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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

Atherosclerotic
100204011020Y000 31-10-2020 31-10-2020 PENERIMA
1 0000056664279 DEDI MULYADIHARDJA L cardiovascular disease, so Rujuk Vertikal
471 00:00 10:00 PENSIUN PNS
described
100204011020Y000 31-10-2020 31-10-2020 PENERIMA
2 0000056664281 NELLY NURBAHAYATI P Congestive heart failure Rujuk Vertikal
470 00:00 09:59 PENSIUN PNS
Non-insulin-dependent
100204011020Y000 31-10-2020 31-10-2020
3 0000056665348 IR.SUDRAJAT L PNS PUSAT diabetes mellitus with Rujuk Vertikal Hipertensi
469 00:00 09:36
multiple complications
100204011020Y000 31-10-2020 31-10-2020
4 0000419413138 ELA HAYATI NINGSIH P - Polyarthritis, unspecified Berobat Jalan
483 00:00 12:26
100204011020Y000 31-10-2020 31-10-2020 Essential (primary)
5 0000419477681 RINA WATI P - Berobat Jalan
489 00:00 13:00 hypertension
100204011020Y000 31-10-2020 31-10-2020 Uterovaginal prolapse,
6 0000419870237 SRI NURHAYATI P PBI (APBN) Berobat Jalan
482 00:00 12:22 unspecified
100204011020Y000 31-10-2020 31-10-2020
7 0000419986888 HERPINAH P - Myalgia Berobat Jalan
487 00:00 12:51
100204011020Y000 31-10-2020 31-10-2020 Essential (primary)
8 0000419986991 RENDI AJIS SUPRIATNA L PBI (APBN) Berobat Jalan
484 00:00 12:28 hypertension
100204011020Y000 31-10-2020 31-10-2020 Essential (primary)
9 0001319482811 IRAH SUMIRAH P - Berobat Jalan
486 00:00 12:45 hypertension
100204011020Y000 31-10-2020 31-10-2020 Hebephrenic
10 0001340556658 SUPRIANTO L PBI (APBD) Rujuk Vertikal
465 00:00 08:32 schizophrenia
Non-insulin-dependent
100204011020Y000 31-10-2020 31-10-2020 PEGAWAI
11 0001664933567 DANI HERMAWAN L diabetes mellitus with Rujuk Vertikal
468 00:00 09:33 SWASTA
multiple complications
100204011020Y000 31-10-2020 31-10-2020 Essential (primary)
12 0002773658687 AYAT P PBI (APBN) Berobat Jalan
485 00:00 12:38 hypertension
100204011020Y000 31-10-2020 31-10-2020 PEGAWAI Acute pharyngitis,
13 0002793035193 HENDRIANTO WALUYO L Berobat Jalan
488 00:00 12:59 SWASTA unspecified
100204011020P000 30-10-2020 31-10-2020 Essential (primary)
14 0000055189956 DEDE MARLINA P PNS PUSAT Berobat Jalan
481 00:00 12:20 hypertension
100204011020Y000 30-10-2020 30-10-2020 PENERIMA Atherosclerotic heart
15 0000158630949 ADA L Rujuk Vertikal
454 00:00 08:36 PENSIUN PNS disease
100204011020P000 30-10-2020 31-10-2020 Essential (primary)
16 0000407559734 ANAH P - Berobat Jalan
472 00:00 11:05 hypertension
100204011020P000 30-10-2020 31-10-2020
17 0000407560915 MARLINA P PBI (APBN) Dyspepsia Berobat Jalan
475 00:00 11:28
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 30-10-2020 31-10-2020


18 0000407561286 SEPI P PBI (APBN) Migraine Berobat Jalan
467 00:00 08:56
100204011020P000 30-10-2020 31-10-2020
19 0000418923584 LENI MARYANI P PBI (APBN) Irritant contact dermatitis Berobat Jalan
476 00:00 11:30
Non-insulin-dependent
100204011020P000 30-10-2020 31-10-2020
20 0000419037445 NANIH P - diabetes mellitus with Berobat Jalan
466 00:00 08:54
multiple complications
Tuberculosis of lung,
100204011020P000 30-10-2020 31-10-2020 without mention of Diabetes
21 0000419127309 MANAH RUKMAENI P - Berobat Jalan
477 00:00 11:31 bacteriological or Mellitus
histological confirmation
100204011020Y000 30-10-2020 30-10-2020 Depressive episode,
22 0000419350961 DENI DJUNAEDI L PBI (APBN) Rujuk Vertikal
463 00:00 09:28 unspecified
Observation for other
100204011020P000 30-10-2020 31-10-2020
23 0000419352838 LINA P PBI (APBN) suspected diseases and Berobat Jalan
479 00:00 11:34
conditions
100204011020Y000 30-10-2020 30-10-2020 Diabetes
24 0000419760314 DEDEH P PBI (APBN) Pulpitis Berobat Jalan
455 00:00 08:40 Mellitus
100204011020P000 30-10-2020 31-10-2020
25 0001003867143 OTIH P - Asthma Berobat Jalan
478 00:00 11:33
100204011020Y000 30-10-2020 30-10-2020 PEKERJA
26 0001280948883 RIZKI NURDIANSYAH L Epilepsy, unspecified Rujuk Vertikal
462 00:00 09:24 MANDIRI

Tuberculosis of
100204011020P000 30-10-2020 30-10-2020 intrathoracic lymph nodes,
27 0001340433483 HERI SUMARNA PUTRA L PBI (APBD) Rujuk Vertikal
460 00:00 09:12 confirmed bacteriologically
and histologically

100204011020Y000 30-10-2020 30-10-2020 PEGAWAI Other and unspecified


28 0001430548705 INTAN MULYANI P Rujuk Vertikal
464 00:00 09:32 SWASTA ovarian cysts
100204011020Y000 30-10-2020 30-10-2020 PEKERJA
29 0001472840493 AGEUNG MUHARAM L Multiple sclerosis Rujuk Vertikal
459 00:00 09:02 MANDIRI
100204011020P000 30-10-2020 31-10-2020 PEKERJA Essential (primary)
30 0001472840504 IRMAWATI P Berobat Jalan
474 00:00 11:27 MANDIRI hypertension
100204011020Y000 30-10-2020 30-10-2020 Anxiety disorder,
31 0002328172402 GANDI SURYAWAN L - Rujuk Vertikal
457 00:00 08:47 unspecified
100204011020Y000 30-10-2020 30-10-2020 Hebephrenic
32 0002328172997 GANDA DARMAWAN L PBI (APBN) Rujuk Vertikal
456 00:00 08:45 schizophrenia
100204011020Y000 30-10-2020 30-10-2020 Enlarged lymph nodes,
33 0002500360784 DIK DIK NURJAMAN. L - Rujuk Vertikal
458 00:00 08:58 unspecified
100204011020P000 30-10-2020 31-10-2020 Essential (primary)
34 0002793050684 ACE L PBI (APBN) Berobat Jalan Hipertensi
473 00:00 11:21 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 30-10-2020 31-10-2020


35 0002836960604 SUDADI L PBI (APBN) Hydrocele, unspecified Berobat Jalan
480 00:00 12:16
100204011020Y000 30-10-2020 30-10-2020 PEKERJA Urinary calculus,
36 0002942861051 TEDDY RESPATI L Rujuk Vertikal
461 00:00 09:20 MANDIRI unspecified
100204011020Y000 27-10-2020 27-10-2020
37 0000148900195 NENI ROHAENI SARI P PNS DAERAH Necrosis of pulp Berobat Jalan
437 00:00 10:29
100204011020Y000 27-10-2020 27-10-2020 SABRINA SALMA Disturbances in tooth
38 0000167819826 P PNS DAERAH Berobat Jalan
436 00:00 10:26 RAUDATUL JANNAH eruption
100204011020Y000 27-10-2020 27-10-2020
39 0000419214058 DEDEH ROSMETA P - Gastritis, unspecified Berobat Jalan
443 00:00 11:52
100204011020Y000 27-10-2020 27-10-2020 Essential (primary) Diabetes
40 0000419288141 SITI WAINAH P PBI (APBN) Berobat Jalan
444 00:00 11:54 hypertension Mellitus
100204011020Y000 27-10-2020 27-10-2020 Acute pharyngitis,
41 0000419774747 ADTYA FEBRIANSYAH L PBI (APBN) Berobat Jalan
452 00:00 13:44 unspecified
100204011020Y000 27-10-2020 27-10-2020 Essential (primary)
42 0000420070893 AI RUSMIATI P - Berobat Jalan Hipertensi
453 00:00 13:47 hypertension
100204011020P000 27-10-2020 27-10-2020
43 0000420110019 EUIS P - Chronic kidney disease Rujuk Vertikal Hipertensi
435 00:00 09:01
100204011020Y000 27-10-2020 27-10-2020 Open wound of lower limb,
44 0001003863644 ADI PURNOMO L PBI (APBN) Berobat Jalan
440 00:00 11:44 level unspecified
100204011020Y000 27-10-2020 27-10-2020 Essential (primary)
45 0001003864871 SAMINI P PBI (APBN) Berobat Jalan Hipertensi
448 00:00 12:10 hypertension

Diarrhoea and
100204011020Y000 27-10-2020 27-10-2020
46 0001003905033 ICEU EKASARI P - gastroenteritis of Berobat Jalan
439 00:00 11:41
presumed infectious origin

Sequelae of stroke, not


100204011020Y000 27-10-2020 27-10-2020 Diabetes
47 0001003906269 NANA SUJANA L PBI (APBN) specified as haemorrhage Berobat Jalan
450 00:00 12:29 Mellitus
or infarction
100204011020Y000 27-10-2020 27-10-2020 Essential (primary)
48 0001089362092 ESIH PATIMAH P PBI (APBN) Berobat Jalan
441 00:00 11:46 hypertension
100204011020Y000 27-10-2020 27-10-2020 PEKERJA
49 0001308722139 HENDRA NEGARA L Hyperplasia of prostate Rujuk Vertikal
433 00:00 08:55 MANDIRI
Non-insulin-dependent
100204011020Y000 27-10-2020 27-10-2020 Diabetes
50 0001340433382 UJANG TAHYA L - diabetes mellitus without Berobat Jalan
445 00:00 11:59 Mellitus
complications
100204011020Y000 27-10-2020 27-10-2020 Migraine with aura
51 0001340699128 SALSA AULIYA. J P PBI (APBD) Berobat Jalan
442 00:00 11:49 [classical migraine]
100204011020P000 27-10-2020 27-10-2020 PEKERJA
52 0001461807358 LINDA WATI P Epilepsy Rujuk Vertikal
432 00:00 08:54 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 27-10-2020 27-10-2020 PEGAWAI Essential (primary)


53 0001668970697 KARTINI P Berobat Jalan
447 00:00 12:06 SWASTA hypertension
100204011020Y000 27-10-2020 27-10-2020 PEKERJA
54 0001724081038 LILIS RUKMANAH P Carpal tunnel syndrome Berobat Jalan
449 00:00 12:12 MANDIRI
100204011020Y000 27-10-2020 27-10-2020 PEKERJA
55 0001733671517 ODE DEDI L Residual schizophrenia Rujuk Vertikal
434 00:00 08:58 MANDIRI
100204011020Y000 27-10-2020 27-10-2020 Other nonspecific
56 0002500360784 DIK DIK NURJAMAN. L - Berobat Jalan
446 00:00 12:04 lymphadenitis
100204011020Y000 27-10-2020 27-10-2020 Observation for suspected
57 0002793038771 CUCU MAEMUNAH P PBI (APBN) Berobat Jalan
451 00:00 12:33 tuberculosis
Non-insulin-dependent
100204011020Y000 27-10-2020 27-10-2020 PEKERJA
58 0002911992704 ADE ROHAENI P diabetes mellitus without Berobat Jalan Hipertensi
438 00:00 11:33 MANDIRI
complications
100204011020P000 26-10-2020 26-10-2020 PENERIMA
59 0000053379876 SUKISNO RAHARDJO L Congestive heart failure Rujuk Vertikal
410 00:00 08:51 PENSIUN TNI
100204011020P000 26-10-2020 26-10-2020
60 0000418580223 TATI ROHAETI P PBI (APBN) Dyspepsia Rujuk Vertikal
413 00:00 09:10
100204011020P000 26-10-2020 26-10-2020 Pleural effusion, not
61 0000418628597 YOGA RAHMANSYAH L PBI (APBN) Rujuk Vertikal
412 00:00 08:53 elsewhere classified
100204011020Y000 26-10-2020 26-10-2020
62 0000418913572 SAHWI ALYANI L PBI (APBN) Congestive heart failure Rujuk Vertikal
407 00:00 08:41
100204011020P000 26-10-2020 26-10-2020
63 0000418914437 MIMIN RUKMINI P - Asthma Rujuk Vertikal Hipertensi
408 00:00 08:47
100204011020Y000 26-10-2020 26-10-2020
64 0000419105035 DERI SUTRESNA L - Pulpitis Rujuk Vertikal
414 00:00 09:25
Non-insulin-dependent
100204011020P000 26-10-2020 26-10-2020
65 0000419225376 MEI PRIHARTINI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
409 00:00 08:49
multiple complications
100204011020P000 26-10-2020 26-10-2020
66 0000419230787 ELYA P - Pulpitis Rujuk Vertikal
417 00:00 09:35
100204011020Y000 26-10-2020 26-10-2020 Antenatal screening,
67 0000419249957 LIA MARLIANA P PBI (APBN) Berobat Jalan
431 00:00 17:41 unspecified
100204011020P000 26-10-2020 26-10-2020
68 0000419433941 DEDE P PBI (APBN) Congestive heart failure Rujuk Vertikal
419 00:00 09:41
100204011020Y000 26-10-2020 26-10-2020
69 0000419639152 YUS MANIAR P PBI (APBN) Pulpitis Berobat Jalan
422 00:00 09:57
100204011020P000 26-10-2020 26-10-2020
70 0000419685074 ESIH YUNINGSIH P PBI (APBN) Congestive heart failure Rujuk Vertikal
418 00:00 09:39
100204011020Y000 26-10-2020 26-10-2020
71 0000419731749 MISPONDARI P PBI (APBN) Scabies Berobat Jalan
425 00:00 17:14
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 26-10-2020 26-10-2020 Essential (primary)


72 0000419986991 RENDI AJIS SUPRIATNA L PBI (APBN) Berobat Jalan
426 00:00 17:25 hypertension
100204011020Y000 26-10-2020 26-10-2020 Bipolar affective disorder,
73 0000420071973 ASEP HAMZAH L PBI (APBN) Rujuk Vertikal
415 00:00 09:27 unspecified
Non-insulin-dependent
100204011020Y000 26-10-2020 26-10-2020 Diabetes
74 0000420224488 ERI KHOERIAH P PBI (APBN) diabetes mellitus with Berobat Jalan
429 00:00 17:31 Mellitus
multiple complications
Tuberculosis of lung,
100204011020P000 26-10-2020 26-10-2020 without mention of
75 0000420296927 DADANG HERMAWAN L PBI (APBN) Rujuk Vertikal
416 00:00 09:34 bacteriological or
histological confirmation
Non-insulin-dependent
100204011020Y000 26-10-2020 26-10-2020 Diabetes
76 0001003906269 NANA SUJANA L PBI (APBN) diabetes mellitus with Berobat Jalan
427 00:00 17:28 Mellitus
multiple complications
Cutaneous abscess,
100204011020Y000 26-10-2020 26-10-2020
77 0001003906304 AGUS SAEPUDIN L PBI (APBN) furuncle and carbuncle, Berobat Jalan
428 00:00 17:29
unspecified
100204011020Y000 26-10-2020 26-10-2020
78 0001089390701 NAIMAH P PBI (APBN) Pulpitis Berobat Jalan
420 00:00 09:44
Non-insulin-dependent
100204011020Y000 26-10-2020 26-10-2020
79 0001340964202 ICIM L PBI (APBD) diabetes mellitus with Berobat Jalan
423 00:00 16:56
multiple complications
100204011020Y000 26-10-2020 26-10-2020 PEGAWAI
80 0001777993198 MUHAMAD PARSIMAN L Chronic periodontitis Berobat Jalan
421 00:00 09:50 SWASTA
100204011020P000 26-10-2020 26-10-2020
81 0002469043247 USA L PBI (APBN) Congestive heart failure Rujuk Vertikal
411 00:00 08:52
100204011020Y000 26-10-2020 26-10-2020 Impetigo [any organism]
82 0002836960413 NUGRAHA SEPTIADI L PBI (APBN) Berobat Jalan
430 00:00 17:37 [any site]
100204011020P000 26-10-2020 26-10-2020 PEKERJA
83 0002942861051 TEDDY RESPATI L Hypotension Berobat Jalan
424 00:00 17:01 MANDIRI
100204011020Y000 24-10-2020 24-10-2020 ROHANA SUPRIATNA PENERIMA
84 0000053256317 L Hyperplasia of prostate Rujuk Vertikal
392 00:00 08:37 KUSUMAH PENSIUN TNI
Diabetes
100204011020Y000 24-10-2020 24-10-2020 PENERIMA Essential (primary)
85 0000053378728 IMAM TOYIBUN L Berobat Jalan Mellitus
400 00:00 13:31 PENSIUN TNI hypertension
Hipertensi
100204011020Y000 24-10-2020 24-10-2020 PENERIMA Essential (primary)
86 0000053378739 AMINAH P Berobat Jalan Hipertensi
399 00:00 12:19 PENSIUN TNI hypertension
100204011020Y000 24-10-2020 24-10-2020 Periapical abscess with
87 0000056059694 UDANG L PNS DAERAH Berobat Jalan
393 00:00 08:40 sinus
100204011020Y000 24-10-2020 24-10-2020 Pure
88 0000418640668 UTIS SUTISNA L - Berobat Jalan Hipertensi
401 00:00 13:33 hypercholesterolaemia
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 24-10-2020 24-10-2020 Radiculopathy, lumbar


89 0000419634101 ANI SYAFRIANI P - Rujuk Vertikal
391 00:00 08:30 region
100204011020Y000 24-10-2020 24-10-2020
90 0000419757759 CUCU SAMSUDIN L PBI (APBN) Residual schizophrenia Rujuk Vertikal
394 00:00 08:52
100204011020Y000 24-10-2020 24-10-2020 Essential (primary)
91 0000420030472 RATNAH P PBI (APBN) Berobat Jalan Hipertensi
404 00:00 13:50 hypertension
100204011020Y000 24-10-2020 24-10-2020 Essential (primary)
92 0001003867176 NINING SARININGSIH P PBI (APBN) Berobat Jalan Hipertensi
398 00:00 12:17 hypertension
100204011020Y000 24-10-2020 24-10-2020 SLAMET WANTO Bipolar affective disorder,
93 0001340393501 L PBI (APBD) Rujuk Vertikal
395 00:00 08:57 NUGRAHA unspecified
100204011020Y000 24-10-2020 24-10-2020 PEKERJA Essential (primary)
94 0001459051751 HADI PRAWIRA L Berobat Jalan Hipertensi
402 00:00 13:38 MANDIRI hypertension
100204011020Y000 24-10-2020 24-10-2020 Disorder of urinary system,
95 0001469669793 CAENUR HASANAH P - Berobat Jalan
396 00:00 12:11 unspecified
100204011020Y000 24-10-2020 24-10-2020 PEKERJA Essential (primary)
96 0001718873987 NINIH RUKMINI P Berobat Jalan Hipertensi
405 00:00 13:51 MANDIRI hypertension
100204011020Y000 24-10-2020 24-10-2020 Essential (primary)
97 0001892999046 MIMIN P PNS DAERAH Berobat Jalan Hipertensi
397 00:00 12:14 hypertension
100204011020Y000 24-10-2020 24-10-2020
98 0002863481332 SURYADI L PBI (APBN) Tension-type headache Berobat Jalan
403 00:00 13:49
Non-insulin-dependent
100204011020P000 23-10-2020 23-10-2020 Diabetes
99 0000040127231 MARYONO L - diabetes mellitus with Berobat Jalan
387 00:00 16:06 Mellitus
multiple complications
100204011020Y000 23-10-2020 23-10-2020 PENERIMA
100 0000056728629 SABILAL RASYAD L Hyperplasia of prostate Rujuk Vertikal
361 00:00 08:58 PENSIUN PNS
Tuberculosis of lung,
100204011020P000 23-10-2020 23-10-2020 without mention of
101 0000418616144 M.H RIZKI L PBI (APBN) Rujuk Vertikal
359 00:00 08:57 bacteriological or
histological confirmation
100204011020P000 23-10-2020 23-10-2020 Tinea barbae and tinea
102 0000419233735 SALMA NUR FADIYAH P - Berobat Jalan
389 00:00 16:08 capitis
100204011020P000 23-10-2020 23-10-2020
103 0000419685074 ESIH YUNINGSIH P PBI (APBN) Congestive heart failure Berobat Jalan
388 00:00 16:07
100204011020Y000 23-10-2020 23-10-2020
104 0000419896607 IYEP CAHYANA L PBI (APBN) Pulpitis Berobat Jalan
360 00:00 08:58
100204011020Y000 23-10-2020 23-10-2020 Neurotic disorder,
105 0000420374676 RONI ROHENDI L PBI (APBN) Rujuk Vertikal
363 00:00 09:40 unspecified
100204011020Y000 23-10-2020 23-10-2020 PEGAWAI
106 0001777993198 MUHAMAD PARSIMAN L Chronic periodontitis Berobat Jalan
358 00:00 08:52 SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 23-10-2020 23-10-2020 PEKERJA Essential (primary)


107 0002081268628 EDIH JUNAEDI L Berobat Jalan Hipertensi
386 00:00 16:05 MANDIRI hypertension
100204011020P000 23-10-2020 23-10-2020 Fever of other and
108 0002251255511 SALSA FAUZIYAH P - Berobat Jalan
390 00:00 16:09 unknown origin
100204011020Y000 23-10-2020 23-10-2020
109 0002453634369 SILVIA ASTIANI P PBI (APBN) Thalassaemia, unspecified Rujuk Vertikal
362 00:00 09:02
Observation for other
100204011020Y000 23-10-2020 23-10-2020
110 0002742955097 ISUM SUMIATI P - suspected diseases and Rujuk Vertikal
357 00:00 08:27
conditions
100204011020P000 22-10-2020 23-10-2020
111 0000418629688 SUSILAWATI P PBI (APBN) Antenatal screening Berobat Jalan
373 00:00 15:25
Acute upper respiratory
100204011020P000 22-10-2020 23-10-2020
112 0000419520003 ISA ANSORI L PBI (APBN) infections of multiple and Berobat Jalan
367 00:00 15:17
unspecified sites
Non-insulin-dependent
100204011020P000 22-10-2020 23-10-2020 Diabetes
113 0000419980961 ELAH ROMLAH P PBI (APBN) diabetes mellitus with Berobat Jalan
366 00:00 15:08 Mellitus
multiple complications
100204011020P000 22-10-2020 23-10-2020
114 0000420065471 LILIS P - Pulpitis Berobat Jalan
370 00:00 15:20
100204011020P000 22-10-2020 23-10-2020 Essential (primary)
115 0001003862272 OLIH ODIK L - Berobat Jalan Hipertensi
368 00:00 15:18 hypertension
100204011020P000 22-10-2020 23-10-2020
116 0001003903852 ELIS KARNELIS P - Counselling, unspecified Berobat Jalan
369 00:00 15:19
Acute upper respiratory
100204011020P000 22-10-2020 23-10-2020
117 0001340597665 APON SURYATI P PBI (APBD) infections of multiple and Berobat Jalan
364 00:00 15:04
unspecified sites
100204011020P000 22-10-2020 22-10-2020 Bronchitis, not specified as
118 0001340902113 IMAS SUSILAWATI P PBI (APBD) Rujuk Vertikal
355 00:00 09:11 acute or chronic
Systemic lupus
100204011020P000 22-10-2020 22-10-2020 PEKERJA
119 0001463023269 RHUSNI LATHIFAH P erythematosus, Rujuk Vertikal
356 00:00 09:42 MANDIRI
unspecified
100204011020P000 22-10-2020 22-10-2020 Peptic ulcer, acute with
120 0002082422575 TIN MARTINI P - Rujuk Vertikal
354 00:00 08:31 haemorrhage
100204011020P000 22-10-2020 23-10-2020 MUHAMMAD KHAIRUL PEKERJA
121 0002277287133 L Zoster [herpes zoster] Berobat Jalan
365 00:00 15:06 AZAM MANDIRI
100204011020P000 22-10-2020 23-10-2020 PEKERJA
122 0002874055601 LILIS SOPIAH P Antenatal screening Berobat Jalan
371 00:00 15:21 MANDIRI

Diarrhoea and
100204011020P000 22-10-2020 23-10-2020
123 0002896442526 NAHLA KHAIRIN ALIFYANI P PBI (APBN) gastroenteritis of Berobat Jalan
372 00:00 15:24
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 21-10-2020 21-10-2020 PENERIMA


124 0000053715655 HARIJADI L Hyperplasia of prostate Rujuk Vertikal
351 00:00 09:43 PENSIUN PNS
100204011020P000 21-10-2020 21-10-2020 Contraceptive
125 0000418845947 FITRI NURJANAH P PBI (APBN) Berobat Jalan
352 00:00 09:49 management
100204011020P000 21-10-2020 21-10-2020 Contraceptive
126 0000418862103 SURATIYAH P PBI (APBN) Berobat Jalan
349 00:00 09:34 management
100204011020P000 21-10-2020 23-10-2020 Essential (primary)
127 0000419459725 SUNARSIH P - Berobat Jalan
376 00:00 15:38 hypertension
100204011020P000 21-10-2020 23-10-2020 Essential (primary)
128 0000419460028 ENOK HASANAH P - Berobat Jalan
377 00:00 15:39 hypertension
100204011020P000 21-10-2020 23-10-2020
129 0000419477681 RINA WATI P - Other peripheral vertigo Berobat Jalan
375 00:00 15:37
100204011020P000 21-10-2020 21-10-2020
130 0000419761517 SURYANA L - Residual schizophrenia Rujuk Vertikal
345 00:00 08:47
100204011020P000 21-10-2020 23-10-2020 Essential (primary) Diabetes
131 0000420224488 ERI KHOERIAH P PBI (APBN) Berobat Jalan
384 00:00 15:47 hypertension Mellitus
100204011020P000 21-10-2020 23-10-2020 Essential (primary)
132 0000420238899 IHAT P PBI (APBN) Berobat Jalan Hipertensi
382 00:00 15:45 hypertension
100204011020P000 21-10-2020 21-10-2020 Contraceptive
133 0001003862395 MIRANTIKA P - Berobat Jalan
346 00:00 09:01 management
100204011020P000 21-10-2020 23-10-2020 Essential (primary)
134 0001003863341 LILIS SUMARNI P PBI (APBN) Berobat Jalan Hipertensi
374 00:00 15:36 hypertension
Acute upper respiratory
100204011020P000 21-10-2020 23-10-2020
135 0001003904886 DAVID RIFANDI L - infections of multiple and Berobat Jalan
379 00:00 15:42
unspecified sites
100204011020P000 21-10-2020 23-10-2020
136 0001003904897 SOPYANTI P PBI (APBN) Dermatophytosis Berobat Jalan
380 00:00 15:43
100204011020P000 21-10-2020 21-10-2020 Contraceptive
137 0001340555668 NINA RISNAWATI P PBI (APBD) Berobat Jalan
353 00:00 10:06 management
100204011020P000 21-10-2020 21-10-2020 Contraceptive
138 0001340555782 MAESAROH P - Berobat Jalan
350 00:00 09:39 management
100204011020P000 21-10-2020 23-10-2020 PEKERJA Essential (primary)
139 0001720109226 DEDEH SUHANAH P Berobat Jalan Hipertensi
383 00:00 15:46 MANDIRI hypertension

Human immunodeficiency
100204011020P000 21-10-2020 21-10-2020 virus [HIV] disease
140 0002596525683 NOVIA RAHMAWATI P PBI (APBN) Rujuk Vertikal
344 00:00 08:46 resulting in infectious and
parasitic diseases

100204011020P000 21-10-2020 23-10-2020 Essential (primary)


141 0002793038613 INA MARIYANA P PBI (APBN) Berobat Jalan
378 00:00 15:40 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 21-10-2020 23-10-2020


142 0002869376196 AAT SOLIHAT P PBI (APBN) Dyspepsia Berobat Jalan
381 00:00 15:44
100204011020P000 21-10-2020 21-10-2020 PEKERJA
143 0002874438887 IQBAL SUNAN L Other hydrocephalus Rujuk Vertikal
347 00:00 09:19 MANDIRI
100204011020P000 21-10-2020 23-10-2020 PEKERJA
144 0002874438887 IQBAL SUNAN L Hydrocephalus Berobat Jalan
385 00:00 15:48 MANDIRI
100204011020P000 21-10-2020 21-10-2020 PEKERJA Contraceptive
145 0002922350769 PANI ROSMAWATI P Berobat Jalan
348 00:00 09:30 MANDIRI management
100204011020Y000 20-10-2020 20-10-2020
146 0000418510901 HADI CAHYANTO L PBI (APBN) Scabies Berobat Jalan
334 00:00 12:58
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
147 0000418513443 DEDE MINTARSIH P - Berobat Jalan Hipertensi
328 00:00 12:49 hypertension
100204011020Y000 20-10-2020 20-10-2020 Acute nasopharyngitis
148 0000418672449 MIMIN MINTARSIH P - Berobat Jalan
324 00:00 12:18 [common cold]
100204011020Y000 20-10-2020 20-10-2020 Dysmenorrhoea,
149 0000418674284 NURYATI P - Berobat Jalan
341 00:00 13:09 unspecified
100204011020Y000 20-10-2020 20-10-2020
150 0000418728655 EDAH P PBI (APBN) Congestive heart failure Berobat Jalan
331 00:00 12:53
100204011020Y000 20-10-2020 20-10-2020
151 0000418892128 SURYANA L - Gastritis, unspecified Berobat Jalan
339 00:00 13:04
100204011020Y000 20-10-2020 20-10-2020
152 0000419061352 IIS NURHAYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
330 00:00 12:52
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
153 0000419065694 HERMAN L PBI (APBN) Berobat Jalan
319 00:00 11:59 hypertension
100204011020Y000 20-10-2020 20-10-2020
154 0000419380593 KURNIASIH P - Dyspepsia Berobat Jalan Hipertensi
342 00:00 13:11
100204011020Y000 20-10-2020 20-10-2020
155 0000419433941 DEDE P PBI (APBN) Congestive heart failure Berobat Jalan
343 00:00 14:20
Non-insulin-dependent
100204011020Y000 20-10-2020 20-10-2020 Diabetes
156 0000419439881 UU JUESIH P PBI (APBN) diabetes mellitus without Berobat Jalan
320 00:00 12:02 Mellitus
complications
100204011020Y000 20-10-2020 20-10-2020 Acute upper respiratory
157 0000419536012 SEDI SETIAWAN L - Berobat Jalan
336 00:00 13:00 infection, unspecified
Cutaneous abscess,
100204011020Y000 20-10-2020 20-10-2020
158 0000419536743 NURHAYATI P PBI (APBN) furuncle and carbuncle of Berobat Jalan
333 00:00 12:56
other sites
Tuberculosis of lung,
100204011020Y000 20-10-2020 20-10-2020 confirmed by sputum
159 0000419747905 RANGGA A L PBI (APBN) Berobat Jalan
329 00:00 12:50 microscopy with or without
culture
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 20-10-2020 20-10-2020 Diabetes


160 0000419760314 DEDEH P PBI (APBN) Pulpitis Berobat Jalan
315 00:00 08:43 Mellitus
100204011020Y000 20-10-2020 20-10-2020
161 0000419984493 NINING WIDA P PBI (APBN) Myalgia Berobat Jalan
337 00:00 13:01
100204011020Y000 20-10-2020 20-10-2020
162 0001003900961 WINE PRATIWI L - Missed abortion Rujuk Vertikal
317 00:00 10:40
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
163 0001089392692 NENAH P - Berobat Jalan Hipertensi
322 00:00 12:10 hypertension
100204011020P000 20-10-2020 20-10-2020 Pre-eclampsia,
164 0001109123943 TRY HARDIANTI P - Rujuk Vertikal
316 00:00 10:23 unspecified
100204011020Y000 20-10-2020 20-10-2020 Pure
165 0001341084947 SUKAESIH P PBI (APBD) Berobat Jalan Hipertensi
332 00:00 12:54 hypercholesterolaemia
100204011020Y000 20-10-2020 20-10-2020 PEKERJA Essential (primary)
166 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
323 00:00 12:12 MANDIRI hypertension
100204011020Y000 20-10-2020 20-10-2020 ELLEN ROSAWITA PEKERJA Malignant neoplasm of
167 0002378419097 P Rujuk Vertikal
314 00:00 08:31 TUNGGONO MANDIRI vulva, unspecified
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
168 0002378890203 ENENG IRIYANTI P - Berobat Jalan Hipertensi
340 00:00 13:08 hypertension
Tuberculosis of lung,
100204011020Y000 20-10-2020 20-10-2020 confirmed by sputum
169 0002592369887 AYI KURNIA L PBI (APBN) Berobat Jalan
327 00:00 12:47 microscopy with or without
culture
100204011020Y000 20-10-2020 20-10-2020 Acute upper respiratory
170 0002595354186 HANIFA NURMAYANTI P PBI (APBN) Berobat Jalan
318 00:00 11:46 infection, unspecified
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
171 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
338 00:00 13:02 hypertension
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
172 0002793033832 ENDA P - Berobat Jalan
325 00:00 12:24 hypertension
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
173 0002793042371 NENGSIH P - Berobat Jalan Hipertensi
321 00:00 12:07 hypertension
100204011020Y000 20-10-2020 20-10-2020 Essential (primary)
174 0002793043822 DEDEH MASRIAH P PBI (APBN) Berobat Jalan
326 00:00 12:34 hypertension
100204011020Y000 20-10-2020 20-10-2020
175 0002863483165 M. SALMAN SHIFA L PBI (APBN) Gastritis, unspecified Berobat Jalan
335 00:00 12:59
100204011020Y000 19-10-2020 19-10-2020 Malignant neoplasm of
176 0000057783508 TITIEN KARTINI P - Rujuk Vertikal
293 00:00 09:03 breast, unspecified
100204011020Y000 19-10-2020 19-10-2020 Essential (primary)
177 0000418615119 EUIS EHA P PBI (APBN) Berobat Jalan
305 00:00 11:28 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Cutaneous abscess,
100204011020Y000 19-10-2020 19-10-2020
178 0000418681743 OMAN ROCHMAN L PBI (APBN) furuncle and carbuncle, Berobat Jalan
299 00:00 11:00
unspecified
100204011020Y000 19-10-2020 19-10-2020
179 0000418682428 NURHAYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
309 00:00 11:49
100204011020Y000 19-10-2020 19-10-2020 Acute pharyngitis,
180 0000419414051 ASEP SAEPULLOH L PBI (APBN) Berobat Jalan
310 00:00 11:51 unspecified
100204011020Y000 19-10-2020 19-10-2020
181 0000419680113 OTING ROHATI P PBI (APBN) Congestive heart failure Rujuk Vertikal Hipertensi
298 00:00 10:41
100204011020Y000 19-10-2020 19-10-2020
182 0000419753485 DEDI SUARSA L PBI (APBN) Myalgia Berobat Jalan
308 00:00 11:47
100204011020Y000 19-10-2020 19-10-2020 Essential (primary)
183 0000419786368 ELI P PBI (APBN) Berobat Jalan
306 00:00 11:34 hypertension
100204011020Y000 19-10-2020 19-10-2020
184 0000420065471 LILIS P - Pulpitis Berobat Jalan
296 00:00 10:27
Non-insulin-dependent Diabetes
100204011020Y000 19-10-2020 19-10-2020
185 0001003865319 SRI ATUN P PBI (APBN) diabetes mellitus with Rujuk Vertikal Mellitus Hipertensi
295 00:00 10:27
multiple complications Hipertensi
Atherosclerotic
100204011020Y000 19-10-2020 19-10-2020
186 0001003903301 DANI SUDRAJAT L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
294 00:00 09:49
described
100204011020Y000 19-10-2020 19-10-2020 PEKERJA
187 0001328600237 DEWI ROKAESIH P Residual schizophrenia Berobat Jalan
301 00:00 11:14 MANDIRI
Non-insulin-dependent
100204011020Y000 19-10-2020 19-10-2020 PEKERJA
188 0001337269329 ANI SADIAH P diabetes mellitus with Berobat Jalan
300 00:00 11:11 MANDIRI
multiple complications
100204011020Y000 19-10-2020 19-10-2020 Antenatal screening,
189 0001340700254 RISNA TRESNAWATI P PBI (APBD) Berobat Jalan
312 00:00 12:25 unspecified
Tuberculosis of lung,
100204011020Y000 19-10-2020 19-10-2020 without mention of
190 0001340721415 UCU HERNA P PBI (APBD) Berobat Jalan
313 00:00 13:09 bacteriological or
histological confirmation
100204011020Y000 19-10-2020 19-10-2020
191 0001340902686 YAYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
303 00:00 11:23
100204011020Y000 19-10-2020 19-10-2020 PEKERJA Essential (primary)
192 0001472840504 IRMAWATI P Berobat Jalan
307 00:00 11:43 MANDIRI hypertension
Non-insulin-dependent
100204011020Y000 19-10-2020 19-10-2020 PEKERJA
193 0001961069242 maryam P diabetes mellitus with Berobat Jalan
304 00:00 11:25 MANDIRI
multiple complications
100204011020Y000 19-10-2020 19-10-2020
194 0002793035586 ASEP VIKRI SETIADI L PBI (APBN) Keloid scar Rujuk Vertikal
297 00:00 10:35
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 19-10-2020 19-10-2020 Acute pharyngitis,


195 0002836960211 LIAH MASLIAH P PBI (APBN) Berobat Jalan
302 00:00 11:15 unspecified
100204011020Y000 19-10-2020 19-10-2020 Pre-eclampsia,
196 0002863477574 ELIS JUARIAH P - Rujuk Vertikal
311 00:00 12:01 unspecified
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
197 0000417769086 SRI. N. ARYANTI P - Berobat Jalan
284 00:00 18:30 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
198 0000418551884 NUR ASIAH P PBI (APBN) Berobat Jalan
273 00:00 17:45 hypertension
Chronic obstructive
100204011020Y000 17-10-2020 17-10-2020
199 0000418640668 UTIS SUTISNA L - pulmonary disease, Berobat Jalan Hipertensi
288 00:00 18:39
unspecified
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
200 0000418651942 NUNUNG SITI HASAROH P PBI (APBN) Berobat Jalan
270 00:00 17:37 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
201 0000418845339 ELIS SUMIATI P PBI (APBN) Berobat Jalan Hipertensi
275 00:00 17:57 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
202 0000419035015 KARSIWEN P PBI (APBN) Berobat Jalan Hipertensi
276 00:00 17:58 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary) Diabetes
203 0000419126769 SUPARTI P - Berobat Jalan
277 00:00 17:59 hypertension Mellitus
100204011020Y000 17-10-2020 17-10-2020 Dermatophytosis,
204 0000419413138 ELA HAYATI NINGSIH P - Berobat Jalan
285 00:00 18:33 unspecified
100204011020Y000 17-10-2020 17-10-2020 Acute pharyngitis,
205 0000419414051 ASEP SAEPULLOH L PBI (APBN) Berobat Jalan
286 00:00 18:34 unspecified
Non-insulin-dependent
100204011020Y000 17-10-2020 17-10-2020 Diabetes Diabetes
206 0000419532783 IIS ROHAETI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
264 00:00 09:13 Mellitus Mellitus
multiple complications
100204011020Y000 17-10-2020 17-10-2020 Dysmenorrhoea,
207 0000419781374 INA NURJANAH P PBI (APBN) Berobat Jalan
287 00:00 18:36 unspecified
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
208 0000419793478 ACA RISYANA L PBI (APBN) Berobat Jalan Hipertensi
279 00:00 18:03 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
209 0000419800533 ANAH P - Berobat Jalan Hipertensi
265 00:00 17:29 hypertension
100204011020Y000 17-10-2020 17-10-2020
210 0000419837286 RATI WAHYUNINGSIH P PBI (APBN) Myalgia Berobat Jalan
281 00:00 18:22
100204011020Y000 17-10-2020 17-10-2020
211 0000419915103 ANIH ROHAENIH P PBI (APBN) Pulpitis Rujuk Vertikal
262 00:00 08:40
100204011020Y000 17-10-2020 17-10-2020 Chronic serous otitis
212 0000420407109 DEDI L PBI (APBN) Rujuk Vertikal
263 00:00 08:44 media
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
213 0001003862272 OLIH ODIK L - Berobat Jalan Hipertensi
278 00:00 18:01 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 17-10-2020 17-10-2020 Essential (primary)


214 0001003863341 LILIS SUMARNI P PBI (APBN) Berobat Jalan Hipertensi
269 00:00 17:36 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
215 0001089372519 TITA FATIMAH P - Berobat Jalan Hipertensi
266 00:00 17:30 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
216 0001089392692 NENAH P - Berobat Jalan Hipertensi
272 00:00 17:43 hypertension
Non-insulin-dependent
100204011020Y000 17-10-2020 17-10-2020 PEKERJA Diabetes
217 0001180660847 BARNI P diabetes mellitus with Berobat Jalan
290 00:00 18:42 MANDIRI Mellitus
multiple complications
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
218 0001340433775 MARYATI L PBI (APBN) Berobat Jalan Hipertensi
292 00:00 18:47 hypertension
100204011020Y000 17-10-2020 17-10-2020
219 0001340598251 TUSINI P PBI (APBD) Congestive heart failure Berobat Jalan Hipertensi
280 00:00 18:18
100204011020Y000 17-10-2020 17-10-2020 Observation for suspected
220 0001340721415 UCU HERNA P PBI (APBD) Berobat Jalan
291 00:00 18:44 tuberculosis
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
221 0001340797882 OYOH P PBI (APBN) Berobat Jalan Hipertensi
274 00:00 17:55 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
222 0001341084947 SUKAESIH P PBI (APBD) Berobat Jalan Hipertensi
271 00:00 17:41 hypertension

100204011020Y000 17-10-2020 17-10-2020 AKMAL FIRDAUS AL Hordeolum and other deep


223 0001663220171 L - Berobat Jalan
282 00:00 18:25 GHAZAL inflammation of eyelid

100204011020Y000 17-10-2020 17-10-2020 PEKERJA Essential (primary)


224 0001798652889 TETE SAPNI P Berobat Jalan Hipertensi
289 00:00 18:40 MANDIRI hypertension
100204011020Y000 17-10-2020 17-10-2020 PEKERJA
225 0001854198808 BAMBANG ISMANTO L Impacted cerumen Berobat Jalan
283 00:00 18:27 MANDIRI
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
226 0002793042371 NENGSIH P - Berobat Jalan Hipertensi
267 00:00 17:32 hypertension
100204011020Y000 17-10-2020 17-10-2020 Essential (primary)
227 0002793044485 LILIS JUMARSIH P - Berobat Jalan Hipertensi
268 00:00 17:34 hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
228 0000053377727 DEDEH P - Berobat Jalan Hipertensi
253 00:00 12:50 hypertension
100204011020P000 16-10-2020 24-10-2020 PENERIMA Essential (primary)
229 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
406 00:00 16:12 PENSIUN TNI hypertension
Diabetes
100204011020Y000 16-10-2020 16-10-2020 PENERIMA Essential (primary)
230 0000053378728 IMAM TOYIBUN L Berobat Jalan Mellitus
251 00:00 12:43 PENSIUN TNI hypertension
Hipertensi
100204011020Y000 16-10-2020 16-10-2020 PENERIMA Essential (primary)
231 0000053378739 AMINAH P Berobat Jalan Hipertensi
249 00:00 12:34 PENSIUN TNI hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 16-10-2020 16-10-2020 PENERIMA Essential (primary)


232 0000057121839 HASANAH P Berobat Jalan Hipertensi
252 00:00 12:44 PENSIUN PNS hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
233 0000418597569 SUMADI L PBI (APBN) Berobat Jalan Hipertensi
261 00:00 15:18 hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
234 0000418608101 EEN SUMIATI P - Berobat Jalan
245 00:00 12:27 hypertension
100204011020Y000 16-10-2020 16-10-2020
235 0000418672449 MIMIN MINTARSIH P - Gastritis, unspecified Berobat Jalan
250 00:00 12:37
100204011020Y000 16-10-2020 16-10-2020
236 0000418727946 ENO L - Chronic periodontitis Berobat Jalan
236 00:00 09:54
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
237 0000418736417 MISNAH P PBI (APBN) Berobat Jalan
259 00:00 13:03 hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
238 0000418892387 LILIS SUGIARTINI P PBI (APBN) Berobat Jalan
247 00:00 12:31 hypertension
Non-insulin-dependent
100204011020P000 16-10-2020 16-10-2020
239 0000418952316 SAWAL HADI. S L PBI (APBN) diabetes mellitus with Rujuk Vertikal
229 00:00 08:32
unspecified complications
100204011020Y000 16-10-2020 16-10-2020 Diabetes
240 0000419101435 EUIS MARLINA P PBI (APBN) Dyspepsia Berobat Jalan
243 00:00 12:24 Mellitus
100204011020P000 16-10-2020 16-10-2020 PEKERJA
241 0000419413511 PAJAR SAPTA BUANA L End-stage renal disease Rujuk Vertikal
232 00:00 09:01 MANDIRI
Tuberculosis of lung,
100204011020P000 16-10-2020 16-10-2020 without mention of
242 0000419453019 ATI KUSMIATI P PBI (APBN) Rujuk Vertikal
235 00:00 09:33 bacteriological or
histological confirmation
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
243 0000419460028 ENOK HASANAH P - Berobat Jalan
260 00:00 13:04 hypertension
100204011020Y000 16-10-2020 16-10-2020
244 0000419477681 RINA WATI P - Vertigo of central origin Berobat Jalan
246 00:00 12:29
100204011020Y000 16-10-2020 16-10-2020
245 0000419537439 ADE NANI P PBI (APBN) Otitis externa, unspecified Berobat Jalan
244 00:00 12:26
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
246 0000419751977 ISAH P PBI (APBN) Berobat Jalan Hipertensi
257 00:00 12:56 hypertension
100204011020Y000 16-10-2020 16-10-2020
247 0000420001187 ASEP TISNA L PBI (APBN) Residual schizophrenia Rujuk Vertikal
228 00:00 08:22
100204011020P000 16-10-2020 16-10-2020 Entropion and trichiasis of
248 0000420299256 DEDE JULAEHA P PBI (APBN) Rujuk Vertikal
230 00:00 08:44 eyelid
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
249 0001003865095 DEDEH RUSKASIH P - Berobat Jalan Hipertensi
237 00:00 11:45 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 16-10-2020 16-10-2020 Essential (primary)


250 0001003867705 MI'AH P PBI (APBN) Berobat Jalan Hipertensi
255 00:00 12:53 hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
251 0001089977883 KASWATI P PBI (APBN) Berobat Jalan Hipertensi
254 00:00 12:51 hypertension
Diabetes
100204011020Y000 16-10-2020 16-10-2020 PENERIMA Essential (primary)
252 0001289886467 PARTIJAH P Berobat Jalan Mellitus
256 00:00 12:54 PENSIUN TNI hypertension
Hipertensi
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
253 0001340297278 EUIS KURAESIN P PBI (APBD) Berobat Jalan Hipertensi
241 00:00 12:21 hypertension
100204011020Y000 16-10-2020 16-10-2020 Essential (primary) Diabetes
254 0001340297741 SARWEN P PBI (APBD) Berobat Jalan
238 00:00 11:54 hypertension Mellitus
100204011020Y000 16-10-2020 16-10-2020 Essential (primary) Diabetes
255 0001340298404 SUPARNINGSIH P - Berobat Jalan
240 00:00 12:19 hypertension Mellitus
100204011020Y000 16-10-2020 16-10-2020 Essential (primary)
256 0001340432853 POPON P - Berobat Jalan Hipertensi
242 00:00 12:22 hypertension
100204011020Y000 16-10-2020 16-10-2020 Periapical abscess without
257 0001340796565 SUMINI P - Berobat Jalan
233 00:00 09:03 sinus
100204011020Y000 16-10-2020 16-10-2020 PEKERJA Stroke, not specified as Diabetes Diabetes
258 0001466961322 ATIN KARTINI P Rujuk Vertikal
231 00:00 08:53 MANDIRI haemorrhage or infarction Mellitus Mellitus
100204011020Y000 16-10-2020 16-10-2020 PEKERJA Essential (primary)
259 0001830135857 ENAH ROHAENI P Berobat Jalan Hipertensi
239 00:00 11:55 MANDIRI hypertension
100204011020P000 16-10-2020 16-10-2020 ELLEN ROSAWITA PEKERJA Malignant neoplasm of
260 0002378419097 P Rujuk Vertikal
234 00:00 09:13 TUNGGONO MANDIRI vulva
Non-insulin-dependent
100204011020Y000 16-10-2020 16-10-2020 Diabetes
261 0002468440901 ADE SARTINEM P PBI (APBN) diabetes mellitus without Berobat Jalan
258 00:00 12:58 Mellitus
complications
100204011020Y000 16-10-2020 16-10-2020 PEKERJA Essential (primary)
262 0002762876261 JAJANG RUHIAT L Berobat Jalan Hipertensi
248 00:00 12:33 MANDIRI hypertension
100204011020Y000 15-10-2020 15-10-2020 Essential (primary)
263 0000419049077 SITI SURYANI P PBI (APBN) Berobat Jalan Hipertensi
221 00:00 13:44 hypertension
100204011020Y000 15-10-2020 15-10-2020 Antenatal screening,
264 0000419090984 DEWI YULIA P - Berobat Jalan
226 00:00 14:42 unspecified
100204011020Y000 15-10-2020 15-10-2020 Premenstrual tension
265 0000419179318 AMELIA PRATIWI P PBI (APBN) Berobat Jalan
223 00:00 13:47 syndrome
100204011020Y000 15-10-2020 15-10-2020
266 0000419246381 HASRINI P PBI (APBN) Myalgia Berobat Jalan
217 00:00 13:19
100204011020Y000 15-10-2020 15-10-2020
267 0000419348992 UDO UNDAYA L - Gastritis, unspecified Berobat Jalan
216 00:00 12:59
100204011020Y000 15-10-2020 15-10-2020 Antenatal screening,
268 0000419770866 DEVITA RIMAYANTI P PBI (APBN) Berobat Jalan
225 00:00 14:38 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 15-10-2020 15-10-2020 Antenatal screening,


269 0000420178307 NENI ANDRIANI P - Berobat Jalan
227 00:00 14:43 unspecified
100204011020Y000 15-10-2020 15-10-2020
270 0000420181391 POPON P PBI (APBN) Pulpitis Berobat Jalan
213 00:00 10:34
100204011020P000 15-10-2020 15-10-2020 DIAH ANGGIINA
271 0001340538377 P PBI (APBD) Haemorrhoids Rujuk Vertikal
212 00:00 10:21 MADINAHWATI
Non-insulin-dependent
100204011020Y000 15-10-2020 15-10-2020 PEKERJA
272 0001380909982 ENUS TARMINAH P diabetes mellitus with Rujuk Vertikal
211 00:00 09:36 MANDIRI
multiple complications
100204011020Y000 15-10-2020 15-10-2020 PEKERJA Essential (primary)
273 0001387267582 EJEB SUHENDI L Berobat Jalan Hipertensi
222 00:00 13:46 MANDIRI hypertension
100204011020Y000 15-10-2020 15-10-2020 PEKERJA
274 0001724081038 LILIS RUKMANAH P Myalgia Berobat Jalan
218 00:00 13:23 MANDIRI
100204011020Y000 15-10-2020 15-10-2020 Acute upper respiratory
275 0002793043855 OMAH ROHMAWATI P PBI (APBN) Berobat Jalan
220 00:00 13:33 infection, unspecified
100204011020Y000 15-10-2020 15-10-2020 Essential (primary)
276 0002793047692 UMSARI P PBI (APBN) Berobat Jalan
214 00:00 12:53 hypertension
100204011020Y000 15-10-2020 15-10-2020 MUHAMAD AUDIA Viral conjunctivitis,
277 0002863479881 L PBI (APBN) Berobat Jalan
219 00:00 13:29 MAULIDANI unspecified
100204011020Y000 15-10-2020 15-10-2020
278 0002896442526 NAHLA KHAIRIN ALIFYANI P PBI (APBN) Counselling, unspecified Berobat Jalan
224 00:00 14:31
100204011020Y000 15-10-2020 15-10-2020 PEKERJA Essential (primary)
279 0002911992704 ADE ROHAENI P Berobat Jalan Hipertensi
215 00:00 12:57 MANDIRI hypertension
100204011020Y000 14-10-2020 14-10-2020 PENERIMA Essential (primary)
280 0000053715868 DRS. H. IIK MAKIB. LC L Berobat Jalan
208 00:00 12:31 PENSIUN PNS hypertension
100204011020Y000 14-10-2020 14-10-2020 PENERIMA Essential (primary)
281 0000053715879 ENUNG KURNIASIH P Berobat Jalan Hipertensi Hipertensi
207 00:00 12:30 PENSIUN PNS hypertension
Non-insulin-dependent
100204011020Y000 14-10-2020 14-10-2020
282 0000056665348 IR.SUDRAJAT L PNS PUSAT diabetes mellitus with Berobat Jalan Hipertensi
206 00:00 12:28
multiple complications
100204011020Y000 14-10-2020 14-10-2020 Contraceptive
283 0000418973793 IIN H P - Berobat Jalan
202 00:00 12:21 management, unspecified
100204011020Y000 14-10-2020 14-10-2020
284 0000419097183 MELI DAMA YANTI P PBI (APBN) Fibroadenosis of breast Rujuk Vertikal
197 00:00 08:33
100204011020Y000 14-10-2020 14-10-2020 Chronic apical
285 0000419105272 GILANG SEPTIANA L PBI (APBN) Rujuk Vertikal
198 00:00 08:47 periodontitis
Tuberculosis of lung,
100204011020Y000 14-10-2020 14-10-2020 without mention of Diabetes
286 0000419127309 MANAH RUKMAENI P - Berobat Jalan
205 00:00 12:25 bacteriological or Mellitus
histological confirmation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 14-10-2020 14-10-2020 General counselling and


287 0000419385519 WAWA CAHYATI P PBI (APBN) Berobat Jalan
204 00:00 12:23 advice on contraception
Peptic ulcer, unspecified
100204011020Y000 14-10-2020 14-10-2020 PEKERJA as acute or chronic,
288 0001268341975 KOMALA P Rujuk Vertikal
200 00:00 09:09 MANDIRI without haemorrhage or
perforation
100204011020Y000 14-10-2020 14-10-2020 PEKERJA Radiculopathy, lumbar
289 0001335841558 JESSY THERESIA P Rujuk Vertikal
196 00:00 08:23 MANDIRI region
100204011020Y000 14-10-2020 14-10-2020 Cerebral infarction,
290 0001340721549 ADE WYMAN L - Rujuk Vertikal
201 00:00 09:50 unspecified
Non-insulin-dependent
100204011020Y000 14-10-2020 14-10-2020 PEKERJA
291 0001460743211 IIN TASINEM P diabetes mellitus with Rujuk Vertikal
199 00:00 09:05 MANDIRI
multiple complications
100204011020Y000 14-10-2020 14-10-2020 PEKERJA Essential (primary)
292 0001729275221 SUPRIADI L Berobat Jalan
209 00:00 12:32 MANDIRI hypertension
100204011020Y000 14-10-2020 14-10-2020 Contraceptive
293 0002060943423 MASNI P - Berobat Jalan
203 00:00 12:22 management, unspecified
100204011020Y000 14-10-2020 14-10-2020
294 0002863478046 SOLEH SUPRIYATNA L PBI (APBN) Myalgia Berobat Jalan
210 00:00 12:40
100204011020Y000 13-10-2020 13-10-2020
295 0000418845363 AEP ROHANDA L - Tension-type headache Berobat Jalan
186 00:00 12:45
Gonococcal infection of
100204011020Y000 13-10-2020 13-10-2020 lower genitourinary tract
296 0000419026487 SANDI L PBI (APBN) Berobat Jalan
183 00:00 12:36 with periurethral and
accessory gland abscess
100204011020Y000 13-10-2020 13-10-2020
297 0000419439407 ENI ROHAYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
190 00:00 12:51
100204011020Y000 13-10-2020 13-10-2020
298 0000419603049 NENI ROHAENI P PBI (APBN) Congestive heart failure Rujuk Vertikal
170 00:00 08:43
100204011020Y000 13-10-2020 13-10-2020
299 0000420173515 RAHMAT HIDAYAT L PBI (APBN) Gastritis, unspecified Berobat Jalan
189 00:00 12:50
100204011020Y000 13-10-2020 13-10-2020 Essential (primary)
300 0000420173572 IKA SARTIKA P PBI (APBN) Berobat Jalan
188 00:00 12:48 hypertension
100204011020Y000 13-10-2020 13-10-2020 Essential (primary)
301 0001003867705 MI'AH P PBI (APBN) Berobat Jalan Hipertensi
194 00:00 13:05 hypertension

Diarrhoea and
100204011020Y000 13-10-2020 13-10-2020
302 0001340432919 IDA FARIDA P PBI (APBD) gastroenteritis of Berobat Jalan
184 00:00 12:38
presumed infectious origin

100204011020Y000 13-10-2020 13-10-2020 Essential (primary)


303 0001340555782 MAESAROH P - Berobat Jalan
187 00:00 12:46 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 13-10-2020 13-10-2020 PEKERJA Essential (primary)


304 0001422352912 oneng suryani P Berobat Jalan
182 00:00 12:28 MANDIRI hypertension
100204011020Y000 13-10-2020 13-10-2020 PEKERJA Essential (primary)
305 0001457018302 APONG P Berobat Jalan
195 00:00 13:06 MANDIRI hypertension
Diabetes
100204011020Y000 13-10-2020 13-10-2020 Essential (primary) Diabetes
306 0001729820981 KUI TJONG L INVESTOR Berobat Jalan Mellitus
191 00:00 12:59 hypertension Mellitus
Hipertensi
100204011020Y000 13-10-2020 13-10-2020 Essential (primary)
307 0001729821003 ROSNI TIOLINA P INVESTOR Berobat Jalan Hipertensi
192 00:00 13:01 hypertension
100204011020Y000 13-10-2020 13-10-2020 PEKERJA Essential (primary)
308 0002518193261 SUKARDI L Berobat Jalan Hipertensi
193 00:00 13:04 MANDIRI hypertension
100204011020Y000 13-10-2020 13-10-2020 PEKERJA Essential (primary)
309 0002518193272 MARIKEM P Berobat Jalan Hipertensi
185 00:00 12:41 MANDIRI hypertension
100204011020Y000 13-10-2020 Essential (primary)
310 10-12-2020 0000418636945 SISCA. M. DIANA P PBI (APBN) Berobat Jalan Hipertensi
171 11:37 hypertension
100204011020Y000 13-10-2020
311 10-12-2020 0000418923494 KARTINI P PBI (APBN) Dyspepsia Berobat Jalan
176 11:56
100204011020Y000 13-10-2020
312 10-12-2020 0000419063049 TEDI SUPRIATNA L PBI (APBN) Myalgia Berobat Jalan
179 12:03
Atherosclerotic
100204011020Y000 12-10-2020 Diabetes
313 10-12-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
167 08:40 Mellitus
described
100204011020Y000 13-10-2020
314 10-12-2020 0000419746713 MAMAN SUNARYA L - Tension-type headache Berobat Jalan
173 11:46
100204011020Y000 13-10-2020
315 10-12-2020 0001089379271 SUHLAN SUBANGKIT L - Tinea pedis Berobat Jalan
177 11:59
100204011020Y000 13-10-2020 PEGAWAI
316 10-12-2020 0001292682058 NURHAYATI P Gastritis, unspecified Berobat Jalan
174 11:48 SWASTA
100204011020Y000 12-10-2020 Bronchitis, not specified as
317 10-12-2020 0001340721415 UCU HERNA P PBI (APBD) Rujuk Vertikal
166 08:21 acute or chronic
100204011020Y000 12-10-2020 PEKERJA
318 10-12-2020 0001466961311 SUNARYA L Congestive heart failure Rujuk Vertikal
168 09:35 MANDIRI
Non-insulin-dependent
100204011020Y000 13-10-2020 PEKERJA Diabetes Diabetes
319 10-12-2020 0001466961322 ATIN KARTINI P diabetes mellitus with Berobat Jalan
172 11:40 MANDIRI Mellitus Mellitus
multiple complications
100204011020Y000 13-10-2020 PEGAWAI
320 10-12-2020 0001776931615 ALI SYAHRUL RAMADHAN L Fever, unspecified Berobat Jalan
175 11:55 SWASTA
100204011020Y000 12-10-2020 MUHAMMAD FALIH Disturbances in tooth
321 10-12-2020 0002606652876 L PBI (APBN) Berobat Jalan
169 09:43 FADHILA eruption
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 13-10-2020 SLAMET ARIA PUTRA PEKERJA


322 10-12-2020 0002694743177 L Gastritis, unspecified Berobat Jalan
178 12:02 PRASETYA MANDIRI
100204011020Y000 12-10-2020
323 10-12-2020 0002773658687 AYAT P PBI (APBN) Cellulitis of finger and toe Rujuk Vertikal
165 08:07
100204011020Y000 13-10-2020
324 10-12-2020 0002863483029 BARIK BILAL L PBI (APBN) Myalgia Berobat Jalan
180 12:05
PEGAWAI
PEMERINTAH
100204011020Y000 13-10-2020 Acute nasopharyngitis
325 10-12-2020 0002939269645 FELICIA ERINKA PUTRI P DENGAN Berobat Jalan
181 12:07 [common cold]
PERJANJIAN
KERJA
100204011020Y000 10-10-2020
326 10-10-2020 0000417762663 NUNUNG P PBI (APBN) Gastritis, unspecified Berobat Jalan
158 13:16
100204011020Y000 10-10-2020 Chronic apical
327 10-10-2020 0000418673474 JAJANG L PBI (APBN) Rujuk Vertikal
153 08:57 periodontitis
100204011020Y000 10-10-2020 Essential (primary)
328 10-10-2020 0000419062972 ROHAYATI P PBI (APBN) Berobat Jalan
156 13:11 hypertension
100204011020Y000 10-10-2020
329 10-10-2020 0000419160914 SITI NURHAYATI. P PBI (APBN) Myalgia Berobat Jalan
164 13:32
100204011020Y000 10-10-2020 Essential (primary)
330 10-10-2020 0000419184404 JUJU JUBAIDAH P PBI (APBN) Berobat Jalan
162 13:28 hypertension
100204011020Y000 10-10-2020 Bipolar affective disorder,
331 10-10-2020 0000419363346 HAMDANI L - Rujuk Vertikal
151 08:34 unspecified
100204011020Y000 10-10-2020
332 10-10-2020 0000419409101 WAWAN L PBI (APBN) Myalgia Berobat Jalan
159 13:17
100204011020Y000 10-10-2020
333 10-10-2020 0000420173515 RAHMAT HIDAYAT L PBI (APBN) Dyspepsia Berobat Jalan
161 13:21
100204011020Y000 10-10-2020 Essential (primary)
334 10-10-2020 0000420173572 IKA SARTIKA P PBI (APBN) Berobat Jalan
160 13:19 hypertension
Non-insulin-dependent
100204011020Y000 10-10-2020
335 10-10-2020 0001003864871 SAMINI P PBI (APBN) diabetes mellitus with Berobat Jalan Hipertensi
157 13:13
multiple complications
100204011020Y000 10-10-2020 Essential (primary)
336 10-10-2020 0001003865848 ATIH P PBI (APBN) Berobat Jalan
155 13:10 hypertension
100204011020Y000 10-10-2020 PEGAWAI Other and unspecified
337 10-10-2020 0001833328732 MELAN MILAWATI P Rujuk Vertikal
152 08:55 SWASTA hydronephrosis
100204011020Y000 10-10-2020 Primary generalized
338 10-10-2020 0002863482761 ELA HAYATI P PBI (APBN) Berobat Jalan
163 13:31 (osteo)arthrosis
100204011020Y000 09-10-2020 Essential (primary)
339 10-09-2020 0000056737664 NY. ONENGSIH P - Berobat Jalan
147 16:03 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 09-10-2020
340 10-09-2020 0000402011976 PIPIH P PBI (APBN) Chronic kidney disease Rujuk Vertikal
140 08:43

100204011020Y000 09-10-2020 PEGAWAI Noninflammatory disorder


341 10-09-2020 0000419077708 RISMAYANTI P Berobat Jalan
144 10:08 SWASTA of vagina, unspecified

Atherosclerotic
100204011020Y000 10-10-2020 Diabetes
342 10-09-2020 0000419101435 EUIS MARLINA P PBI (APBN) cardiovascular disease, so Berobat Jalan
150 08:25 Mellitus
described
Other specified symptoms
100204011020Y000 09-10-2020 and signs involving the
343 10-09-2020 0000419269713 EUIS RATNINGSIH P PBI (APBN) Rujuk Vertikal
141 08:47 digestive system and
abdomen
100204011020Y000 10-10-2020
344 10-09-2020 0000419721794 ASEP WAHYU L PBI (APBN) Pyoderma Berobat Jalan
154 09:06
100204011020Y000 09-10-2020
345 10-09-2020 0000420404894 IYEP SULAEMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
146 15:52
100204011020Y000 09-10-2020 Essential (primary)
346 10-09-2020 0001340597665 APON SURYATI P PBI (APBD) Berobat Jalan
148 16:05 hypertension
100204011020Y000 10-10-2020 PEKERJA Essential (primary)
347 10-09-2020 0001389389106 KARYATI P Berobat Jalan Hipertensi
149 08:23 MANDIRI hypertension
Non-insulin-dependent
100204011020Y000 09-10-2020 PEGAWAI
348 10-09-2020 0001664933567 DANI HERMAWAN L diabetes mellitus with Rujuk Vertikal
143 09:56 SWASTA
multiple complications
100204011020Y000 09-10-2020 PEKERJA
349 10-09-2020 0001734262413 ENENG P Pulpitis Berobat Jalan
145 11:08 MANDIRI
100204011020Y000 09-10-2020 PEKERJA Bipolar affective disorder,
350 10-09-2020 0002316844541 TINI KARTINI P Rujuk Vertikal
142 08:59 MANDIRI unspecified
100204011020Y000 08-10-2020
351 10-08-2020 0000418766477 HARIS ISKANDAR L PBI (APBN) Pulpitis Berobat Jalan
122 08:24
100204011020Y000 08-10-2020
352 10-08-2020 0000419385688 DADANG RUKMANA L PBI (APBN) Epilepsy, unspecified Rujuk Vertikal
124 09:26
100204011020Y000 08-10-2020 Viral conjunctivitis,
353 10-08-2020 0000419406546 NINING PURWANTI P PBI (APBN) Berobat Jalan
131 11:00 unspecified
100204011020Y000 08-10-2020
354 10-08-2020 0000419426043 NOPI MULYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
132 11:02
100204011020Y000 08-10-2020 Antenatal screening,
355 10-08-2020 0000419475879 PIPIH ISMAWATI P PBI (APBN) Berobat Jalan
138 13:47 unspecified
100204011020Y000 08-10-2020 Acute upper respiratory
356 10-08-2020 0000419667592 WIWI P PBI (APBN) Berobat Jalan
133 11:03 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 08-10-2020 Antenatal screening,


357 10-08-2020 0000419669559 SANTI P PBI (APBN) Berobat Jalan
137 13:46 unspecified
100204011020Y000 08-10-2020
358 10-08-2020 0000419888553 MARNI ASIH P PBI (APBN) Missed abortion Berobat Jalan
136 13:46
100204011020Y000 08-10-2020
359 10-08-2020 0000420312431 KARYATI P - Myalgia Berobat Jalan Hipertensi
130 10:57
100204011020Y000 08-10-2020
360 10-08-2020 0001003872396 NANNY P - Cataract, unspecified Berobat Jalan
125 10:37
100204011020Y000 08-10-2020 PEKERJA Essential (primary) Diabetes
361 10-08-2020 0001256623931 N. ISU SOFIYAH P Berobat Jalan
127 10:50 MANDIRI hypertension Mellitus
Non-insulin-dependent
100204011020Y000 08-10-2020 Diabetes Diabetes
362 10-08-2020 0001340393499 LENA HERDIANA P - diabetes mellitus without Berobat Jalan
129 10:54 Mellitus Mellitus
complications
Chronic obstructive
100204011020Y000 08-10-2020
363 10-08-2020 0001340797048 MAMAN SETIAWAN L PBI (APBD) pulmonary disease, Berobat Jalan
126 10:47
unspecified
100204011020Y000 08-10-2020 Antenatal screening,
364 10-08-2020 0001341198077 SITI ROHANA P - Berobat Jalan
135 13:45 unspecified

100204011020Y000 08-10-2020 PENERIMA


365 10-08-2020 0001341305831 ANUNG SALEH L Myalgia Berobat Jalan
128 10:51 PENSIUN SWASTA

100204011020Y000 08-10-2020 Radiculopathy, cervical


366 10-08-2020 0001399696997 WAWAN SETIAWAN L PBI (APBD) Rujuk Vertikal
123 08:55 region
Need for immunization
100204011020Y000 08-10-2020 BAYI NYONYA NINING against unspecified
367 10-08-2020 0002896541425 L PBI (APBN) Berobat Jalan
134 11:45 PURWANTI combinations of infectious
diseases
Need for immunization
100204011020P000 08-10-2020 INTAN ADEEVA AINUR against
368 10-08-2020 0003051724252 P PBI (APBN) Berobat Jalan
139 14:09 RACHMAN diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +
Tuberculosis of lung,
100204011020P000 07-10-2020 without mention of
369 10-07-2020 0000419126308 WATNO L PBI (APBN) Rujuk Vertikal
115 08:39 bacteriological or
histological confirmation
100204011020Y000 07-10-2020 Mumps without
370 10-07-2020 0000419306714 MEGA JULIANA P PBI (APBN) Berobat Jalan
121 11:06 complication
100204011020Y000 07-10-2020 Periapical abscess without
371 10-07-2020 0000419394341 LATIFAH NUR JAMILAH P - Berobat Jalan
116 08:51 sinus
100204011020Y000 07-10-2020
372 10-07-2020 0000419524435 DIVA ACHMAD F L PBI (APBN) Other specified fever Rujuk Vertikal
114 08:36
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 07-10-2020 PEKERJA Essential (primary) Diabetes Diabetes


373 10-07-2020 0001336476205 LILIS SUWARSIH P Berobat Jalan
117 10:32 MANDIRI hypertension Mellitus Mellitus
100204011020Y000 07-10-2020 PEGAWAI Essential (primary)
374 10-07-2020 0001668970697 KARTINI P Berobat Jalan
118 10:48 SWASTA hypertension
100204011020Y000 07-10-2020 PEKERJA Contraceptive
375 10-07-2020 0002197154259 PAPAT PATMAWATI P Berobat Jalan
112 08:28 MANDIRI management, unspecified
100204011020Y000 07-10-2020 UYUNG MUHAMAD PEKERJA Essential (primary)
376 10-07-2020 0002298952383 L Berobat Jalan Hipertensi
120 11:01 NAZIRWAN MANDIRI hypertension
100204011020Y000 07-10-2020
377 10-07-2020 0002863479846 RINI ROHAENI P PBI (APBN) Tinnitus Berobat Jalan
119 10:52
100204011020Y000 07-10-2020 PEKERJA
378 10-07-2020 0003051605665 OCANG SUKMANA L Hyperplasia of prostate Rujuk Vertikal
113 08:33 MANDIRI
Non-insulin-dependent
100204011020Y000 06-10-2020 Diabetes Diabetes
379 10-06-2020 0000407577925 ELASWATI P PBI (APBN) diabetes mellitus with Berobat Jalan
100 12:32 Mellitus Mellitus
multiple complications
100204011020Y000 06-10-2020 Essential (primary)
380 10-06-2020 0000418597569 SUMADI L PBI (APBN) Berobat Jalan Hipertensi
101 12:33 hypertension
100204011020Y000 06-10-2020 Essential (primary)
381 10-06-2020 0000418643662 EULIS SUTIANI P - Berobat Jalan Hipertensi
105 12:41 hypertension
100204011020Y000 06-10-2020
382 10-06-2020 0000418673474 JAJANG L PBI (APBN) Pulpitis Berobat Jalan
097 11:53
100204011020Y000 06-10-2020
383 10-06-2020 0000419010794 RASMINI P PBI (APBN) Congestive heart failure Rujuk Vertikal
092 09:28
100204011020Y000 06-10-2020
384 10-06-2020 0000419107263 SUBAKIR L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
091 09:16
100204011020Y000 06-10-2020
385 10-06-2020 0000419177867 SITI P - Localized oedema Berobat Jalan
111 14:33
100204011020Y000 06-10-2020
386 10-06-2020 0000419185506 UMANAH P PBI (APBN) Glaucoma, unspecified Rujuk Vertikal
095 09:56
100204011020Y000 06-10-2020
387 10-06-2020 0000419216995 ASEP SUHENDAR L PBI (APBN) Dyspepsia Berobat Jalan
107 12:47
100204011020Y000 06-10-2020 Supervision of normal
388 10-06-2020 0000419434659 NENI SURYANI P - Berobat Jalan
094 09:47 pregnancy, unspecified
100204011020Y000 06-10-2020 Essential (primary)
389 10-06-2020 0000420238899 IHAT P PBI (APBN) Berobat Jalan Hipertensi
099 12:30 hypertension
100204011020Y000 06-10-2020 Thyrotoxicosis
390 10-06-2020 0001340727456 SRI HERTATI P - Rujuk Vertikal
093 09:34 [hyperthyroidism]

100204011020Y000 06-10-2020 AKMAL FIRDAUS AL Hordeolum and other deep


391 10-06-2020 0001663220171 L - Berobat Jalan
110 14:31 GHAZAL inflammation of eyelid
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 06-10-2020 PEGAWAI


392 10-06-2020 0002074153757 ENTIN KARTINI P Acute laryngopharyngitis Berobat Jalan
104 12:39 SWASTA

100204011020Y000 06-10-2020 Allergic contact dermatitis,


393 10-06-2020 0002074153948 ABNA MAULA NURBHAITI P - Berobat Jalan
108 12:50 unspecified cause

100204011020Y000 06-10-2020 PEGAWAI


394 10-06-2020 0002074154049 AKMAL ALI ZAFFAR L Counselling, unspecified Berobat Jalan
098 12:28 SWASTA
100204011020Y000 06-10-2020 PEKERJA
395 10-06-2020 0002481226053 AWANGSIH P Myalgia Berobat Jalan
103 12:38 MANDIRI
100204011020Y000 06-10-2020
396 10-06-2020 0002586627628 KURNIA L - Gastritis, unspecified Berobat Jalan
106 12:45
100204011020Y000 06-10-2020
397 10-06-2020 0002591692716 MISKA MEDIANA PUTRI P PBI (APBN) Fever, unspecified Berobat Jalan
096 11:51
100204011020Y000 06-10-2020 Disorder of urinary system,
398 10-06-2020 0002836956879 OOM ROHMAH P - Berobat Jalan
102 12:35 unspecified
100204011020Y000 06-10-2020
399 10-06-2020 0002836964294 TUTI SULASTRI P - Gout, unspecified Berobat Jalan
109 14:26
100204011020P000 06-10-2020 Disorder of refraction,
400 10-06-2020 0002863479328 SUMARILAH P PBI (APBN) Rujuk Vertikal
090 09:13 unspecified
Non-insulin-dependent
100204011020P000 05-10-2020 PENERIMA
401 10-05-2020 0000053377986 TONAH FATMININGSIH P diabetes mellitus with Berobat Jalan
080 10:51 PENSIUN TNI
multiple complications
General examination and
100204011020P000 05-10-2020 PENERIMA investigation of persons
402 10-05-2020 0000055825457 PAWIT P Berobat Jalan
076 10:40 PENSIUN PNS without complaint and
reported diagnosis
100204011020P000 05-10-2020
403 10-05-2020 0000417895896 LASMI NURCAHYANI P PBI (APBN) Schizophrenia Rujuk Vertikal
068 10:07
100204011020P000 05-10-2020 Essential (primary)
404 10-05-2020 0000418559602 WASIAT L PBI (APBN) Berobat Jalan
083 10:56 hypertension
100204011020Y000 05-10-2020
405 10-05-2020 0000418617944 USEP DADANG. S L - Dental caries, unspecified Berobat Jalan
086 11:24
100204011020P000 05-10-2020
406 10-05-2020 0000418891871 KASTAM L - Gastritis and duodenitis Berobat Jalan
070 10:18
100204011020P000 05-10-2020 Essential (primary)
407 10-05-2020 0000418892387 LILIS SUGIARTINI P PBI (APBN) Berobat Jalan
071 10:19 hypertension
100204011020P000 05-10-2020
408 10-05-2020 0000419095743 YENI P PBI (APBN) Necrosis of pulp Rujuk Vertikal
067 10:04
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Chronic obstructive
100204011020Y000 05-10-2020
409 10-05-2020 0000419114035 ANA SUHANA L PBI (APBN) pulmonary disease, Rujuk Vertikal
063 08:30
unspecified
100204011020P000 05-10-2020
410 10-05-2020 0000419323454 ENDED NEDI SUPRIADI L - Other arthritis Berobat Jalan
081 10:53
Tuberculosis of lung,
100204011020P000 05-10-2020 without mention of
411 10-05-2020 0000419747905 RANGGA A L PBI (APBN) Berobat Jalan
069 10:16 bacteriological or
histological confirmation
100204011020Y000 05-10-2020 Antenatal screening,
412 10-05-2020 0000419748737 TINI CAHYANI P - Berobat Jalan
088 11:36 unspecified
Tuberculosis of lung,
100204011020P000 05-10-2020 without mention of
413 10-05-2020 0000420139427 ODANG L PBI (APBN) Berobat Jalan
078 10:45 bacteriological or
histological confirmation
100204011020P000 05-10-2020
414 10-05-2020 0000420430263 ASEP NURCAHYA L PBI (APBN) Epilepsy Berobat Jalan
082 10:54
100204011020Y000 05-10-2020 Supervision of normal
415 10-05-2020 0000420439285 RITA LIANA P - Berobat Jalan
087 11:33 pregnancy, unspecified
100204011020P000 05-10-2020 Essential (primary)
416 10-05-2020 0001089384748 TARSIMAN L PBI (APBN) Berobat Jalan
079 10:47 hypertension
100204011020P000 05-10-2020 PEKERJA
417 10-05-2020 0001279482445 DENI L Gastritis, unspecified Berobat Jalan
072 10:30 MANDIRI
100204011020P000 05-10-2020 PEKERJA Radiculopathy, lumbar
418 10-05-2020 0001308722139 HENDRA NEGARA L Rujuk Vertikal
065 09:13 MANDIRI region
100204011020P000 05-10-2020
419 10-05-2020 0001340901527 MARYATIN P PBI (APBD) Congestive heart failure Rujuk Vertikal
064 09:07

Diarrhoea and
100204011020Y000 05-10-2020 PENERIMA
420 10-05-2020 0001341305831 ANUNG SALEH L gastroenteritis of Berobat Jalan
085 11:14 PENSIUN SWASTA
presumed infectious origin

100204011020P000 05-10-2020 PEKERJA Essential (primary)


421 10-05-2020 0001457018302 APONG P Berobat Jalan
074 10:33 MANDIRI hypertension
100204011020P000 05-10-2020 PEKERJA Essential (primary)
422 10-05-2020 0001461039625 DIDI SUTARDI L Berobat Jalan
075 10:37 MANDIRI hypertension
100204011020Y000 05-10-2020 PEGAWAI
423 10-05-2020 0001780643046 MUHHAMAD IKHSAN L Fever, unspecified Berobat Jalan
084 11:13 SWASTA
100204011020P000 05-10-2020 Essential (primary)
424 10-05-2020 0002607781241 DEDE KARWATI P PBI (APBN) Berobat Jalan
073 10:31 hypertension
100204011020P000 05-10-2020 Essential (primary)
425 10-05-2020 0002793040929 IKA UNIKAH P PBI (APBN) Berobat Jalan
077 10:43 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020P000 06-10-2020 PEKERJA


426 10-05-2020 0002874594688 ADE JEJEN L Dyspepsia Berobat Jalan
089 07:51 MANDIRI
100204011020Y000 05-10-2020 PEGAWAI
427 10-05-2020 0002906969163 VANNY NUR VATIMAH P Fibroadenosis of breast Rujuk Vertikal
066 09:43 SWASTA
100204011020Y000 03-10-2020 PENERIMA Essential (primary)
428 10-03-2020 0000053377738 ALI HASAN MAHLI L Berobat Jalan Hipertensi
059 13:50 PENSIUN TNI hypertension
100204011020Y000 03-10-2020 PENERIMA Essential (primary)
429 10-03-2020 0000053717736 ENTIN P Berobat Jalan Hipertensi
060 13:52 PENSIUN PNS hypertension
Tuberculosis of lung,
100204011020P000 03-10-2020 without mention of
430 10-03-2020 0000419196947 PUJA AKMA P PBI (APBN) Rujuk Vertikal
054 09:15 bacteriological or
histological confirmation
100204011020Y000 03-10-2020
431 10-03-2020 0000420023182 YULIATI P PBI (APBN) Anuria and oliguria Rujuk Vertikal
055 09:18
Tuberculosis of lung,
100204011020P000 03-10-2020 without mention of
432 10-03-2020 0000420123644 TIARA P PBI (APBN) Rujuk Vertikal
050 09:04 bacteriological or
histological confirmation
100204011020Y000 03-10-2020 PEKERJA Radiculopathy, lumbar Diabetes
433 10-03-2020 0001180660847 BARNI P Rujuk Vertikal
056 09:43 MANDIRI region Mellitus
100204011020Y000 03-10-2020 PEKERJA Essential (primary)
434 10-03-2020 0001340297818 ENI ROHAENI P Berobat Jalan Hipertensi
058 13:49 MANDIRI hypertension
100204011020Y000 03-10-2020 Bronchitis, not specified as
435 10-03-2020 0001340432919 IDA FARIDA P PBI (APBD) Berobat Jalan
061 13:53 acute or chronic
100204011020Y000 03-10-2020
436 10-03-2020 0001340901472 RINI ROSIYANTHI P PBI (APBD) Acute gingivitis Berobat Jalan
062 14:00
100204011020Y000 03-10-2020 Multiple open wounds of
437 10-03-2020 0001340901729 DEDE SUARNA L PBI (APBD) Berobat Jalan
057 13:48 ankle and foot
Atherosclerotic
100204011020Y000 03-10-2020 PEKERJA
438 10-03-2020 0001458057587 NURALAMSYAH L cardiovascular disease, so Rujuk Vertikal
053 09:12 MANDIRI
described
100204011020Y000 03-10-2020 PEGAWAI
439 10-03-2020 0001884838443 YUDIANTI P Congestive heart failure Rujuk Vertikal
051 09:09 SWASTA
Chronic obstructive
100204011020Y000 03-10-2020
440 10-03-2020 0002793038163 IWA L PBI (APBN) pulmonary disease, Rujuk Vertikal
049 08:58
unspecified
Atherosclerotic
100204011020Y000 03-10-2020 PEKERJA
441 10-03-2020 0002874600933 CAHYADI L cardiovascular disease, so Rujuk Vertikal
052 09:11 MANDIRI
described
100204011020Y000 02-10-2020 Essential (primary)
442 10-02-2020 0000418651942 NUNUNG SITI HASAROH P PBI (APBN) Berobat Jalan
036 13:37 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

Non-insulin-dependent
100204011020Y000 02-10-2020
443 10-02-2020 0000418908903 SUMARNI P PBI (APBN) diabetes mellitus with Berobat Jalan
042 14:00
multiple complications
100204011020Y000 02-10-2020
444 10-02-2020 0000418909116 ELI NURANI P PBI (APBN) Epilepsy, unspecified Rujuk Vertikal
027 09:05
100204011020Y000 02-10-2020
445 10-02-2020 0000419049369 REKA APRIANI P - Gastritis, unspecified Berobat Jalan
044 14:03
100204011020Y000 02-10-2020 Essential (primary)
446 10-02-2020 0000419065694 HERMAN L PBI (APBN) Berobat Jalan
035 13:33 hypertension
100204011020Y000 02-10-2020
447 10-02-2020 0000419391663 AYI MUSIDAH P - Dyspepsia Berobat Jalan
037 13:41
100204011020Y000 02-10-2020
448 10-02-2020 0000419837286 RATI WAHYUNINGSIH P PBI (APBN) Counselling, unspecified Berobat Jalan
047 14:30
Tuberculosis of lung,
100204011020Y000 02-10-2020 without mention of
449 10-02-2020 0000419837376 RANTI EKA HIDAYANTI P PBI (APBN) Berobat Jalan
034 13:30 bacteriological or
histological confirmation
100204011020P000 02-10-2020 Complex partial status
450 10-02-2020 0000420038403 DINI ALYA NUR SHABILA P PBI (APBN) Rujuk Vertikal
031 09:55 epilepticus
100204011020Y000 02-10-2020 Essential (primary)
451 10-02-2020 0001319482811 IRAH SUMIRAH P - Berobat Jalan
040 13:53 hypertension
100204011020Y000 02-10-2020
452 10-02-2020 0001340393916 ASEP DADAN L PBI (APBD) Gastritis, unspecified Berobat Jalan
038 13:44
100204011020P000 02-10-2020 Malignant neoplasm of
453 10-02-2020 0001340964202 ICIM L PBI (APBD) Rujuk Vertikal
029 09:20 skin, unspecified
100204011020Y000 02-10-2020 PEKERJA Essential (primary)
454 10-02-2020 0001463704986 ATING ROSMIATI P Berobat Jalan
032 13:26 MANDIRI hypertension
100204011020Y000 02-10-2020 ARIES CHRISTINE PEGAWAI
455 10-02-2020 0001663298098 P Counselling, unspecified Berobat Jalan
048 14:32 SILALAHI SWASTA
100204011020Y000 02-10-2020 PEKERJA Essential (primary)
456 10-02-2020 0001729275221 SUPRIADI L Berobat Jalan
043 14:02 MANDIRI hypertension
Diabetes
100204011020P000 02-10-2020 Diabetes
457 10-02-2020 0001729820981 KUI TJONG L INVESTOR Other pruritus Rujuk Vertikal Mellitus
046 14:16 Mellitus
Hipertensi
100204011020Y000 02-10-2020
458 10-02-2020 0001729821003 ROSNI TIOLINA P INVESTOR Trigger finger Rujuk Vertikal Hipertensi
030 09:23
100204011020Y000 02-10-2020 PEKERJA Essential (primary)
459 10-02-2020 0001830135857 ENAH ROHAENI P Berobat Jalan Hipertensi
033 13:29 MANDIRI hypertension
100204011020Y000 02-10-2020 PEKERJA Essential (primary)
460 10-02-2020 0002377674977 HIDAYAT NATA SASMITA L Berobat Jalan Hipertensi
039 13:51 MANDIRI hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 02-10-2020 PEKERJA


461 10-02-2020 0002420691039 ADILAH HAMDAN L Thalassaemia, unspecified Berobat Jalan
045 14:05 MANDIRI
100204011020P000 02-10-2020 Other and unspecified
462 10-02-2020 0002607781241 DEDE KARWATI P PBI (APBN) Rujuk Vertikal
028 09:13 right bundle-branch block
100204011020Y000 02-10-2020 PEKERJA Iron deficiency anaemia,
463 10-02-2020 0002942861051 TEDDY RESPATI L Berobat Jalan
041 13:54 MANDIRI unspecified
100204011020P000 01-10-2020 PENERIMA
464 10-01-2020 0000053213769 ABIDIN L Hyperplasia of prostate Rujuk Vertikal
009 09:43 PENSIUN TNI
100204011020Y000 01-10-2020 Essential (primary)
465 10-01-2020 0000418551884 NUR ASIAH P PBI (APBN) Berobat Jalan
015 15:38 hypertension
100204011020Y000 01-10-2020
466 10-01-2020 0000418553087 ALFI AHMAD FAUZI L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
016 15:40
100204011020Y000 01-10-2020
467 10-01-2020 0000418643065 TRI WAHYU NINGSIH P PBI (APBN) Dermatitis, unspecified Berobat Jalan
025 17:02
100204011020Y000 01-10-2020
468 10-01-2020 0000418677232 SARYA MUCHTAR L PBI (APBN) Myalgia Berobat Jalan
021 16:48
Observation for other
100204011020Y000 01-10-2020 PEGAWAI
469 10-01-2020 0000419271063 SULAEMAN SOFANDY L suspected diseases and Berobat Jalan
019 16:00 SWASTA
conditions
100204011020Y000 01-10-2020
470 10-01-2020 0000419394025 ODAH P - Diabetic mononeuropathy Rujuk Vertikal
003 08:45
100204011020P000 01-10-2020 Thyrotoxicosis
471 10-01-2020 0000419920176 RINI FITRIANI DAMAYANTI P PBI (APBN) Rujuk Vertikal
007 09:20 [hyperthyroidism]
100204011020Y000 01-10-2020
472 10-01-2020 0000419943093 NAI SUMIYATI P PBI (APBN) Myalgia Berobat Jalan
022 16:50
100204011020Y000 01-10-2020 Acute pharyngitis,
473 10-01-2020 0000420365788 ELI SETIAWATI P - Berobat Jalan
026 17:07 unspecified
100204011020Y000 01-10-2020 Supervision of normal
474 10-01-2020 0000420889127 NENG MARLINA P - Berobat Jalan
024 16:58 pregnancy, unspecified
100204011020Y000 01-10-2020
475 10-01-2020 0001003865253 RUSTANDI L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal
002 08:42
100204011020P000 01-10-2020 Tuberculous peripheral
476 10-01-2020 0001089356703 SANTI MULYANI P PBI (APBN) Rujuk Vertikal
008 09:21 lymphadenopathy
100204011020Y000 01-10-2020 Essential (primary)
477 10-01-2020 0001089394301 ISAH P PBI (APBN) Berobat Jalan
011 15:27 hypertension
100204011020Y000 01-10-2020 PEKERJA Essential (primary)
478 10-01-2020 0001325074555 HASAN L Berobat Jalan
014 15:36 MANDIRI hypertension
100204011020Y000 01-10-2020 Cerebral infarction,
479 10-01-2020 0001340598251 TUSINI P PBI (APBD) Rujuk Vertikal Hipertensi
001 08:40 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SOREANG - 1010

FKTP : PKM CIBEUNYING - 10020401

100204011020Y000 01-10-2020 Essential (primary)


480 10-01-2020 0001340797263 ONIH P PBI (APBD) Berobat Jalan
013 15:32 hypertension
100204011020Y000 01-10-2020
481 10-01-2020 0001469442341 CACIH P - Pulpitis Berobat Jalan
010 15:22
Atherosclerotic
100204011020Y000 01-10-2020 PEGAWAI
482 10-01-2020 0001523097527 DUDUNG L cardiovascular disease, so Rujuk Vertikal
006 09:02 SWASTA
described
100204011020Y000 01-10-2020
483 10-01-2020 0002273111414 DIAZ ZABDAN ABIZARD L - Down syndrome Rujuk Vertikal
005 08:58
100204011020Y000 01-10-2020 Essential (primary)
484 10-01-2020 0002597534886 EROS KARWATI P PBI (APBN) Berobat Jalan Hipertensi
023 16:53 hypertension
100204011020Y000 01-10-2020 PEKERJA Essential (primary)
485 10-01-2020 0002695837061 AMIH P Berobat Jalan
017 15:54 MANDIRI hypertension
100204011020Y000 01-10-2020
486 10-01-2020 0002742955097 ISUM SUMIATI P - Gastritis, unspecified Berobat Jalan
018 15:57
100204011020Y000 01-10-2020 Essential (primary)
487 10-01-2020 0002863476898 YULIANI P PBI (APBN) Berobat Jalan
020 16:46 hypertension
100204011020Y000 01-10-2020 PEKERJA
488 10-01-2020 0002874438887 IQBAL SUNAN L Other hydrocephalus Rujuk Vertikal
004 08:53 MANDIRI
Need for immunization
100204011020P000 01-10-2020 QALESYA SHANUM PEKERJA against
489 10-01-2020 0002928301075 P Berobat Jalan
012 15:30 HUMAIRA MANDIRI diphtheria-tetanus-pertussi
s with poliomyelitis [DTP +

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