IRM employee records May 2022

1 SYAHRIN IRM 10-May-22 02 35 92 5-Apr-75 0286R0030522V000180
2 SUMIATI. R IRM 10-May-22 01 95 04 21-Sep-53 0286R0030522V000181
3 HALIMAH IRM 10-May-22 02 41 32 15-Jan-58 0286R0030522V000182
4 AMALIYAH IRM 10-May-22 01 87 31 15-Jan-62 0286R0030522V000184
5 FAUZIAH IRM 10-May-22 01 82 41 3-Nov-69 0286R0030522V000186
6 AMBERUN IRM 10-May-22 00 98 86 25-Mar-55 0286R0030522V000189
7 SYAMSUDDIN IRM 10-May-22 02 32 16 4-Aug-68 0286R0030522V000190
8 SAHLAN IRM 10-May-22 02 40 47 5-Jan-57 0286R0030522V000192
9 SAIRI IRM 10-May-22 02 31 98 12-Apr-78 0286R0030522V000193
10 MAULIDI IRM 10-May-22 02 06 63 10-Feb-00 0286R0030522V000198
11 MULIANA IRM 10-May-22 01 96 71 11-Dec-65 0286R0030522V000199
12 MURNI IRM 10-May-22 01 25 49 1-Jul-67 0286R0030522V000203
13 SEKAR TRI WARNI IRM 10-May-22 02 39 93 15-Jun-67 0286R0030522V000204
14 ROHIDAH IRM 10-May-22 02 38 88 12-Nov-70 0286R0030522V000211
15 SULAIMAN IRM 10-May-22 02 39 91 14-Jun-70 0286R0030522V000212
16 MALIKA NABILA IRM 10-May-22 02 00 56 30-Mar-19 0286R0030522V000213
17 FAIKAH IRM 10-May-22 02 32 20 10-Mar-62 0286R0030522V000218
18 MIFTAHUR RAHMAN IRM 10-May-22 02 36 74 31-Aug-18 0286R0030522V000219
19 ZAHRATUL AULIA IRM 10-May-22 02 36 10 27-Aug-10 0286R0030522V000225
20 MASRIAH IRM 10-May-22 00 65 87 17-Jan-57 0286R0030522V000226

21 muhammad da'i IRM 10-May-22 02 40 73 26-Apr-18 0286R0030522V000227
ilalhaqq
25 AGUS SALIM IRM 12-May-22 02 40 92 17-Apr-73 0286R0030522V000314
26 BASITAH IRM 12-May-22 01 44 69 1-Jul-72 0286R0030522V000318
27 JARHANA IRM 12-May-22 01 76 45 1-Jul-51 0286R0030522V000319
28 SYAMSUDIN IRM 12-May-22 02 21 53 1-Jul-70 0286R0030522V000326
muhammad da'i
33 ilalhaqq IRM 12-May-22 02 40 73 26-Apr-18 0286R0030522V000367
35 MUHAMMAD RIDUAN IRM 12-May-22 02 43 04 19-Jul-18 0286R0030522V000401
36 RAMSAH IRM 12-May-22 02 27 69 8-Nov-62 0286R0030522V000402
42 ABD. HAMID IRM 14-May-22 01 17 16 4-Nov-83 0286R0030522V000436

43 TIS'AH IRM 17-May-22 02 37 83 1-Jul-64 0286R0030522V000464
46 ASNAN IRM 17-May-22 02 40 78 8-Jul-66 0286R0030522V000471
50 MASRIAH IRM 17-May-22 01 87 92 21-Apr-71 0286R0030522V000481
54 ISA IRM 17-May-22 02 14 00 15-Jun-68 0286R0030522V000493
58 ARBAIN IRM 17-May-22 00 63 49 10-Jun-61 0286R0030522V000507
59 MURNI IRM 17-May-22 01 25 49 1-Jul-67 0286R0030522V000508

64 ZAINI IRM 17-May-22 02 43 25 4-Jul-56 0286R0030522V000523
66 MARTINAH IRM 18-May-22 01 93 89 6-Aug-57 0286R0030522V000570

71 JALI IRM 19-May-22 02 28 62 1-Jul-81 0286R0030522V000615
72 MUHAMMAD KASIM IRM 19-May-22 01 60 62 25-Oct-68 0286R0030522V000618
74 AHMAD RAFI IRM 19-May-22 00 49 12 10-Jan-14 0286R0030522V000630
78 HAMLIANNOR IRM 19-May-22 02 30 19 1-Jun-54 0286R0030522V000649
81 ISA IRM 19-May-22 02 14 00 15-Jun-68 0286R0030522V000685
83 HALIDAH IRM 19-May-22 02 29 45 12-Nov-76 0286R0030522V000693



95 YENI IRM 21-May-22 02 30 33 14-Jul-77 0286R0030522V000737

102 KARTINAH IRM 24-May-22 02 40 90 12-May-55 0286R0030522V000900
104 WARDAH IRM 24-May-22 02 36 65 10-Jun-63 0286R0030522V000902

107 ISTIQAMAH IRM 24-May-22 02 12 31 7-Oct-61 0286R0030522V000907
108 SYAHRIANSYAH IRM 24-May-22 02 36 24 9-Jun-70 0286R0030522V000908
112 RUSIMAH IRM 24-May-22 01 78 76 8-Oct-62 0286R0030522V000912
113 HAMDI S IRM 24-May-22 02 44 02 1-Mar-61 0286R0030522V000913
114 HASANUDDIN IRM 24-May-22 01 26 76 9-Apr-60 0286R0030522V000914
115 M. SYAHRIL IRM 24-May-22 02 36 61 13-Jun-63 0286R0030522V000919

119 HALIMAH IRM 24-May-22 02 44 36 11-Sep-69 0286R0030522V000924
120 ISA IRM 24-May-22 02 14 00 15-Jun-68 0286R0030522V000925
123 SITI FATIMAH IRM 24-May-22 00 97 66 16-Dec-80 0286R0030522V000928
127 RUSITAYANTI IRM 24-May-22 02 42 51 3-Mar-61 0286R0030522V000932
130 MUHAMMAD AMIN IRM 24-May-22 02 17 59 8-Nov-02 0286R0030522V000935

135 SYAHRIANSYAH IRM 28-May-22 02 36 24 9-Jun-70 0286R0030522V001043
140 JARHANA IRM 28-May-22 01 76 45 1-Jul-51 0286R0030522V001048
142 ISA IRM 28-May-22 02 14 00 15-Jun-68 0286R0030522V001050
144 SYARIFUL HAMDANI IRM 28-May-22 00 88 78 29-Aug-75 0286R0030522V001052
151 RABIATUL ADAWIAH IRM 28-May-22 02 32 19 10-Nov-71 0286R0030522V001059


156 LAMSI IRM 28-May-22 00 25 29 1-Jul-50 0286R0030522V001064

158 NORAINIAH IRM 28-May-22 00 51 86 29-Jun-65 0286R0030522V001066

162 RUSIMAH IRM 28-May-22 01 78 76 8-Oct-62 0286R0030522V001070
169 HASANAH IRM 28-May-22 02 17 13 1-Jul-68 0286R0030522V001078


181 WARDAH IRM 31-May-22 02 36 65 10-Jun-63 0286R0030522V001243
183 HAMIDAH IRM 31-May-22 02 37 31 1-Jul-71 0286R0030522V001245
188 NORMALA IRM 31-May-22 02 00 93 1-Jul-82 0286R0030522V001250

189 HAMDI IRM 31-May-22 01 93 05 1-Jul-62 0286R0030522V001251
190 RUSMIAH IRM 31-May-22 01 88 65 1-Jul-72 0286R0030522V001252
191 NORAINIAH IRM 31-May-22 00 51 86 29-Jun-65 0286R0030522V001253
199 ISTIQAMAH IRM 31-May-22 02 12 31 7-Oct-61 0286R0030522V001261

201 LISDA IRM 31-May-22 02 05 26 10-Oct-00 0286R0030522V001263

204 SYARIFUL HAMDANI IRM 31-May-22 00 88 78 29-Aug-75 0286R0030522V001266
210 ISA IRM 31-May-22 02 14 00 15-Jun-68 0286R0030522V001273
215 HALIMAH IRM 31-May-22 02 44 36 11-Sep-69 0286R0030522V001283



TINDAKAN RM
104,500 Z09.8 Follow-up examination after other 105,000

treatment for other conditions
Follow-up examination after other

104,500 Z09.8 treatment for other conditions 105,000

104,500 Z09.8 105,000




104,500 Z09.8 105,000

104,500 Z09.8 105,000


104,500 Z09.8 115,000


104,500 Z09.8 95,000

104,500 Z09.8 105,000



104,500 M54.5 Low back pain 105,000


104,500 M50 #N/A 105,000

104,500 Z50.1 Other physical therapy 95,000




104,500 Z09.8 105,000


104,500 G62.9 Polyneuropathy, unspecified 115,000

104,500 Z09.8 105,000
104,500 M54.50 Low back pain, multiple sites 105,000
104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000


104,500 Z09.8 95,000
Difficulty in walking, not elsewhere

104,500 R26.2 95,000
classified

104,500 M54.5 Low back pain 105,000

104,500 Z09.8 105,000


104,500 R26.2 Difficulty in walking, not elsewhere 95,000

classified
104,500 M49.0 Tuberculosis of spine (A18.0+) 95,000



104,500 M54.5 Low back pain 105,000



104,500 Z09.8 105,000



104,500 G20 Parkinson's disease 95,000

104,500 Z09.8 105,000


104,500 M51 #N/A 105,000

Lack of expected normal

104,500 R62 95,000
physiological development
104,500 M54.5 Low back pain 105,000

104,500 M50 #N/A 105,000

104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000



104,500 M54.5 Low back pain 105,000

Stroke, not specified as
104,500 I64 haemorrhage or infarction 95,000



104,500 M19.9 Arthrosis, unspecified 105,000





104,500 Z09.8 95,000
104,500 G81 #N/A 95,000

104,500 M54.5 Low back pain 105,000
104,500 M50 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 R62.9 physiological development, 95,000
unspecified
Gastroenteritis and colitis of
104,500 A09.9 unspecified origin 95,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000

104,500 G56.0 Carpal tunnel syndrome 95,000

104,500 M54.5 Low back pain 105,000
181,000 I63.9 Cerebral infarction, unspecified 95,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 M50 #N/A 105,000
104,500 M51 #N/A 105,000

104,500 M54.59 Low back pain, site unspecified 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 S03.0 Dislocation of jaw 95,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 G40.9 Epilepsy, unspecified 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M25.14 #N/A 105,000
Cerebrovascular disease,
104,500 I67.9 105,000
unspecified
104,500 I64 Stroke, not specified as 95,000

haemorrhage or infarction
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 95,000



104,500 S93.3 Dislocation of other and 105,000

unspecified parts of foot
Intervertebral disc disorder,
104,500 M51.9 unspecified 105,000

Fracture of bone following

104,500 M96.6 insertion of orthopaedic implant, 95,000
joint

104,500 R26.2 classified 95,000

104,500 Z09.8 95,000
104,500 Z09.7 Follow-up examination after 105,000
combined treatment for other





104,500 Z09.8 95,000


104,500 Z09.8 95,000


104,500 Z09.8 105,000



104,500 R62.0 Delayed milestone 95,000

104,500 Z09.8 95,000


104,500 M54.5 Low back pain 105,000

104,500 G81.9 Hemiplegia, unspecified 95,000

104,500 G81 #N/A 95,000


104,500 M54.5 Low back pain 105,000

joint
104,500 G12.2 Motor neuron disease 105,000
104,500 M54.5 Low back pain 105,000
104,500 M51.9 unspecified 105,000
104,500 M43.0 Spondylolysis 105,000

104,500 R26.2 classified 95,000

104,500 Z98.8 Other specified postsurgical states 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000
104,500 M54.5 Low back pain 105,000


104,500 M54.5 Low back pain 105,000

104,500 Z09.8 105,000
104,500 M54.5 Low back pain 105,000

104,500 R62.9 physiological development, 95,000
unspecified
104,500 M51 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 S03 #N/A 95,000
104,500 R26 #N/A 95,000

104,500 S93 #N/A 105,000

104,500 M06 #N/A 105,000

104,500 M54.5 Low back pain 105,000
104,500 M15.9 Polyarthrosis, unspecified 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M45.9 #N/A 105,000


104,500 Z09.8 105,000

104,500 G12.9 Spinal muscular atrophy, 105,000

unspecified
104,500 M54.3 Sciatica 105,000
Psychotherapy, not elsewhere
104,500 Z50.4 classified 45,000

104,500 G81 #N/A 95,000

104,500 R80 Isolated proteinuria 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000



104,500 Z09.8 95,000
104,500 M54.5 Low back pain 105,000
104,500 I10 Essential (primary) hypertension 105,000
104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000

joint
104,500 M54.5 Low back pain 105,000

1 AHMAD SYARWANI IRM 2-Jun-22 00 54 30 3-Feb-80 0286R0030622V000025
2 ZAHRATUL AULIA IRM 2-Jun-22 02 36 10 27-Aug-10 0286R0030622V000033
3 NORMALA IRM 2-Jun-22 02 00 93 1-Jul-82 0286R0030622V000044
4 MIFTAHUR RAHMAN IRM 2-Jun-22 02 36 74 31-Aug-18 0286R0030622V000050

5 ZUBAIDAH IRM 2-Jun-22 02 37 85 29-Apr-65 0286R0030622V000051
6 SULAIMAN IRM 2-Jun-22 02 39 91 14-Jun-70 0286R0030622V000052
7 ZAINI IRM 2-Jun-22 02 43 25 4-Jul-56 0286R0030622V000054
8 ABD. HAMID IRM 2-Jun-22 01 17 16 4-Nov-83 0286R0030622V000056
9 HASANAH IRM 2-Jun-22 02 17 13 1-Jul-68 0286R0030622V000057
10 MUHAMMAD RIDUAN IRM 2-Jun-22 02 43 04 19-Jul-18 0286R0030622V000058
11 AGUS SALIM IRM 2-Jun-22 02 40 92 17-Apr-73 0286R0030622V000059
12 RUSIMAH IRM 2-Jun-22 01 78 76 8-Oct-62 0286R0030622V000062
13 LISDA IRM 2-Jun-22 02 05 26 10-Oct-00 0286R0030622V000063
14 HAMLIANNOR IRM 2-Jun-22 02 30 19 1-Jun-54 0286R0030622V000064
15 TIS'AH IRM 2-Jun-22 02 37 83 1-Jul-64 0286R0030622V000066
16 ROHIDAH IRM 2-Jun-22 02 38 88 12-Nov-70 0286R0030622V000067
17 HAMDI S IRM 2-Jun-22 02 44 02 1-Mar-61 0286R0030622V000069

18 SUMIATI. R IRM 2-Jun-22 01 95 04 21-Sep-53 0286R0030622V000071
19 HALIMAH IRM 2-Jun-22 01 91 99 31-Dec-60 0286R0030622V000072
20 RUSITAYANTI IRM 2-Jun-22 02 42 51 3-Mar-61 0286R0030622V000073
21 LAMSI IRM 2-Jun-22 00 25 29 1-Jul-50 0286R0030622V000074

22 FATIMAH IRM 2-Jun-22 02 40 97 18-Mar-70 0286R0030622V000075
23 KARTINAH IRM 4-Jun-22 02 40 90 12-May-55 0286R0030622V000091
24 AMALIYAH IRM 4-Jun-22 01 87 31 15-Jan-62 0286R0030622V000092
25 WARDAH IRM 4-Jun-22 02 36 65 10-Jun-63 0286R0030622V000093
26 AMBERUN IRM 4-Jun-22 00 98 86 25-Mar-55 0286R0030622V000094
27 SYAMSUDIN IRM 4-Jun-22 02 21 53 1-Jul-70 0286R0030622V000095
28 JALI IRM 4-Jun-22 02 28 62 1-Jul-81 0286R0030622V000096
29 SYAMSURI IRM 4-Jun-22 02 03 02 1-Jul-62 0286R0030622V000097

30 AHMAD RAFI IRM 4-Jun-22 00 49 12 10-Jan-14 0286R0030622V000098
31 YENI IRM 4-Jun-22 02 30 33 14-Jul-77 0286R0030622V000099
32 HALIDAH IRM 4-Jun-22 02 29 45 12-Nov-76 0286R0030622V000101

33 BASITAH IRM 4-Jun-22 01 44 69 1-Jul-72 0286R0030622V000102
34 SYARIFUL HAMDANI IRM 4-Jun-22 00 88 78 29-Aug-75 0286R0030622V000103
35 ISA IRM 4-Jun-22 02 14 00 15-Jun-68 0286R0030622V000104
36 SAIRI IRM 4-Jun-22 02 31 98 12-Apr-78 0286R0030622V000105

40 JARHANA IRM 4-Jun-22 01 76 45 1-Jul-51 0286R0030622V000110
41 SYAMSUDDIN IRM 4-Jun-22 02 32 16 4-Aug-68 0286R0030622V000111
42 MASRIAH IRM 4-Jun-22 00 65 87 17-Jan-57 0286R0030622V000112
43 MASRIAH IRM 4-Jun-22 01 87 92 21-Apr-71 0286R0030622V000113

44 FAUZIAH IRM 4-Jun-22 01 82 41 3-Nov-69 0286R0030622V000114
46 MUHAMMAD AMIN IRM 4-Jun-22 02 17 59 8-Nov-02 0286R0030622V000118
47 IRHASNOR IRM 4-Jun-22 01 24 02 5-Apr-68 0286R0030622V000119
48 AHMAD SYARWANI IRM 4-Jun-22 00 54 30 3-Feb-80 0286R0030622V000123

49 MAULIDI IRM 4-Jun-22 02 06 63 10-Feb-00 0286R0030622V000124
50 RABIATUL ADAWIAH IRM 4-Jun-22 02 32 19 10-Nov-71 0286R0030622V000126
51 SAHLAN IRM 4-Jun-22 02 40 47 5-Jan-57 0286R0030622V000127
53 SITI FATIMAH IRM 4-Jun-22 00 97 66 16-Dec-80 0286R0030622V000132
54 ARBAIN IRM 4-Jun-22 00 63 49 10-Jun-61 0286R0030622V000136
55 SYAMSUNI IRM 4-Jun-22 02 33 52 20-Dec-68 0286R0030622V000139
58 HAMBERAN IRM 7-Jun-22 01 22 61 17-Mar-66 0286R0030622V000256
59 ISTIQAMAH IRM 7-Jun-22 02 12 31 7-Oct-61 0286R0030622V000257

62 ASNAN IRM 7-Jun-22 02 40 78 8-Jul-66 0286R0030622V000260
66 SYAHRIANSYAH IRM 7-Jun-22 02 36 24 9-Jun-70 0286R0030622V000264

68 ISA IRM 7-Jun-22 02 14 00 15-Jun-68 0286R0030622V000266

72 RUSLAN IRM 7-Jun-22 02 03 94 1-Jul-61 0286R0030622V000276
73 HAMDI IRM 7-Jun-22 01 93 05 1-Jul-62 0286R0030622V000280
74 RAMSAH IRM 7-Jun-22 02 27 69 8-Nov-62 0286R0030622V000306

78 NORAINIAH IRM 7-Jun-22 00 51 86 29-Jun-65 0286R0030622V000312
79 RUSMIAH IRM 7-Jun-22 01 88 65 1-Jul-72 0286R0030622V000313
80 AMRUN IRM 7-Jun-22 01 15 95 1-Jul-52 0286R0030622V000314
81 BASARIAH IRM 7-Jun-22 01 98 83 1-Jul-67 0286R0030622V000315
82 MULIANA IRM 7-Jun-22 01 96 71 11-Dec-65 0286R0030622V000316
85 MASTIKAH IRM 7-Jun-22 01 21 70 1-Jul-71 0286R0030622V000319

86 HALIMAH IRM 7-Jun-22 02 44 36 11-Sep-69 0286R0030622V000320
87 SEKAR TRI WARNI IRM 7-Jun-22 02 39 93 15-Jun-67 0286R0030622V000321
89 AMINAH IRM 7-Jun-22 00 26 12 1-May-67 0286R0030622V000324

91 FAIKAH IRM 7-Jun-22 02 32 20 10-Mar-62 0286R0030622V000326
95 HAMIDAH IRM 7-Jun-22 02 37 31 1-Jul-71 0286R0030622V000340
96 MASRIAH IRM 7-Jun-22 00 65 87 17-Jan-57 0286R0030622V000341

102 ABDUL HAMID IRM 9-Jun-22 01 73 74 10-Sep-60 0286R0030622V000421
105 SARIAH IRM 9-Jun-22 02 30 43 20-Jun-67 0286R0030622V000427
110 IDA RUYANI IRM 9-Jun-22 01 73 99 11-Mar-82 0286R0030622V000444

113 RAHMANI IRM 9-Jun-22 01 99 10 18-Mar-75 0286R0030622V000447

116 HELYATUL AULIA IRM 9-Jun-22 02 11 86 9-Apr-15 0286R0030622V000453
117 RAUDAH IRM 9-Jun-22 02 45 42 25-Apr-65 0286R0030622V000456
120 MARTINAH IRM 9-Jun-22 01 93 89 6-Aug-57 0286R0030622V000466

122 HASANUDDIN IRM 9-Jun-22 01 26 76 9-Apr-60 0286R0030622V000469

130 MURNI IRM 11-Jun-22 01 25 49 1-Jul-67 0286R0030622V000541


140 NURANI IRM 11-Jun-22 02 09 05 1-Jul-60 0286R0030622V000556

145 ISA IRM 11-Jun-22 02 14 00 15-Jun-68 0286R0030622V000561
146 BASRAH IRM 11-Jun-22 02 34 50 1-Jan-77 0286R0030622V000562
148 RAHMANI IRM 11-Jun-22 01 99 10 18-Mar-75 0286R0030622V000565

150 JARHANA IRM 11-Jun-22 01 76 45 1-Jul-51 0286R0030622V000567



181 ISA IRM 14-Jun-22 02 14 00 15-Jun-68 0286R0030622V000734
186 MUHAMMAD KASIM IRM 14-Jun-22 01 60 62 25-Oct-68 0286R0030622V000739


195 MALIKA NABILA IRM 14-Jun-22 02 00 56 30-Mar-19 0286R0030622V000752
197 BARIAH IRM 14-Jun-22 01 83 97 1-Jul-57 0286R0030622V000755
198 MURNI IRM 14-Jun-22 01 25 49 1-Jul-67 0286R0030622V000761

203 MURNI IRM 14-Jun-22 02 17 07 28-Aug-60 0286R0030622V000766

211 MUHAMMAD ANAS SYAFI'I IRM 16-Jun-22 02 46 63 27-Feb-18 0286R0030622V000887



224 AMALIYAH IRM 16-Jun-22 01 87 31 15-Jan-62 0286R0030622V000906
226 SEKAR TRI WARNI IRM 16-Jun-22 02 39 93 15-Jun-67 0286R0030622V000908




243 SULTAN YUSUF RIZQULLAH IRM 18-Jun-22 00 64 13 6-Jun-17 0286R0030622V000961
246 ISA IRM 18-Jun-22 02 14 00 15-Jun-68 0286R0030622V000965




272 ANNUR FIRDAUS IRM 21-Jun-22 02 47 38 18-Nov-93 0286R0030622V001162

279 NORHAYATI IRM 21-Jun-22 00 40 45 28-Nov-92 0286R0030622V001170
285 MURNI IRM 21-Jun-22 02 17 07 28-Aug-60 0286R0030622V001176

290 ABDUSSAMAD IRM 21-Jun-22 01 95 39 3-Oct-71 0286R0030622V001181
293 M. HATTA IRM 21-Jun-22 01 34 84 31-Dec-70 0286R0030622V001185

312 RUSNAH IRM 21-Jun-22 01 50 12 4-Oct-60 0286R0030622V001217
313 MAULIA IRM 21-Jun-22 02 22 12 24-Nov-17 0286R0030622V001219






345 MASKURIANI IRM 23-Jun-22 02 39 79 1-Jan-72 0286R0030622V001385
348 ZAINAB IRM 23-Jun-22 01 06 62 1-Dec-63 0286R0030622V001388

354 RASYIQA ALEENA PRISTYA IRM 23-Jun-22 01 82 37 20-Nov-19 0286R0030622V001394
356 MARIA ULFAH IRM 24-Jun-22 02 45 48 21-Feb-88 0286R0030622V001408

359 MUHAMMAD BAKHEIT IRM 24-Jun-22 02 48 83 21-May-16 0286R0030622V001411
365 NAZWA ASSYIFA IRM 25-Jun-22 02 00 56 30-Mar-19 0286R0030622V001436
367 ABDURRAHMAN IRM 25-Jun-22 02 48 37 30-Jun-83 0286R0030622V001440


373 MASTIKA ARYATI IRM 27-Jun-22 01 95 72 21-Dec-54 0286R0030622V001552

375 ABDURRAHMAN IRM 27-Jun-22 02 48 37 30-Jun-83 0286R0030622V001560
379 SHALEH IRM 27-Jun-22 02 46 43 1-Jan-63 0286R0030622V001564

381 HARTATI IRM 27-Jun-22 02 38 02 2-Jun-78 0286R0030622V001566

385 RAUDAH IRM 27-Jun-22 02 45 42 25-Apr-65 0286R0030622V001570
390 FAUZIAH IRM 27-Jun-22 01 82 41 3-Nov-69 0286R0030622V001577


407 UMAR DHANI IRM 28-Jun-22 02 43 97 13-Mar-74 0286R0030622V001672


414 HAMDANAH IRM 28-Jun-22 02 49 26 1-Jul-62 0286R0030622V001679
421 HALIMAH IRM 28-Jun-22 02 44 36 11-Sep-69 0286R0030622V001687
423 MARIA ULFAH IRM 28-Jun-22 02 45 48 21-Feb-88 0286R0030622V001689

428 MUHAMMAD MAHFUZH ALI IRM 28-Jun-22 00 30 36 26-Jul-14 0286R0030622V001694
433 MASKURIANI IRM 29-Jun-22 02 39 79 1-Jan-72 0286R0030622V001744
434 MASTIKA ARYATI IRM 29-Jun-22 01 95 72 21-Dec-54 0286R0030622V001745
435 SHALEH IRM 29-Jun-22 02 46 43 1-Jan-63 0286R0030622V001746

437 RASYIQA ALEENA PRISTYA IRM 29-Jun-22 01 82 37 20-Nov-19 0286R0030622V001748


450 MUHAMMAD RIDHO IRM 30-Jun-22 02 48 28 4-Jun-15 0286R0030622V001843

460 ABDUS SAMAD IRM 30-Jun-22 02 10 37 3-Jun-42 0286R0030622V001854

462 MUHAMMAD DONI IRM 30-Jun-22 02 49 69 18-Apr-21 0286R0030622V001856

464 WAHIDAH IRM 30-Jun-22 02 47 46 1-Jul-73 0286R0030622V001858
466 MUHAMMAD BAKHEIT IRM 30-Jun-22 02 48 83 21-May-16 0286R0030622V001860

TINDAKAN RM
104,500 M54.5 Low back pain 105,000
104,500 R29 #N/A 95,000
104,500 Z98.8 Other specified postsurgical states 105,000
104,500 S03.4 Sprain and strain of jaw 95,000

104,500 M47.02 #N/A 105,000
104,500 R20.2 Paraesthesia of skin 105,000
104,500 M54.5 Low back pain 105,000
Tuberculosis of lung, without

104,500 A16.2 mention of bacteriological or 95,000
histological confirmation

classified
104,500 J01.9 Acute sinusitis, unspecified 45,000

104,500 M51.9 unspecified 105,000
104,500 M25.1 Fistula of joint 105,000

104,500 M54.5 Low back pain 105,000
104,500 G82.2 Paraplegia, unspecified 105,000

104,500 M05 #N/A 105,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000


104,500 I64 95,000
104,500 M54.3 Sciatica 105,000
104,500 G81 #N/A 95,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
Other spondylosis with
104,500 M47.1 105,000
myelopathy
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M50.9 Cervical disc disorder, unspecified 105,000


joint

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M51 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.3 Sciatica 105,000
104,500 G81 #N/A 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 M05.8 Other seropositive rheumatoid 105,000

arthritis
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 I50.0 Congestive heart failure 105,000
Dislocation of other and
104,500 S93.3 unspecified parts of foot 105,000
104,500 M54.5 Low back pain 105,000

104,500 M25.14 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M15.0 Primary generalized 105,000

(osteo)arthrosis

104,500 M45 Ankylosing spondylitis 105,000

104,500 Z09.8 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000


104,500 M51.9 105,000
unspecified
104,500 M54.5 Low back pain 105,000
104,500 M05 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.3 Sciatica 105,000

104,500 Z09.8 105,000

104,500 R26.2 classified 95,000

104,500 S03.3 unspecified parts of head 105,000

104,500 M05 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 I69 #N/A 95,000
104,500 M54.5 Low back pain 105,000
104,500 M50 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000


104,500 M54.5 Low back pain 105,000
104,500 M25.54 #N/A 95,000

Intervertebral disc stenosis of
104,500 M99.5 neural canal 105,000

104,500 M54.5 Low back pain 105,000

Sprain and strain of other and

104,500 S43.7 unspecified parts of shoulder 105,000
girdle
104,500 M05 #N/A 105,000

104,500 M54.5 Low back pain 105,000

104,500 Z09.8 105,000
104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000
104,500 N00.8 Acute nephritic syndrome - Other 105,000

104,500 M54.5 Low back pain 105,000
Fracture of bone in neoplastic

104,500 M90.7 95,000
disease (C00-D48+)
104,500 I50 #N/A 105,000

104,500 M54.5 Low back pain 105,000
104,500 I69 #N/A 95,000


104,500 M51.9 unspecified 95,000


104,500 M54.3 Sciatica 105,000
104,500 M54 #N/A 105,000
104,500 D24 Benign neoplasm of breast 95,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.3 Sciatica 105,000
104,500 G81 #N/A 95,000

104,500 M54.5 Low back pain 105,000

girdle
104,500 M54.5 Low back pain 95,000

104,500 H27.1 Dislocation of lens 105,000

104,500 M54 #N/A 105,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.3 Sciatica 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 G62 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
181,000 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 95,000
104,500 I09 #N/A 105,000

104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000

joint
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 R62.0 Delayed milestone 95,000
104,500 M54.5 Low back pain 105,000
Neuropathy in association with
104,500 G60.2 hereditary ataxia 105,000
104,500 N00.9 Acute nephritic syndrome - 95,000

Unspecified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 R26.2 95,000
classified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 I09 #N/A 105,000
Other disorders of tooth
104,500 K00.8 95,000
development
104,500 A52.1 Symptomatic neurosyphilis 95,000
104,500 R26.2 classified 95,000
104,500 H27.1 Dislocation of lens 105,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
Neuropathic heredofamilial
104,500 E85.1 amyloidosis 105,000
104,500 G81 #N/A 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 M05.0 Felty's syndrome 105,000
104,500 M50 #N/A 105,000

104,500 M54 #N/A 105,000
104,500 I69 #N/A 95,000
104,500 M54.3 Sciatica 105,000

girdle

104,500 M15.9 Polyarthrosis, unspecified 105,000
104,500 M25.14 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 I64 95,000
104,500 G81 #N/A 95,000

104,500 Q02 Microcephaly 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M51 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 I64 95,000
104,500 G62 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 I69 #N/A 95,000
104,500 M54.5 Low back pain 105,000
Discontinuity and dislocation of

104,500 H74.2 ear ossicles 105,000

104,500 I64 105,000

104,500 M54 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000


104,500 G81 #N/A 95,000
104,500 G50.0 Trigeminal neuralgia 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M25.5 Pain in joint 105,000
104,500 M54.5 Low back pain 105,000
104,500 B45.1 Cerebral cryptococcosis 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 I64 95,000
104,500 A42.2 Cervicofacial actinomycosis 105,000
104,500 M48.49 #N/A 95,000
104,500 M24.6 Ankylosis of joint 105,000
104,500 M54.5 Low back pain 105,000


104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 A52.1 Symptomatic neurosyphilis 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54 #N/A 105,000
104,500 G82 #N/A 105,000
104,500 M25.14 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

classified
104,500 I64 95,000
104,500 M54.5 Low back pain 105,000

classified
104,500 M54.5 Low back pain 105,000

104,500 M25.1 Fistula of joint 105,000
104,500 M51 #N/A 105,000
104,500 S93.3 unspecified parts of foot 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 95,000
104,500 M54.5 Low back pain 105,000
Sequelae of other and unspecified

104,500 I69.8 cerebrovascular diseases 95,000

104,500 G40 Epilepsy 95,000


classified
104,500 M54.5 Low back pain 105,000

(osteo)arthrosis
104,500 M47 #N/A 105,000
104,500 E85.1 Neuropathic heredofamilial 105,000

amyloidosis
104,500 M54.5 Low back pain 105,000
104,500 M50 #N/A 105,000

104,500 M54 #N/A 105,000
classified

girdle

104,500 Z09.8 105,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000


104,500 Z09.8 105,000

104,500 M54.5 Low back pain 105,000
104,500 Z48 Other surgical follow-up care 95,000
104,500 M24.69 #N/A 105,000
104,500 I64 95,000

104,500 I69.8 95,000
cerebrovascular diseases

104,500 R26.2 classified 95,000
104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000



104,500 M50 #N/A 95,000
104,500 M54.5 Low back pain 105,000

(osteo)arthrosis
104,500 M54 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 I69.4 Sequelae of stroke, not specified 105,000

as haemorrhage or infarction
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

classified
104,500 Q02 Microcephaly 95,000
104,500 M25.54 #N/A 95,000
104,500 S03 #N/A 95,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
Primary generalized
104,500 M15.0 105,000
(osteo)arthrosis

104,500 I64 105,000
104,500 M05 #N/A 105,000
104,500 M51 #N/A 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 G81 #N/A 95,000
104,500 M25.14 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M05 #N/A 105,000

104,500 M54 #N/A 105,000
104,500 S03 #N/A 105,000
Specific developmental disorders

104,500 F80 95,000
of speech and language

104,500 R26.2 95,000
classified
104,500 M25.52 #N/A 105,000
104,500 I64 95,000

104,500 M15.3 Secondary multiple arthrosis 95,000

104,500 I64 95,000
104,500 M25.52 #N/A 105,000
104,500 I50.9 Heart failure, unspecified 105,000
Primary generalized
104,500 M15.0 (osteo)arthrosis 105,000
104,500 R20.0 Anaesthesia of skin 105,000

104,500 M05 #N/A 105,000
104,500 M25.14 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 95,000
104,500 I69.4 Sequelae of stroke, not specified 95,000

as haemorrhage or infarction

104,500 I69 #N/A 95,000
104,500 A09.9 Gastroenteritis and colitis of 95,000
unspecified origin
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54 #N/A 105,000
104,500 M54 #N/A 105,000
104,500 M54.5 Low back pain 105,000

(osteo)arthrosis
104,500 M54.5 Low back pain 105,000
181,000 M50 #N/A 105,000

104,500 Z09.8 95,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
1 AMBERUN IRM 1-Jul-22 00 98 86 25-Mar-55 0286R0030722V000003 104,500
2 UMAR DHANI IRM 1-Jul-22 02 43 97 13-Mar-74 0286R0030722V000004 104,500
3 ABDURRAHMAN IRM 1-Jul-22 02 48 37 30-Jun-83 0286R0030722V000005 104,500
4 AHMAD RAFI IRM 1-Jul-22 00 49 12 10-Jan-14 0286R0030722V000006 104,500
5 SYAMSURI IRM 1-Jul-22 02 03 02 1-Jul-62 0286R0030722V000007 104,500
6 ARBAIN IRM 1-Jul-22 00 63 49 10-Jun-61 0286R0030722V000008 104,500
7 AMINAH IRM 1-Jul-22 00 26 12 1-May-67 0286R0030722V000009 104,500
8 HAMDANAH IRM 1-Jul-22 02 49 26 1-Jul-62 0286R0030722V000010 104,500
9 MAULIA IRM 1-Jul-22 02 22 12 24-Nov-17 0286R0030722V000011 104,500
10 MARIA ULFAH IRM 1-Jul-22 02 45 48 21-Feb-88 0286R0030722V000013 104,500

11 MAULIDI IRM 1-Jul-22 02 06 63 10-Feb-00 0286R0030722V000014 104,500
12 RAUDAH IRM 1-Jul-22 02 45 42 25-Apr-65 0286R0030722V000015 104,500
SULTAN YUSUF
13 IRM 1-Jul-22 00 64 13 6-Jun-17 0286R0030722V000016 104,500
RIZQULLAH
14 SITI FATIMAH IRM 1-Jul-22 00 97 66 16-Dec-80 0286R0030722V000017 104,500
15 MAHLI IRM 1-Jul-22 01 89 10 10-Jan-73 0286R0030722V000018 104,500
16 MUHAMMAD IRM 1-Jul-22 02 44 75 1-Jan-07 0286R0030722V000019 104,500
17 NURANI IRM 1-Jul-22 02 09 05 1-Jul-60 0286R0030722V000020 104,500
18 RAMSAH IRM 4-Jul-22 02 27 69 8-Nov-62 0286R0030722V000154 104,500
19 SAIRI IRM 4-Jul-22 02 31 98 12-Apr-78 0286R0030722V000155 104,500
20 BASARIAH IRM 4-Jul-22 01 98 83 1-Jul-67 0286R0030722V000157 104,500
22 BARIAH IRM 4-Jul-22 01 83 97 1-Jul-57 0286R0030722V000159 104,500
23 YENI IRM 4-Jul-22 02 30 33 14-Jul-77 0286R0030722V000160 104,500
24 MURIANI IRM 4-Jul-22 02 48 51 1-Jul-62 0286R0030722V000161 104,500
25 WAHIDAH IRM 4-Jul-22 02 47 46 1-Jul-73 0286R0030722V000162 104,500
27 MASKURIANI IRM 4-Jul-22 02 39 79 1-Jan-72 0286R0030722V000164 104,500
29 BASRIAH IRM 4-Jul-22 02 44 40 31-Dec-43 0286R0030722V000166 104,500

31 HAMLIY HASIM IRM 4-Jul-22 01 95 71 24-May-50 0286R0030722V000168 104,500
32 MASTIKA ARYATI IRM 4-Jul-22 01 95 72 21-Dec-54 0286R0030722V000169 104,500
33 TIS'AH IRM 4-Jul-22 02 37 83 1-Jul-64 0286R0030722V000170 104,500
34 MUHAMMAD DONI IRM 4-Jul-22 02 49 69 18-Apr-21 0286R0030722V000171 104,500
35 SYAMSUDDIN IRM 4-Jul-22 02 32 16 4-Aug-68 0286R0030722V000172 104,500
36 KASNAH IRM 4-Jul-22 02 49 85 1-Jul-57 0286R0030722V000173 104,500
37 IDA RUYANI IRM 4-Jul-22 01 73 99 11-Mar-82 0286R0030722V000174 104,500
39 MUHAMMAD AMIN IRM 4-Jul-22 02 17 59 8-Nov-02 0286R0030722V000176 104,500
40 IBNU IRM 4-Jul-22 02 47 78 1-May-04 0286R0030722V000177 104,500
41 MASRIAH IRM 4-Jul-22 01 87 92 21-Apr-71 0286R0030722V000178 104,500
42 SHALEH IRM 4-Jul-22 02 46 43 1-Jan-63 0286R0030722V000179 104,500
43 RAUDAH IRM 4-Jul-22 02 45 42 25-Apr-65 0286R0030722V000180 104,500
44 HALIMAH IRM 4-Jul-22 01 91 99 31-Dec-60 0286R0030722V000181 104,500
45 HARTATI IRM 4-Jul-22 02 38 02 2-Jun-78 0286R0030722V000182 104,500
46 WARTINAH IRM 4-Jul-22 02 48 84 31-Dec-50 0286R0030722V000183 104,500
47 ZAINAB IRM 4-Jul-22 01 06 62 1-Dec-63 0286R0030722V000184 104,500
48 MUHAMMAD BAKHEIT IRM 4-Jul-22 02 48 83 21-May-16 0286R0030722V000185 104,500
49 LAMSI IRM 4-Jul-22 00 25 29 1-Jul-50 0286R0030722V000186 104,500

51 MIFTAHUR RAHMAN IRM 4-Jul-22 02 36 74 31-Aug-18 0286R0030722V000188 104,500
52 KARTINAH IRM 5-Jul-22 02 40 90 12-May-55 0286R0030722V000243 104,500

53 HALIDAH IRM 5-Jul-22 02 29 45 12-Nov-76 0286R0030722V000244 104,500
54 IRHASNOR IRM 5-Jul-22 01 24 02 5-Apr-68 0286R0030722V000245 104,500
55 ROHIDAH IRM 5-Jul-22 02 38 88 12-Nov-70 0286R0030722V000246 104,500

56 SULAIMAN IRM 5-Jul-22 02 39 91 14-Jun-70 0286R0030722V000247 104,500
57 HAMBERAN IRM 5-Jul-22 01 22 61 17-Mar-66 0286R0030722V000248 104,500
58 JALI IRM 5-Jul-22 02 28 62 1-Jul-81 0286R0030722V000249 104,500
59 NORMALA IRM 5-Jul-22 02 00 93 1-Jul-82 0286R0030722V000250 104,500

60 WARDAH IRM 5-Jul-22 02 36 65 10-Jun-63 0286R0030722V000251 104,500
62 NORAINIAH IRM 5-Jul-22 00 51 86 29-Jun-65 0286R0030722V000253 104,500
63 HAMDI S IRM 5-Jul-22 02 44 02 1-Mar-61 0286R0030722V000254 104,500
64 ABDUSSAMAD IRM 5-Jul-22 01 95 39 3-Oct-71 0286R0030722V000255 104,500
66 SYAMSUDIN IRM 5-Jul-22 02 21 53 1-Jul-70 0286R0030722V000257 104,500
67 BASITAH IRM 5-Jul-22 01 44 69 1-Jul-72 0286R0030722V000258 104,500
68 RUSNAH IRM 5-Jul-22 01 50 12 4-Oct-60 0286R0030722V000259 104,500
70 SARIAH IRM 5-Jul-22 02 30 43 20-Jun-67 0286R0030722V000261 104,500
71 AMRUN IRM 5-Jul-22 01 15 95 1-Jul-52 0286R0030722V000262 104,500
72 MASLI IRM 5-Jul-22 02 01 29 9-Sep-70 0286R0030722V000263 104,500
73 RUSIMAH IRM 5-Jul-22 01 78 76 8-Oct-62 0286R0030722V000264 104,500
74 NORHAYATI IRM 5-Jul-22 00 40 45 28-Nov-92 0286R0030722V000265 104,500
75 MUHAMMAD KASIM IRM 5-Jul-22 01 60 62 25-Oct-68 0286R0030722V000266 104,500
76 SITI FATIMAH IRM 5-Jul-22 00 97 66 16-Dec-80 0286R0030722V000267 104,500
77 HAMIDAH IRM 5-Jul-22 02 37 31 1-Jul-71 0286R0030722V000268 104,500
78 MASTIKAH IRM 5-Jul-22 01 21 70 1-Jul-71 0286R0030722V000269 104,500
79 AGUS SALIM IRM 5-Jul-22 02 40 92 17-Apr-73 0286R0030722V000270 104,500
MUHAMMAD
80 IRM 5-Jul-22 00 30 36 26-Jul-14 0286R0030722V000271 104,500
MAHFUZH ALI
81 MUHAMMAD RIDHO IRM 5-Jul-22 02 48 28 4-Jun-15 0286R0030722V000272 104,500
82 ARBAYAH IRM 5-Jul-22 02 47 77 21-Sep-69 0286R0030722V000273 104,500
83 MUHAMMAD RIDUAN IRM 5-Jul-22 02 43 04 19-Jul-18 0286R0030722V000274 104,500
84 SAHLAN IRM 5-Jul-22 02 40 47 5-Jan-57 0286R0030722V000275 104,500

85 HASANAH IRM 5-Jul-22 02 17 13 1-Jul-68 0286R0030722V000276 104,500
86 ZAINI IRM 5-Jul-22 02 43 25 4-Jul-56 0286R0030722V000277 104,500
87 M. HATTA IRM 5-Jul-22 01 34 84 31-Dec-70 0286R0030722V000280 104,500

88 ABDUS SAMAD IRM 6-Jul-22 02 10 37 3-Jun-42 0286R0030722V000319 104,500
90 NAZWA ASSYIFA IRM 6-Jul-22 02 00 56 30-Mar-19 0286R0030722V000329 104,500
91 MAULIDI IRM 6-Jul-22 02 06 63 10-Feb-00 0286R0030722V000330 104,500

102 HALIMAH IRM 6-Jul-22 02 44 36 11-Sep-69 0286R0030722V000342 104,500
110 NOR ASIAH IRM 7-Jul-22 01 86 56 9-Dec-61 0286R0030722V000428 104,500

111 ASNAN IRM 7-Jul-22 02 40 78 8-Jul-66 0286R0030722V000429 104,500
113 SYAMSUDIN IRM 7-Jul-22 02 21 53 1-Jul-70 0286R0030722V000431 104,500
114 M. HATTA IRM 7-Jul-22 01 34 84 31-Dec-70 0286R0030722V000432 104,500

117 ZUBAIDAH IRM 7-Jul-22 02 37 85 29-Apr-65 0286R0030722V000435 104,500
118 SITI MARYAM IRM 7-Jul-22 01 74 49 23-Mar-72 0286R0030722V000436 104,500

120 AGUS SALIM IRM 7-Jul-22 02 40 92 17-Apr-73 0286R0030722V000438 104,500
121 HASANUDDIN IRM 7-Jul-22 01 26 76 9-Apr-60 0286R0030722V000439 104,500

123 SYARIFUL HAMDANI IRM 7-Jul-22 00 88 78 29-Aug-75 0286R0030722V000441 104,500
125 SINAH IRM 7-Jul-22 02 49 49 1-Jul-52 0286R0030722V000444 104,500
127 HAMLIANNOR IRM 7-Jul-22 02 30 19 1-Jun-54 0286R0030722V000446 104,500

131 SARIAH IRM 7-Jul-22 02 30 43 20-Jun-67 0286R0030722V000451 104,500
133 FATIMAH IRM 7-Jul-22 02 40 97 18-Mar-70 0286R0030722V000453 104,500

138 HAMIDAH IRM 7-Jul-22 02 37 31 1-Jul-71 0286R0030722V000459 104,500
139 MUHAMMAD IRM 7-Jul-22 01 18 82 2-May-05 0286R0030722V000460 104,500
MUHAMMAD
140 IRM 7-Jul-22 00 30 36 26-Jul-14 0286R0030722V000461 104,500
MAHFUZH ALI

151 MUHAMMAD AMIN IRM 8-Jul-22 02 17 59 8-Nov-02 0286R0030722V000479 104,500
153 SYAMSUNI IRM 8-Jul-22 02 33 52 20-Dec-68 0286R0030722V000481 104,500

157 ABDUL HAMID IRM 11-Jul-22 01 73 74 10-Sep-60 0286R0030722V000558 104,500

176 HAMDI IRM 11-Jul-22 01 93 05 1-Jul-62 0286R0030722V000628 104,500
177 RUSMIAH IRM 11-Jul-22 01 88 65 1-Jul-72 0286R0030722V000630 104,500

186 SYARIFUL HAMDANI IRM 12-Jul-22 00 88 78 29-Aug-75 0286R0030722V000689 104,500

190 MUHAMMAD KASIM IRM 12-Jul-22 01 60 62 25-Oct-68 0286R0030722V000695 104,500

198 MUHAMMAD IRM 12-Jul-22 00 30 36 26-Jul-14 0286R0030722V000703 104,500

MAHFUZH ALI
199 ZAHRATUL AULIA IRM 12-Jul-22 02 36 10 27-Aug-10 0286R0030722V000704 104,500

204 SUMIATI. R IRM 13-Jul-22 01 95 04 21-Sep-53 0286R0030722V000762 104,500

222 MUHAMMAD IRM 14-Jul-22 00 30 36 26-Jul-14 0286R0030722V000860 104,500

MAHFUZH ALI

226 FAIKAH IRM 14-Jul-22 02 32 20 10-Mar-62 0286R0030722V000866 104,500

239 LISDA IRM 15-Jul-22 02 05 26 10-Oct-00 0286R0030722V000915 104,500
245 HIDUP IRM 18-Jul-22 02 16 49 1-Jul-70 0286R0030722V001020 104,500
246 LANI IRM 18-Jul-22 01 93 38 1-Jul-37 0286R0030722V001021 181,000


254 MUSLIHIN IRM 18-Jul-22 01 67 77 1-Jul-67 0286R0030722V001032 104,500

MUHAMMAD
276 IRM 19-Jul-22 00 30 36 26-Jul-14 0286R0030722V001092 104,500
MAHFUZH ALI
279 HAMIDAH IRM 19-Jul-22 02 37 31 7/1/1971 0286R0030722V001095 104,500


288 MAISYARAH IRM 19-Jul-22 01 86 09 5-Apr-75 0286R0030722V001104 104,500
290 SARINAH IRM 19-Jul-22 02 49 97 14-Nov-79 0286R0030722V001106 104,500
291 JAMILAH IRM 19-Jul-22 01 21 84 3-Mar-74 0286R0030722V001107 104,500

293 BASITAH IRM 19-Jul-22 01 44 69 1-Jul-72 0286R0030722V001109 104,500

295 MASMULIYADI IRM 19-Jul-22 02 50 79 5-Mar-79 0286R0030722V001112 104,500


313 RUSITAYANTI IRM 21-Jul-22 02 42 51 3-Mar-61 0286R0030722V001248 104,500

319 SABERI IRM 21-Jul-22 02 22 57 1-Jan-56 0286R0030722V001254 104,500


328 SYAIRAH IRM 21-Jul-22 02 36 73 12-Dec-47 0286R0030722V001266 104,500
329 FAIKAH IRM 21-Jul-22 02 32 20 10-Mar-62 0286R0030722V001268 104,500
MUHAMMAD
334 IRM 21-Jul-22 00 30 36 26-Jul-14 0286R0030722V001273 104,500
MAHFUZH ALI



372 TURINI IRM 25-Jul-22 00 50 95 15-Jan-72 0286R0030722V001424 104,500

378 LANI IRM 25-Jul-22 01 93 38 1-Jul-37 0286R0030722V001431 104,500


389 DARPINI IRM 26-Jul-22 01 18 33 1-Jul-53 0286R0030722V001479 104,500

393 JAMILAH IRM 26-Jul-22 01 21 84 3-Mar-74 0286R0030722V001483 104,500

399 HELMA RAMADAN IRM 26-Jul-22 02 47 04 4-Jul-16 0286R0030722V001492 104,500
400 SYAIRAH IRM 26-Jul-22 02 36 73 12-Dec-47 0286R0030722V001493 104,500

MUHAMMAD
405 MAHFUZH ALI IRM 26-Jul-22 00 30 36 26-Jul-14 0286R0030722V001500 104,500



416 KARTINAH IRM 27-Jul-22 02 40 90 12-May-55 0286R0030722V001563 104,500

427 KASRAN IRM 28-Jul-22 02 51 89 1-Jul-57 0286R0030722V001623 104,500


436 SITI FATIMAH IRM 28-Jul-22 02 47 80 31-Oct-02 0286R0030722V001633 104,500




TINDAKAN RM
Low back pain 105,000
M54.5
M54.5
M54.5
Epilepsy, unspecified 95,000
G40.9
Sciatica 105,000
M54.3
#N/A 105,000
M51
M54.5
Adhesive capsulitis of shoulder 105,000
M75.0
classified 95,000
R26.2
Hemiplegia, unspecified 95,000
G81.9
Motor neuron disease 105,000
G12.2
#N/A
M25.54
Microcephaly
95,000
Q02
Carpal tunnel syndrome 105,000
G56.0
Calculus of kidney 105,000
N20.0
Epilepsy, unspecified 105,000
G40.9
#N/A 95,000
M50
treatment for other conditions 105,000
Z09.8
Z09.8
Z09.8
Z09.8
Neuropathic heredofamilial amyloidosis
105,000
E85.1
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
classified 95,000
R26.2
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Cerebral infarction 95,000
I63
#N/A 95,000
G81
Stroke, not specified as haemorrhage
or infarction 95,000
I64
#N/A 105,000
M15
Anaesthesia of skin 105,000
R20.0
I64
I64
Felty's syndrome 105,000
M05.0
M54.5
#N/A 105,000
M51
M54.5
#N/A 105,000
M25.14
M54.5
M54.5
#N/A 105,000
G62
M54.5
M54.5
#N/A 105,000
G81
#N/A 105,000
M50
Trigeminal neuralgia 95,000
G50.0
Unspecified diabetes mellitus 105,000
E14
M54.5
Pain in joint 105,000
M25.5
Essential (primary) hypertension 105,000
I10
Carpal tunnel syndrome 105,000
G56.0
Cerebral infarction, unspecified 105,000
I63.9
M54.5
M54.5
Specific developmental disorders of
speech and language 95,000
F80
Gastroenteritis and colitis of
unspecified origin 95,000
A09.9
M54.5
#N/A
95,000
R26
M54.5
#N/A 105,000
S03
#N/A 105,000
M54
I64
M54.5
Epilepsy 95,000
G40
Delayed milestone 95,000
R62.0
Motor neuron disease 105,000
G12.2
Tetraplegia, unspecified 105,000
G82.5
Polyneuropathy, unspecified 105,000
G62.9
Sciatica 105,000
M54.3
Secondary multiple arthrosis 105,000
M15.3
Primary generalized (osteo)arthrosis
105,000
M15.0
Spondylolysis 105,000
M43.0
I64
M54.5
105,000
M15.0
I63.9
M54.5
#N/A 105,000
I50
105,000
M15.0
I64
I64
#N/A 105,000
M25.14
Z09.8
I64
M54.5
M54.5
Z09.8
G62.9
I64
Ankylosing spondylitis 105,000
M45
M54.5
Z09.8
Z09.8
M54.5
M54.5
I64
M54.5
Isolated proteinuria 95,000
R80
Torticollis 95,000
M43.6
M54.5
M54.5
#N/A 105,000
M51
Z09.8
I64
M54.5
#N/A 105,000
M50
Other surgical follow-up care
95,000
Z48
Sciatica 105,000
M54.3
#N/A 105,000
M25.12
Z09.8
Z09.8
#N/A
95,000
R26
I63.9
Z09.8
Specific developmental disorder of
motor function 95,000
F82
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8 105,000
Z09.8
#N/A 105,000
I50
#N/A 95,000
I69
M54.5
M54.5
M45
Paraplegia, unspecified 105,000
G82.2
M54.5
I63
M54.5
M54.5
#N/A 95,000
M50
M54.5
Sciatica 105,000
M54.3
M54.5
105,000
M15.0
105,000
M15.0
M43.0
N20.0
Torticollis 95,000
M43.6
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
Z09.8
I64
#N/A 105,000
M51
Z09.8
#N/A 95,000
G81
Z09.8
Isolated proteinuria 95,000
R80
#N/A 105,000
M25.14
Z09.8
Z09.8
Z09.8
Z09.8
M54.5
#N/A 105,000
M54
Z09.8
Z09.8
I64
Z09.8
Z09.8
Z09.8
I63.9
I64
105,000
M15.0
M54.5
M54.5
Sciatica 105,000
M54.3
Paraplegia, unspecified 105,000
G82.2
Z09.8
105,000
M15.0
Z09.8
M54.5
I64
Torticollis 95,000
M43.6
Z09.8
#N/A 105,000
M25.52
M54.5
Anaesthesia of skin 105,000
R20.0
105,000
M15.0
Other joint disorders, not elsewhere
classified 105,000
M25
I64
I64
#N/A 105,000
M05
speech and language 95,000
F80
#N/A 95,000
S03
Other surgical follow-up care
95,000
Z48
#N/A 95,000
A09.0
M54.5
Paralytic syndrome, unspecified 105,000
G83.9
M54.5
Juvenile ankylosing spondylitis 105,000
M08.1
#N/A 95,000
G81
classified 95,000
R26.2
Sciatica 105,000
M54.3
Lumbar and other intervertebral disc
disorders with radiculopathy 105,000
M51.1
M05.0
I64
M54.5
M54.5
M54.5
#N/A 45,000
J32
N20.0
M54.5
G81.9
M05.0
#N/A 105,000
M54
Hereditary and idiopathic neuropathy,
unspecified 105,000
G60.9
M54.5
#N/A 105,000
M54
#N/A
95,000
R26
I64
I64
M54.5
M54.5
M54.5
#N/A 105,000
M51
#N/A 105,000
M54
G62.9
M54.5
M54.5
M54.5
M54.5
M54.5
#N/A 105,000
M15
#N/A 105,000
M15
#N/A 95,000
I69
M54.5
Epilepsy 95,000
G40
M45
N20.0
M54.5
I63.9
Paraesthesia of skin 105,000
R20.2
#N/A 105,000
M15
#N/A 105,000
M51
I64
G83.9
F82
#N/A 105,000
M25.14
Z09.8
I63.9
M54.5
M54.5
I64
#N/A 105,000
M25.52
I64
M54.5
M05.0
M54.5
I64
R62.0
I64
#N/A 105,000
M75
Sciatica 105,000
M54.3
Panniculitis affecting regions of neck
and back 105,000
M54.0
Spinal stenosis 105,000
M48.0
Sciatica 105,000
M54.3
#N/A 95,000
G81
105,000
M15.0
G62.9
105,000
M15.0
Sciatica 105,000
M54.3
M43.0
105,000
M15.0
M54.5
I64
#N/A 95,000
M62.09
R20.2
105,000
M15.0
#N/A 10,500
M25.14
I64
I64
Z09.8
I64
Dislocation of other and unspecified
parts of foot 105,000
S93.3
#N/A 105,000
M47
M45
I63.9
#N/A 105,000
I69
N20.0
Parkinson's disease 105,000
G20
M54.5
I64
Torticollis 95,000
M43.6
M54.5
Z09.8
M54.5
#N/A
95,000
R26
M54.5
M75.0
M54.5
Z09.8
#N/A 105,000
M51
Z09.8
Other hereditary and idiopathic
neuropathies 105,000
G60.8
F82
#N/A 105,000
M54
Z09.8
G83.9
#N/A 105,000
M25.52
#N/A 105,000
M51
#N/A 105,000
I50
I64
#N/A 95,000
G81
#N/A 10,500
M54
M54.5
Chronic sinusitis, unspecified 45,000
J32.9
M54.5
#N/A 95,000
M50
M54.5
M54.5
#N/A 105,000
G81
#N/A 105,000
M15
M75.0
M54.5
#N/A 95,000
I69
M45
M54.5
G20
I63
Epilepsy 95,000
G40
M54.5
Other cerebral infarction 95,000
I63.8
Sciatica 105,000
M54.3
Torticollis 95,000
M43.6
#N/A 105,000
M15
Polyarthrosis, unspecified 105,000
M15.9
#N/A 105,000
M54
I64
I64
#N/A 105,000
M54
M54.5
#N/A 105,000
I50
Other arthrosis 105,000
M19
#N/A 105,000
M54
#N/A
95,000
R26
#N/A 105,000
M51
M05.0
Sciatica 105,000
M54.3
M54.5
R20.2
105,000
M15.0
I64
#N/A 105,000
S93
M54.5
I64
#N/A 105,000
M25.14
M05.0
I64
I64
#N/A 105,000
I50
R62.0
M54.5
Spinal stenosis 105,000
M48.0
#N/A 105,000
M75
I64
M54.5
#N/A 105,000
M51
G62.9
M54.5
Epilepsy 95,000
G40
M75.0
M54.5
Follow-up examination after treatment
for malignant neoplasms 95,000
Z08
#N/A 105,000
M54
#N/A 105,000
G83
F82
#N/A 95,000
G81
M54.5
M43.0
105,000
M15.0
105,000
M15.0
Sciatica 105,000
M54.3
M54.5
I64
#N/A 95,000
M62.00
M54.5
I63.9
I64
#N/A 95,000
I69
parts of foot 105,000
S93.3
M54.5
M45
G20
I63.9
#N/A 105,000
I50
M54.5
M54.5
M54.5
#N/A 105,000
M47
Torticollis 95,000
M43.6
I64
M54.5
M54.5
I64
I64
I64
Calculus of lower urinary tract,
unspecified 105,000
N21.9
#N/A 105,000
M51
Sciatica 105,000
M54.3
Z09.8
#N/A 105,000
G60
#N/A 105,000
M54
G83.9
#N/A 105,000
M25.52
#N/A 105,000
M51
I64
105,000
M15.0
M54.5
M54.5
classified 95,000
R26.2
#N/A 95,000
G81
N20.0
Epilepsy 95,000
G40
#N/A 95,000
M50
G81.9
Chronic sinusitis, unspecified 45,000
J32.9
#N/A 105,000
M25.52
R20.2
1 RAMSAH IRM 1-Aug-22 02 27 69 8-Nov-62 0286R0030822V000072
2 BASARIAH IRM 1-Aug-22 01 98 83 1-Jul-67 0286R0030822V000073
3 YENI IRM 1-Aug-22 02 30 33 14-Jul-77 0286R0030822V000074
4 SINAH IRM 1-Aug-22 02 49 49 1-Jul-52 0286R0030822V000075
5 ZAINAB IRM 1-Aug-22 01 06 62 1-Dec-63 0286R0030822V000076
6 NOR ASIAH IRM 1-Aug-22 01 86 56 9-Dec-61 0286R0030822V000077
7 MAHLI IRM 1-Aug-22 01 89 10 10-Jan-73 0286R0030822V000078
8 SABERI IRM 1-Aug-22 02 22 57 1-Jan-56 0286R0030822V000079
9 TURINI IRM 1-Aug-22 00 50 95 15-Jan-72 0286R0030822V000080
10 LAMSI IRM 1-Aug-22 00 25 29 1-Jul-50 0286R0030822V000081
11 MASKURIANI IRM 1-Aug-22 02 39 79 1-Jan-72 0286R0030822V000082
12 MUSLIHIN IRM 1-Aug-22 01 67 77 1-Jul-67 0286R0030822V000083
13 DARPINI IRM 1-Aug-22 01 18 33 1-Jul-53 0286R0030822V000084
14 AHMAD RAFI IRM 1-Aug-22 00 49 12 10-Jan-14 0286R0030822V000085
15 MASMULIYADI IRM 1-Aug-22 02 50 79 5-Mar-79 0286R0030822V000086
16 TIS'AH IRM 1-Aug-22 02 37 83 1-Jul-64 0286R0030822V000087
17 MASTIKA ARYATI IRM 1-Aug-22 01 95 72 21-Dec-54 0286R0030822V000088
18 HAMLIY HASIM IRM 1-Aug-22 01 95 71 24-May-50 0286R0030822V000089
19 MUHAMMAD DONI IRM 1-Aug-22 02 49 69 18-Apr-21 0286R0030822V000090

20 IBNU IRM 1-Aug-22 02 47 78 1-May-04 0286R0030822V000091
21 SARINAH IRM 1-Aug-22 02 49 97 14-Nov-79 0286R0030822V000092
22 HIDUP IRM 1-Aug-22 02 16 49 1-Jul-70 0286R0030822V000093
23 IDA RUYANI IRM 1-Aug-22 01 73 99 11-Mar-82 0286R0030822V000094
24 MURIANI IRM 1-Aug-22 02 48 51 1-Jul-62 0286R0030822V000095
25 MUHAMMAD RIDUAN IRM 1-Aug-22 02 43 04 19-Jul-18 0286R0030822V000096
26 SITI FATIMAH IRM 1-Aug-22 02 47 80 31-Oct-02 0286R0030822V000097
27 ARBAIN IRM 2-Aug-22 00 63 49 10-Jun-61 0286R0030822V000158
28 RUSITAYANTI IRM 2-Aug-22 02 42 51 3-Mar-61 0286R0030822V000159
29 IRHASNOR IRM 2-Aug-22 01 24 02 5-Apr-68 0286R0030822V000160
30 SULAIMAN IRM 2-Aug-22 02 39 91 14-Jun-70 0286R0030822V000161

31 KASRAN IRM 2-Aug-22 02 51 89 1-Jul-57 0286R0030822V000162
32 HASANUDDIN IRM 2-Aug-22 01 26 76 9-Apr-60 0286R0030822V000163
33 AMBERUN IRM 2-Aug-22 00 98 86 25-Mar-55 0286R0030822V000164
34 MAULIA IRM 2-Aug-22 02 22 12 24-Nov-17 0286R0030822V000165
35 JAMILAH IRM 2-Aug-22 01 21 84 3-Mar-74 0286R0030822V000166
36 MAISYARAH IRM 2-Aug-22 01 86 09 5-Apr-75 0286R0030822V000168
37 RUSIMAH IRM 2-Aug-22 01 78 76 8-Oct-62 0286R0030822V000169

38 SALAMIAH IRM 2-Aug-22 02 32 07 18-Jun-57 0286R0030822V000170
39 MASTIKAH IRM 2-Aug-22 01 21 70 1-Jul-71 0286R0030822V000171
40 SYAIRAH IRM 2-Aug-22 02 36 73 12-Dec-47 0286R0030822V000173
41 MUHAMMAD KASIM IRM 2-Aug-22 01 60 62 25-Oct-68 0286R0030822V000174
42 MASRIAH IRM 2-Aug-22 01 87 92 21-Apr-71 0286R0030822V000175
43 M. YUSUF IRM 2-Aug-22 00 11 13 13-Feb-65 0286R0030822V000176
44 FATIMAH IRM 2-Aug-22 02 40 97 18-Mar-70 0286R0030822V000177
45 MURNI IRM 2-Aug-22 01 25 49 1-Jul-67 0286R0030822V000178
46 HASANAH IRM 2-Aug-22 02 17 13 1-Jul-68 0286R0030822V000179
47 NORMALA IRM 2-Aug-22 02 00 93 1-Jul-82 0286R0030822V000180
48 JALI IRM 2-Aug-22 02 28 62 1-Jul-81 0286R0030822V000181
49 MUHAMMAD RIDHO IRM 2-Aug-22 02 48 28 4-Jun-15 0286R0030822V000182
50 HAMIDAH IRM 2-Aug-22 02 37 31 1-Jul-71 0286R0030822V000183

51 ZAINI IRM 2-Aug-22 02 43 25 4-Jul-56 0286R0030822V000184
52 MUHAMMAD MAHFUZH ALI IRM 2-Aug-22 00 30 36 26-Jul-14 0286R0030822V000185
53 MUHAMMAD IRM 2-Aug-22 01 18 82 2-May-05 0286R0030822V000186
54 HALIDAH IRM 3-Aug-22 02 29 45 12-Nov-76 0286R0030822V000220

60 WARTINAH IRM 3-Aug-22 02 48 84 31-Dec-50 0286R0030822V000227

62 HALIMAH IRM 3-Aug-22 02 44 36 11-Sep-69 0286R0030822V000229
63 NORHAYATI IRM 3-Aug-22 00 40 45 28-Nov-92 0286R0030822V000231
66 SITI ZUBAIDAH IRM 4-Aug-22 00 75 37 14-Aug-72 0286R0030822V000327

68 AGUS SALIM IRM 4-Aug-22 02 40 92 17-Apr-73 0286R0030822V000329

72 HAMDI IRM 4-Aug-22 01 93 05 1-Jul-62 0286R0030822V000338
73 RAFI'I IRM 4-Aug-22 02 53 96 3-Jun-80 0286R0030822V000340
74 RUSDIANA IRM 4-Aug-22 01 92 79 20-Apr-70 0286R0030822V000342

75 SUPIAN IRM 4-Aug-22 02 27 85 8-Jun-71 0286R0030822V000347
76 NORASNI IRM 4-Aug-22 01 27 22 31-Jul-99 0286R0030822V000349

78 HJ.SITI ARPAH IRM 4-Aug-22 02 46 74 8-Jul-69 0286R0030822V000352
79 LAMRANI IRM 4-Aug-22 02 07 26 7-May-65 0286R0030822V000353

80 KARTINAH IRM 4-Aug-22 02 40 90 12-May-55 0286R0030822V000354
83 ROHIDAH IRM 4-Aug-22 02 38 88 12-Nov-70 0286R0030822V000358
84 MURIANI IRM 4-Aug-22 02 48 51 1-Jul-62 0286R0030822V000359
86 BADRI IRM 4-Aug-22 02 54 82 1-Jan-73 0286R0030822V000361

87 HAMDI S IRM 4-Aug-22 02 44 02 1-Mar-61 0286R0030822V000362
88 ABDUSSAMAD IRM 4-Aug-22 02 54 11 1-Jan-60 0286R0030822V000363
89 ARDIAN IRM 4-Aug-22 02 53 44 6-May-60 0286R0030822V000364

90 NORBAITI IRM 4-Aug-22 02 45 50 1-Jul-71 0286R0030822V000365
91 ABDUL HAMID IRM 4-Aug-22 01 73 74 10-Sep-60 0286R0030822V000366
92 AHMAD GAFURI IRM 4-Aug-22 02 06 78 11-May-05 0286R0030822V000367
94 USWATUN HASANAH IRM 4-Aug-22 02 54 85 3-Mar-02 0286R0030822V000369

96 NURANI IRM 4-Aug-22 02 09 05 1-Jul-60 0286R0030822V000371
98 ABDUS SAMAD IRM 4-Aug-22 02 10 37 3-Jun-42 0286R0030822V000375
101 A.BACHTIAR IRM 4-Aug-22 02 29 37 29-Sep-59 0286R0030822V000380
104 PATIMAH IRM 4-Aug-22 02 54 09 1-Jul-62 0286R0030822V000383
105 WARDAH IRM 4-Aug-22 02 36 65 10-Jun-63 0286R0030822V000384
107 SYAMSUNI IRM 5-Aug-22 02 33 52 20-Dec-68 0286R0030822V000399


113 LISDA IRM 5-Aug-22 02 05 26 10-Oct-00 0286R0030822V000414
114 MARIA ULFAH IRM 5-Aug-22 02 45 48 21-Feb-88 0286R0030822V000415
116 HAMDANAH IRM 5-Aug-22 02 49 26 1-Jul-62 0286R0030822V000417
120 DIANSYAH IRM 8-Aug-22 02 48 57 31-Jan-62 0286R0030822V000551


133 AHMAD RAFI IRM 8-Aug-22 00 49 12 10-Jan-14 0286R0030822V000571

134 MIFTAHUR RAHMAN IRM 8-Aug-22 02 36 74 31-Aug-18 0286R0030822V000572
135 BULQIS IRM 8-Aug-22 02 47 32 1-Jul-64 0286R0030822V000573
137 ABAU IRM 8-Aug-22 01 58 69 1-Jul-73 0286R0030822V000575
138 AMINAH IRM 8-Aug-22 00 26 12 1-May-67 0286R0030822V000576
140 ISTI IRM 8-Aug-22 02 22 60 1-Feb-69 0286R0030822V000578
142 JAM'AH IRM 8-Aug-22 01 82 22 10-Nov-69 0286R0030822V000580
145 KARTINAH IRM 9-Aug-22 02 40 90 12-May-55 0286R0030822V000616

147 NORAINIAH IRM 9-Aug-22 00 51 86 29-Jun-65 0286R0030822V000655


156 SYARIFUL HAMDANI IRM 9-Aug-22 00 88 78 29-Aug-75 0286R0030822V000665
157 SURIANI IRM 9-Aug-22 02 49 86 12-Feb-70 0286R0030822V000666

160 MUHAMMAD AINI IRM 9-Aug-22 01 65 57 1-Jul-57 0286R0030822V000669
163 MASTIKAH IRM 9-Aug-22 01 21 70 1-Jul-71 0286R0030822V000672

167 SARIAH IRM 9-Aug-22 02 30 43 20-Jun-67 0286R0030822V000676



177 MURNI IRM 9-Aug-22 01 25 49 1-Jul-67 0286R0030822V000690
179 SALBIAH IRM 10-Aug-22 02 06 49 1-Jul-73 0286R0030822V000722
181 MASLI IRM 10-Aug-22 02 01 29 9-Sep-70 0286R0030822V000724

185 SITI MARYAM IRM 10-Aug-22 01 74 49 23-Mar-72 0286R0030822V000728
189 SUMIATI. R IRM 10-Aug-22 01 95 04 21-Sep-53 0286R0030822V000735

190 HALIMAH IRM 10-Aug-22 01 91 99 31-Dec-60 0286R0030822V000737
192 NAZWA ASSYIFA IRM 10-Aug-22 02 00 56 30-Mar-19 0286R0030822V000742
200 KASNAH IRM 11-Aug-22 02 49 85 1-Jul-57 0286R0030822V000861
201 ZUBAIDAH IRM 11-Aug-22 02 37 85 29-Apr-65 0286R0030822V000862


209 ROSLINA IRM 11-Aug-22 02 42 19 11-Nov-75 0286R0030822V000870
210 HUSIN IRM 11-Aug-22 01 81 59 3-May-71 0286R0030822V000871
211 ZULFADLI IRM 11-Aug-22 02 46 98 7-Jun-76 0286R0030822V000872
213 RUSMIAH IRM 11-Aug-22 01 88 65 1-Jul-72 0286R0030822V000874
214 HAMDI IRM 11-Aug-22 01 93 05 1-Jul-62 0286R0030822V000875



226 AHMAD IRM 11-Aug-22 01 92 02 6-Aug-70 0286R0030822V000887

240 HAMDANAH IRM 12-Aug-22 02 49 26 1-Jul-62 0286R0030822V000938



257 KASTALANI IRM 15-Aug-22 01 33 87 7/1/1957 0286R0030822V001094

261 MUHAMMAD ALI IRM 15-Aug-22 02 55 54 23-May-89 0286R0030822V001098
264 MASLI IRM 15-Aug-22 02 01 29 9-Sep-70 0286R0030822V001103
270 IDA RUYANI IRM 15-Aug-22 01 73 99 11-Mar-82 0286R0030822V001118

273 ERNAWATI IRM 15-Aug-22 01 60 73 1-Feb-79 0286R0030822V001123


285 HAMBERAN IRM 16-Aug-22 01 22 61 17-Mar-66 0286R0030822V001198
286 NORAINIAH IRM 16-Aug-22 00 51 86 6/29/1965 0286R0030822V001199
287 FAUZIAH IRM 16-Aug-22 00 67 58 16-Feb-75 0286R0030822V001200
296 AJI KASRAN IRM 16-Aug-22 00 68 44 19-Aug-60 0286R0030822V001210

300 ASMAH IRM 16-Aug-22 01 88 89 7-Jun-75 0286R0030822V001215

305 MUHAMMAD SOFYAN IRM 16-Aug-22 02 14 33 7-Dec-73 0286R0030822V001220
306 MUHRI IRM 16-Aug-22 00 94 09 12-Apr-48 0286R0030822V001221

315 HAMDAH IRM 18-Aug-22 02 04 90 1-Jul-73 0286R0030822V001312

322 SAIRI IRM 18-Aug-22 02 31 98 12-Apr-78 0286R0030822V001320
324 NORLINAWATI IRM 18-Aug-22 02 17 28 13-Feb-71 0286R0030822V001322
325 NURHALIDAH IRM 18-Aug-22 02 56 34 25-Aug-67 0286R0030822V001324

334 KASTALANI IRM 18-Aug-22 01 33 87 1-Jul-57 0286R0030822V001335

338 RUSLI IRM 18-Aug-22 02 31 71 1-Jul-67 0286R0030822V001362



372 MASKAMAH IRM 19-Aug-22 02 39 44 31-Dec-77 0286R0030822V001410




393 NURDIN IRM 22-Aug-22 02 55 65 13-Apr-77 0286R0030822V001553
403 HAMDAH IRM 22-Aug-22 02 04 90 1-Jul-73 0286R0030822V001576

405 NANIL IRM 22-Aug-22 00 46 10 1-Jul-50 0286R0030822V001578
406 HADERIANSYAH IRM 22-Aug-22 01 19 40 11-Jan-68 0286R0030822V001580



430 SITI HAMSAH IRM 23-Aug-22 01 86 30 15-Mar-50 0286R0030822V001677

446 DAHLAN IRM 24-Aug-22 02 56 86 31-Dec-65 0286R0030822V001759


454 AJI KASRAN IRM 24-Aug-22 00 68 44 19-Aug-60 0286R0030822V001770
455 MUHAMMAD IQBAL IRM 24-Aug-22 02 51 33 18-Feb-17 0286R0030822V001771
456 SITI MARYAM IRM 24-Aug-22 01 74 49 23-Mar-72 0286R0030822V001772



471 RUSDIANA IRM 25-Aug-22 02 56 35 1-Jul-57 0286R0030822V001873
472 NOR HASANAH IRM 25-Aug-22 01 21 78 8-Jul-61 0286R0030822V001874
474 HELMI IRM 25-Aug-22 02 56 39 15-Sep-50 0286R0030822V001878

478 MAYRITA IRM 25-Aug-22 01 18 90 17-May-61 0286R0030822V001884

487 RAHMANI IRM 25-Aug-22 01 99 10 18-Mar-75 0286R0030822V001902

491 ABDUL KADIR IRM 25-Aug-22 02 56 31 9-Jul-73 0286R0030822V001909
492 NURHALIDAH IRM 25-Aug-22 02 56 34 25-Aug-67 0286R0030822V001910
493 NORLINAWATI IRM 25-Aug-22 02 17 28 13-Feb-71 0286R0030822V001912


507 MASKAMAH IRM 26-Aug-22 02 39 44 31-Dec-77 0286R0030822V001941

508 SYAMSURI IRM 26-Aug-22 02 03 02 1-Jul-62 0286R0030822V001942
514 RAHMANI IRM 29-Aug-22 01 99 10 18-Mar-75 0286R0030822V002022
515 ABDUL KADIR IRM 29-Aug-22 02 56 31 9-Jul-73 0286R0030822V002023

517 NATA IRM 29-Aug-22 02 51 24 1-Jul-66 0286R0030822V002025




540 ABDURRAHMAN IRM 29-Aug-22 02 48 37 30-Jun-83 0286R0030822V002127
544 AHMAD SYARWANI IRM 29-Aug-22 00 54 30 3-Feb-80 0286R0030822V002131
548 NOR HASANAH IRM 29-Aug-22 01 21 78 8-Jul-61 0286R0030822V002135

549 SYAMSURI IRM 29-Aug-22 02 03 02 1-Jul-62 0286R0030822V002136
553 ATIKAH IRM 29-Aug-22 02 55 59 10-Feb-60 0286R0030822V002140

554 DAHLAN IRM 29-Aug-22 02 56 86 31-Dec-65 0286R0030822V002141


567 HELMI IRM 30-Aug-22 02 56 39 15-Sep-50 0286R0030822V002191
569 RUSMINAH IRM 30-Aug-22 02 56 43 1-Jul-73 0286R0030822V002193

574 MAYRITA IRM 30-Aug-22 01 18 90 17-May-61 0286R0030822V002200

577 RUSDIANA IRM 30-Aug-22 02 56 35 1-Jul-57 0286R0030822V002206
578 NOOR SEHAN IRM 30-Aug-22 02 58 13 12-Aug-77 0286R0030822V002207

580 SITI HAMSAH IRM 30-Aug-22 01 86 30 15-Mar-50 0286R0030822V002209
582 MUZENAH IRM 30-Aug-22 00 08 69 30-May-68 0286R0030822V002212

591 NATA IRM 31-Aug-22 02 51 24 1-Jul-66 0286R0030822V002240


602 AHMAD PUADI IRM 31-Aug-22 02 56 67 30-Mar-18 0286R0030822V002267

TINDAKAN RM
104,500 I50 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 N20 #N/A 105,000
104,500 M19 Other arthrosis 105,000
104,500 M54.5 Low back pain 105,000
104,500 M51 #N/A 105,000
104,500 I50 #N/A 95,000
104,500 G40 Epilepsy 95,000
104,500 M54.39 #N/A 105,000
104,500 M15.0 Primary generalized (osteo)arthrosis 105,000
104,500 M43.6 Torticollis 95,000

104,500 M54.3 Sciatica 105,000
104,500 I64 Stroke, not specified as haemorrhage 95,000

or infarction
104,500 I64 or infarction 105,000

104,500 I64 95,000
or infarction
104,500 M54.5 Low back pain 105,000
104,500 R26.2 classified 95,000
104,500 N21.9 Calculus of lower urinary tract, 105,000

unspecified
104,500 M51 #N/A 105,000
104,500 S93.3 105,000
parts of foot
104,500 I64 or infarction 95,000

104,500 M54.5 Low back pain 105,000

or infarction
104,500 M54.5 Low back pain 105,000
104,500 R26.2 classified 95,000
104,500 M75.0 Adhesive capsulitis of shoulder 105,000

104,500 I64 95,000
or infarction
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M17.9 Gonarthrosis, unspecified 105,000
104,500 M54 #N/A 105,000
104,500 M48.0 Spinal stenosis 105,000
104,500 N04.9 Nephrotic syndrome - Unspecified 95,000
104,500 S33.7 Sprain and strain of other and 105,000

unspecified parts of lumbar spine and
104,500 M05 #N/A 105,000

or infarction


104,500 M54 #N/A 105,000
104,500 F82 95,000
motor function
104,500 G83.9 Paralytic syndrome, unspecified 105,000

104,500 I63 Cerebral infarction 95,000

104,500 I50 #N/A 105,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M25.52 #N/A 105,000
104,500 M54.3 Sciatica 95,000

classified
104,500 M54.5 Low back pain 105,000
104,500 M54 #N/A 95,000


104,500 M54.5 Low back pain 105,000
104,500 M43.6 Torticollis 105,000
104,500 I64 95,000
or infarction
104,500 E14 Unspecified diabetes mellitus 95,000
Acute appendicitis with generalized
104,500 K35.0 105,000
peritonitis
104,500 C08.8 Malignant neoplasm of overlapping 105,000
lesion of major salivary glands
104,500 N18 Chronic kidney disease 105,000

104,500 Z34 Supervision of normal pregnancy 105,000
104,500 S93.3 105,000
parts of foot
104,500 M54.5 Low back pain 105,000
104,500 G81 #N/A 95,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
Other benign neoplasms of connective
104,500 D21 105,000
and other soft tissue
104,500 M25.25 #N/A 105,000
104,500 N40 Hyperplasia of prostate 105,000
104,500 I15 Secondary hypertension 95,000
104,500 R25.1 Tremor, unspecified 105,000
104,500 I69 #N/A 105,000
104,500 R56.8 Other and unspecified convulsions 105,000

104,500 M54.5 Low back pain 95,000
104,500 M51 #N/A 105,000
104,500 I50 #N/A 105,000
104,500 I50 #N/A 105,000
104,500 N20.0 Calculus of kidney 105,000
Supervision of normal pregnancy,
104,500 Z34.9 unspecified 105,000
104,500 Z35.9 Supervision of high-risk pregnancy, 105,000

unspecified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 M51 #N/A 95,000
Other and unspecified abnormalities of

104,500 R26.8 105,000
gait and mobility
104,500 Z35 Supervision of high-risk pregnancy 105,000

104,500 M25.52 #N/A 45,000
104,500 K30 Dyspepsia 95,000
104,500 J32.9 Chronic sinusitis, unspecified 95,000
104,500 H81.3 Other peripheral vertigo 105,000
104,500 G40 Epilepsy 105,000
104,500 I69.3 Sequelae of cerebral infarction 105,000
104,500 K29.5 Chronic gastritis, unspecified 105,000


104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 G40 Epilepsy 950,000
104,500 F80.0 Specific speech articulation disorder 105,000

104,500 F80 105,000
speech and language
104,500 N04 #N/A 105,000

104,500 M43.6 Torticollis 105,000

or infarction
104,500 M54.3 Sciatica 95,000
104,500 G40 Epilepsy 95,000

104,500 Z09.8 105,000

104,500 M54.5 Low back pain 95,000

or infarction




104,500 K08.3 Retained dental root 105,000
104,500 E11.9 Non-insulin-dependent diabetes 105,000
mellitus without complications
104,500 I50 #N/A 105,000
104,500 G43.9 Migraine, unspecified 105,000


104,500 M25.14 #N/A 105,000

104,500 M54.5 Low back pain 95,000
104,500 S93.3 parts of foot 105,000

104,500 M51.9 Intervertebral disc disorder, 95,000

unspecified

classified
104,500 M54.5 Low back pain 105,000


104,500 I64 105,000
or infarction
104,500 I64 95,000
or infarction
104,500 M15.4 Erosive (osteo)arthrosis 105,000


104,500 Z09.8 105,000

104,500 M54 #N/A 105,000


104,500 Z09.8 105,000
104,500 M77 #N/A 95,000


104,500 M25.52 #N/A 105,000

104,500 M48.0 Spinal stenosis 95,000
104,500 J18.0 Bronchopneumonia, unspecified 105,000
104,500 G40 Epilepsy 105,000
104,500 R59.9 Enlarged lymph nodes, unspecified 105,000
104,500 R11 Nausea and vomiting 105,000

104,500 G81 #N/A 105,000
104,500 M54.5 Low back pain 105,000


104,500 I64 or infarction 105,000
104,500 L04.9 Acute lymphadenitis, unspecified 105,000


104,500 Z09.8 105,000

104,500 Z09.8 105,000

104,500 Z34.9 95,000
unspecified
104,500 Z34.9 Supervision of normal pregnancy, 105,000

unspecified
Maternal care for transverse and
104,500 O32.2 oblique lie 105,000

unspecified
104,500 S93.3 Dislocation of other and unspecified 105,000

parts of foot

or infarction
104,500 R26.2 classified 105,000


or infarction
104,500 I64 or infarction 105,000

104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 95,000

104,500 M51 #N/A 105,000
104,500 I69 #N/A 105,000
104,500 M54.5 Low back pain 105,000

or infarction

104,500 M54 #N/A 105,000

104,500 M43.6 Torticollis 105,000

104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000
104,500 M50 #N/A 105,000
104,500 M54.5 Low back pain 105,000

104,500 Z09.8 105,000

104,500 Z09.8 105,000
104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000

Calculus of lower urinary tract,

104,500 N21.9 unspecified 105,000
Hereditary and idiopathic neuropathy,

104,500 G60.9 95,000
unspecified
104,500 I64 105,000
or infarction



104,500 Z09.8 105,000
104,500 Z36 Antenatal screening 105,000

104,500 Z34.9 unspecified 105,000
181,000 M51 #N/A 105,000

classified
104,500 G81 #N/A 95,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 F80 Specific developmental disorders of 105,000

speech and language
104,500 M54.9 Dorsalgia, unspecified 105,000

104,500 Q21.3 Tetralogy of Fallot 105,000
Cervical disc disorder with myelopathy
104,500 M50.0 (G99.2*) 105,000

unspecified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 I69 #N/A 95,000
104,500 M54.5 Low back pain 95,000

104,500 M54 #N/A 45,000
104,500 M54.3 Sciatica 105,000
104,500 M54.5 Low back pain 95,000

181,000 M54.3 Sciatica 105,000

Non-insulin-dependent diabetes
104,500 E11.9 105,000

104,500 F80 105,000
speech and language
Chronic obstructive pulmonary

104,500 J44.9 105,000
disease, unspecified
104,500 M54 #N/A 105,000
104,500 K45 #N/A 95,000

104,500 I65 #N/A 105,000
104,500 K08.3 Retained dental root 95,000
104,500 M54.5 Low back pain 95,000
104,500 G44.0 Cluster headache syndrome 105,000
104,500 M54.5 Low back pain 95,000

104,500 K00.4 Disturbances in tooth formation 105,000
104,500 K02.9 Dental caries, unspecified 105,000
104,500 O20.0 Threatened abortion 105,000
Supervision of high-risk pregnancy,
104,500 Z35.9 unspecified 105,000

104,500 Z35.9 unspecified 105,000

104,500 Z35.9 unspecified 105,000

unspecified

104,500 Z09.8 105,000

or infarction
104,500 M54.5 Low back pain 105,000
104,500 M75 #N/A 95,000
104,500 I50 #N/A 85,000
104,500 M25.51 #N/A 95,000
104,500 M51 #N/A 105,000
104,500 I64 95,000
or infarction
104,500 I64 105,000
or infarction
104,500 M54.5 Low back pain 105,000
104,500 M77 #N/A 105,000
104,500 M54 #N/A 95,000
104,500 M43.6 Torticollis 105,000

or infarction
104,500 B99 Other and unspecified infectious 105,000

diseases
104,500 M54.5 Low back pain 95,000

or infarction

104,500 I69.8 95,000
104,500 J44 Other chronic obstructive pulmonary 105,000

disease
104,500 M54.5 Low back pain 105,000
104,500 I50 #N/A 105,000
104,500 R25.1 Tremor, unspecified 105,000
104,500 R63.0 Anorexia 105,000
104,500 R10.4 Other and unspecified abdominal pain 105,000
104,500 M54.3 Sciatica 105,000

104,500 I64 or infarction 105,000

104,500 S93.3 parts of foot 105,000
104,500 M47.1 Other spondylosis with myelopathy 105,000

104,500 I50 #N/A 105,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000

104,500 Z09.8 95,000

104,500 M51.9 105,000
unspecified
Follicular [nodular] non-Hodgkin's

104,500 C82 95,000
lymphoma
104,500 N23 Unspecified renal colic 105,000
104,500 Z34.9 unspecified 105,000

unspecified

unspecified
104,500 Z34.9 unspecified 95,000

104,500 Z34.9 unspecified 105,000
104,500 M54.5 Low back pain 105,000


or infarction

104,500 M77 #N/A 105,000

104,500 M54.5 95,000



104,500 Z09.8 105,000


104,500 M54.5 Low back pain 105,000
104,500 M50 #N/A 95,000
104,500 M54.3 Sciatica 95,000
104,500 M54.5 Low back pain 105,000
104,500 D23 Other benign neoplasms of skin 105,000
104,500 J18.9 Pneumonia, unspecified 105,000
104,500 I64 105,000
or infarction
104,500 R26.2 classified 105,000
104,500 M54.5 Low back pain 105,000

Hypertensive heart disease with
104,500 I11.0 105,000
(congestive) heart failure
104,500 M75 #N/A 95,000
104,500 M54.5 Low back pain 105,000
104,500 A88.1 Epidemic vertigo 105,000
104,500 F80.9 Developmental disorder of speech and 105,000

language, unspecified
104,500 G50 #N/A 95,000

104,500 M54.5 Low back pain 105,000
104,500 F80 Specific developmental disorders of 105,000

speech and language
104,500 J45 Asthma 105,000

104,500 M54 #N/A 95,000
104,500 E78.1 Pure hyperglyceridaemia 105,000
104,500 I69 #N/A 105,000


104,500 M54.3 Sciatica 105,000

104,500 M54.5 Low back pain 45,000

104,500 M54.5 Low back pain 105,000
104,500 Z09.8 85,000


104,500 Z09.8 105,000






104,500 Z09.8 95,000

104,500 K40 Inguinal hernia 105,000

unspecified
104,500 Z34.9 unspecified 105,000

104,500 Z34.9 unspecified 95,000
104,500 M54.5 Low back pain 95,000

104,500 E11 105,000
mellitus
104,500 O46.8 Other antepartum haemorrhage 105,000
104,500 D21.9 Connective and other soft tissue, 105,000

unspecified
104,500 N39.0 Urinary tract infection, site not 105,000
specified
104,500 N18.9 Chronic renal failure, unspecified 105,000

104,500 E11.9 95,000
104,500 Z36.9 Antenatal screening, unspecified 105,000

104,500 Z34.9 unspecified 105,000

unspecified

104,500 I64 105,000
or infarction
104,500 G44.0 Cluster headache syndrome 105,000
104,500 M06.9 Rheumatoid arthritis, unspecified 95,000

104,500 S03.3 95,000
parts of head
104,500 M51 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 I69.8 Sequelae of other and unspecified 105,000


104,500 Z34.9 85,000
unspecified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 I50 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.3 Sciatica 105,000
104,500 M77 #N/A 105,000
104,500 N60.2 Fibroadenosis of breast 105,000
104,500 R33 Retention of urine 105,000
104,500 F84.0 Childhood autism 105,000

104,500 F80 speech and language 95,000

104,500 D21 105,000
Systemic lupus erythematosus,
104,500 M32.9 unspecified 105,000

104,500 Z34.9 unspecified 85,000
104,500 R59 #N/A 105,000

104,500 M25.59 #N/A 105,000
unspecified
104,500 G81 #N/A 95,000

104,500 Z34.9 unspecified 95,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000

unspecified
104,500 M54.5 Low back pain 105,000
104,500 R04.2 Haemoptysis 105,000
Ulcer of lower limb, not elsewhere
104,500 L97 classified 105,000
104,500 M54.5 Low back pain 105,000

104,500 E16.2 Hypoglycaemia, unspecified 105,000
104,500 M54.5 Low back pain 105,000


104,500 M54.5 Low back pain 105,000
104,500 S93.3 parts of foot 105,000

or infarction
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 M54.5 Low back pain 105,000
104,500 D17 Benign lipomatous neoplasm 105,000
104,500 M54.5 Low back pain 45,000
104,500 M54.5 Low back pain 105,000
104,500 D21 and other soft tissue 95,000
104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 D21 Other benign neoplasms of connective 105,000

104,500 Z34.9 95,000
unspecified
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 Z34.9 unspecified 95,000
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000

unspecified
104,500 I69 #N/A 105,000
104,500 M54.5 Low back pain 95,000

104,500 J45 Asthma 105,000

104,500 D23.9 Skin, unspecified 45,000
104,500 M51 #N/A 95,000
Respiratory tuberculosis,
104,500 A15 bacteriologically and histologically 105,000
confirmed
104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000
104,500 K92.0 Haematemesis 105,000
104,500 M54.5 Low back pain 95,000
104,500 R63.0 Anorexia 105,000
104,500 G40 Epilepsy 105,000
104,500 M54.5 Low back pain 95,000
Occlusion and stenosis of unspecified
104,500 I66.9 cerebral artery 105,000
104,500 F80.9 Developmental disorder of speech and 105,000
language, unspecified
104,500 M54.5 Low back pain 105,000

Benign neoplasm of middle ear and
104,500 D14 105,000
respiratory system
104,500 I50 #N/A 95,000
104,500 M54.5 Low back pain 105,000
104,500 D21 Other benign neoplasms of connective 105,000

104,500 N20 #N/A 105,000
104,500 N20.9 Urinary calculus, unspecified 105,000
104,500 E88.2 Lipomatosis, not elsewhere classified 105,000

104,500 D21 45,000
Other postprocedural disorders of

104,500 K91.8 105,000
digestive system, not elsewhere


104,500 Z35.9 unspecified 105,000

104,500 Z34.9 95,000
unspecified
104,500 Z34.9 95,000
unspecified
104,500 D56.9 Thalassaemia, unspecified 105,000
104,500 O30 #N/A 105,000
104,500 M54.5 Low back pain 105,000
104,500 Z34.9 unspecified 105,000

104,500 M54.5 Low back pain 105,000

104,500 M54.5 Low back pain 105,000

104,500 M25.51 #N/A 105,000
104,500 G24.5 Blepharospasm 95,000
104,500 M25.56 #N/A 105,000
104,500 F03 Unspecified dementia 105,000
104,500 K02.9 Dental caries, unspecified 105,000
104,500 M51.9 unspecified 95,000
104,500 D64.9 Anaemia, unspecified 105,000

104,500 A88.1 Epidemic vertigo 95,000
104,500 Z34.9 unspecified 105,000

104,500 K04.1 Necrosis of pulp 105,000
104,500 N91.0 Primary amenorrhoea 105,000
104,500 Z34.9 unspecified 105,000
104,500 M51 #N/A 105,000

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 95,000
104,500 I64 or infarction 105,000
104,500 M54.5 Low back pain 95,000

104,500 M54.5 Low back pain 105,000
104,500 I64 105,000
or infarction
104,500 I64 or infarction 105,000

or infarction

104,500 M54.5 Low back pain 105,000
104,500 M54.5 Low back pain 105,000
104,500 I11 Hypertensive heart disease 105,000

104,500 F80 105,000
speech and language
104,500 F84 Pervasive developmental disorders 105,000
Developmental disorder of speech and

104,500 F80.9 language, unspecified 105,000

104,500 F80 85,000
speech and language
104,500 L04.9 Acute lymphadenitis, unspecified 105,000
104,500 G40 Epilepsy 105,000

104,500 M43.6 Torticollis 105,000

104,500 R33 Retention of urine 105,000

104,500 K40 Inguinal hernia 105,000
104,500 K40 105,000
104,500 E88.2 Lipomatosis, not elsewhere classified 95,000
104,500 I84.9 Unspecified haemorrhoids without 95,000

complication
Connective and other soft tissue,
104,500 D21.9 unspecified 105,000

IRM employee records May 2022

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IRM employee records May 2022

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1 SYAHRIN IRM 10-May-22 02 35 92 5-Apr-75 0286R0030522V000180

2 SUMIATI. R IRM 10-May-22 01 95 04 21-Sep-53 0286R0030522V000181

3 HALIMAH IRM 10-May-22 02 41 32 15-Jan-58 0286R0030522V000182

4 AMALIYAH IRM 10-May-22 01 87 31 15-Jan-62 0286R0030522V000184

5 FAUZIAH IRM 10-May-22 01 82 41 3-Nov-69 0286R0030522V000186

6 AMBERUN IRM 10-May-22 00 98 86 25-Mar-55 0286R0030522V000189

7 SYAMSUDDIN IRM 10-May-22 02 32 16 4-Aug-68 0286R0030522V000190

8 SAHLAN IRM 10-May-22 02 40 47 5-Jan-57 0286R0030522V000192

9 SAIRI IRM 10-May-22 02 31 98 12-Apr-78 0286R0030522V000193

10 MAULIDI IRM 10-May-22 02 06 63 10-Feb-00 0286R0030522V000198

11 MULIANA IRM 10-May-22 01 96 71 11-Dec-65 0286R0030522V000199

12 MURNI IRM 10-May-22 01 25 49 1-Jul-67 0286R0030522V000203

13 SEKAR TRI WARNI IRM 10-May-22 02 39 93 15-Jun-67 0286R0030522V000204

14 ROHIDAH IRM 10-May-22 02 38 88 12-Nov-70 0286R0030522V000211

15 SULAIMAN IRM 10-May-22 02 39 91 14-Jun-70 0286R0030522V000212

16 MALIKA NABILA IRM 10-May-22 02 00 56 30-Mar-19 0286R0030522V000213

17 FAIKAH IRM 10-May-22 02 32 20 10-Mar-62 0286R0030522V000218

18 MIFTAHUR RAHMAN IRM 10-May-22 02 36 74 31-Aug-18 0286R0030522V000219

19 ZAHRATUL AULIA IRM 10-May-22 02 36 10 27-Aug-10 0286R0030522V000225

20 MASRIAH IRM 10-May-22 00 65 87 17-Jan-57 0286R0030522V000226

22 SULAIMAN IRM 12-May-22 02 39 91 14-Jun-70 0286R0030522V000303

23 ROHIDAH IRM 12-May-22 02 38 88 12-Nov-70 0286R0030522V000304

24 AMBERUN IRM 12-May-22 00 98 86 25-Mar-55 0286R0030522V000307

25 AGUS SALIM IRM 12-May-22 02 40 92 17-Apr-73 0286R0030522V000314

26 BASITAH IRM 12-May-22 01 44 69 1-Jul-72 0286R0030522V000318

27 JARHANA IRM 12-May-22 01 76 45 1-Jul-51 0286R0030522V000319

28 SYAMSUDIN IRM 12-May-22 02 21 53 1-Jul-70 0286R0030522V000326

29 MAULIDI IRM 12-May-22 02 06 63 10-Feb-00 0286R0030522V000350

30 SUMIATI. R IRM 12-May-22 01 95 04 21-Sep-53 0286R0030522V000353

31 SAHLAN IRM 12-May-22 02 40 47 5-Jan-57 0286R0030522V000358

32 ZAHRATUL AULIA IRM 12-May-22 02 36 10 27-Aug-10 0286R0030522V000366

34 MIFTAHUR RAHMAN IRM 12-May-22 02 36 74 31-Aug-18 0286R0030522V000376

35 MUHAMMAD RIDUAN IRM 12-May-22 02 43 04 19-Jul-18 0286R0030522V000401

36 RAMSAH IRM 12-May-22 02 27 69 8-Nov-62 0286R0030522V000402

37 FAIKAH IRM 12-May-22 02 32 20 10-Mar-62 0286R0030522V000403

38 HALIMAH IRM 12-May-22 02 41 32 15-Jan-58 0286R0030522V000404

39 SAIRI IRM 12-May-22 02 31 98 12-Apr-78 0286R0030522V000405

40 RAMSAH IRM 14-May-22 02 27 69 8-Nov-62 0286R0030522V000432

41 MUHAMMAD RIDUAN IRM 14-May-22 02 43 04 19-Jul-18 0286R0030522V000435

42 ABD. HAMID IRM 14-May-22 01 17 16 4-Nov-83 0286R0030522V000436

44 BASITAH IRM 17-May-22 01 44 69 1-Jul-72 0286R0030522V000466

45 AMBERUN IRM 17-May-22 00 98 86 25-Mar-55 0286R0030522V000468

46 ASNAN IRM 17-May-22 02 40 78 8-Jul-66 0286R0030522V000471

47 ROHIDAH IRM 17-May-22 02 38 88 12-Nov-70 0286R0030522V000473

48 SULAIMAN IRM 17-May-22 02 39 91 14-Jun-70 0286R0030522V000474

49 AGUS SALIM IRM 17-May-22 02 40 92 17-Apr-73 0286R0030522V000478

50 MASRIAH IRM 17-May-22 01 87 92 21-Apr-71 0286R0030522V000481

51 SYAMSUDDIN IRM 17-May-22 02 32 16 4-Aug-68 0286R0030522V000482

52 MAULIDI IRM 17-May-22 02 06 63 10-Feb-00 0286R0030522V000488

53 AMALIYAH IRM 17-May-22 01 87 31 15-Jan-62 0286R0030522V000492

54 ISA IRM 17-May-22 02 14 00 15-Jun-68 0286R0030522V000493

55 RAMSAH IRM 17-May-22 02 27 69 8-Nov-62 0286R0030522V000496

56 SAIRI IRM 17-May-22 02 31 98 12-Apr-78 0286R0030522V000500

57 HALIMAH IRM 17-May-22 02 41 32 15-Jan-58 0286R0030522V000504

58 ARBAIN IRM 17-May-22 00 63 49 10-Jun-61 0286R0030522V000507

59 MURNI IRM 17-May-22 01 25 49 1-Jul-67 0286R0030522V000508

60 MUHAMMAD RIDUAN IRM 17-May-22 02 43 04 19-Jul-18 0286R0030522V000513

61 SAHLAN IRM 17-May-22 02 40 47 5-Jan-57 0286R0030522V000515

62 MIFTAHUR RAHMAN IRM 17-May-22 02 36 74 31-Aug-18 0286R0030522V000519

63 MASRIAH IRM 17-May-22 00 65 87 17-Jan-57 0286R0030522V000522

65 ZAHRATUL AULIA IRM 17-May-22 02 36 10 27-Aug-10 0286R0030522V000525

66 MARTINAH IRM 18-May-22 01 93 89 6-Aug-57 0286R0030522V000570

67 SYAMSUDIN IRM 19-May-22 02 21 53 1-Jul-70 0286R0030522V000610