DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

TANGGAL TANGGAL JENIS STATUS

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

100204011220P000 30-12-2020 30-12-2020 Surveillance of

1 0000407584484 NANY MULYANI P PBI (APBN) Berobat Jalan
411 00:00 13:05 contraceptive drugs
100204011220P000 30-12-2020 30-12-2020 Essential (primary) Diabetes
2 0000419127309 MANAH RUKMAENI P - Berobat Jalan
407 00:00 12:51 hypertension Mellitus
100204011220P000 30-12-2020 30-12-2020
3 0000419362828 RUHANUDIN L - Dental caries Berobat Jalan
409 00:00 12:56
100204011220P000 30-12-2020 30-12-2020 Surveillance of
4 0000419473438 WIWIN WINARTI P PBI (APBN) Berobat Jalan
412 00:00 13:06 contraceptive drugs
100204011220P000 30-12-2020 30-12-2020 PEKERJA Essential (primary)
5 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
406 00:00 12:49 MANDIRI hypertension
100204011220P000 30-12-2020 30-12-2020 PEKERJA Contraceptive
6 0002197154259 PAPAT PATMAWATI P Berobat Jalan
404 00:00 08:30 MANDIRI management
100204011220P000 30-12-2020 30-12-2020 PEKERJA Acute upper respiratory
7 0002240226955 AYI EJEB SUDRAJAT L Berobat Jalan
408 00:00 12:53 MANDIRI infection, unspecified
100204011220P000 30-12-2020 30-12-2020
8 0002596719148 ENTAT HADIYANTI P - Dental caries Berobat Jalan
410 00:00 12:58
100204011220P000 30-12-2020 30-12-2020 Essential (primary)
9 0002836964553 ENGKUS L PBI (APBN) Berobat Jalan
413 00:00 13:07 hypertension
100204011220P000 29-12-2020 29-12-2020 Pre-eclampsia,
10 0000419306916 AISYAH P - Rujuk Vertikal Hipertensi
384 00:00 09:17 unspecified
100204011220P000 29-12-2020 30-12-2020
11 0000419467239 SARIAH P - Dental caries Berobat Jalan
402 00:00 07:55
Acute upper respiratory
100204011220P000 29-12-2020 30-12-2020
12 0000420021832 TITA SETIAWATI P PBI (APBN) infections of multiple and Berobat Jalan
401 00:00 07:52
unspecified sites
100204011220P000 29-12-2020 30-12-2020 Lipomatosis, not
13 0001152194308 RUSLI RAMDANI L - Berobat Jalan
399 00:00 07:49 elsewhere classified
100204011220P000 29-12-2020 30-12-2020 Diseases of pulp and
14 0001325077018 ELIS DATIKAH P PBI (APBD) Berobat Jalan
403 00:00 07:59 periapical tissues
100204011220P000 29-12-2020 29-12-2020 PEKERJA
15 0001338645407 EKO PURWANTO L Paranoid schizophrenia Rujuk Vertikal
380 00:00 08:40 MANDIRI
100204011220P000 29-12-2020 29-12-2020
16 0001340298426 ENTIN KOSIMAH P PBI (APBD) Congestive heart failure Rujuk Vertikal
389 00:00 09:50
100204011220P000 29-12-2020 29-12-2020 SAHAT MANGARA PEKERJA Other disorders of urinary
17 0001464955852 L Berobat Jalan
395 00:00 13:20 TANJUNG MANDIRI system
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory

100204011220P000 29-12-2020 30-12-2020 HERLIS HENDRAWATI PEKERJA
18 0001464955863 P infections of multiple and Berobat Jalan
397 00:00 07:45 BAHAR MANDIRI
unspecified sites
100204011220P000 29-12-2020 30-12-2020 PEKERJA Essential (primary)
19 0001838558147 WARTINI P Berobat Jalan
396 00:00 07:43 MANDIRI hypertension
100204011220P000 29-12-2020 30-12-2020
20 0002500360435 LASTRI P - Myalgia Berobat Jalan
400 00:00 07:50
100204011220P000 29-12-2020 29-12-2020
21 0002500360784 DIK DIK NURJAMAN. L - Acute lymphadenitis Berobat Jalan
394 00:00 13:17
100204011220P000 29-12-2020 30-12-2020 SHAKIRA MARWAH Cutaneous abscess,
22 0002863479205 P PBI (APBN) Berobat Jalan
398 00:00 07:47 KIRANA furuncle and carbuncle
100204011220P000 28-12-2020 29-12-2020
23 0000418621566 YEDI SUGIANTO L PBI (APBN) Chronic periodontitis Berobat Jalan
379 00:00 08:29
100204011220P000 28-12-2020 29-12-2020
24 0000418622073 IRMAWATI P - Gastritis, unspecified Berobat Jalan
381 00:00 08:54
100204011220P000 28-12-2020 29-12-2020
25 0000419106126 WAWAN SUPRIATNA L PBI (APBN) Necrosis of pulp Berobat Jalan
390 00:00 10:02
100204011220P000 28-12-2020 29-12-2020
26 0000419437383 ANA SETIANA L PBI (APBN) Myalgia Berobat Jalan
388 00:00 09:35
100204011220P000 28-12-2020 28-12-2020
27 0000419510981 ANNISA AGUSTINA P PBI (APBN) Corns and callosities Rujuk Vertikal
376 00:00 09:20
100204011220P000 28-12-2020 29-12-2020 Supervision of normal
28 0000419770866 DEVITA RIMAYANTI P PBI (APBN) Berobat Jalan
392 00:00 13:08 pregnancy
Respiratory tuberculosis,
100204011220P000 28-12-2020 28-12-2020
29 0000420120562 RIKA SRI MULYATI P PBI (APBN) bacteriologically and Rujuk Vertikal
377 00:00 09:58
histologically confirmed
100204011220P000 28-12-2020 29-12-2020 Essential (primary)
30 0000512287738 NENI NURJANAH P PBI (APBN) Berobat Jalan
387 00:00 09:33 hypertension
100204011220P000 28-12-2020 28-12-2020 PEKERJA Radiculopathy, lumbar
31 0001308722139 HENDRA NEGARA L Rujuk Vertikal
375 00:00 09:13 MANDIRI region
100204011220P000 28-12-2020 29-12-2020 Burn and corrosion, body
32 0001340598251 TUSINI P PBI (APBD) Berobat Jalan Hipertensi
385 00:00 09:27 region unspecified
100204011220P000 28-12-2020 29-12-2020 PEKERJA Essential (primary)
33 0001457018302 APONG P Berobat Jalan
383 00:00 09:11 MANDIRI hypertension
100204011220P000 28-12-2020 29-12-2020 PEKERJA Bronchitis, not specified as
34 0001459051751 HADI PRAWIRA L Berobat Jalan Hipertensi
386 00:00 09:30 MANDIRI acute or chronic
100204011220P000 28-12-2020 29-12-2020 PEKERJA Essential (primary)
35 0001461039625 DIDI SUTARDI L Berobat Jalan
382 00:00 08:57 MANDIRI hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory

100204011220P000 28-12-2020 29-12-2020 PENERIMA
36 0002136431024 Rukanah P infections of multiple and Berobat Jalan
393 00:00 13:12 PENSIUN SWASTA
unspecified sites
100204011220P000 28-12-2020 28-12-2020
37 0002273111414 DIAZ ZABDAN ABIZARD L - Down syndrome Rujuk Vertikal
378 00:00 10:02
100204011220P000 28-12-2020 29-12-2020 Disturbances in tooth
38 0002836963181 SOFI AGUSTIAN L - Berobat Jalan
391 00:00 10:13 eruption
100204011220P000 26-12-2020 26-12-2020
39 0000419381583 ISNI MARDHIYAH P PBI (APBN) Pulpitis Rujuk Vertikal
365 00:00 09:15
100204011220P000 26-12-2020 26-12-2020 Acute nasopharyngitis
40 0000419412969 MIMIN JULAEHA P PBI (APBN) Berobat Jalan
369 00:00 10:37 [common cold]
100204011220P000 26-12-2020 26-12-2020 Open wound of other parts
41 0000419538069 JOJO SUPARMAN L - Berobat Jalan
366 00:00 10:30 of head
100204011220P000 26-12-2020 26-12-2020
42 0000420430263 ASEP NURCAHYA L PBI (APBN) Epilepsy Berobat Jalan
371 00:00 10:38
100204011220P000 26-12-2020 26-12-2020 Essential (primary)
43 0001003865848 ATIH P PBI (APBN) Berobat Jalan
368 00:00 10:36 hypertension
100204011220P000 26-12-2020 26-12-2020
44 0001340597665 APON SURYATI P PBI (APBD) Acute pharyngitis Berobat Jalan
370 00:00 10:37
100204011220P000 26-12-2020 26-12-2020 SAHAT MANGARA PEKERJA Essential (primary)
45 0001464955852 L Berobat Jalan
374 00:00 10:42 TANJUNG MANDIRI hypertension
100204011220P000 26-12-2020 26-12-2020
46 0002500360784 DIK DIK NURJAMAN. L - Malaise and fatigue Berobat Jalan
373 00:00 10:40
100204011220P000 26-12-2020 26-12-2020
47 0002596338516 ANISA SARTIKA DEWI P - Gastritis, unspecified Berobat Jalan
367 00:00 10:35
100204011220P000 26-12-2020 26-12-2020 PEKERJA
48 0002695837061 AMIH P Gastritis, unspecified Berobat Jalan
372 00:00 10:39 MANDIRI
100204011220P000 23-12-2020 25-12-2020
49 0000418615211 NANI ROHAENI P PBI (APBN) Other peripheral vertigo Berobat Jalan
356 00:00 10:37
Acute upper respiratory
100204011220P000 23-12-2020 23-12-2020
50 0000419395318 DULLY L PBI (APBN) infections of multiple and Berobat Jalan
347 00:00 12:34
unspecified sites
100204011220P000 23-12-2020 25-12-2020 MUHAMMAD CAHYA
51 0000419765703 L PBI (APBN) Other dermatitis Berobat Jalan
355 00:00 10:36 GUNAWAN
Non-insulin-dependent
100204011220P000 23-12-2020 25-12-2020 Diabetes
52 0000419980961 ELAH ROMLAH P PBI (APBN) diabetes mellitus with Berobat Jalan
358 00:00 10:54 Mellitus
multiple complications
100204011220P000 23-12-2020 23-12-2020 PEKERJA Stroke, not specified as
53 0001319481786 MARDI L Rujuk Vertikal
342 00:00 08:22 MANDIRI haemorrhage or infarction
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 23-12-2020 25-12-2020

54 0001340393916 ASEP DADAN L PBI (APBD) Dyspepsia Berobat Jalan
359 00:00 10:56
100204011220P000 23-12-2020 23-12-2020 Contraceptive
55 0001340556445 AI HASANAH P PBI (APBD) Berobat Jalan
345 00:00 09:34 management
100204011220P000 23-12-2020 25-12-2020 PEKERJA Essential (primary)
56 0001463704986 ATING ROSMIATI P Berobat Jalan
357 00:00 10:53 MANDIRI hypertension
100204011220P000 23-12-2020 23-12-2020 PEKERJA Essential (primary)
57 0001720109226 DEDEH SUHANAH P Berobat Jalan Hipertensi
349 00:00 12:42 MANDIRI hypertension
100204011220P000 23-12-2020 25-12-2020 PEKERJA Essential (primary)
58 0001729275221 SUPRIADI L Berobat Jalan
354 00:00 10:34 MANDIRI hypertension
100204011220P000 23-12-2020 25-12-2020 Other disorders of tooth
59 0002074153948 ABNA MAULA NURBHAITI P - Berobat Jalan
364 00:00 11:10 development
100204011220P000 23-12-2020 25-12-2020 HENDRIK MAULANA PEGAWAI
60 0002299491336 L Headache Berobat Jalan
363 00:00 11:04 YUSUP SWASTA
100204011220P000 23-12-2020 23-12-2020 Primary generalized
61 0002316717358 AJANG L - Rujuk Vertikal
344 00:00 09:01 (osteo)arthrosis
100204011220P000 23-12-2020 23-12-2020 PEGAWAI Contraceptive
62 0002396870335 YANI P Berobat Jalan
343 00:00 08:53 SWASTA management
100204011220P000 23-12-2020 25-12-2020 PEKERJA Essential (primary)
63 0002470722041 SULASTRI P Berobat Jalan
360 00:00 10:57 MANDIRI hypertension
100204011220P000 23-12-2020 23-12-2020 PEKERJA Contraceptive
64 0002496887932 YUNITA ANGGRAENI P Berobat Jalan
346 00:00 09:37 MANDIRI management
100204011220P000 23-12-2020 23-12-2020
65 0002583870761 SUHAENAH P PBI (APBN) Periodontosis Berobat Jalan
348 00:00 12:36
Tuberculosis of lung,
100204011220P000 23-12-2020 25-12-2020 confirmed by sputum
66 0002592369887 AYI KURNIA L PBI (APBN) Berobat Jalan
362 00:00 11:03 microscopy with or without
culture
100204011220P000 23-12-2020 25-12-2020
67 0002596719148 ENTAT HADIYANTI P - Impacted teeth Rujuk Vertikal
361 00:00 11:00
100204011220P000 23-12-2020 25-12-2020 MAYANG KANIA SARI Disturbances in tooth
68 0002793033999 P - Berobat Jalan
352 00:00 10:26 PUTRI eruption
100204011220P000 23-12-2020 25-12-2020 Diseases of pulp and
69 0002793034001 ADITYA DARMA PUTRA L PBI (APBN) Berobat Jalan
353 00:00 10:29 periapical tissues
Acute upper respiratory
100204011220P000 23-12-2020 23-12-2020
70 0002863481297 ETI RISMAWATI P PBI (APBN) infections of multiple and Berobat Jalan
350 00:00 12:43
unspecified sites
Acute upper respiratory
100204011220P000 23-12-2020 23-12-2020
71 0002863481308 KHAIRA ALFATHUNNISA P - infections of multiple and Berobat Jalan
351 00:00 12:46
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 22-12-2020 22-12-2020 PENERIMA Cutaneous abscess,

72 0000053714272 DECIANA INDIARTI P Berobat Jalan
330 00:00 15:56 PENSIUN PNS furuncle and carbuncle
100204011220P000 22-12-2020 22-12-2020 Essential (primary)
73 0000418636945 SISCA. M. DIANA P PBI (APBN) Berobat Jalan Hipertensi
338 00:00 16:19 hypertension
100204011220P000 22-12-2020 22-12-2020 Fever of other and
74 0000419232813 ARDI RADIANSYAH L PBI (APBN) Berobat Jalan
334 00:00 16:11 unknown origin
Non-insulin-dependent
100204011220P000 22-12-2020 22-12-2020 Diabetes
75 0000419288141 SITI WAINAH P PBI (APBN) diabetes mellitus with Berobat Jalan
335 00:00 16:12 Mellitus
multiple complications
100204011220P000 22-12-2020 22-12-2020
76 0000419622704 ANING P PBI (APBN) Cerebral infarction Rujuk Vertikal
307 00:00 08:47
100204011220P000 22-12-2020 22-12-2020
77 0000419875334 SANTI LISTIANI P - Exceptionally large baby Rujuk Vertikal
305 00:00 08:31
100204011220P000 22-12-2020 22-12-2020
78 0000420903369 HIDAYAT L - Gastritis, unspecified Berobat Jalan
333 00:00 16:10
100204011220P000 22-12-2020 22-12-2020 Essential (primary)
79 0000434473018 TETI SUSILAWATI P PBI (APBN) Berobat Jalan
331 00:00 16:02 hypertension
100204011220P000 22-12-2020 22-12-2020
80 0001003864465 MINATI P - Necrosis of pulp Berobat Jalan
339 00:00 16:22
100204011220P000 22-12-2020 22-12-2020
81 0001003907428 RAHADIAN L PBI (APBN) Schizophrenia Berobat Jalan
327 00:00 15:47
Non-insulin-dependent
100204011220P000 22-12-2020 22-12-2020 PEKERJA Diabetes Diabetes
82 0001336476205 LILIS SUWARSIH P diabetes mellitus with Berobat Jalan
329 00:00 15:55 MANDIRI Mellitus Mellitus
multiple complications
Non-insulin-dependent
100204011220P000 22-12-2020 22-12-2020 PEKERJA
83 0001337269329 ANI SADIAH P diabetes mellitus with Berobat Jalan
332 00:00 16:08 MANDIRI
multiple complications
Acute upper respiratory
100204011220P000 22-12-2020 22-12-2020
84 0001340432919 IDA FARIDA P PBI (APBD) infections of multiple and Berobat Jalan
336 00:00 16:16
unspecified sites
100204011220P000 22-12-2020 22-12-2020
85 0001340529579 RITA DAMAYANTI P PBI (APBD) Acute pharyngitis Berobat Jalan
337 00:00 16:17
100204011220P000 22-12-2020 22-12-2020 PEGAWAI
86 0001523663313 KIRANA SENJA ANJANI P Femoral hernia Rujuk Vertikal
308 00:00 09:29 SWASTA
100204011220P000 22-12-2020 22-12-2020 PEKERJA Acute nasopharyngitis
87 0001884093502 NENDRA MAULANA L Berobat Jalan
328 00:00 15:53 MANDIRI [common cold]
100204011220P000 22-12-2020 22-12-2020 PEGAWAI
88 0002074153893 TEDI SUPARTEDI L Dental caries Berobat Jalan
341 00:00 16:28 SWASTA
100204011220P000 22-12-2020 22-12-2020 Convalescence following
89 0002743336091 AHMAD JANUAR L - Rujuk Vertikal
306 00:00 08:43 other treatment
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 22-12-2020 22-12-2020

90 0002836961807 NENGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan
340 00:00 16:24
Insulin-dependent
100204011220P000 21-12-2020 21-12-2020 PENERIMA
91 0000053379393 CUCUM SUMI P diabetes mellitus with Rujuk Vertikal
303 00:00 10:19 PENSIUN TNI
multiple complications
100204011220P000 21-12-2020 21-12-2020 PENERIMA Disorders of refraction and
92 0000056664279 DEDI MULYADIHARDJA L Rujuk Vertikal
294 00:00 08:39 PENSIUN PNS accommodation
Atherosclerotic
100204011220P000 21-12-2020 21-12-2020
93 0000419021447 HENDRA GUNAWAN L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
293 00:00 07:44
described
100204011220P000 21-12-2020 22-12-2020 Chronic apical
94 0000419106126 WAWAN SUPRIATNA L PBI (APBN) Berobat Jalan
323 00:00 15:28 periodontitis
100204011220P000 21-12-2020 22-12-2020
95 0000419184404 JUJU JUBAIDAH P PBI (APBN) Myalgia Berobat Jalan
320 00:00 15:22
100204011220P000 21-12-2020 22-12-2020 Supervision of normal
96 0000419219054 ERNAWATI P - Berobat Jalan
311 00:00 14:09 pregnancy
100204011220P000 21-12-2020 22-12-2020
97 0000419230991 ATIN LARASATI P PBI (APBN) Acute pharyngitis Berobat Jalan
310 00:00 14:06
Non-insulin-dependent
100204011220P000 21-12-2020 22-12-2020 Diabetes
98 0000419439881 UU JUESIH P PBI (APBN) diabetes mellitus with Berobat Jalan
324 00:00 15:30 Mellitus
multiple complications
Tuberculosis of lung,
100204011220P000 21-12-2020 22-12-2020 without mention of
99 0000419747905 RANGGA A L PBI (APBN) Berobat Jalan
318 00:00 14:23 bacteriological or
histological confirmation
100204011220P000 21-12-2020 22-12-2020 Benign lipomatous
100 0000419815721 LILIS HASANAH P - Berobat Jalan
317 00:00 14:22 neoplasm
100204011220P000 21-12-2020 22-12-2020 Essential (primary)
101 0000420238899 IHAT P PBI (APBN) Berobat Jalan Hipertensi
312 00:00 14:10 hypertension
100204011220P000 21-12-2020 22-12-2020
102 0001003862395 MIRANTIKA P - Tension-type headache Berobat Jalan
314 00:00 14:15
100204011220P000 21-12-2020 22-12-2020 PEKERJA
103 0001328600237 DEWI ROKAESIH P Residual schizophrenia Berobat Jalan
319 00:00 15:18 MANDIRI
Non-insulin-dependent
100204011220P000 21-12-2020 21-12-2020 PEKERJA
104 0001337269329 ANI SADIAH P diabetes mellitus with Rujuk Vertikal
302 00:00 10:13 MANDIRI
unspecified complications
Non-insulin-dependent
100204011220P000 21-12-2020 22-12-2020 Diabetes Diabetes
105 0001340393499 LENA HERDIANA P - diabetes mellitus with Berobat Jalan
322 00:00 15:26 Mellitus Mellitus
multiple complications
100204011220P000 21-12-2020 22-12-2020 PEKERJA Disturbances in tooth
106 0001383332681 ABDUSSAMI'AL ATSARI L Berobat Jalan
321 00:00 15:24 MANDIRI eruption
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 21-12-2020 21-12-2020 PEKERJA Radiculopathy, lumbar

107 0001389386068 DEDE RUKANDA L Rujuk Vertikal
297 00:00 08:59 MANDIRI region
100204011220P000 21-12-2020 21-12-2020 PEKERJA
108 0001389389106 KARYATI P Nail disorder, unspecified Rujuk Vertikal Hipertensi
300 00:00 09:40 MANDIRI
Non-insulin-dependent
100204011220P000 21-12-2020 22-12-2020 PEKERJA Diabetes Diabetes
109 0001466961322 ATIN KARTINI P diabetes mellitus with Berobat Jalan
313 00:00 14:12 MANDIRI Mellitus Mellitus
multiple complications
100204011220P000 21-12-2020 21-12-2020 PEKERJA Non-insulin-dependent
110 0001961069242 maryam P Rujuk Vertikal
298 00:00 09:29 MANDIRI diabetes mellitus
100204011220P000 21-12-2020 22-12-2020
111 0002500360784 DIK DIK NURJAMAN. L - Acute lymphadenitis Berobat Jalan
315 00:00 14:18
100204011220P000 21-12-2020 21-12-2020 PEKERJA Atherosclerotic heart
112 0002694950651 HJ.RUSI MAHARANI DEWI P Rujuk Vertikal
301 00:00 10:07 MANDIRI disease
Non-insulin-dependent
100204011220P000 21-12-2020 22-12-2020 PEKERJA
113 0002762876261 JAJANG RUHIAT L diabetes mellitus with Berobat Jalan Hipertensi
309 00:00 14:03 MANDIRI
multiple complications
100204011220P000 21-12-2020 22-12-2020
114 0002793050921 ENDANG SUMARNA L PBI (APBN) Bell's palsy Berobat Jalan
326 00:00 15:35
Non-insulin-dependent
100204011220P000 21-12-2020 22-12-2020 Diabetes
115 0002836962977 ABDUL SOMAD L - diabetes mellitus with Berobat Jalan
325 00:00 15:32 Mellitus
multiple complications
100204011220P000 21-12-2020 21-12-2020
116 0002863482096 YUYUN L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
296 00:00 08:54
Non-insulin-dependent
100204011220P000 21-12-2020 21-12-2020
117 0002863482107 ROSLIAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
299 00:00 09:34
unspecified complications
100204011220P000 21-12-2020 22-12-2020 Tuberculous peripheral
118 0002876161634 ANNISYA NOER RACHMA P - Berobat Jalan
316 00:00 14:21 lymphadenopathy
Diabetes
100204011220P000 19-12-2020 19-12-2020 PENERIMA Essential (primary)
119 0000053378728 IMAM TOYIBUN L Berobat Jalan Mellitus
286 00:00 12:36 PENSIUN TNI hypertension
Hipertensi
100204011220P000 19-12-2020 19-12-2020 PENERIMA Essential (primary)
120 0000053378739 AMINAH P Berobat Jalan Hipertensi
287 00:00 12:37 PENSIUN TNI hypertension
100204011220P000 19-12-2020 19-12-2020 Unspecified nonorganic
121 0000407597128 HADIANSYAH L - Rujuk Vertikal
270 00:00 08:36 psychosis
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
122 0000418579233 JUA P PBI (APBN) Berobat Jalan
289 00:00 13:20 hypertension
100204011220P000 19-12-2020 19-12-2020
123 0000418580223 TATI ROHAETI P PBI (APBN) Myalgia Berobat Jalan
288 00:00 12:38
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 19-12-2020 19-12-2020

124 0000418650445 SUMIATI P PBI (APBN) Dental caries Berobat Jalan
277 00:00 12:09
100204011220P000 19-12-2020 19-12-2020 Essential (primary) Diabetes
125 0000419127309 MANAH RUKMAENI P - Berobat Jalan
284 00:00 12:35 hypertension Mellitus
100204011220P000 19-12-2020 19-12-2020
126 0000419230787 ELYA P - Trigeminal neuralgia Rujuk Vertikal
276 00:00 10:06
100204011220P000 19-12-2020 19-12-2020
127 0000419661224 SENDI ANDRIANA FUTRA L PBI (APBN) Schizoaffective disorders Rujuk Vertikal
271 00:00 08:38
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
128 0001003867176 NINING SARININGSIH P PBI (APBN) Berobat Jalan Hipertensi
279 00:00 12:29 hypertension
100204011220P000 19-12-2020 19-12-2020 Other chronic obstructive
129 0001089390699 PAIMIN L PBI (APBN) Rujuk Vertikal
275 00:00 10:03 pulmonary disease
100204011220P000 19-12-2020 19-12-2020 Diabetes
130 0001340298404 SUPARNINGSIH P - Necrosis of pulp Rujuk Vertikal
273 00:00 09:18 Mellitus
100204011220P000 19-12-2020 19-12-2020
131 0001340598251 TUSINI P PBI (APBD) Congestive heart failure Berobat Jalan Hipertensi
281 00:00 12:32
100204011220P000 19-12-2020 19-12-2020
132 0001340796565 SUMINI P - Myalgia Berobat Jalan
291 00:00 13:23
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
133 0001340797882 OYOH P PBI (APBN) Berobat Jalan Hipertensi
280 00:00 12:30 hypertension
100204011220P000 19-12-2020 19-12-2020 Thyrotoxicosis,
134 0001340904508 NINA LASMINI P PBI (APBD) Rujuk Vertikal
272 00:00 09:16 unspecified
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
135 0001341084947 SUKAESIH P PBI (APBD) Berobat Jalan Hipertensi
292 00:00 13:24 hypertension
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
136 0001892999046 MIMIN P PNS DAERAH Berobat Jalan Hipertensi
285 00:00 12:35 hypertension
100204011220P000 19-12-2020 19-12-2020 PEKERJA Essential (primary)
137 0002081268628 EDIH JUNAEDI L Berobat Jalan Hipertensi
282 00:00 12:32 MANDIRI hypertension
PEGAWAI
PEMERINTAH
100204011220P000 19-12-2020 19-12-2020 Essential (primary)
138 0002195217674 EUIS KARWATI P DENGAN Berobat Jalan Hipertensi
283 00:00 12:34 hypertension
PERJANJIAN
KERJA

Diarrhoea and
100204011220P000 19-12-2020 19-12-2020
139 0002263889136 GEISYA RESI RAHAYU P PBI (APBN) gastroenteritis of Berobat Jalan
278 00:00 12:28
presumed infectious origin

Respiratory tuberculosis,
100204011220P000 19-12-2020 19-12-2020
140 0002793038771 CUCU MAEMUNAH P PBI (APBN) bacteriologically and Berobat Jalan
290 00:00 13:22
histologically confirmed
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 19-12-2020 19-12-2020 ZAYNA CHARISSA Disorder of pigmentation,

141 0002890175365 P PBI (APBN) Rujuk Vertikal
274 00:00 09:20 LARASATI unspecified
100204011220P000 18-12-2020 30-12-2020 PENERIMA Essential (primary)
142 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
405 00:00 10:46 PENSIUN TNI hypertension
100204011220P000 18-12-2020 18-12-2020
143 0000055711743 RIETA CHAIRITA P PNS PUSAT Cerebral infarction Rujuk Vertikal
257 00:00 08:39
100204011220P000 18-12-2020 18-12-2020
144 0000058084378 NANI SRI ASTUTI P - Necrosis of pulp Rujuk Vertikal
259 00:00 09:22
100204011220P000 18-12-2020 18-12-2020 Essential (primary)
145 0000418615119 EUIS EHA P PBI (APBN) Berobat Jalan
268 00:00 11:54 hypertension
100204011220P000 18-12-2020 18-12-2020 Depressive episode,
146 0000418615288 UPEN KANIA L PBI (APBN) Rujuk Vertikal
258 00:00 09:12 unspecified
100204011220P000 18-12-2020 18-12-2020
147 0000419348992 UDO UNDAYA L - Erysipelas Berobat Jalan
264 00:00 11:41
Acute upper respiratory
100204011220P000 18-12-2020 18-12-2020
148 0000419537439 ADE NANI P PBI (APBN) infections of multiple and Berobat Jalan
262 00:00 11:34
unspecified sites
100204011220P000 18-12-2020 18-12-2020
149 0001003760019 AAN P PBI (APBN) Acute periodontitis Berobat Jalan
260 00:00 11:21
100204011220P000 18-12-2020 18-12-2020
150 0001003760021 NANDA AMANDA L PBI (APBN) Eczema herpeticum Berobat Jalan
263 00:00 11:40
100204011220P000 18-12-2020 18-12-2020 Acute nasopharyngitis
151 0001089390699 PAIMIN L PBI (APBN) Berobat Jalan
266 00:00 11:45 [common cold]
100204011220P000 18-12-2020 18-12-2020
152 0001089390701 NAIMAH P PBI (APBN) Dyspepsia Berobat Jalan
267 00:00 11:49
Diabetes
100204011220P000 18-12-2020 18-12-2020 PENERIMA Essential (primary)
153 0001289886467 PARTIJAH P Berobat Jalan Mellitus
265 00:00 11:42 PENSIUN TNI hypertension
Hipertensi

100204011220P000 18-12-2020 18-12-2020 PENERIMA

154 0001341305831 ANUNG SALEH L Low back pain Berobat Jalan
269 00:00 11:55 PENSIUN SWASTA

Developmental disorder of
100204011220P000 18-12-2020 18-12-2020 AKHTAR BIRUNI PEKERJA
155 0002491742542 L speech and language, Rujuk Vertikal
256 00:00 08:37 ARIAPUTRA MANDIRI
unspecified
100204011220P000 18-12-2020 18-12-2020 Essential (primary)
156 0002695837072 ANISA HARTATI P - Berobat Jalan
261 00:00 11:33 hypertension
100204011220P000 17-12-2020 17-12-2020 PENERIMA Essential (primary)
157 0000057121839 HASANAH P Berobat Jalan Hipertensi
249 00:00 11:14 PENSIUN PNS hypertension
100204011220P000 17-12-2020 17-12-2020 PENERIMA Essential (primary)
158 0000158630949 ADA L Berobat Jalan
254 00:00 12:05 PENSIUN PNS hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 17-12-2020 17-12-2020

159 0000326192422 ANGGRAENI P PBI (APBN) Dental caries Berobat Jalan
246 00:00 11:05
Atherosclerotic
100204011220P000 17-12-2020 17-12-2020
160 0000419021447 HENDRA GUNAWAN L PBI (APBN) cardiovascular disease, so Berobat Jalan
250 00:00 11:19
described
Acute upper respiratory
100204011220P000 17-12-2020 17-12-2020
161 0000420121541 ALI GUNA WIJAYA L PBI (APBN) infections of multiple and Berobat Jalan
253 00:00 12:03
unspecified sites
Non-insulin-dependent
100204011220P000 17-12-2020 17-12-2020
162 0000420368534 ATIH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
244 00:00 09:26
multiple complications
100204011220P000 17-12-2020 17-12-2020 MAMAT ROCHMAT Essential (primary)
163 0001003866118 L PBI (APBN) Berobat Jalan
255 00:00 12:09 MURMALIM hypertension
100204011220P000 17-12-2020 17-12-2020
164 0001003866129 ESAH SUMIATI P - Dyspepsia Berobat Jalan
252 00:00 12:01
Acute upper respiratory
100204011220P000 17-12-2020 17-12-2020 PEKERJA
165 0001309382559 GUGUN GUNAWAN L infections of multiple and Berobat Jalan
248 00:00 11:13 MANDIRI
unspecified sites
100204011220P000 17-12-2020 17-12-2020 AMBI NURAHMAH PEGAWAI Acute nasopharyngitis
166 0001340699747 P Berobat Jalan
251 00:00 11:59 HIDAYANTINI SWASTA [common cold]
100204011220P000 17-12-2020 17-12-2020
167 0002583870761 SUHAENAH P PBI (APBN) Necrosis of pulp Berobat Jalan
245 00:00 11:00
100204011220P000 17-12-2020 17-12-2020
168 0002600746738 SUMARNI P PBI (APBN) Antenatal screening Berobat Jalan
247 00:00 11:09
100204011220P000 16-12-2020 16-12-2020 Intervertebral disc
169 0000053131138 M. QUDRAT WIWAHANA L PNS DAERAH Rujuk Vertikal
217 00:00 11:53 disorder, unspecified
100204011220P000 16-12-2020 16-12-2020 Essential (primary)
170 0000055705465 URIP SURATMAN L PNS DAERAH Berobat Jalan Hipertensi
229 00:00 14:14 hypertension
Chronic obstructive
100204011220P000 16-12-2020 16-12-2020
171 0000418673733 OJA L PBI (APBN) pulmonary disease, Rujuk Vertikal
205 00:00 08:37
unspecified
100204011220P000 16-12-2020 16-12-2020 Contraceptive
172 0000418875851 SITI P PBI (APBN) Berobat Jalan
207 00:00 08:44 management
100204011220P000 16-12-2020 16-12-2020
173 0000419656511 ADE HIDAYAT L - Residual schizophrenia Rujuk Vertikal
216 00:00 09:51
100204011220P000 16-12-2020 16-12-2020 Contraceptive
174 0000420362763 SELI SULASTRI P PBI (APBN) Berobat Jalan
208 00:00 08:51 management
100204011220P000 16-12-2020 16-12-2020 Surveillance of
175 0001003865242 CUCU P - Berobat Jalan
219 00:00 13:56 contraceptive drugs
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 16-12-2020 16-12-2020

176 0001003865264 PUTRIYANI P PBI (APBN) Counselling, unspecified Berobat Jalan
243 00:00 14:56
100204011220P000 16-12-2020 16-12-2020 Essential (primary)
177 0001089369797 NUNIK PURWANTI P PBI (APBN) Berobat Jalan
227 00:00 14:11 hypertension
100204011220P000 16-12-2020 16-12-2020 Essential (primary)
178 0001089394301 ISAH P PBI (APBN) Berobat Jalan
224 00:00 14:05 hypertension
100204011220P000 16-12-2020 16-12-2020 Acute upper respiratory
179 0001341019899 YANTI DAMAYANTI P PBI (APBD) Berobat Jalan
225 00:00 14:08 infection, unspecified
100204011220P000 16-12-2020 16-12-2020 SAHAT MANGARA PEKERJA
180 0001464955852 L Gastritis, unspecified Berobat Jalan
226 00:00 14:09 TANJUNG MANDIRI
100204011220P000 16-12-2020 16-12-2020 PEKERJA
181 0001884093502 NENDRA MAULANA L Headache Berobat Jalan
228 00:00 14:13 MANDIRI
100204011220P000 16-12-2020 16-12-2020 PEKERJA Radiculopathy, lumbar
182 0002056999296 ATANG SUDRAJAT L Rujuk Vertikal
203 00:00 08:34 MANDIRI region
100204011220P000 16-12-2020 16-12-2020 PEKERJA Radiculopathy, lumbar
183 0002057000657 ACIH P Rujuk Vertikal
204 00:00 08:36 MANDIRI region
100204011220P000 16-12-2020 16-12-2020
184 0002594405755 AISAH P - Headache Berobat Jalan
230 00:00 14:16
100204011220P000 16-12-2020 16-12-2020
185 0002876275495 ABDUL ALIHAADI L - Schizophrenia, unspecified Rujuk Vertikal
206 00:00 08:38
100204011220P000 15-12-2020 16-12-2020 Essential (primary) Diabetes Diabetes
186 0000407577925 ELASWATI P PBI (APBN) Berobat Jalan
231 00:00 14:25 hypertension Mellitus Mellitus
Non-insulin-dependent
100204011220P000 15-12-2020 16-12-2020
187 0000419001772 EUIS KOMARIAH P PBI (APBN) diabetes mellitus with Berobat Jalan Hipertensi
235 00:00 14:32
multiple complications
100204011220P000 15-12-2020 16-12-2020
188 0000419103404 SITI NURHASINAH P - Counselling, unspecified Berobat Jalan
240 00:00 14:47
100204011220P000 15-12-2020 16-12-2020 Diseases of pulp and
189 0000419230787 ELYA P - Berobat Jalan
213 00:00 09:22 periapical tissues
100204011220P000 15-12-2020 16-12-2020
190 0000419301729 UYEK SUHERMAN L PBI (APBN) Congestive heart failure Rujuk Vertikal
241 00:00 14:49
100204011220P000 15-12-2020 16-12-2020
191 0000419321586 SANTIKA P PBI (APBN) Scabies Berobat Jalan
223 00:00 14:04
100204011220P000 15-12-2020 16-12-2020
192 0000420430263 ASEP NURCAHYA L PBI (APBN) Epilepsy Berobat Jalan
218 00:00 13:52
100204011220P000 15-12-2020 16-12-2020
193 0001003870978 YUSEP SUHANDA L PBI (APBN) Myalgia Berobat Jalan
233 00:00 14:29
100204011220P000 15-12-2020 15-12-2020 Radiculopathy, lumbar
194 0001089362092 ESIH PATIMAH P PBI (APBN) Rujuk Vertikal
193 00:00 09:11 region
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 15-12-2020 16-12-2020

195 0001089390699 PAIMIN L PBI (APBN) Dyspepsia Berobat Jalan
237 00:00 14:37
100204011220P000 15-12-2020 16-12-2020 Diabetes
196 0001340298404 SUPARNINGSIH P - Necrosis of pulp Berobat Jalan
214 00:00 09:31 Mellitus
100204011220P000 15-12-2020 16-12-2020 Gingivitis and periodontal
197 0001340433876 ADE MAMAN L - Berobat Jalan
215 00:00 09:36 diseases
100204011220P000 15-12-2020 16-12-2020 PEKERJA
198 0001472840504 IRMAWATI P Counselling, unspecified Berobat Jalan
242 00:00 14:50 MANDIRI
Non-insulin-dependent Diabetes
100204011220P000 15-12-2020 16-12-2020 Diabetes
199 0001729820981 KUI TJONG L INVESTOR diabetes mellitus with Berobat Jalan Mellitus
238 00:00 14:42 Mellitus
multiple complications Hipertensi
100204011220P000 15-12-2020 16-12-2020 Essential (primary)
200 0001729821003 ROSNI TIOLINA P INVESTOR Berobat Jalan Hipertensi
239 00:00 14:43 hypertension
100204011220P000 15-12-2020 15-12-2020 PEKERJA Entropion and trichiasis of
201 0002223660508 NENI ROHAENI P Rujuk Vertikal
195 00:00 09:31 MANDIRI eyelid
100204011220P000 15-12-2020 16-12-2020 UYUNG MUHAMAD PEKERJA Essential (primary)
202 0002298952383 L Berobat Jalan Hipertensi
236 00:00 14:35 NAZIRWAN MANDIRI hypertension
100204011220P000 15-12-2020 16-12-2020 Essential (primary)
203 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
232 00:00 14:26 hypertension
Non-insulin-dependent
100204011220P000 15-12-2020 15-12-2020
204 0002793034293 FITRI AGUSTIYANI P - diabetes mellitus with Rujuk Vertikal
192 00:00 09:08
multiple complications
Acute upper respiratory
100204011220P000 15-12-2020 16-12-2020
205 0002793043855 OMAH ROHMAWATI P PBI (APBN) infections of multiple and Berobat Jalan
220 00:00 13:59
unspecified sites
100204011220P000 15-12-2020 16-12-2020 Essential (primary)
206 0002793050684 ACE L PBI (APBN) Berobat Jalan Hipertensi
222 00:00 14:03 hypertension
100204011220P000 15-12-2020 16-12-2020
207 0002863481826 WISNU ANUGRAH L PBI (APBN) Counselling, unspecified Berobat Jalan
221 00:00 14:01
Non-insulin-dependent
100204011220P000 15-12-2020 16-12-2020 PEKERJA
208 0002911992704 ADE ROHAENI P diabetes mellitus with Berobat Jalan Hipertensi
234 00:00 14:31 MANDIRI
multiple complications
Acute upper respiratory
100204011220P000 14-12-2020 15-12-2020
209 0000055752221 SUPRIYATI P PNS PUSAT infections of multiple and Berobat Jalan
191 00:00 08:49
unspecified sites
100204011220P000 14-12-2020 14-12-2020 PENERIMA
210 0000056664279 DEDI MULYADIHARDJA L Hyperplasia of prostate Rujuk Vertikal
179 00:00 08:38 PENSIUN PNS
Non-insulin-dependent
100204011220P000 14-12-2020 15-12-2020 Diabetes Diabetes
211 0000407577925 ELASWATI P PBI (APBN) diabetes mellitus with Berobat Jalan
188 00:00 08:25 Mellitus Mellitus
multiple complications
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 14-12-2020 15-12-2020 Acute upper respiratory

212 0000418629238 TITI WINARTI P - Berobat Jalan
187 00:00 08:20 infection, unspecified
100204011220P000 14-12-2020 16-12-2020
213 0000418874117 SRI WULAN P PBI (APBN) Antenatal screening Berobat Jalan
212 00:00 09:15
100204011220P000 14-12-2020 16-12-2020 Single delivery by
214 0000419145085 DIAH P PBI (APBN) Berobat Jalan
202 00:00 08:14 caesarean section
100204011220P000 14-12-2020 21-12-2020 Atherosclerotic heart
215 0000419301729 UYEK SUHERMAN L PBI (APBN) Rujuk Vertikal
304 00:00 10:31 disease
100204011220P000 14-12-2020 14-12-2020 Acute lymphadenitis of
216 0000419414668 TITIN RATNA P - Rujuk Vertikal
184 00:00 10:02 other sites
100204011220P000 14-12-2020 16-12-2020 Essential (primary)
217 0000419849019 NINING P - Berobat Jalan
209 00:00 09:04 hypertension
100204011220P000 14-12-2020 16-12-2020 Periapical abscess without
218 0000419853609 AJENG AGUSTIN P - Berobat Jalan
210 00:00 09:07 sinus
100204011220P000 14-12-2020 14-12-2020
219 0000419981692 HENDRAWAN L - Schizophrenia, unspecified Rujuk Vertikal
180 00:00 08:41
100204011220P000 14-12-2020 16-12-2020
220 0000419989476 LIA WAROKA P PBI (APBN) Dermatitis, unspecified Berobat Jalan
200 00:00 07:58
100204011220P000 14-12-2020 16-12-2020 Essential (primary)
221 0000420312431 KARYATI P - Berobat Jalan Hipertensi
201 00:00 08:11 hypertension
100204011220P000 14-12-2020 14-12-2020 Nonspecific reactive
222 0001003865883 ARNI APRILIANI P PBI (APBN) Rujuk Vertikal
181 00:00 08:47 hepatitis
100204011220P000 14-12-2020 21-12-2020
223 0001089390701 NAIMAH P PBI (APBN) Congestive heart failure Rujuk Vertikal
295 00:00 08:42
100204011220P000 14-12-2020 14-12-2020 RIZKY ARYO BAYU PEGAWAI
224 0001105896497 L Pneumonia, unspecified Rujuk Vertikal
182 00:00 09:48 UTOMO SWASTA
100204011220P000 14-12-2020 15-12-2020 PEKERJA Periapical abscess with
225 0001279072912 RENI ROBIANA P Berobat Jalan
189 00:00 08:32 MANDIRI sinus
100204011220P000 14-12-2020 16-12-2020 PEKERJA Essential (primary)
226 0001322522965 MOMON TARYANA L Berobat Jalan Hipertensi
198 00:00 07:51 MANDIRI hypertension
Hypertensive heart
100204011220P000 14-12-2020 14-12-2020
227 0001340393488 YENI KUSDIANTINI P PBI (APBD) disease without Rujuk Vertikal
183 00:00 09:53
(congestive) heart failure
Non-insulin-dependent
100204011220P000 14-12-2020 14-12-2020
228 0001340433009 DEDEH JUBAEDAH P PBI (APBD) diabetes mellitus with Rujuk Vertikal
186 00:00 10:18
unspecified complications
100204011220P000 14-12-2020 14-12-2020
229 0001340598352 HERA WATI P PBI (APBD) Residual schizophrenia Rujuk Vertikal
178 00:00 08:35
100204011220P000 14-12-2020 16-12-2020 AMBI NURAHMAH PEGAWAI Acute nasopharyngitis
230 0001340699747 P Berobat Jalan
197 00:00 07:48 HIDAYANTINI SWASTA [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 14-12-2020 16-12-2020 PEKERJA Essential (primary)

231 0001454881487 WIDYAWATI P Berobat Jalan
196 00:00 07:41 MANDIRI hypertension
100204011220P000 14-12-2020 15-12-2020
232 0002284518014 ENTIN KARTINI P - Urticaria Berobat Jalan
194 00:00 09:27
100204011220P000 14-12-2020 16-12-2020 PEKERJA Essential (primary)
233 0002317286755 SARIYATI P Berobat Jalan
199 00:00 07:56 MANDIRI hypertension
100204011220P000 14-12-2020 14-12-2020 PEKERJA Low back pain,
234 0002481226053 AWANGSIH P Rujuk Vertikal
185 00:00 10:15 MANDIRI lumbosacral region
100204011220P000 14-12-2020 15-12-2020
235 0002876161634 ANNISYA NOER RACHMA P - Acute lymphadenitis Berobat Jalan
190 00:00 08:46
100204011220P000 14-12-2020 16-12-2020
236 0002926936923 YANTI NURWULAN P - Antenatal screening Berobat Jalan
211 00:00 09:10
100204011220Y000 12-12-2020 Acute upper respiratory
237 12-12-2020 0000418674284 NURYATI P - Berobat Jalan
175 11:20 infection, unspecified
100204011220P000 12-12-2020 Primary generalized Diabetes
238 12-12-2020 0000419101435 EUIS MARLINA P PBI (APBN) Rujuk Vertikal
168 09:05 (osteo)arthrosis Mellitus
100204011220Y000 12-12-2020
239 12-12-2020 0000419653765 LUKMAN NURHAKIM L PBI (APBN) Corns and callosities Rujuk Vertikal
169 09:33
100204011220Y000 12-12-2020 Acute upper respiratory
240 12-12-2020 0000419888553 MARNI ASIH P PBI (APBN) Berobat Jalan
174 11:18 infection, unspecified
100204011220Y000 12-12-2020 Essential (primary)
241 12-12-2020 0001003865848 ATIH P PBI (APBN) Berobat Jalan
173 11:17 hypertension
100204011220P000 12-12-2020 Fetal death of unspecified
242 12-12-2020 0001014851182 SITI NURHIKMAH P - Rujuk Vertikal
167 08:40 cause
100204011220Y000 12-12-2020 PEKERJA
243 12-12-2020 0001735375915 DIAH SUSWANTI P Dental caries, unspecified Berobat Jalan
170 09:55 MANDIRI
100204011220Y000 12-12-2020 ERGIANNO AZKA PEGAWAI
244 12-12-2020 0002042116064 L Dental caries, unspecified Berobat Jalan
171 09:56 FERDIAN SWASTA
100204011220Y000 12-12-2020 PEKERJA Essential (primary) Diabetes
245 12-12-2020 0002273637576 ISKANDAR L Berobat Jalan
176 11:23 MANDIRI hypertension Mellitus
100204011220Y000 12-12-2020 Essential (primary)
246 12-12-2020 0002793044485 LILIS JUMARSIH P - Berobat Jalan Hipertensi
177 11:24 hypertension
100204011220Y000 12-12-2020
247 12-12-2020 0002836960604 SUDADI L PBI (APBN) Other peripheral vertigo Berobat Jalan
172 11:12
100204011220P000 11-12-2020
248 12-11-2020 0000418244106 AHMAD HADI L - Schizophrenia Rujuk Vertikal
150 09:11
100204011220P000 11-12-2020 Essential (primary)
249 12-11-2020 0000418650445 SUMIATI P PBI (APBN) Berobat Jalan
161 15:21 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Respiratory tuberculosis,
100204011220P000 11-12-2020 Diabetes
250 12-11-2020 0000419127309 MANAH RUKMAENI P - bacteriologically and Berobat Jalan
158 15:14 Mellitus
histologically confirmed
Non-insulin-dependent
100204011220P000 11-12-2020 Diabetes
251 12-11-2020 0000419288141 SITI WAINAH P PBI (APBN) diabetes mellitus with Berobat Jalan
156 14:51 Mellitus
multiple complications
100204011220P000 11-12-2020
252 12-11-2020 0000419385789 ALDI SAPUTRA L PBI (APBN) Epilepsy Rujuk Vertikal
149 09:01
100204011220P000 11-12-2020
253 12-11-2020 0000419413645 ERNA AZIMAH HAYATI P PBI (APBN) Astigmatism Rujuk Vertikal
152 09:21
100204011220P000 11-12-2020
254 12-11-2020 0000419414668 TITIN RATNA P - Acute lymphadenitis Berobat Jalan
159 15:15
100204011220P000 11-12-2020
255 12-11-2020 0000419575296 RISMAYANI P PBI (APBN) Haemorrhoids Rujuk Vertikal
148 08:57
100204011220P000 11-12-2020 Essential (primary)
256 12-11-2020 0000420013866 NUR NANI P - Berobat Jalan
165 15:26 hypertension
100204011220P000 11-12-2020 PEKERJA Chronic kidney disease,
257 12-11-2020 0000420324445 RIJAL ZAELANI L Rujuk Vertikal
147 08:51 MANDIRI stage 5
100204011220P000 11-12-2020
258 12-11-2020 0001003900601 ERNA P PBI (APBN) Gastritis, unspecified Berobat Jalan
162 15:22
100204011220P000 11-12-2020
259 12-11-2020 0001089372868 WAHYU L PBI (APBN) Residual schizophrenia Rujuk Vertikal
146 08:31
100204011220P000 11-12-2020 Acute nasopharyngitis
260 12-11-2020 0001340597665 APON SURYATI P PBI (APBD) Berobat Jalan
154 14:47 [common cold]
100204011220P000 11-12-2020 PEKERJA Unspecified nonorganic
261 12-11-2020 0001461491662 YANA KARYANA L Rujuk Vertikal
153 09:54 MANDIRI psychosis
100204011220P000 11-12-2020 HERLIS HENDRAWATI PEKERJA
262 12-11-2020 0001464955863 P Pulpitis Berobat Jalan
155 14:48 BAHAR MANDIRI
100204011220P000 11-12-2020 PEKERJA Acute nasopharyngitis
263 12-11-2020 0001733671517 ODE DEDI L Berobat Jalan
160 15:16 MANDIRI [common cold]
100204011220P000 11-12-2020 PEKERJA Essential (primary)
264 12-11-2020 0002317286755 SARIYATI P Berobat Jalan
164 15:25 MANDIRI hypertension
100204011220P000 11-12-2020 PEKERJA
265 12-11-2020 0002495282286 FERRY JUNAEDI L Cellulitis Rujuk Vertikal
151 09:14 MANDIRI
100204011220P000 11-12-2020
266 12-11-2020 0002793050921 ENDANG SUMARNA L PBI (APBN) Bell's palsy Berobat Jalan
157 15:01
100204011220P000 11-12-2020
267 12-11-2020 0002863477912 NENI HERYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
163 15:24
100204011220P000 11-12-2020
268 12-11-2020 0002863479791 ZENITA SABITRI P PBI (APBN) Carpal tunnel syndrome Berobat Jalan
166 15:27
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 10-12-2020
269 12-10-2020 0000417676926 NURHAYATI P PBI (APBN) Antenatal screening Berobat Jalan
145 14:04
100204011220P000 10-12-2020
270 12-10-2020 0000418383213 TITIN SUPRIATIN P PBI (APBN) Antenatal screening Berobat Jalan
132 13:28
100204011220P000 10-12-2020
271 12-10-2020 0000418766084 DEDE ENAS P PBI (APBN) Disorders of vitreous body Rujuk Vertikal
124 08:29
100204011220Y000 10-12-2020
272 12-10-2020 0000418891871 KASTAM L - Acute laryngopharyngitis Berobat Jalan
143 13:56
100204011220Y000 10-12-2020
273 12-10-2020 0000419192695 MOMOH P PBI (APBN) Gastritis, unspecified Berobat Jalan
136 13:38
100204011220Y000 10-12-2020 Essential (primary)
274 12-10-2020 0000419348992 UDO UNDAYA L - Berobat Jalan
140 13:50 hypertension

100204011220Y000 10-12-2020 Noninflammatory disorder

275 12-10-2020 0000420090682 JUWITA P PBI (APBN) Berobat Jalan
141 13:52 of vagina, unspecified

100204011220P000 10-12-2020 NIDA KHORIDATUL Disorder of refraction,

276 12-10-2020 0000420231914 P - Rujuk Vertikal
126 08:45 ADAWIYAH unspecified
100204011220P000 10-12-2020
277 12-10-2020 0001003867852 AZFA NURKHOLIK L PBI (APBN) Corns and callosities Rujuk Vertikal
125 08:39
100204011220P000 10-12-2020 Radiculopathy, lumbar
278 12-10-2020 0001003870956 OTANG L PBI (APBN) Rujuk Vertikal
128 09:55 region
100204011220P000 10-12-2020 PEKERJA
279 12-10-2020 0001325074555 HASAN L Dyspepsia Berobat Jalan
133 13:30 MANDIRI
100204011220P000 10-12-2020 PEKERJA
280 12-10-2020 0001335841558 JESSY THERESIA P Congestive heart failure Rujuk Vertikal
127 08:55 MANDIRI
100204011220Y000 10-12-2020 Essential (primary)
281 12-10-2020 0001340555319 ANI MULYANI P PBI (APBD) Berobat Jalan
142 13:54 hypertension
100204011220Y000 10-12-2020 Acute upper respiratory
282 12-10-2020 0001340699499 DHEA ROSIANA ARIANTO P - Berobat Jalan
137 13:40 infection, unspecified
100204011220P000 10-12-2020 Essential (primary)
283 12-10-2020 0001386948385 PURNAWAN BASARI L - Berobat Jalan
134 13:32 hypertension
100204011220P000 10-12-2020 AHMAD HAFIZH PEGAWAI Fever of other and
284 12-10-2020 0001386949768 L Berobat Jalan
135 13:34 ALBASYIR SWASTA unknown origin
100204011220P000 10-12-2020 PEGAWAI Essential (primary)
285 12-10-2020 0001668970697 KARTINI P Berobat Jalan
131 13:25 SWASTA hypertension
100204011220P000 10-12-2020 PEKERJA Premature rupture of
286 12-10-2020 0001729854617 MIMIN MINTARSIH P Rujuk Vertikal
129 11:23 MANDIRI membranes
100204011220Y000 10-12-2020
287 12-10-2020 0001885533952 NURUL FATIMAH P PNS PUSAT Dermatitis, unspecified Berobat Jalan
139 13:48
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220Y000 10-12-2020
288 12-10-2020 0002793043743 AMINAH KRISTINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
138 13:44
100204011220Y000 10-12-2020
289 12-10-2020 0002793046713 MAHRANI NUROHMAH P PBI (APBN) Pulpitis Berobat Jalan
130 13:14
100204011220Y000 10-12-2020 AYESA AGISTIRA Acute nasopharyngitis
290 12-10-2020 0002863478801 P PBI (APBN) Berobat Jalan
144 14:00 RAHAYU [common cold]
100204011220P000 08-12-2020
291 12-08-2020 0000053688227 H. A. RUSLAN. D L - Chronic kidney disease Rujuk Vertikal
098 09:59
100204011220Y000 08-12-2020 Essential (primary) Diabetes Diabetes
292 12-08-2020 0000054052176 EUIS KARTINI P PNS DAERAH Berobat Jalan
115 12:43 hypertension Mellitus Mellitus
100204011220Y000 08-12-2020 Essential (primary)
293 12-08-2020 0000054052187 RUKMAN L PNS DAERAH Berobat Jalan
114 12:41 hypertension
100204011220Y000 08-12-2020 Essential (primary)
294 12-08-2020 0000418728655 EDAH P PBI (APBN) Berobat Jalan
120 12:54 hypertension
100204011220Y000 08-12-2020
295 12-08-2020 0000419837376 RANTI EKA HIDAYANTI P PBI (APBN) Impacted cerumen Berobat Jalan
123 12:59
100204011220Y000 08-12-2020
296 12-08-2020 0000419952734 AMEL FEBIYANA P PBI (APBN) Impacted cerumen Berobat Jalan
109 12:32
100204011220P000 08-12-2020
297 12-08-2020 0000420304814 YANDI L PBI (APBN) Inguinal hernia Rujuk Vertikal
096 09:43
100204011220Y000 08-12-2020 Acute upper respiratory
298 12-08-2020 0001003864375 SUHERLAN L PBI (APBN) Berobat Jalan
118 12:49 infection, unspecified
100204011220Y000 08-12-2020 Essential (primary)
299 12-08-2020 0001003867705 MI'AH P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
116 12:45 hypertension
Non-insulin-dependent
100204011220P000 08-12-2020
300 12-08-2020 0001003868335 YAYAH SITI ROKAYAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
095 09:22
multiple complications
100204011220Y000 08-12-2020 PEKERJA Essential (primary)
301 12-08-2020 0001340297818 ENI ROHAENI P Berobat Jalan Hipertensi
121 12:57 MANDIRI hypertension
100204011220Y000 08-12-2020 Diabetes
302 12-08-2020 0001340298404 SUPARNINGSIH P - Pulpitis Berobat Jalan
097 09:56 Mellitus
100204011220Y000 08-12-2020
303 12-08-2020 0001340598251 TUSINI P PBI (APBD) Congestive heart failure Berobat Jalan Hipertensi
113 12:40
100204011220Y000 08-12-2020 PEKERJA
304 12-08-2020 0001421880006 ASEP SAEPULLOH L Pulpitis Berobat Jalan
099 10:07 MANDIRI
100204011220Y000 08-12-2020 Essential (primary)
305 12-08-2020 0001469442341 CACIH P - Berobat Jalan
122 12:59 hypertension
100204011220Y000 08-12-2020 PEGAWAI
306 12-08-2020 0001811437468 SITI AMINAH P Pulpitis Berobat Jalan
094 08:59 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220Y000 08-12-2020 PEGAWAI Acute nasopharyngitis

307 12-08-2020 0001811438223 ALZIA SHAKEEL AKHTAR L Berobat Jalan
111 12:34 SWASTA [common cold]
100204011220Y000 08-12-2020 PEKERJA
308 12-08-2020 0001961068882 WAWAN SURYANA L Myalgia Berobat Jalan
117 12:47 MANDIRI
100204011220Y000 08-12-2020 Observation for suspected
309 12-08-2020 0002793038771 CUCU MAEMUNAH P PBI (APBN) Berobat Jalan
119 12:51 tuberculosis
Cutaneous abscess,
100204011220Y000 08-12-2020
310 12-08-2020 0002836960198 MARVEL BAYU ANGGARA L PBI (APBN) furuncle and carbuncle, Berobat Jalan
112 12:36
unspecified
PEGAWAI
PEMERINTAH
100204011220Y000 08-12-2020
311 12-08-2020 0002883471941 FITRI WULANDARI P DENGAN Pulpitis Berobat Jalan
110 12:33
PERJANJIAN
KERJA
100204011220Y000 08-12-2020 Essential (primary)
312 12-07-2020 0000419037445 NANIH P - Berobat Jalan
092 08:21 hypertension
Atherosclerotic
100204011220Y000 07-12-2020 Diabetes
313 12-07-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
085 08:53 Mellitus
described
100204011220Y000 08-12-2020
314 12-07-2020 0000419218942 USEP L - Myalgia Berobat Jalan
101 11:40
Tuberculosis of lung,
100204011220Y000 08-12-2020 confirmed by sputum
315 12-07-2020 0000419747905 RANGGA A L PBI (APBN) Berobat Jalan
103 11:51 microscopy with or without
culture
100204011220Y000 08-12-2020 Acute upper respiratory
316 12-07-2020 0000419757737 ERI ROSYANTI P PBI (APBN) Berobat Jalan
106 12:09 infection, unspecified
100204011220Y000 08-12-2020 PEGAWAI
317 12-07-2020 0001328579482 YUDI HERMAWAN L Acute laryngopharyngitis Berobat Jalan
102 11:42 SWASTA
100204011220Y000 07-12-2020
318 12-07-2020 0001340556682 ENI SUHENDRATNI P PBI (APBD) Pulpitis Berobat Jalan
090 10:21
100204011220P000 07-12-2020
319 12-07-2020 0001341198077 SITI ROHANA P - Missed abortion Rujuk Vertikal
086 09:18
Non-insulin-dependent
100204011220Y000 08-12-2020 PEKERJA
320 12-07-2020 0001389389106 KARYATI P diabetes mellitus with Berobat Jalan Hipertensi
104 11:53 MANDIRI
multiple complications
Non-insulin-dependent
100204011220Y000 07-12-2020 PEKERJA
321 12-07-2020 0001518618925 RUBIYO L diabetes mellitus with Rujuk Vertikal
089 09:58 MANDIRI
unspecified complications
100204011220Y000 08-12-2020
322 12-07-2020 0002583870761 SUHAENAH P PBI (APBN) Myalgia Berobat Jalan
100 11:39
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220Y000 07-12-2020 Antenatal screening,

323 12-07-2020 0002597528171 AI SUMINAR P PBI (APBN) Berobat Jalan
091 11:05 unspecified
100204011220P000 07-12-2020 PEKERJA Atherosclerotic heart
324 12-07-2020 0002695837059 IDA BADRA L Rujuk Vertikal
087 09:23 MANDIRI disease
100204011220Y000 08-12-2020 Acute upper respiratory
325 12-07-2020 0002793038771 CUCU MAEMUNAH P PBI (APBN) Berobat Jalan
093 08:27 infection, unspecified
100204011220P000 07-12-2020 Diabetes
326 12-07-2020 0002836962977 ABDUL SOMAD L - Schizophrenia Rujuk Vertikal
088 09:35 Mellitus
100204011220Y000 08-12-2020
327 12-07-2020 0002863477912 NENI HERYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
105 12:01
100204011220Y000 08-12-2020 Essential (primary)
328 12-07-2020 0002863478182 JUMAELAH P PBI (APBN) Berobat Jalan
107 12:11 hypertension
PEGAWAI
PEMERINTAH
100204011220Y000 08-12-2020 External thrombosed
329 12-07-2020 0002933951163 EVA ROSANA NURBAITI P DENGAN Berobat Jalan
108 12:15 haemorrhoids
PERJANJIAN
KERJA
100204011220Y000 05-12-2020 PENERIMA Essential (primary)
330 12-05-2020 0000057121839 HASANAH P Berobat Jalan Hipertensi
079 10:17 PENSIUN PNS hypertension
100204011220Y000 05-12-2020
331 12-05-2020 0000419001772 EUIS KOMARIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi
084 10:35
100204011220Y000 05-12-2020 Diabetes
332 12-05-2020 0000419288141 SITI WAINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
082 10:24 Mellitus

Diarrhoea and
100204011220Y000 05-12-2020
333 12-05-2020 0000420173572 IKA SARTIKA P PBI (APBN) gastroenteritis of Berobat Jalan
078 10:16
presumed infectious origin

100204011220Y000 05-12-2020 Essential (primary)

334 12-05-2020 0001340432932 DEDE KARTIEM P PBI (APBD) Berobat Jalan
080 10:20 hypertension
100204011220Y000 05-12-2020
335 12-05-2020 0001340722179 ETI ROHAETY P PBI (APBD) Gastritis, unspecified Berobat Jalan
081 10:21
100204011220Y000 05-12-2020 RADEN RORO DWI SETIA Primary generalized
336 12-05-2020 0001399697008 P - Berobat Jalan
083 10:34 RINI (osteo)arthrosis
100204011220Y000 04-12-2020
337 12-04-2020 0000055752221 SUPRIYATI P PNS PUSAT Myalgia Berobat Jalan
075 12:51
100204011220Y000 04-12-2020 Essential (primary)
338 12-04-2020 0000418848996 ROHYATI P PBI (APBN) Berobat Jalan
072 12:40 hypertension
100204011220Y000 04-12-2020 Nontoxic goitre,
339 12-04-2020 0000419727069 YULIANA P PBI (APBN) Berobat Jalan
074 12:45 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 04-12-2020
340 12-04-2020 0000420419439 DEWI NENGSIH P PBI (APBN) Chronic kidney disease Rujuk Vertikal
065 08:03
Non-insulin-dependent
100204011220Y000 04-12-2020
341 12-04-2020 0001003864871 SAMINI P PBI (APBN) diabetes mellitus with Rujuk Vertikal Hipertensi
066 08:26
multiple complications
100204011220Y000 04-12-2020 Dysmenorrhoea,
342 12-04-2020 0001003901005 TIANA HERMAYATI P PBI (APBN) Berobat Jalan
070 12:34 unspecified
Non-insulin-dependent
100204011220Y000 04-12-2020 Diabetes
343 12-04-2020 0001340433382 UJANG TAHYA L - diabetes mellitus with Berobat Jalan
071 12:38 Mellitus
multiple complications
100204011220Y000 04-12-2020 PEKERJA Disturbances in tooth
344 12-04-2020 0001383332681 ABDUSSAMI'AL ATSARI L Berobat Jalan
077 12:52 MANDIRI eruption
100204011220Y000 04-12-2020 PEKERJA Disorder of refraction,
345 12-04-2020 0002093015665 ALDY RENTO L Rujuk Vertikal
067 08:45 MANDIRI unspecified
100204011220Y000 04-12-2020 Periapical abscess with
346 12-04-2020 0002241474355 ANDI HERYAWAN L PBI (APBN) Berobat Jalan
076 12:51 sinus
100204011220Y000 04-12-2020 Essential (primary)
347 12-04-2020 0002376416081 POPON FATIMAH P - Berobat Jalan
073 12:43 hypertension
100204011220Y000 04-12-2020 Enlarged lymph nodes,
348 12-04-2020 0002500360784 DIK DIK NURJAMAN. L - Rujuk Vertikal
068 09:45 unspecified
100204011220Y000 04-12-2020 Essential (primary)
349 12-04-2020 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
069 12:31 hypertension
100204011220P000 03-12-2020 PENERIMA Essential (primary)
350 12-03-2020 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
054 13:25 PENSIUN TNI hypertension
100204011220P000 03-12-2020
351 12-03-2020 0000418629688 SUSILAWATI P PBI (APBN) Antenatal screening Berobat Jalan
061 14:02
100204011220P000 03-12-2020
352 12-03-2020 0000419032809 OMAN L PBI (APBN) Cerebral infarction Rujuk Vertikal
051 10:20
Acute upper respiratory
100204011220P000 03-12-2020
353 12-03-2020 0000419232958 SUKAESIH P PBI (APBN) infections of multiple and Berobat Jalan
055 13:31
unspecified sites
Atherosclerotic
100204011220P000 03-12-2020 DADANG AGUSNI
354 12-03-2020 0000419339316 L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
046 08:37 SUDRAJAT
described
Atherosclerotic
100204011220P000 03-12-2020
355 12-03-2020 0000419531916 ADE SURATMAN L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
048 08:44
described
100204011220P000 03-12-2020 Diabetes Diabetes
356 12-03-2020 0000419532783 IIS ROHAETI P PBI (APBN) Diabetic polyneuropathy Rujuk Vertikal
049 08:45 Mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 03-12-2020 Supervision of normal

357 12-03-2020 0000419748737 TINI CAHYANI P - Berobat Jalan
053 13:16 pregnancy
100204011220P000 03-12-2020 Supervision of normal
358 12-03-2020 0000419875334 SANTI LISTIANI P - Berobat Jalan
062 14:05 pregnancy
100204011220P000 03-12-2020
359 12-03-2020 0000419967854 OOM KOMARA L PBI (APBN) Other postsurgical states Berobat Jalan
057 13:51
100204011220P000 03-12-2020 PEKERJA
360 12-03-2020 0001262959413 Rohaeti P Thalassaemia Rujuk Vertikal
047 08:39 MANDIRI
Atherosclerotic
100204011220P000 03-12-2020 PEKERJA
361 12-03-2020 0001275799228 UMAR BASRI L cardiovascular disease, so Rujuk Vertikal
045 08:28 MANDIRI
described
100204011220P000 03-12-2020 Non-insulin-dependent Diabetes
362 12-03-2020 0001340433382 UJANG TAHYA L - Berobat Jalan
056 13:46 diabetes mellitus Mellitus
100204011220P000 03-12-2020 PEGAWAI Supervision of normal
363 12-03-2020 0001726503355 RINA OKTAVIANI P Berobat Jalan
059 13:57 SWASTA pregnancy
100204011220P000 03-12-2020 Pre-eclampsia,
364 12-03-2020 0002597664723 SAPIRAH AKBAR P PBI (APBN) Rujuk Vertikal
050 09:42 unspecified
100204011220P000 03-12-2020
365 12-03-2020 0002793034168 MUHAMAD FADLAN L PBI (APBN) Periodontosis Berobat Jalan
064 14:21
100204011220P000 03-12-2020
366 12-03-2020 0002793039917 ANANG WASITO L PBI (APBN) Conjunctivitis Berobat Jalan
052 13:12
100204011220P000 03-12-2020
367 12-03-2020 0002836957724 MUHAMAD FADLI L PBI (APBN) Periodontosis Berobat Jalan
063 14:16
100204011220P000 03-12-2020
368 12-03-2020 0002836964553 ENGKUS L PBI (APBN) Headache Berobat Jalan
058 13:52
100204011220P000 03-12-2020 Need for immunization
369 12-03-2020 0003048492813 BAYI NYONYA MELANI L PBI (APBN) Berobat Jalan
060 14:00 against diphtheria alone
Non-insulin-dependent
100204011220P000 02-12-2020 PENERIMA
370 12-02-2020 0000053377986 TONAH FATMININGSIH P diabetes mellitus with Rujuk Vertikal
030 08:29 PENSIUN TNI
multiple complications
100204011220Y000 02-12-2020 Acute pharyngitis,
371 12-02-2020 0000055705476 TETI HERMAWATI P PNS DAERAH Berobat Jalan
040 11:35 unspecified
100204011220P000 02-12-2020
372 12-02-2020 0000055757193 YATNA YUWANA DR IK L PNS PUSAT Chronic kidney disease Rujuk Vertikal
033 09:12
100204011220P000 02-12-2020 Contraceptive
373 12-02-2020 0000418373561 SUTIARA P - Berobat Jalan
037 09:24 management, unspecified
100204011220Y000 02-12-2020
374 12-02-2020 0000418669042 ITA PUSPITA SARI P - Myalgia Berobat Jalan
044 11:51
100204011220Y000 02-12-2020 Irritant contact dermatitis,
375 12-02-2020 0000419348992 UDO UNDAYA L - Berobat Jalan
039 11:07 unspecified cause
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 02-12-2020
376 12-02-2020 0000419469039 RATNA SARI P - Enlarged lymph nodes Rujuk Vertikal
032 08:59
100204011220P000 02-12-2020 PEGAWAI
377 12-02-2020 0000419883592 ASEP HIDAYAT L Tinnitus Rujuk Vertikal
034 09:14 SWASTA
100204011220Y000 02-12-2020 Essential (primary)
378 12-02-2020 0001340432932 DEDE KARTIEM P PBI (APBD) Berobat Jalan
042 11:44 hypertension
100204011220Y000 02-12-2020 Essential (primary)
379 12-02-2020 0001340797263 ONIH P PBI (APBD) Berobat Jalan
038 11:06 hypertension
100204011220Y000 02-12-2020 Acute pharyngitis,
380 12-02-2020 0001469442341 CACIH P - Berobat Jalan
041 11:43 unspecified
Atherosclerotic
100204011220P000 02-12-2020 PEKERJA
381 12-02-2020 0002209920434 petronella naomi sambur P cardiovascular disease, so Rujuk Vertikal
035 09:15 MANDIRI
described
100204011220P000 02-12-2020 PEKERJA Synovial cyst of popliteal
382 12-02-2020 0002307088776 ARYA RIFKI ADITYA L Rujuk Vertikal
036 09:21 MANDIRI space [Baker]
100204011220P000 02-12-2020 PEKERJA
383 12-02-2020 0002420691039 ADILAH HAMDAN L Thalassaemia Rujuk Vertikal
031 08:37 MANDIRI
100204011220Y000 02-12-2020 Essential (primary)
384 12-02-2020 0002585705635 IDA ROSIDA P PBI (APBN) Berobat Jalan
043 11:48 hypertension
Non-insulin-dependent
100204011220P000 01-12-2020 PENERIMA
385 12-01-2020 0000053379505 ODIK BADAR IRWANTO L diabetes mellitus with Rujuk Vertikal
001 08:26 PENSIUN TNI
unspecified complications
100204011220P000 01-12-2020
386 12-01-2020 0000055750331 SUMARDI L PNS PUSAT Parkinson's disease Rujuk Vertikal
011 09:58
100204011220P000 01-12-2020 Acute nasopharyngitis
387 12-01-2020 0000419133611 ADIN SUPRIADIN L - Berobat Jalan Hipertensi
028 15:44 [common cold]
100204011220P000 01-12-2020 Schizoaffective disorder,
388 12-01-2020 0000419304159 ELI P PBI (APBN) Rujuk Vertikal
029 15:45 unspecified
100204011220P000 01-12-2020 Schizoaffective disorder,
389 12-01-2020 0000419752528 ETI ROHAETI P PBI (APBN) Rujuk Vertikal
010 09:53 unspecified
100204011220P000 01-12-2020 Schizoaffective disorder,
390 12-01-2020 0000419786368 ELI P PBI (APBN) Rujuk Vertikal
005 09:20 unspecified
100204011220P000 01-12-2020
391 12-01-2020 0000419967854 OOM KOMARA L PBI (APBN) Superficial injury of head Berobat Jalan
021 15:26
100204011220P000 01-12-2020 Disorder of refraction,
392 12-01-2020 0000420074144 OBAR SOBARI L PBI (APBN) Rujuk Vertikal
007 09:28 unspecified
Primary respiratory
100204011220P000 01-12-2020 tuberculosis, confirmed
393 12-01-2020 0000420280841 WANDI PRIHANDI L PBI (APBN) Rujuk Vertikal
004 09:16 bacteriologically and
histologically
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011220P000 01-12-2020 Essential (primary)

394 12-01-2020 0000420312431 KARYATI P - Berobat Jalan Hipertensi
026 15:41 hypertension
100204011220P000 01-12-2020
395 12-01-2020 0000420317864 WIWIN P PBI (APBN) Counselling, unspecified Berobat Jalan
020 15:25
100204011220P000 01-12-2020
396 12-01-2020 0000420319113 GHEA AMELIA P PBI (APBN) Caries of cementum Rujuk Vertikal
006 09:24
100204011220P000 01-12-2020
397 12-01-2020 0001003906991 ENJANG L PBI (APBN) Acute tonsillitis Berobat Jalan Hipertensi
024 15:34

Diarrhoea and
100204011220P000 01-12-2020
398 12-01-2020 0001340433134 ANI RODIANAH P PBI (APBD) gastroenteritis of Berobat Jalan
027 15:43
presumed infectious origin

100204011220P000 01-12-2020 Atherosclerotic heart

399 12-01-2020 0001340603504 IDA L PBI (APBD) Rujuk Vertikal
009 09:36 disease
100204011220P000 01-12-2020 Radiculopathy, lumbar
400 12-01-2020 0001340721415 UCU HERNA P PBI (APBD) Rujuk Vertikal
008 09:33 region

100204011220P000 01-12-2020 PENERIMA Essential (primary)

401 12-01-2020 0001370799022 TJAHJA SARJO L Berobat Jalan
025 15:38 PENSIUN SWASTA hypertension

Diarrhoea and
100204011220P000 01-12-2020 PENERIMA
402 12-01-2020 0001370799055 ELLA NURELA P gastroenteritis of Berobat Jalan
019 15:23 PENSIUN SWASTA
presumed infectious origin

100204011220P000 01-12-2020 PEKERJA

403 12-01-2020 0001724081038 LILIS RUKMANAH P Myalgia Berobat Jalan
012 15:02 MANDIRI
100204011220P000 01-12-2020 PEKERJA Acute nasopharyngitis
404 12-01-2020 0001884092163 NANA MAULANA L Berobat Jalan
014 15:07 MANDIRI [common cold]
100204011220P000 01-12-2020
405 12-01-2020 0002068888285 ENIN SUKAESIH P PBI (APBN) Periodontosis Berobat Jalan
013 15:06
Acute upper respiratory
100204011220P000 01-12-2020 PENERIMA
406 12-01-2020 0002136431024 Rukanah P infections of multiple and Berobat Jalan
022 15:27 PENSIUN SWASTA
unspecified sites
100204011220P000 01-12-2020 PEKERJA
407 12-01-2020 0002221793897 IIS SURYATI P Carpal tunnel syndrome Rujuk Vertikal
002 08:32 MANDIRI
100204011220P000 01-12-2020 PEKERJA
408 12-01-2020 0002440239401 FAHRURRAJI L Dental caries Berobat Jalan
017 15:20 MANDIRI
100204011220P000 01-12-2020 MUHAMMAD ZAHID AL PEKERJA
409 12-01-2020 0002440239557 L Dental caries Berobat Jalan
016 15:14 MUZAKI MANDIRI
100204011220P000 01-12-2020
410 12-01-2020 0002481226176 ALVIN ALVENA L - Gastritis, unspecified Berobat Jalan
015 15:09
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Acute upper respiratory

100204011220P000 01-12-2020
411 12-01-2020 0002597172232 ASEP IYEP L - infections of multiple and Berobat Jalan
018 15:22
unspecified sites
100204011220P000 01-12-2020
412 12-01-2020 0002793043945 IKAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
023 15:33
100204011220P000 01-12-2020 Injury of innominate or
413 12-01-2020 0002863481321 RIFQI AUSHILA AFFADHIL L - Rujuk Vertikal
003 08:41 subclavian vein