS SURYATI P
75 100225010221P000 23-02-2021 01-03-2021 0000161137181 SUTARIAH NY. JD. IMI P

506 00:00 09:50 SAMSUDIN
76 100225010221P000 23-02-2021 23-02-2021 0000497690831 LILIS NURHAYATI P

423 00:00 11:19
77 100225010221P000 23-02-2021 23-02-2021 0000497781459 SUMINAR P

411 00:00 10:49
78 100225010221P000 23-02-2021 23-02-2021 0000497815468 MAE P
419 00:00 11:16
79 100225010221P000 23-02-2021 23-02-2021 0000497908844 NANI SANILAH P
409 00:00 10:06
100225010221P000 23-02-2021 23-02-2021

80 401 00:00 08:49 0000498371692 MARIAH P
81 100225010221P000 23-02-2021 23-02-2021 0000498374829 APOY HASANAH P

416 00:00 11:00
82 100225010221P000 23-02-2021 23-02-2021 0001012422137 EEN SUHAENI P

417 00:00 11:14
83 100225010221P000 23-02-2021 23-02-2021 0001012491303 SUKARSA L
405 00:00 09:43
84 100225010221P000 23-02-2021 23-02-2021 0001277187862 WARSITO SUMAWIJAYA L

404 00:00 09:35
85 100225010221P000 23-02-2021 23-02-2021 0001277188211 ONIE KRISNA WARSITO P

403 00:00 09:21
86 100225010221P000 23-02-2021 23-02-2021 0001389913672 RATNAWATI P

408 00:00 10:02
87 100225010221P000 23-02-2021 23-02-2021 0001665495191 ENTAY SUKARNA L

414 00:00 10:55
88 100225010221P000 23-02-2021 23-02-2021 0001665529097 JANUAR S L
413 00:00 10:53
89 100225010221P000 23-02-2021 23-02-2021 0001675044483 AHMAD KURNIA L

418 00:00 11:15
90 100225010221P000 23-02-2021 23-02-2021 0001835429477 NENG MIRNA KUSMAWATI P
407 00:00 09:56
- Complications of cardiac and Rujuk Vertikal
vascular prosthetic devices,
implants and grafts
Non-insulin-dependent diabetes Diabetes Mellitus Diabetes Mellitus

PNS DAERAH mellitus Berobat Jalan Hipertensi
VETERAN Coronary artery aneurysm Rujuk Vertikal
PEGAWAI SWASTA Headache Berobat Jalan
- Congestive heart failure Berobat Jalan Hipertensi Hipertensi
Postprocedural disorder of eye and

PBI (APBN) adnexa, unspecified Rujuk Vertikal
PBI (APBN) Other surgical follow-up care Berobat Jalan
- Chronic ischaemic heart disease, Rujuk Vertikal

unspecified
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal
PBI (APBD) Essential (primary) hypertension Berobat Jalan
PBI (APBD) Headache Berobat Jalan
PEKERJA MANDIRI Acute appendicitis Rujuk Vertikal

91 100225010221P000 23-02-2021 23-02-2021 0002056596401 jajang suryana L
424 00:00 11:19
100225010221P000 23-02-2021 23-02-2021
92 425 00:00 13:05 0002275672735 DEDI SUPRIADI L
93 100225010221P000 23-02-2021 23-02-2021 0002275673016 SITI SARAH NUR HALIMAH P

426 00:00 13:12
94 100225010221P000 23-02-2021 23-02-2021 0002462554528 WARTIKA P

422 00:00 11:18
95 100225010221P000 23-02-2021 23-02-2021 0002473581712 NANIN RUSMIATI P

415 00:00 10:57
96 100225010221P000 23-02-2021 23-02-2021 0002622649026 RINA YULIANAWATI P
420 00:00 11:16
97 100225010221P000 23-02-2021 23-02-2021 0002797688362 SARIMANAH P
412 00:00 10:50
98 100225010221P000 23-02-2021 23-02-2021 0002797691062 SHIENTHA YULIYANTI P

421 00:00 11:17
99 100225010221P000 23-02-2021 23-02-2021 0002797707363 ARNI KURNIATI P
398 00:00 02:46
100 100225010221P000 23-02-2021 23-02-2021 0002962034392 NATALIA RAHAYU P

427 00:00 13:40
101 100225010221P000 22-02-2021 22-02-2021 0000149427404 LENI SUSIANA P
392 00:00 12:42
100225010221P000 22-02-2021 22-02-2021

102 363 00:00 10:35 0000495740463 RENI NURAENI P
103 100225010221P000 22-02-2021 22-02-2021 0000496681479 CACIH P

365 00:00 10:42
104 100225010221P000 22-02-2021 22-02-2021 0000497747125 EROS ROSYIDAH P

380 00:00 12:13
100225010221P000 22-02-2021 24-02-2021

105 428 00:00 08:23 0000497759837 BOYADI L
106 100225010221P000 22-02-2021 22-02-2021 0000498028825 DARMINI P

393 00:00 12:49
107 100225010221P000 22-02-2021 22-02-2021 0000498127588 MARLIAH P

389 00:00 12:32
108 100225010221P000 22-02-2021 22-02-2021 0000498147232 ROHATI P
374 00:00 11:44
Other disorders of gingiva and

PBI (APBN) edentulous alveolar ridge Berobat Jalan
PEKERJA MANDIRI Other disorders of teeth and Berobat Jalan

supporting structures

cold]
PENERIMA PENSIUN Other dermatitis Berobat Jalan

PNS
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan
cold]
PBI (APBN) Antenatal screening Berobat Jalan
PBI (APBD) Missed abortion Rujuk Vertikal
PNS PUSAT Stroke, not specified as Rujuk Vertikal

Non-insulin-dependent diabetes
PBI (APBN) mellitus with multiple Rujuk Vertikal
complications
- Other general symptoms and signs Berobat Jalan Diabetes Mellitus Diabetes Mellitus
Chronic obstructive pulmonary

PBI (APBN) disease, unspecified Rujuk Vertikal
PBI (APBN) Diseases of pulp and periapical Berobat Jalan

tissues
- Myalgia Berobat Jalan
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus

109 100225010221P000 22-02-2021 22-02-2021 0000498432633 ANI RATNA KOMALA P
386 00:00 12:23
110 0000498432881 SYAHLA KHAULA NAFIAH P
100225010221P000 22-02-2021 22-02-2021
387 00:00 12:24
111 100225010221P000 22-02-2021 22-02-2021 0001012438743 ARISKA SRIRAHAYU P

369 00:00 11:22
112 100225010221P000 22-02-2021 22-02-2021 0001012487049 HALIMI L
353 00:00 09:00
113 100225010221P000 22-02-2021 22-02-2021 0001012488726 NINING P
348 00:00 08:28
114 100225010221P000 22-02-2021 22-02-2021 0001012495239 KARTINI P
364 00:00 10:40
115 100225010221P000 22-02-2021 27-02-2021 0001103353547 DEDEN BUDIANTO L

488 00:00 08:35
116 100225010221P000 22-02-2021 22-02-2021 0001665524665 KUSWANA DANA MIHARJA L

351 00:00 08:54
117 100225010221P000 22-02-2021 22-02-2021 0001665527376 KARINA HERAWATI P

370 00:00 11:29
118 100225010221P000 22-02-2021 22-02-2021 0001674927865 NANDANG L

368 00:00 11:20
119 100225010221P000 22-02-2021 22-02-2021 0001675029104 ai patmawati P
357 00:00 09:35
120 100225010221P000 22-02-2021 22-02-2021 0001675034199 LILIS. R P

367 00:00 10:51
121 100225010221P000 22-02-2021 22-02-2021 0001675037935 YAYAH P
372 00:00 11:36
122 100225010221P000 22-02-2021 22-02-2021 0001675039634 WAWAN WARGAWAN L

371 00:00 11:31
123 100225010221P000 22-02-2021 22-02-2021 0001799158983 sulastri P
383 00:00 12:17
124 100225010221P000 22-02-2021 22-02-2021 0001829076568 DEWI P

349 00:00 08:40
125 100225010221P000 22-02-2021 22-02-2021 0001959234366 WIGNYO SUHARI L
366 00:00 10:46
126 100225010221P000 22-02-2021 22-02-2021 0002071791257 MAMAD L

373 00:00 11:41
127 100225010221P000 22-02-2021 22-02-2021 0002083684465 SARIAH P
352 00:00 08:56
cold]
PBI (APBN) Diarrhoea and gastroenteritis of Berobat Jalan
presumed infectious origin
PBI (APBN) Other general symptoms and signs Berobat Jalan
PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
PEGAWAI SWASTA Stroke, not specified as Rujuk Vertikal

- Chronic ischaemic heart disease Rujuk Vertikal
PBI (APBD) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBD) Inflammatory disorders of breast Berobat Jalan
PBI (APBD) Vertigo of central origin Berobat Jalan
- Palpitations Berobat Jalan
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan
PEGAWAI SWASTA Myalgia Berobat Jalan
PEKERJA MANDIRI Calculus of kidney and ureter Rujuk Vertikal
PEKERJA MANDIRI Bronchitis, not specified as acute Rujuk Vertikal

or chronic
PEKERJA MANDIRI Rheumatoid arthritis, unspecified Berobat Jalan
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
128 100225010221P000 22-02-2021 22-02-2021 0002204734904 hanik rofiqoh P
362 00:00 10:19
129 100225010221P000 22-02-2021 22-02-2021 0002210594589 E ROHAETI P
378 00:00 12:09
130 100225010221P000 22-02-2021 22-02-2021 0002213460922 SANDI IRAWAN L
350 00:00 08:47
131 100225010221P000 22-02-2021 22-02-2021 0002229498797 NENGSIH P
355 00:00 09:21
100225010221P000 22-02-2021 22-02-2021
132 361 00:00 10:09 0002275676739 DEDEH KURNIASIH P
100225010221P000 22-02-2021 22-02-2021 ASEP AHMAD KOMARUDIN

133 379 00:00 12:11 0002481804134 L
134 100225010221P000 22-02-2021 22-02-2021 0002489765534 RATMAH P

382 00:00 12:16
135 100225010221P000 22-02-2021 22-02-2021 0002607050891 ERUM P

375 00:00 11:47
394 00:00 12:55
137 100225010221P000 22-02-2021 22-02-2021 0002633990455 AYA ROHAYA P

347 00:00 08:04
138 100225010221P000 22-02-2021 22-02-2021 0002697010288 AGUS SUPRIADI L
360 00:00 10:03
139 100225010221P000 22-02-2021 22-02-2021 0002710172621 NURUL SETIAWATI P

377 00:00 12:07
140 100225010221P000 22-02-2021 22-02-2021 0002766449575 SYAFITRI RIZKY RAMADHAN P

395 00:00 12:56
141 100225010221P000 22-02-2021 22-02-2021 0002779049981 EMAY P

381 00:00 12:15
142 100225010221P000 22-02-2021 22-02-2021 0002797687359 DINA PANDAN AYU P

390 00:00 12:33
143 100225010221P000 22-02-2021 22-02-2021 0002797687359 DINA PANDAN AYU P
391 00:00 12:37
144 100225010221P000 22-02-2021 22-02-2021 0002797687956 NENG ARISKA P

396 00:00 13:53
145 100225010221P000 22-02-2021 22-02-2021 0002797687956 NENG ARISKA P
397 00:00 14:31
146 100225010221P000 22-02-2021 22-02-2021 0002856669085 DEYA ANJANI P

376 00:00 11:51
PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PEKERJA MANDIRI End-stage renal disease Rujuk Vertikal
PEKERJA MANDIRI Localized swelling, mass and Rujuk Vertikal

lump, neck
PEKERJA MANDIRI Visual disturbance, unspecified Diabetes Mellitus
Rujuk Vertikal Hipertensi Hipertensi
Cutaneous abscess, furuncle and

- carbuncle, unspecified Berobat Jalan
- Essential (primary) hypertension Berobat Jalan
PEGAWAI SWASTA Diseases of pulp and periapical Berobat Jalan

tissues
PBI (APBN) Postpartum care and examination Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Atopic dermatitis Berobat Jalan

tissues
PEKERJA MANDIRI Gout Berobat Jalan
PBI (APBN) Rheumatism, unspecified Berobat Jalan
- Single spontaneous delivery Sembuh
- Routine postpartum follow-up Berobat Jalan
PBI (APBN) Atopic dermatitis Berobat Jalan

147 100225010221P000 22-02-2021 22-02-2021 0002864065779 SYABNA SHAFANA L
384 00:00 12:18 MUNANDAR
148 100225010221P000 22-02-2021 22-02-2021 0002878212969 SYAKILA NURSIDIK P
354 00:00 09:04
149 100225010221P000 22-02-2021 22-02-2021 0002878229812 TIRA. R L
356 00:00 09:33
150 100225010221P000 22-02-2021 22-02-2021 0002928847094 ABIL SIDIQ ARSALAAN L
385 00:00 12:21
151 100225010221P000 22-02-2021 22-02-2021 0003055403002 AMIRA FATIMATUL ILMIYATI P
388 00:00 12:30
152 100225010221P000 21-02-2021 21-02-2021 0000498485035 HERNAH P
344 00:00 03:11
153 100225010221P000 21-02-2021 21-02-2021 0000498485035 HERNAH P

345 00:00 15:01
154 100225010221P000 21-02-2021 21-02-2021 0002633990455 AYA ROHAYA P

346 00:00 18:55
155 100225010221P000 20-02-2021 20-02-2021 0001188772018 MARNI P

338 00:00 08:15
156 100225010221P000 20-02-2021 20-02-2021 0001669343321 FAHRUL PRIATNA L

341 00:00 10:58
100225010221P000 20-02-2021 20-02-2021

157 0002493353597 SUTARDI L
340 00:00 10:24
100225010221P000 20-02-2021 20-02-2021

158 342 00:00 18:05 0002797743194 EPON P
159 100225010221P000 19-02-2021 19-02-2021 0000439823013 LENI HERLIANI P

336 00:00 10:23
160 100225010221P000 19-02-2021 19-02-2021 0000497900046 WIWI WINARTI P

328 00:00 09:53
161 100225010221P000 19-02-2021 19-02-2021 0000498498851 ADE KOSWARA L

326 00:00 09:11
162 100225010221P000 19-02-2021 19-02-2021 0000498538811 PARIDA NURJANAH P
327 00:00 09:47
163 100225010221P000 19-02-2021 26-02-2021 0000499031976 WIWIN SUMARNI P
471 00:00 10:07
cold]
PEKERJA MANDIRI Epilepsy Rujuk Vertikal
PEKERJA MANDIRI Inguinal hernia Rujuk Vertikal

cold]
cold]
- Unspecified diabetes mellitus Rujuk Vertikal
PEGAWAI SWASTA Other dermatitis Berobat Jalan
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
Idiopathic aseptic necrosis of bone,

PBI (APBN) site unspecified Rujuk Vertikal
- Antenatal screening Berobat Jalan
PBI (APBN) Cerebral infarction, unspecified Berobat Jalan
- Tinea corporis Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
- Other autoimmune haemolytic Rujuk Vertikal

anaemias
164 100225010221P000 19-02-2021 19-02-2021 0001403500937 RIDWAN NURYANA YUSUF L
329 00:00 09:58
165 100225010221P000 19-02-2021 19-02-2021 0001409356945 YAYO WINARYO L
323 00:00 08:52
166 100225010221P000 19-02-2021 19-02-2021 0001409356956 Wini Widia P
322 00:00 08:51
167 100225010221P000 19-02-2021 19-02-2021 0001665503752 WIDA MUTIARA P
337 00:00 10:24
168 100225010221P000 19-02-2021 19-02-2021 0001665528783 NENG SITI RODIAH P
335 00:00 10:22
169 100225010221P000 19-02-2021 19-02-2021 0002213477302 shanum azkiya nahda muthmaina L
334 00:00 10:21
170 100225010221P000 19-02-2021 19-02-2021 0002458691853 WAHYUDIN L

324 00:00 08:59
100225010221P000 19-02-2021 19-02-2021 ASEP AHMAD KOMARUDIN

171 331 00:00 10:04 0002481804134 L
172 100225010221P000 19-02-2021 19-02-2021 0002864063384 WAHYU L

333 00:00 10:18
100225010221P000 19-02-2021 19-02-2021

173 332 00:00 10:09 0002864063395 NEAH P
174 100225010221P000 19-02-2021 19-02-2021 0002891581018 MUHAMMAD RAFA AZKA L

330 00:00 10:01 PUTRA
175 100225010221P000 18-02-2021 18-02-2021 0000021678502 NADHIRAH AGHNIYA PUTRI P

317 00:00 08:54
176 100225010221P000 18-02-2021 18-02-2021 0001665502029 TITA ROSITA P

321 00:00 14:01
177 100225010221P000 18-02-2021 18-02-2021 0001675011352 ANIH P

316 00:00 08:33
100225010221P000 18-02-2021 18-02-2021

178 320 00:00 09:04 0002063801733 MIS MAMAH P
179 100225010221P000 18-02-2021 18-02-2021 0002071791257 MAMAD L

319 00:00 08:56
180 100225010221P000 18-02-2021 18-02-2021 0002326854971 AFSARUL MALIK L

315 00:00 08:27
181 100225010221P000 18-02-2021 18-02-2021 0002797707082 LILI SUPATMA L
318 00:00 08:56
- Other bursopathies Berobat Jalan
- Visual disturbance, unspecified Rujuk Vertikal
- Visual disturbance, unspecified Rujuk Vertikal
- Scabies Berobat Jalan
- Radiculopathy, lumbar region Rujuk Vertikal
Other benign neoplasm of

- connective and other soft tissue of Berobat Jalan
abdomen
PBI (APBN) Myalgia Berobat Jalan
Other soft tissue disorders, not

PBI (APBN) elsewhere classified Berobat Jalan
PEGAWAI SWASTA Fever of other and unknown origin Berobat Jalan
PNS DAERAH Acute tonsillitis, unspecified Berobat Jalan
- Pterygium Rujuk Vertikal
- Radiculopathy, lumbar region Rujuk Vertikal Hipertensi
Hypertensive heart disease without

PBI (APBD) (congestive) heart failure Berobat Jalan
PEGAWAI SWASTA Tinnitus Rujuk Vertikal

182 100225010221P000 17-02-2021 17-02-2021 0000053003103 SITI HADIJAH P
310 00:00 10:38
183 0000053076093 SITI SOLIHAT P
100225010221P000 17-02-2021 17-02-2021
300 00:00 09:44
184 100225010221P000 17-02-2021 17-02-2021 0000054126944 TANTI NUR ISMAYANTI P

307 00:00 10:29
185 100225010221P000 17-02-2021 17-02-2021 0000054162224 SUSY INDRAWATI P
304 00:00 10:24
186 100225010221P000 17-02-2021 17-02-2021 0000123075123 MARTINUS L
313 00:00 10:46
187 100225010221P000 17-02-2021 17-02-2021 0000495740463 RENI NURAENI P
302 00:00 10:16
188 0000497900496 EROS ROHAENI P

100225010221P000 17-02-2021 17-02-2021
294 00:00 08:43
189 100225010221P000 17-02-2021 17-02-2021 0000499020063 CEPI L

295 00:00 08:45
190 100225010221P000 17-02-2021 17-02-2021 0001446285352 DADANG RAHMAT L

298 00:00 09:03
100225010221P000 17-02-2021 17-02-2021

191 299 00:00 09:21 0001675016583 SAEFUL AHMAD L
100225010221P000 17-02-2021 17-02-2021

192 303 00:00 10:24 0001675024244 LILIS P
193 100225010221P000 17-02-2021 17-02-2021 0001675026674 MILA. T P

301 00:00 09:46
194 100225010221P000 17-02-2021 17-02-2021 0001776663628 NURMALA DEWI P

309 00:00 10:33
195 100225010221P000 17-02-2021 17-02-2021 0002085147516 SITI HOLISAH P

312 00:00 10:44
196 100225010221P000 17-02-2021 17-02-2021 0002085147843 ALISKA P

305 00:00 10:27
197 100225010221P000 17-02-2021 17-02-2021 0002310869417 ALLIA KURNIA RAMDHANIAH P
306 00:00 10:28
198 100225010221P000 17-02-2021 17-02-2021 0002500833993 OYA P

297 00:00 09:00
PNS PUSAT Myalgia Berobat Jalan
- Complications of cardiac and Rujuk Vertikal

vascular prosthetic devices,
implants and grafts
PNS DAERAH Anxiety disorder, unspecified Rujuk Vertikal
PNS DAERAH Dyspepsia Berobat Jalan

carbuncle
PBI (APBN) Stroke, not specified as Rujuk Vertikal
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal

histologically
PBI (APBN) Schizophrenia Rujuk Vertikal
PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal

Other disorders of kidney and

PBI (APBD) ureter, not elsewhere classified Rujuk Vertikal
Diabetes Mellitus
PBI (APBD) Secondary hypertension Rujuk Vertikal Hipertensi Hipertensi
- Angina pectoris Berobat Jalan
- Dyspepsia Berobat Jalan

cold]

cold]
PNS PUSAT Acute nasopharyngitis [common Berobat Jalan
cold]
PEKERJA MANDIRI Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

199 100225010221P000 17-02-2021 17-02-2021 0002608862556 ENCE LILI L
311 00:00 10:40
200 100225010221P000 17-02-2021 17-02-2021 0002840006349 AISYAH NUR JAMILAH P
308 00:00 10:31
201 100225010221P000 17-02-2021 17-02-2021 0002840012526 ASEP JUNAEDI L
293 00:00 08:18
100225010221P000 16-02-2021 16-02-2021
202 237 00:00 08:39 0000058264064 UMAH P
100225010221P000 16-02-2021 16-02-2021

203 281 00:00 11:20 0000169195026 RUBINAH P
204 100225010221P000 16-02-2021 16-02-2021 0000497109519 KARMI P

243 00:00 10:12
205 0000497583404 TATA MUSTOFA L
100225010221P000 16-02-2021 16-02-2021
241 00:00 09:34
206 100225010221P000 16-02-2021 16-02-2021 0000497747125 EROS ROSYIDAH P

271 00:00 11:08
207 100225010221P000 16-02-2021 16-02-2021 0000497976232 NUNUNG P
246 00:00 10:22
208 0000498015729 WANGSIH P

100225010221P000 16-02-2021 16-02-2021
247 00:00 10:31
209 100225010221P000 16-02-2021 16-02-2021 0000498109454 ENDANG JUHANA L

255 00:00 10:47
210 100225010221P000 16-02-2021 16-02-2021 0000498147232 ROHATI P

245 00:00 10:17
211 100225010221P000 16-02-2021 16-02-2021 0000498313697 ANENG SUMARNI P

274 00:00 11:11
212 100225010221P000 16-02-2021 16-02-2021 0000498366314 AMIN L

238 00:00 08:54
213 100225010221P000 16-02-2021 16-02-2021 0000498431362 FAUZI RIZKI PURNAMA L

258 00:00 10:50
214 100225010221P000 16-02-2021 16-02-2021 0000498431687 REIHAN L
260 00:00 10:53
215 100225010221P000 16-02-2021 16-02-2021 0000498754552 NIA RUSMIATI P

289 00:00 11:44
PBI (APBN) Scabies Berobat Jalan
PBI (APBN) Coronary artery aneurysm Berobat Jalan Hipertensi Hipertensi
Diabetes Mellitus
- Dyspepsia Berobat Jalan Hipertensi
PENERIMA PENSIUN Essential (primary) hypertension Diabetes Mellitus

PNS Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Respiratory tuberculosis, not Berobat Jalan

histologically Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Vertigo of central origin Berobat Jalan
- Dental caries Berobat Jalan
PBI (APBN) Chronic obstructive pulmonary Rujuk Vertikal

disease with acute exacerbation,
unspecified
PBI (APBN) Congestive heart failure Berobat Jalan
PBI (APBN) Insulin-dependent diabetes mellitus Berobat Jalan Diabetes Mellitus
PBI (APBN) Schizophrenia Rujuk Vertikal

216 100225010221P000 16-02-2021 16-02-2021 0000977720321 YAYA P
250 00:00 10:41
217 100225010221P000 16-02-2021 16-02-2021 0001012489975 SUMINAR P
251 00:00 10:44
218 100225010221P000 16-02-2021 16-02-2021 0001337289579 ROHAYATI P
262 00:00 10:54
219 100225010221P000 16-02-2021 16-02-2021 0001665501581 KELVIN ARYA PUTRA L
291 00:00 13:43
220 100225010221P000 16-02-2021 16-02-2021 0001665503752 WIDA MUTIARA P
292 00:00 15:39
221 100225010221P000 16-02-2021 16-02-2021 0001675022692 MINAH P
249 00:00 10:35
222 100225010221P000 16-02-2021 16-02-2021 0001675039634 WAWAN WARGAWAN L

248 00:00 10:33
100225010221P000 16-02-2021 16-02-2021

223 236 00:00 08:14 0001889961006 EKO L
224 100225010221P000 16-02-2021 23-02-2021 0002036761086 utar L

400 00:00 08:23
225 100225010221P000 16-02-2021 16-02-2021 0002058564543 HERI SUHERMAN LIM MENG L

239 00:00 09:15 HUI
100225010221P000 16-02-2021 16-02-2021
226 242 00:00 10:03 0002309226759 MINTARSIH P
227 100225010221P000 16-02-2021 16-02-2021 0002481804134 ASEP AHMAD KOMARUDIN L

286 00:00 11:38
228 100225010221P000 16-02-2021 16-02-2021 0002500833993 OYA P

240 00:00 09:28
229 100225010221P000 16-02-2021 16-02-2021 0002797687956 NENG ARISKA P

288 00:00 11:43
230 100225010221P000 16-02-2021 16-02-2021 0002797705348 VELIA PUTRI MARISA P

269 00:00 11:07
231 100225010221P000 16-02-2021 16-02-2021 0002797706294 AISAH P
287 00:00 11:40
232 100225010221P000 16-02-2021 16-02-2021 0002875754608 SOFIYAH P

290 00:00 11:46
233 100225010221P000 15-02-2021 16-02-2021 0000058257292 ENGKAT KARTINI P
253 00:00 10:46
234 100225010221P000 15-02-2021 16-02-2021 0000058420045 EKROM SOEPODO L

284 00:00 11:24
- Congestive heart failure Berobat Jalan
- Fracture of thumb Rujuk Vertikal
PBI (APBD) Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Hypertensive heart disease without

(congestive) heart failure Rujuk Vertikal
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal
- Urethral stricture, unspecified Rujuk Vertikal
PEKERJA MANDIRI Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus


cold]
PEKERJA MANDIRI Radiculopathy, thoracolumbar Rujuk Vertikal Hipertensi Diabetes Mellitus

region

cold]
PENERIMA PENSIUN Essential (primary) hypertension Berobat Jalan
TNI
PENERIMA PENSIUN Acute nasopharyngitis [common Berobat Jalan

PNS cold]
235 100225010221P000 15-02-2021 16-02-2021 0000416117204 ADE WIDANINGSIH P
283 00:00 11:23
236 100225010221P000 15-02-2021 16-02-2021 0000495741306 HILMI RAMDHANI L
275 00:00 11:12
237 100225010221P000 15-02-2021 15-02-2021 0000496681479 CACIH P
232 00:00 10:30
238 100225010221P000 15-02-2021 15-02-2021 0000497786139 RISMA P
222 00:00 08:25
239 100225010221P000 15-02-2021 16-02-2021 0000497821511 KARWATI P
272 00:00 11:09
240 100225010221P000 15-02-2021 16-02-2021 0000497897245 POPON P
270 00:00 11:07
241 100225010221P000 15-02-2021 16-02-2021 0000497899012 WIRANTI P

273 00:00 11:10
242 100225010221P000 15-02-2021 15-02-2021 0000497953945 ENOK P

225 00:00 08:51
100225010221P000 15-02-2021 15-02-2021

243 229 00:00 09:56 0000498094402 ELYUNI P
244 100225010221P000 15-02-2021 15-02-2021 0000498182771 ROHATI P

228 00:00 09:54
245 100225010221P000 15-02-2021 16-02-2021 0000498323518 DINI NURPADILA P
259 00:00 10:51
246 100225010221P000 15-02-2021 15-02-2021 0000498356875 KOKOM N P

223 00:00 08:26
247 100225010221P000 15-02-2021 16-02-2021 0001012489661 ELIS RIKA P
252 00:00 10:44
100225010221P000 15-02-2021 16-02-2021

248 267 00:00 11:05 0001148618632 AGUS UMAR L
249 100225010221P000 15-02-2021 16-02-2021 0001264531151 HM FAJAR JULYANSYAH L

285 00:00 11:25
250 100225010221P000 15-02-2021 15-02-2021 0001492279942 IDAS P
224 00:00 08:46
251 100225010221P000 15-02-2021 16-02-2021 0001523775339 ENTIN P

278 00:00 11:17
252 100225010221P000 15-02-2021 15-02-2021 0001665503752 WIDA MUTIARA P
235 00:00 17:14
253 100225010221P000 15-02-2021 18-02-2021 0001665520896 Cecep Rohidin L

314 00:00 08:06
cold]
tissues
- Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Epilepsy Rujuk Vertikal

tissues
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
Diabetes Mellitus
PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
- Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal
PEKERJA MANDIRI Insulin-dependent diabetes mellitus Diabetes Mellitus

- Thalassaemia Berobat Jalan
PBI (APBD) Schizophrenia Rujuk Vertikal

254 100225010221P000 15-02-2021 16-02-2021 0001776104381 YUSEP PERMANA L
282 00:00 11:23
255 100225010221P000 15-02-2021 16-02-2021 0001776104392 SITI SARWIYATUL JAMIL P
277 00:00 11:16
256 100225010221P000 15-02-2021 15-02-2021 0001960600566 dedi sugandi L
221 00:00 08:23
257 100225010221P000 15-02-2021 16-02-2021 0002071791257 MAMAD L
254 00:00 10:47
258 100225010221P000 15-02-2021 15-02-2021 0002202187419 ATANG SUTARDI L
233 00:00 10:41
259 100225010221P000 15-02-2021 16-02-2021 0002210594589 E ROHAETI P
265 00:00 11:02
260 0002265314714 ROHANI P

100225010221P000 15-02-2021 15-02-2021
227 00:00 09:32
261 100225010221P000 15-02-2021 15-02-2021 0002301939843 SITI RAHMAH P

231 00:00 09:59
262 100225010221P000 15-02-2021 15-02-2021 0002455097793 CHELSY KANIA P

234 00:00 10:55
263 100225010221P000 15-02-2021 16-02-2021 0002619251458 SETIA PERMADI L

257 00:00 10:50
264 100225010221P000 15-02-2021 16-02-2021 0002623503238 ANDIN L
268 00:00 11:06
265 100225010221P000 15-02-2021 16-02-2021 0002623503396 SRI HARYATI P

263 00:00 10:56
100225010221P000 15-02-2021 16-02-2021
266 280 00:00 11:18 0002638319951 SYIFA NAFISA P
267 100225010221P000 15-02-2021 16-02-2021 0002797681746 MUDJINAH P

244 00:00 10:15
268 100225010221P000 15-02-2021 16-02-2021 0002797688338 IMAS WASIH P
279 00:00 11:18
269 100225010221P000 15-02-2021 16-02-2021 0002797688362 SARIMANAH P

264 00:00 11:01
100225010221P000 15-02-2021 16-02-2021

270 266 00:00 11:03 0002840001309 TARNO L
271 100225010221P000 15-02-2021 16-02-2021 0002840012199 ENTIN P

261 00:00 10:53

tissues
PEKERJA MANDIRI Other arthritis Berobat Jalan
- Acute hepatitis B Rujuk Vertikal
Respiratory tuberculosis, not Rujuk Vertikal

PEKERJA MANDIRI histologically
PEKERJA MANDIRI Myasthenia gravis Rujuk Vertikal
PBI (APBD) Thalassaemia Rujuk Vertikal
PEGAWAI SWASTA Dyspepsia Berobat Jalan
Acute upper respiratory infections

PBI (APBN) of multiple and unspecified sites Berobat Jalan
PBI (APBN) Chronic ischaemic heart disease Rujuk Vertikal Hipertensi

cold]

PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan

272 100225010221P000 15-02-2021 15-02-2021 0002873127317 DINTAYA KUSNAWIJAYA L
230 00:00 09:58
100225010221P000 15-02-2021 16-02-2021
273 276 00:00 11:14 0002927925437 EPUL SAEPULOH L
100225010221P000 15-02-2021 16-02-2021

274 256 00:00 10:48 0002928847094 ABIL SIDIQ ARSALAAN L
275 100225010221P000 15-02-2021 15-02-2021 0002943519456 MARYATI P

226 00:00 09:21
100225010221P000 13-02-2021 13-02-2021
276 212 00:00 08:59 0000058254603 ERNAWATI P
277 100225010221P000 13-02-2021 13-02-2021 0000497838036 HIKMAT RUSLAN L

219 00:00 10:43
278 100225010221P000 13-02-2021 13-02-2021 0000497976232 NUNUNG P
218 00:00 10:39
279 100225010221P000 13-02-2021 13-02-2021 0000498104897 ADING L

216 00:00 09:55
280 100225010221P000 13-02-2021 13-02-2021 0000498563796 MARPUAH P

211 00:00 08:16
281 100225010221P000 13-02-2021 13-02-2021 0000498857106 SUHERMAN L

220 00:00 10:45
282 100225010221P000 13-02-2021 13-02-2021 0001264531151 HM FAJAR JULYANSYAH L

213 00:00 09:07
283 100225010221P000 13-02-2021 13-02-2021 0002196641507 DILYA PUTRI SARIYANTI P
215 00:00 09:14
284 100225010221P000 13-02-2021 13-02-2021 0002779049981 EMAY P

217 00:00 10:37
285 100225010221P000 02-12-2021 12-02-2021 0000498359823 ROHANAH P
210 05:23
100225010221P000 11-02-2021
286 201 02-11-2021 09:03 0000058264064 UMAH P
287 100225010221P000 02-11-2021 11-02-2021 0000401512577 ICA RUSMAN L

187 08:08
288 100225010221P000 02-11-2021 11-02-2021 0000496681479 CACIH P

197 08:56
289 100225010221P000 02-11-2021 11-02-2021 0000497583944 JULAEHA P
198 08:57
PEKERJA MANDIRI Non-insulin-dependent diabetes Berobat Jalan Hipertensi Hipertensi
mellitus
PEGAWAI SWASTA Other disorders of gingiva and
edentulous alveolar ridge Berobat Jalan

PEKERJA MANDIRI Radiculopathy, lumbar region Rujuk Vertikal
PENERIMA PENSIUN Chronic obstructive pulmonary

TNI disease, unspecified Rujuk Vertikal
- Dental caries Berobat Jalan
- Hypertensive heart disease Rujuk Vertikal
- Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBN) Fever of other and unknown origin Berobat Jalan
- Beta thalassaemia Rujuk Vertikal
PEKERJA MANDIRI Anxiety disorder, unspecified Rujuk Vertikal
Essential (primary) hypertension Diabetes Mellitus

- Berobat Jalan Hipertensi
- Senile cataract Rujuk Vertikal
PBI (APBN) Essential (primary) hypertension Berobat Jalan Diabetes Mellitus

290 100225010221P000 02-11-2021 11-02-2021 0000497993196 SURYATI P
188 08:24
291 100225010221P000 02-11-2021 11-02-2021 0000498359823 ROHANAH P
209 14:44
292 100225010221P000 02-11-2021 11-02-2021 0000498490007 DEWI NURPAIDAH P
207 09:28
100225010221P000 11-02-2021
293 199 02-11-2021 09:01 0001675024244 LILIS P
294 100225010221P000 02-11-2021 11-02-2021 0001876594476 SUMYATI P

186 06:46
295 100225010221P000 02-11-2021 11-02-2021 0002071791257 MAMAD L
205 09:15
296 100225010221P000 02-11-2021 11-02-2021 0002234918722 ENTIN P
202 09:08
297 100225010221P000 02-11-2021 11-02-2021 0002275672871 RUSTINI P

206 09:26
298 100225010221P000 02-11-2021 11-02-2021 0002275673196 RAISYA NURJANAH P
195 08:49
299 100225010221P000 02-11-2021 11-02-2021 0002487633906 UJAT L

204 09:11
300 100225010221P000 02-11-2021 11-02-2021 0002797681678 ASEP SUJATMOKO L
208 09:38
301 100225010221P000 02-10-2021 10-02-2021 0000011311424 MELINDA DWI NURANISA P

165 08:59
302 100225010221P000 02-10-2021 10-02-2021 0000058293347 ANDA L
163 08:04
303 100225010221P000 02-10-2021 10-02-2021 0000058318762 HADA L

167 09:32
304 100225010221P000 02-10-2021 10-02-2021 0000058551243 CUCU SULASTRI P
176 10:39
305 100225010221P000 02-10-2021 10-02-2021 0000497144463 DEWI PUSPITA P

172 10:11
306 100225010221P000 02-10-2021 10-02-2021 0000497586576 IDAN L

169 09:50
307 100225010221P000 02-10-2021 10-02-2021 0000497690482 RESA NOVIANTI P

171 10:10
308 100225010221P000 02-10-2021 11-02-2021 0000497815468 MAE P
189 08:37
PBI (APBN) Tinnitus Rujuk Vertikal

PBI (APBD) Berobat Jalan Hipertensi Hipertensi
PEGAWAI SWASTA Postpartum care and examination Berobat Jalan
PBI (APBN) Other general symptoms and signs Berobat Jalan
PBI (APBN) Otitis externa Berobat Jalan
PEKERJA MANDIRI Tinnitus Rujuk Vertikal
PENERIMA PENSIUN Sequelae of cerebral infarction Rujuk Vertikal

PNS
PENERIMA PENSIUN Hypertensive heart disease Rujuk Vertikal

PNS
PNS PUSAT Other arthritis Berobat Jalan
PBI (APBN) Other disorders of teeth and Berobat Jalan

309 100225010221P000 02-10-2021 10-02-2021 0000497976232 NUNUNG P
164 08:50
310 100225010221P000 02-10-2021 10-02-2021 0000498017079 WIWIN WININGSIH P
170 10:07
311 100225010221P000 02-10-2021 11-02-2021 0000498028825 DARMINI P
192 08:46
312 100225010221P000 02-10-2021 11-02-2021 0000498029253 ANDITHA DAIYAH P
190 08:40
313 100225010221P000 02-10-2021 10-02-2021 0000498149313 SOPIYA P
174 10:13
314 100225010221P000 02-10-2021 11-02-2021 0000498350373 ADE KUSWELI L
193 08:48
315 100225010221P000 02-10-2021 10-02-2021 0000498356875 KOKOM N P

166 09:01
316 100225010221P000 02-10-2021 10-02-2021 0001012438721 MIMIN MINTARSIH P

180 10:50

181 10:53
100225010221P000 11-02-2021 MUHAMAD YUSUP KAMIL

318 203 02-10-2021 09:08 0001202857075 ADIPIA L
319 100225010221P000 02-10-2021 10-02-2021 0001307088977 NANI SURYANI P

178 10:44
320 100225010221P000 02-10-2021 10-02-2021 0001337289579 ROHAYATI P

179 10:46
321 100225010221P000 02-10-2021 10-02-2021 0001523644817 NIA KURNIAWATI P
177 10:41
100225010221P000 10-02-2021
322 168 02-10-2021 09:39 0001665495235 AKAH P
323 100225010221P000 02-10-2021 10-02-2021 0001675034199 LILIS. R P

182 10:55
324 100225010221P000 02-10-2021 11-02-2021 0001675037428 IRWAN R L
194 08:49
325 100225010221P000 02-10-2021 10-02-2021 0001876594476 SUMYATI P

185 21:06
326 100225010221P000 02-10-2021 10-02-2021 0002056462389 AGUS SUWIGNYO L
183 10:56
327 100225010221P000 02-10-2021 10-02-2021 0002231010797 YANTI P

175 10:36
- Asthma Berobat Jalan
PBI (APBN) Carcinoma in situ of breast, Rujuk Vertikal

unspecified
PBI (APBN) Other disorders of teeth and Berobat Jalan

- Chest pain, unspecified Berobat Jalan

cold]

cold]
PEGAWAI SWASTA Cutaneous abscess, furuncle and

carbuncle, unspecified Berobat Jalan
PEKERJA MANDIRI Low back pain Berobat Jalan
Diabetes Mellitus
- Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Other arthritis Berobat Jalan
PEGAWAI SWASTA Single spontaneous delivery Sembuh
PBI (APBN) Headache Berobat Jalan

cold]
328 100225010221P000 02-10-2021 10-02-2021 0002231011348 HUMAIDA QUROTUL A'YUN P
184 11:07
191 08:43
330 100225010221P000 02-10-2021 10-02-2021 0002968212431 SAKILA NUR ASIFA P
173 10:12
100225010221P000 09-02-2021
331 144 02-09-2021 08:48 0000058261645 S. SULAEMAN L
100225010221P000 09-02-2021
332 153 02-09-2021 11:34 0000416117204 ADE WIDANINGSIH P
333 02-09-2021 0000498087156 ADE SUKANDA L

100225010221P000 09-02-2021
155 11:36
334 100225010221P000 02-09-2021 09-02-2021 0000498087369 LILIS ROSIDAH P

157 11:39
335 100225010221P000 02-09-2021 09-02-2021 0000498498851 ADE KOSWARA L

142 08:13
336 100225010221P000 02-09-2021 09-02-2021 0000498583438 AI NAKIAH P
150 10:29
337 100225010221P000 02-09-2021 09-02-2021 0001275906644 IBNU BAIHAKI L

149 10:16
338 100225010221P000 02-09-2021 09-02-2021 0001430981932 TANTY ANGGUN P
159 11:41 KUSUMAWATI
339 100225010221P000 02-09-2021 09-02-2021 0001515626368 YATI DARYATI P

147 10:00
340 100225010221P000 02-09-2021 09-02-2021 0001675028125 TARMINI P

151 11:29
341 100225010221P000 02-09-2021 09-02-2021 0001675039285 SUTNI P

152 11:31
342 100225010221P000 02-09-2021 09-02-2021 0001776663628 NURMALA DEWI P

154 11:35
343 100225010221P000 02-09-2021 09-02-2021 0001813923854 sumyati P
148 10:13
100225010221P000 09-02-2021
344 158 02-09-2021 11:40 0002240314481 DIRGANTARA PUTRA S L
PEKERJA MANDIRI Acute tonsillitis, unspecified Berobat Jalan

tissues
Unspecified diabetes mellitus with Diabetes Mellitus Diabetes Mellitus

- neurological complications Rujuk Vertikal Hipertensi

- of multiple and unspecified sites Berobat Jalan
PBI (APBN) Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin

cold]
PEKERJA MANDIRI Impacted teeth Rujuk Vertikal

cold]
PEKERJA MANDIRI Other disorders of gingiva and

345 100225010221P000 02-09-2021 09-02-2021 0002326854971 AFSARUL MALIK L
146 09:56
346 100225010221P000 02-09-2021 09-02-2021 0002797681904 DICKY NUGRAHA BUDIMAN L
156 11:37
347 100225010221P000 02-09-2021 09-02-2021 0002797688428 CECEP RIZKI MAULANA L
145 09:38
348 100225010221P000 02-08-2021 08-02-2021 0000058293459 CICIH SUTARSIH P
139 11:01
349 100225010221P000 02-08-2021 08-02-2021 0000058542142 EUIS RULIAH P
138 11:01
350 100225010221P000 02-08-2021 08-02-2021 0000123075123 MARTINUS L
140 11:02
351 100225010221P000 02-08-2021 08-02-2021 0000495963909 NINGSIH P

136 11:00
352 100225010221P000 02-08-2021 08-02-2021 0000497044462 IIM P

117 08:12
353 100225010221P000 02-08-2021 08-02-2021 0000497993196 SURYATI P

130 10:54
354 100225010221P000 02-08-2021 08-02-2021 0000498312731 UJI L

133 10:57
100225010221P000 08-02-2021
355 132 02-08-2021 10:57 0000498487858 JAJANG SUPRIYATNA L
356 100225010221P000 02-08-2021 09-02-2021 0000498498851 ADE KOSWARA L

143 08:33
357 100225010221P000 02-08-2021 08-02-2021 0001198523428 NONENG P
135 10:58
358 100225010221P000 02-08-2021 08-02-2021 0001426460275 NOOR WAHYU BUDIANTO L

134 10:58
359 100225010221P000 02-08-2021 08-02-2021 0001527807014 IQBAL GIANTAUFIK L
127 10:44
360 100225010221P000 02-08-2021 08-02-2021 0001670648332 WINA W. P

128 10:52
361 100225010221P000 02-08-2021 08-02-2021 0001675013242 DEDE ABDUL. R L

119 08:57
100225010221P000 08-02-2021
362 120 02-08-2021 09:02 0001675024244 LILIS P
363 100225010221P000 02-08-2021 08-02-2021 0002058564543 HERI SUHERMAN LIM MENG L

123 10:18 HUI
PEGAWAI SWASTA Other disorders of external ear Berobat Jalan
PBI (APBN) Open wound of other parts of foot Rujuk Vertikal
- Spondylolysis, lumbar region Berobat Jalan
PNS DAERAH Diseases of pulp and periapical Berobat Jalan

tissues
carbuncle

tissues
- Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

- Congestive heart failure Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]
- Diseases of pulp and periapical Berobat Jalan

tissues
- Fracture of foot, except ankle Rujuk Vertikal
PEGAWAI SWASTA Other general symptoms and signs Berobat Jalan
Diabetes Mellitus
PBI (APBD) Low back pain Rujuk Vertikal Hipertensi Hipertensi
- Pre-employment examination Rujuk Vertikal

364 100225010221P000 02-08-2021 08-02-2021 0002058564778 YATI MARYAWATI P
124 10:19
365 100225010221P000 02-08-2021 08-02-2021 0002071791257 MAMAD L
137 11:00
366 100225010221P000 02-08-2021 08-02-2021 0002223652544 ENENG SUMIYATI P
125 10:19
367 100225010221P000 02-08-2021 08-02-2021 0002617223578 FAUZI BINTANG PRATAMA L
126 10:24
368 100225010221P000 02-08-2021 08-02-2021 0002697788856 TOTO P
121 09:23
369 100225010221P000 02-08-2021 08-02-2021 0002797688362 SARIMANAH P
129 10:53
370 100225010221P000 02-08-2021 08-02-2021 0002860306672 MARINI P

141 11:03
371 100225010221P000 02-08-2021 08-02-2021 0002873012804 EUIS KARYANI P

122 09:46
372 100225010221P000 02-08-2021 08-02-2021 0002873127317 DINTAYA KUSNAWIJAYA L

131 10:55
100225010221P000 06-02-2021
373 113 02-06-2021 09:44 0000416117204 ADE WIDANINGSIH P
374 100225010221P000 02-06-2021 06-02-2021 0000497583944 JULAEHA P

111 08:45
375 100225010221P000 02-06-2021 06-02-2021 0001818418296 MUHAMAD SAPEI L

110 08:11
376 100225010221P000 02-06-2021 06-02-2021 0002071791257 MAMAD L
112 09:43
377 100225010221P000 02-06-2021 06-02-2021 0002797688362 SARIMANAH P

114 09:48
378 100225010221P000 02-06-2021 06-02-2021 0002797703379 DIKDIK SAEPUDIN L
109 08:01
379 100225010221P000 02-06-2021 06-02-2021 0002864063507 ENTIN P

115 10:09
380 100225010221P000 02-05-2021 05-02-2021 0000497752749 PATNASIH P

102 09:11
381 100225010221P000 02-05-2021 05-02-2021 0000498190779 RUKMINI P

095 08:42
382 100225010221P000 02-05-2021 05-02-2021 0001012484283 SYIFA ROBIAH A P
096 08:44
- Low back pain Rujuk Vertikal
PEGAWAI SWASTA Epilepsy Rujuk Vertikal
PEGAWAI SWASTA Impacted teeth Rujuk Vertikal
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Disorders of tooth development Berobat Jalan

and eruption
- Nondiabetic hypoglycaemic coma Rujuk Vertikal
PEKERJA MANDIRI Insulin-dependent diabetes mellitus Berobat Jalan Hipertensi Hipertensi

PBI (APBN) Asthma Berobat Jalan Diabetes Mellitus
- Secondary hypertension Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus

cold]
PBI (APBN) Other disorders of urinary system Berobat Jalan
PBI (APBN) Depressive episode, unspecified Rujuk Vertikal
PBI (APBN) Heart failure Berobat Jalan
- Benign neoplasm of meninges, Rujuk Vertikal

unspecified
PBI (APBN) Epilepsy Rujuk Vertikal
383 100225010221P000 02-05-2021 05-02-2021 0001337289579 ROHAYATI P
105 10:28
384 100225010221P000 02-05-2021 05-02-2021 0001665064168 U. SAEPUDIN L
094 08:20
385 100225010221P000 02-05-2021 05-02-2021 0001900462307 enos jubaedah P
098 08:48
386 100225010221P000 02-05-2021 05-02-2021 0002040627543 dedi hidayatulloh L
100 09:00
387 02-05-2021 0002611415913 APUD L
100225010221P000 05-02-2021
099 08:51
100225010221P000 05-02-2021
388 107 02-05-2021 10:32 0002797687956 NENG ARISKA P
389 100225010221P000 02-05-2021 05-02-2021 0002797688362 SARIMANAH P

108 10:33
390 100225010221P000 02-05-2021 05-02-2021 0002840011997 ANDA L

103 09:26
391 100225010221P000 02-05-2021 05-02-2021 0002864065779 SYABNA SHAFANA L
106 10:29 MUNANDAR
392 100225010221P000 02-04-2021 04-02-2021 0000057594216 DINDA SATYA UPAJA BUDI L

085 07:57
393 100225010221P000 02-04-2021 04-02-2021 0000058350835 SALKI L
090 09:03
394 100225010221P000 02-04-2021 04-02-2021 0001012487049 HALIMI L

084 07:48
395 100225010221P000 02-04-2021 04-02-2021 0001081604125 DADANG JUHANA L
089 08:46
396 100225010221P000 02-04-2021 04-02-2021 0001523635378 RATNA ANJANI P

087 08:27
397 100225010221P000 02-04-2021 04-02-2021 0001665528783 NENG SITI RODIAH P
093 09:11
398 100225010221P000 02-04-2021 04-02-2021 0002311600037 ADMINI P

083 07:23
399 100225010221P000 02-04-2021 04-02-2021 0002623503396 SRI HARYATI P

091 09:07
400 100225010221P000 02-04-2021 04-02-2021 0002797708689 DITHA OKTAVIANI P

086 07:59
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal
- Secondary hypertension Berobat Jalan Hipertensi Hipertensi
- Heart failure Berobat Jalan
- Respiratory tuberculosis, not Rujuk Vertikal

histologically

PBI (APBN) Secondary hypertension Rujuk Vertikal

cold]
PNS PUSAT Tic disorder, unspecified Rujuk Vertikal
- Other dermatitis Rujuk Vertikal
- Radiculopathy, lumbar region Rujuk Vertikal
PEGAWAI SWASTA Maternal care for breech Rujuk Vertikal

presentation
PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal
- Other chronic obstructive Rujuk Vertikal

pulmonary disease
401 100225010221P000 02-04-2021 04-02-2021 0002890019013 NENIH P
088 08:40
402 100225010221P000 02-04-2021 04-02-2021 0002928847094 ABIL SIDIQ ARSALAAN L
092 09:10
100225010221P000 03-02-2021
403 062 02-03-2021 08:18 0000498065308 KOKOM KOMARIAH P
404 100225010221P000 02-03-2021 03-02-2021 0000498293335 LELA ALIE P

067 09:36
405 100225010221P000 02-03-2021 03-02-2021 0000498294246 RIDWAN NURHAKIM L

068 09:37
100225010221P000 11-02-2021
406 196 02-03-2021 08:51 0000498383526 DAYANTI P
407 100225010221P000 02-03-2021 03-02-2021 0000498583438 AI NAKIAH P

079 11:20
408 100225010221P000 02-03-2021 03-02-2021 0000498645044 KOMARUDIN L

071 09:57
409 100225010221P000 02-03-2021 03-02-2021 0001467083799 UU KOMARA P
064 08:48
410 100225010221P000 02-03-2021 03-02-2021 0001515641466 M.A. Sudarna L

063 08:38
411 100225010221P000 02-03-2021 03-02-2021 0001666716693 LINA APRILIANI P
077 11:18
412 100225010221P000 02-03-2021 03-02-2021 0001675034199 LILIS. R P

069 09:39
413 100225010221P000 02-03-2021 09-02-2021 0001829075938 RASIM L

161 11:44
414 100225010221P000 02-03-2021 03-02-2021 0001959234366 WIGNYO SUHARI L

082 11:23
415 100225010221P000 02-03-2021 09-02-2021 0002087669024 een suhenah P

160 11:43
416 100225010221P000 02-03-2021 03-02-2021 0002200315566 UJANG TARMA L
072 09:59
100225010221P000 09-02-2021
417 162 02-03-2021 11:45 0002240314481 DIRGANTARA PUTRA S L
100225010221P000 03-02-2021
418 065 02-03-2021 08:52 0002273701318 HJ. SUMARNAH P
PEGAWAI SWASTA Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus Diabetes Mellitus
mellitus
cold]
PBI (APBN) Berobat Jalan Hipertensi Hipertensi

cold]

PBI (APBN) edentulous alveolar ridge Berobat Jalan
PBI (APBN) Visual disturbances Berobat Jalan
PBI (APBN) Congestive heart failure Berobat Jalan Diabetes Mellitus
PEGAWAI SWASTA Congestive heart failure Berobat Jalan
PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan
PBI (APBD) Dyspepsia Berobat Jalan
- Diseases of pulp and periapical Berobat Jalan

tissues
PEKERJA MANDIRI Herpesviral [herpes simplex] Berobat Jalan

infections
PEKERJA MANDIRI Diseases of pulp and periapical Berobat Jalan

tissues
PEKERJA MANDIRI Chronic kidney disease Rujuk Vertikal Hipertensi Hipertensi
PEKERJA MANDIRI Other disorders of gingiva and

Diabetes Mellitus
419 100225010221P000 02-03-2021 03-02-2021 0002275673016 SITI SARAH NUR HALIMAH P
080 11:21
420 100225010221P000 02-03-2021 03-02-2021 0002697010299 SITI PATONAH P
075 11:15
421 100225010221P000 02-03-2021 03-02-2021 0002697010301 MUHAMAD IQBAL JALALUDIN L
076 11:17
081 11:22
423 100225010221P000 02-03-2021 03-02-2021 0002797677628 EMPEH SUPRIATNA L
074 11:14
424 100225010221P000 02-03-2021 03-02-2021 0002797677639 ATIH SUKAESIH P
066 09:26
425 100225010221P000 02-03-2021 03-02-2021 0002797686099 NIA ROHNIA P

078 11:19
426 100225010221P000 02-03-2021 03-02-2021 0002797706294 AISAH P

070 09:40
427 100225010221P000 02-02-2021 02-02-2021 0000005128536 CUCUN NINGRUM P

047 10:11
428 100225010221P000 02-02-2021 02-02-2021 0000058261421 ROSMAULINA SITUMORANG P

052 11:16
429 100225010221P000 02-02-2021 02-02-2021 0000058328796 KOMARA L
049 11:10
430 02-02-2021 0000498302695 POPON P

100225010221P000 02-02-2021
042 08:32
431 100225010221P000 02-02-2021 02-02-2021 0000498320728 NUR HIDAYANTI P

057 11:26
432 100225010221P000 02-02-2021 02-02-2021 0000498486082 SRI LESTARI P

056 11:24
433 100225010221P000 02-02-2021 02-02-2021 0001012489378 ANAH ROHANAH P
046 10:02
434 100225010221P000 02-02-2021 02-02-2021 0001081716041 DIAN ALAINA PINANDITA P

050 11:11
435 100225010221P000 02-02-2021 02-02-2021 0001670648332 WINA W. P

053 11:19
cold]
PEKERJA MANDIRI Other headache syndromes Berobat Jalan
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEGAWAI SWASTA Dyspepsia Berobat Jalan
PBI (APBN) Other dermatitis Berobat Jalan
PENERIMA PENSIUN Peptic ulcer, site unspecified Rujuk Vertikal

PNS
PENERIMA PENSIUN Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
TNI
PENERIMA PENSIUN Acute nasopharyngitis [common Berobat Jalan
PNS cold]
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal

histologically
PBI (APBN) Presbyopia Rujuk Vertikal
PENERIMA PENSIUN Other disorders of skin and Berobat Jalan

TNI subcutaneous tissue, not elsewhere
classified
PEGAWAI SWASTA Corns and callosities Berobat Jalan

100225010221P000 02-02-2021
436 043 02-02-2021 08:39 0001675024244 LILIS P
437 100225010221P000 02-02-2021 02-02-2021 0001675039285 SUTNI P

055 11:21
438 100225010221P000 02-02-2021 02-02-2021 0002047066312 ONENG P

048 10:13
439 100225010221P000 02-02-2021 02-02-2021 0002221924825 TARSAH P

044 09:33
100225010221P000 02-02-2021
440 060 02-02-2021 13:21 0002231010797 YANTI P
441 100225010221P000 02-02-2021 02-02-2021 0002234918722 ENTIN P

051 11:13
442 100225010221P000 02-02-2021 02-02-2021 0002253854867 KARSITI P
058 11:26
443 100225010221P000 02-02-2021 11-02-2021 0002272410009 YUNI RAHAYU P

200 09:01
100225010221P000 02-02-2021
444 054 02-02-2021 11:20 0002471092964 EMAS P
100225010221P000 02-02-2021
445 041 02-02-2021 08:17 0002487633906 UJAT L
446 100225010221P000 02-02-2021 02-02-2021 0002616315873 RYAN FIRMANSYAH L

061 13:23
059 13:20
448 100225010221P000 02-01-2021 01-02-2021 0000058261656 ENI ROHAENI P

017 09:46
449 100225010221P000 02-01-2021 01-02-2021 0000058293459 CICIH SUTARSIH P
026 11:19
100225010221P000 01-02-2021
450 035 02-01-2021 12:30 0000058419246 SUKAESIH P
451 100225010221P000 02-01-2021 01-02-2021 0000058575666 DARAJAT L

013 09:19
452 100225010221P000 02-01-2021 01-02-2021 0000161217955 ITA HARYATI P

034 12:27
Diabetes Mellitus
PBI (APBD) Secondary hypertension Berobat Jalan Hipertensi Hipertensi
PBI (APBD) Other noninflammatory disorders Berobat Jalan

of vagina
PBI (APBD) Malignant neoplasm of thyroid Rujuk Vertikal

gland

- edentulous alveolar ridge Berobat Jalan
PEKERJA MANDIRI Vertigo of central origin Berobat Jalan
- Chronic ischaemic heart disease, Rujuk Vertikal

unspecified
Chronic obstructive pulmonary

- disease, unspecified Berobat Jalan
Sequelae of stroke, not specified as

- haemorrhage or infarction Berobat Jalan

tissues
tissues
- Secondary hypertension Berobat Jalan Hipertensi
PENERIMA PENSIUN Other disorders of gingiva and Diabetes Mellitus

PNS edentulous alveolar ridge Berobat Jalan Hipertensi
PNS DAERAH Mitral (valve) prolapse Rujuk Vertikal
- Gingival recession Berobat Jalan Diabetes Mellitus

100225010221P000 01-02-2021
453 012 02-01-2021 09:18 0000497489681 KANA L
454 100225010221P000 02-01-2021 01-02-2021 0000497721756 EDAH P

027 11:21
100225010221P000 01-02-2021
455 038 02-01-2021 17:32 0000497892699 KOMARUDIN L
456 100225010221P000 02-01-2021 01-02-2021 0000498044564 ODIN L

024 11:12
457 100225010221P000 02-01-2021 01-02-2021 0000498145926 JUHANAH P
025 11:15
458 100225010221P000 02-01-2021 08-02-2021 0000498218736 WATI P

118 08:54
459 100225010221P000 02-01-2021 01-02-2021 0000498312731 UJI L
020 10:25
460 100225010221P000 02-01-2021 01-02-2021 0000498361768 DEVI APRILIANTI P

007 08:53
461 100225010221P000 02-01-2021 01-02-2021 0000498390006 ROSITA P
004 08:39
462 100225010221P000 02-01-2021 01-02-2021 0000498493934 MAEMUNAH P

008 08:55
463 02-01-2021 0000498845406 TATI MARYATI P
100225010221P000 01-02-2021
005 08:44
464 100225010221P000 02-01-2021 01-02-2021 0000498847059 YANI P

010 09:13

006 08:50
466 100225010221P000 02-01-2021 01-02-2021 0001128995561 AGUS YULIANTO L

016 09:29
467 100225010221P000 02-01-2021 01-02-2021 0001262939872 Putri Khansa Azhalea P

021 10:35
468 100225010221P000 02-01-2021 05-02-2021 0001301571764 AMAY SUKANDI L
101 09:07
469 100225010221P000 02-01-2021 01-02-2021 0001403500937 RIDWAN NURYANA YUSUF L

022 10:37
470 100225010221P000 02-01-2021 01-02-2021 0001439254247 LUCKY SUSANTO L
030 11:59
Respiratory tuberculosis,
- bacteriologically and histologically Rujuk Vertikal
confirmed
PBI (APBN) Essential (primary) hypertension Berobat Jalan Hipertensi
Cutaneous abscess, furuncle and

PBI (APBN) carbuncle, unspecified Rujuk Vertikal
- Other general symptoms and signs Berobat Jalan
PBI (APBN) Congestive heart failure Rujuk Vertikal
PBI (APBN) Tinnitus Rujuk Vertikal
PBI (APBN) Secondary hypertension Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Spontaenous abortion, incomplete, Rujuk Vertikal

with other and unspecified
complications
PBI (APBN) End-stage renal disease Rujuk Vertikal
PBI (APBN) Anxiety disorder, unspecified Rujuk Vertikal
- Tinnitus Rujuk Vertikal
- Thalassaemia, unspecified Rujuk Vertikal
- Chronic ischaemic heart disease Rujuk Vertikal
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan

471 100225010221P000 02-01-2021 01-02-2021 0001665497676 DANA L
002 08:13
472 100225010221P000 02-01-2021 01-02-2021 0001665525014 Eutik P
015 09:27
473 100225010221P000 02-01-2021 01-02-2021 0002087669024 een suhenah P
037 12:33
474 100225010221P000 02-01-2021 03-02-2021 0002200316106 IMAS SAMSIYAH P
073 10:02
475 100225010221P000 02-01-2021 01-02-2021 0002226179676 RAFARDHAN SIROZUDIN L
032 12:07 ZUMHUR
476 02-01-2021 0002226179766 P
100225010221P000 01-02-2021
AYLA ANANDA NUR HIKMAH
003 08:37
100225010221P000 01-02-2021
477 001 02-01-2021 07:39 0002233949163 MULYATI P
478 100225010221P000 02-01-2021 01-02-2021 0002240314481 DIRGANTARA PUTRA S L

036 12:30
479 100225010221P000 02-01-2021 08-02-2021 0002252286606 HADA HUSEN L
116 08:05
480 100225010221P000 02-01-2021 01-02-2021 0002255264379 FANIA SALSABILAH P

039 18:40
481 100225010221P000 02-01-2021 01-02-2021 0002304210868 KARMINI P
018 09:48
482 100225010221P000 02-01-2021 01-02-2021 0002310869417 ALLIA KURNIA RAMDHANIAH P

040 18:42
483 100225010221P000 02-01-2021 01-02-2021 0002324385134 SRI SUDARSIH P
009 09:05
484 100225010221P000 02-01-2021 01-02-2021 0002605300446 MUHAMAD YOGI ALFARID L

029 11:29
033 12:23
100225010221P000 01-02-2021
486 031 02-01-2021 12:00 0002856669197 RINI ROHAETI P
487 100225010221P000 02-01-2021 01-02-2021 0002856669208 DIANY AMELIA P

028 11:23
488 100225010221P000 02-01-2021 01-02-2021 0002873508737 SUDRAJAT L
023 10:49
PBI (APBD) Congestive heart failure Berobat Jalan
PBI (APBN) Atherosclerotic heart disease Rujuk Vertikal

tissues
- Gonarthrosis [arthrosis of knee] Rujuk Vertikal
- Thalassaemia Berobat Jalan
PBI (APBD) Respiratory tuberculosis, not Rujuk Vertikal

histologically
PEKERJA MANDIRI Insulin-dependent diabetes mellitus Diabetes Mellitus Diabetes Mellitus

with unspecified complications Rujuk Vertikal

tissues
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal

cold]
- Rheumatic heart disease, Rujuk Vertikal
unspecified
PNS PUSAT Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Thyrotoxicosis, unspecified Rujuk Vertikal
PBI (APBN) Acute lymphadenitis, unspecified Berobat Jalan

tissues

- Dyspepsia Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal


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Kantor Cabang : CIMAHI - 1014

FKTP : NGAMPRAH - 10022501

1 100225010221P000 28-02-2021 08-03-2021 0000498607571 CARMIASIH P

2 100225010221P000 28-02-2021 28-02-2021 0001810087299 rena riana lestari P

3 100225010221P000 28-02-2021 28-02-2021 0001810087299 rena riana lestari P

4 100225010221P000 28-02-2021 28-02-2021 0002462554528 WARTIKA P

7 100225010221P000 27-02-2021 27-02-2021 0000498065343 SHOVY MUSYFIQOH P

9 100225010221P000 27-02-2021 27-02-2021 0001012422137 EEN SUHAENI P

11 100225010221P000 27-02-2021 27-02-2021 0001515668534 DESTYA DWI WIDYANTI P

100225010221P000 27-02-2021 27-02-2021

14 100225010221P000 27-02-2021 27-02-2021 0002079128081 MEGAWATI P

16 100225010221P000 27-02-2021 27-02-2021 0002797684569 RAHMAT L

PBI (APBN) Routine postpartum follow-up Berobat Jalan

PEKERJA MANDIRI Single spontaneous delivery Sembuh

PEKERJA MANDIRI Routine postpartum follow-up Berobat Jalan

PEKERJA MANDIRI Single spontaneous delivery Sembuh

PBI (APBN) Single spontaneous delivery Sembuh

PENERIMA PENSIUN Hypertensive heart disease Berobat Jalan

PEKERJA MANDIRI Postpartum care and examination Berobat Jalan

PBI (APBN) Single spontaneous delivery Sembuh

PBI (APBN) Essential (primary) hypertension Berobat Jalan

Respiratory tuberculosis, not Rujuk Vertikal

PEGAWAI SWASTA Myalgia Berobat Jalan

PEGAWAI SWASTA Pterygium Rujuk Vertikal

PEKERJA MANDIRI Acute upper respiratory infections

- Acute nasopharyngitis [common Berobat Jalan

- Cutaneous abscess, furuncle and Berobat Jalan

19 100225010221P000 26-02-2021 26-02-2021 0000166208376 IMAS ENCAH P

20 100225010221P000 26-02-2021 26-02-2021 0000498065343 SHOVY MUSYFIQOH P

21 100225010221P000 26-02-2021 26-02-2021 0000498324892 AGUS AMBIA L

100225010221P000 26-02-2021 26-02-2021

23 100225010221P000 26-02-2021 26-02-2021 0001012495239 KARTINI P

25 100225010221P000 26-02-2021 26-02-2021 0001675029205 HERNA. H P

27 100225010221P000 26-02-2021 26-02-2021 0001719586214 NANANG RUSYANA L

29 100225010221P000 26-02-2021 26-02-2021 0001813923854 sumyati P

30 100225010221P000 26-02-2021 26-02-2021 0001852265441 UPIT P

31 100225010221P000 26-02-2021 26-02-2021 0001854934931 ANDRE PRIMA YUNIARTO L

32 100225010221P000 26-02-2021 26-02-2021 0002219179173 A. MAMAN L

100225010221P000 26-02-2021 26-02-2021

35 100225010221P000 26-02-2021 26-02-2021 0002695625818 ENOK P

- Stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Single spontaneous delivery Sembuh

- Cerebral infarction, unspecified Rujuk Vertikal

PBI (APBN) Tinnitus Berobat Jalan

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBD) Cerebral infarction, unspecified Berobat Jalan Hipertensi Hipertensi

- Routine postpartum follow-up Berobat Jalan

- Zoster [herpes zoster] Berobat Jalan

PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan

PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

PEKERJA MANDIRI Myalgia Berobat Jalan

PEKERJA MANDIRI Essential (primary) hypertension Rujuk Vertikal

PEKERJA MANDIRI Coronary artery aneurysm Rujuk Vertikal

PEKERJA MANDIRI Dyspepsia Berobat Jalan

Disorders of excessive somnolence

PEKERJA MANDIRI Diabetic retinopathy Rujuk Vertikal

40 100225010221P000 25-02-2021 25-02-2021 0000058363503 HJ.ENOK MARINI P

43 100225010221P000 25-02-2021 25-02-2021 0000498592945 RASIH P

100225010221P000 25-02-2021 25-02-2021

46 100225010221P000 25-02-2021 25-02-2021 0001012484889 ROKAYAH P

47 100225010221P000 25-02-2021 25-02-2021 0001450672863 ALIM L

48 100225010221P000 25-02-2021 25-02-2021 0001675008281 IWAN S L

49 100225010221P000 25-02-2021 25-02-2021 0001675011352 ANIH P