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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM UJUNGJAYA - 10160862

TANGGAL TANGGAL JENIS STATUS


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

101608620522Y000 27-05-2022 27-05-2022 HJ. TATI SUMIATI ILYAS, Chronic ischaemic heart
1 0000064704161 P PNS DAERAH Rujuk Vertikal
898 00:00 09:39 SPD disease
Diabetes
101608620522Y000 27-05-2022 27-05-2022 PENERIMA Essential (primary)
2 0000065391851 NASRI ALIAS EDAH P Berobat Jalan Mellitus
892 00:00 09:00 PENSIUN PNS hypertension
Hipertensi
101608620522Y000 27-05-2022 27-05-2022 PENERIMA Essential (primary)
3 0000065471556 ENOK HARYATI P Berobat Jalan
924 00:00 11:44 PENSIUN PNS hypertension
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
4 0000068058617 RANTO L PNS DAERAH Rujuk Vertikal
900 00:00 09:48 hypertension
101608620522Y000 27-05-2022 27-05-2022 Contraceptive
5 0000460286291 ERNI RISTIANI P PBI (APBN) Berobat Jalan
911 00:00 10:50 management
Acute upper respiratory
101608620522Y000 27-05-2022 27-05-2022 PEGAWAI
6 0000461487025 VINA AININA P infections of multiple and Berobat Jalan
884 00:00 08:43 SWASTA
unspecified sites
101608620522Y000 27-05-2022 27-05-2022
7 0000463605028 KARYAMAH P PBI (APBN) Conjunctivitis Berobat Jalan
883 00:00 08:38
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
8 0000464078957 RUKMINI P PBI (APBN) Berobat Jalan
896 00:00 09:15 hypertension
101608620522Y000 27-05-2022 27-05-2022
9 0000464168924 TATI CHOLISAH P PBI (APBN) Dyspepsia Berobat Jalan
919 00:00 11:30
Acute upper respiratory
101608620522Y000 27-05-2022 27-05-2022
10 0000464324578 DIDI L PBI (APBN) infections of multiple and Berobat Jalan
894 00:00 09:10
unspecified sites
101608620522Y000 27-05-2022 27-05-2022
11 0000464489943 ENO RESNA L PBI (APBN) Cystitis Berobat Jalan
921 00:00 11:35
101608620522Y000 27-05-2022 27-05-2022 Ulcer of lower limb, not
12 0000464566162 AGUS WAHYUDIN L PBI (APBN) Berobat Jalan
915 00:00 11:20 elsewhere classified
101608620522Y000 27-05-2022 27-05-2022
13 0000464682846 JAYA SAPUTRA L PBI (APBN) Schizophrenia Rujuk Vertikal
909 00:00 10:25
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
14 0000464696583 EDAR P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
882 00:00 08:29 hypertension
101608620522Y000 27-05-2022 27-05-2022
15 0000465025599 MISNAH P PBI (APBN) Other gastritis Berobat Jalan
878 00:00 08:20
101608620522Y000 27-05-2022 27-05-2022 Non-insulin-dependent
16 0000465270153 ETI P PBI (APBN) Berobat Jalan
890 00:00 08:55 diabetes mellitus
101608620522Y000 27-05-2022 27-05-2022
17 0001008617319 DIAN PERMANA L PBI (APBN) Conjunctivitis Berobat Jalan
879 00:00 08:23
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM UJUNGJAYA - 10160862

101608620522Y000 27-05-2022 27-05-2022


18 0001008625926 DASEM P PBI (APBN) Conjunctivitis Berobat Jalan
897 00:00 09:17
101608620522Y000 27-05-2022 27-05-2022
19 0001008626567 ATOK NARSITA L PBI (APBN) Headache Berobat Jalan
904 00:00 10:03
101608620522Y000 27-05-2022 27-05-2022 PEGAWAI Supervision of normal
20 0001008627783 TUTI ERAWATI P Berobat Jalan
913 00:00 10:54 SWASTA pregnancy
101608620522Y000 27-05-2022 27-05-2022
21 0001008629471 AA RIKI NUGRAHA L PBI (APBN) Schizophrenia Berobat Jalan
877 00:00 08:18
101608620522Y000 27-05-2022 27-05-2022 Contraceptive
22 0001008632575 IMI KARTIMI P PBI (APBN) Berobat Jalan
912 00:00 10:51 management

Diarrhoea and
101608620522Y000 27-05-2022 27-05-2022 PEGAWAI
23 0001197707747 YANI MARIANI P gastroenteritis of Berobat Jalan
880 00:00 08:24 SWASTA
presumed infectious origin

101608620522Y000 27-05-2022 27-05-2022


24 0001263596758 CUCU PUJAWATI P PRAJURIT AD Necrosis of pulp Berobat Jalan
927 00:00 12:46
101608620522Y000 27-05-2022 27-05-2022 PEKERJA Essential (primary)
25 0001316730183 EEN P Rujuk Vertikal
893 00:00 09:03 MANDIRI hypertension
101608620522Y000 27-05-2022 27-05-2022 PEKERJA Non-insulin-dependent
26 0001325871562 SARNEN L Berobat Jalan
881 00:00 08:27 MANDIRI diabetes mellitus
101608620522Y000 27-05-2022 27-05-2022 PEKERJA
27 0001683385299 NAURA PUTRILIANSYAH P Impacted cerumen Berobat Jalan
906 00:00 10:09 MANDIRI
101608620522Y000 27-05-2022 27-05-2022 PEKERJA Chronic ischaemic heart
28 0001816551134 TARMAH P Rujuk Vertikal
910 00:00 10:27 MANDIRI disease
101608620522Y000 27-05-2022 27-05-2022 PEKERJA Delivery by emergency
29 0001971529312 ARIANTY KUSMAYANI P Rujuk Vertikal
908 00:00 10:17 MANDIRI caesarean section

KEPALA DESA Acute upper respiratory


101608620522Y000 27-05-2022 27-05-2022
30 0002201780272 EUIS YULI KURNIAWATI P DAN PERANGKAT infections of multiple and Berobat Jalan
895 00:00 09:13
DESA unspecified sites

KEPALA DESA Acute upper respiratory


101608620522Y000 27-05-2022 27-05-2022
31 0002266328125 NANA RUSJA SURYANA L DAN PERANGKAT infections of multiple and Berobat Jalan
922 00:00 11:38
DESA unspecified sites

KEPALA DESA
101608620522Y000 27-05-2022 27-05-2022
32 0002288852605 TOTO HERYANTO L DAN PERANGKAT Dermatitis, unspecified Rujuk Vertikal
887 00:00 08:51
DESA

KEPALA DESA
101608620522Y000 27-05-2022 27-05-2022
33 0002288852706 LUTHFIE ARIZZQINA L DAN PERANGKAT Dermatitis, unspecified Rujuk Vertikal
889 00:00 08:52
DESA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM UJUNGJAYA - 10160862

101608620522Y000 27-05-2022 27-05-2022 ECIN KURAESIN BINTI PEKERJA


34 0002306356413 P Other arthritis Berobat Jalan
876 00:00 08:04 WARKIM MANDIRI
101608620522Y000 27-05-2022 27-05-2022 PEGAWAI
35 0002517470627 EUIS TITIS KURNIATI P Dyspepsia Berobat Jalan
899 00:00 09:46 SWASTA
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
36 0002620163744 ACENG MOMO L PBI (APBD) Berobat Jalan
920 00:00 11:32 hypertension
101608620522Y000 27-05-2022 27-05-2022
37 0002633470773 YAYAH P PBI (APBN) Myalgia Berobat Jalan
888 00:00 08:52
101608620522Y000 27-05-2022 27-05-2022 Supervision of normal
38 0002706220833 OLIS HOLISOH P PBI (APBD) Berobat Jalan
914 00:00 10:56 pregnancy
101608620522Y000 27-05-2022 27-05-2022 MUHAMMAD HILMAN
39 0002706220855 L PBI (APBD) Fever, unspecified Berobat Jalan
917 00:00 11:23 HAKIM
101608620522Y000 27-05-2022 27-05-2022
40 0002796025487 NUNUNG NURHERA P PBI (APBN) Myalgia Berobat Jalan
901 00:00 09:54
101608620522Y000 27-05-2022 27-05-2022 Disturbances in tooth
41 0002796025781 ALFIAN RIZKI FIRDAUS L PBI (APBN) Berobat Jalan
928 00:00 12:54 eruption
101608620522Y000 27-05-2022 27-05-2022 Cutaneous abscess,
42 0002796032204 PIPIT JULAIHA P PBI (APBN) Berobat Jalan
891 00:00 08:57 furuncle and carbuncle
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
43 0002796032957 JAYADI L PBI (APBN) Berobat Jalan
903 00:00 10:00 hypertension
101608620522Y000 27-05-2022 27-05-2022 Essential (primary)
44 0002796032968 ENGKAR KARTINI P PBI (APBN) Berobat Jalan
902 00:00 09:57 hypertension
101608620522Y000 27-05-2022 27-05-2022 ANDREA ZALFHA PEKERJA
45 0002891283682 P Tinea cruris Berobat Jalan
918 00:00 11:27 RIHADATULL AI'SY MANDIRI
101608620522Y000 27-05-2022 27-05-2022 PEKERJA
46 0002894484227 NANI KURNIA P Headache Berobat Jalan
905 00:00 10:07 MANDIRI
Acute upper respiratory
101608620522Y000 27-05-2022 27-05-2022
47 0002913979105 PUSPITA SARI P PBI (APBN) infections of multiple and Berobat Jalan
925 00:00 12:04
unspecified sites
Respiratory tuberculosis,
101608620522Y000 27-05-2022 27-05-2022 PEKERJA not confirmed
48 0003001788775 ARUL FIRMANSYAH L Berobat Jalan
923 00:00 11:42 MANDIRI bacteriologically or
histologically
101608620522Y000 27-05-2022 27-05-2022 PEKERJA
49 0003002171062 TARYONO L Low back pain Rujuk Vertikal
875 00:00 07:47 MANDIRI
Acute upper respiratory
101608620522Y000 27-05-2022 27-05-2022 PEKERJA
50 0003002171084 AGUNG FRIATNA L infections of multiple and Berobat Jalan
916 00:00 11:22 MANDIRI
unspecified sites
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SUMEDANG - 1007

FKTP : PKM UJUNGJAYA - 10160862

Acute upper respiratory


101608620522Y000 27-05-2022 27-05-2022 PEKERJA
51 0003005390507 WINA AULIA P infections of multiple and Berobat Jalan
885 00:00 08:47 MANDIRI
unspecified sites
Acute upper respiratory
101608620522Y000 27-05-2022 27-05-2022 PEGAWAI
52 0003050976104 SUDIYA L infections of multiple and Berobat Jalan
886 00:00 08:48 SWASTA
unspecified sites
101608620522Y000 27-05-2022 27-05-2022 PEKERJA
53 0003137085775 IIN BT SUKARNI SARNA P Other cataract Berobat Jalan
907 00:00 10:11 MANDIRI
101608620522Y000 27-05-2022 27-05-2022 BAYI NYONYA LILIS SELIN PEKERJA
54 0003263754464 P Patent ductus arteriosus Rujuk Vertikal
874 00:00 06:01 FATMAWATI MANDIRI
101608620522Y000 27-05-2022 27-05-2022 BAYI NYONYA LILIS SELIN PEKERJA
55 0003263754464 P Singleton, born in hospital Berobat Jalan
926 00:00 12:37 FATMAWATI MANDIRI

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