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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

TANGGAL TANGGAL JENIS STATUS


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

080912020322P000 31-03-2022 31-03-2022


1 0000343445556 NUR AISAH P - Cough Berobat Jalan
665 00:00 14:45
Influenza with other
080912020322P000 31-03-2022 31-03-2022
2 0000344000035 SUKADI L - manifestations, virus not Berobat Jalan
544 00:00 11:10
identified
080912020322P000 31-03-2022 31-03-2022
3 0000344077468 ALI L - Asthma, unspecified Berobat Jalan
519 00:00 10:42
080912020322P000 31-03-2022 31-03-2022
4 0000344147589 POERAH P - Oesophagitis Berobat Jalan
522 00:00 10:45
080912020322P000 31-03-2022 31-03-2022
5 0000344172407 JOKO PURNOMO L - Cough Berobat Jalan
520 00:00 10:43
Influenza with other
080912020322P000 31-03-2022 31-03-2022
6 0000344298598 JARIYAH P - manifestations, virus not Berobat Jalan
521 00:00 10:44
identified
080912020322P000 31-03-2022 31-03-2022 Cerebrovascular disease,
7 0000344443195 SUGIYATIN P - Berobat Jalan Hipertensi Hipertensi
481 00:00 08:48 unspecified
080912020322P000 31-03-2022 31-03-2022
8 0000344583617 MARIA P - Gastritis, unspecified Berobat Jalan
482 00:00 09:56
Influenza with other
080912020322P000 31-03-2022 31-03-2022
9 0000344924739 ARI ARDIYANSAYAH L - manifestations, virus not Berobat Jalan
663 00:00 14:43
identified
080912020322P000 31-03-2022 31-03-2022
10 0000344942144 SAUDAH P - Myalgia Berobat Jalan
664 00:00 14:44
080912020322P000 31-03-2022 31-03-2022
11 0000345704163 LASTRI P - Gastritis, unspecified Berobat Jalan
548 00:00 11:12
080912020322P000 31-03-2022 31-03-2022
12 0000345823705 DESI FITRIYANI P - Urticaria Berobat Jalan
575 00:00 11:35
080912020322P000 31-03-2022 31-03-2022 Other secondary
13 0000995463257 TUSIYEM P - Berobat Jalan
546 00:00 11:11 hypertension
080912020322P000 31-03-2022 31-03-2022
14 0001185250511 SITI HASANAH P - Other dental caries Rujuk Vertikal
510 00:00 10:23
080912020322P000 31-03-2022 31-03-2022
15 0001185250522 REZA SEPTIANA P - Dental caries, unspecified Rujuk Vertikal
512 00:00 10:24
Other specified chronic
080912020322P000 31-03-2022 31-03-2022
16 0001876431104 WIJI KRISTIAnik P - obstructive pulmonary Rujuk Vertikal
525 00:00 10:48
disease
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 31-03-2022 31-03-2022 Other headache


17 0002087064527 SUTINAH P - Berobat Jalan
483 00:00 09:57 syndromes
080912020322P000 31-03-2022 31-03-2022
18 0002221236652 WARDI L - Hyperplasia of prostate Rujuk Vertikal
605 00:00 11:56
080912020322P000 31-03-2022 31-03-2022
19 0002305296437 OKTI SEPTIANA P - Other antenatal screening Rujuk Vertikal
492 00:00 10:10
080912020322P000 31-03-2022 31-03-2022
20 0002433056951 WARSIDI L - Gastritis, unspecified Berobat Jalan
661 00:00 14:24
080912020322P000 31-03-2022 31-03-2022 Acute nasopharyngitis
21 0002565647076 KAYLA NUR HAFIZA P - Berobat Jalan
611 00:00 12:01 [common cold]
080912020322P000 31-03-2022 31-03-2022
22 0002790510928 SARJINAH P - Cough Berobat Jalan
558 00:00 11:17
080912020322P000 31-03-2022 31-03-2022
23 0002882900013 LESMA ARSIFA DINIYANTI P - Gastritis, unspecified Berobat Jalan
662 00:00 14:28
080912020322P000 30-03-2022 30-03-2022
24 0000343998246 ROHAILA P - Cough Berobat Jalan
467 00:00 15:12
080912020322P000 30-03-2022 30-03-2022
25 0000344029746 RUSINAH. P - Myalgia Berobat Jalan
465 00:00 15:04
080912020322P000 30-03-2022 30-03-2022
26 0000344037396 SITI HADIJAH P - Cough Berobat Jalan
466 00:00 15:11
080912020322P000 30-03-2022 31-03-2022 Essential (primary)
27 0000344053348 SATIPAH P - Berobat Jalan
532 00:00 10:56 hypertension
080912020322P000 30-03-2022 31-03-2022 Stomatitis and related
28 0000344497375 ENDANG WAHYUNI P - Berobat Jalan
527 00:00 10:51 lesions
080912020322P000 30-03-2022 31-03-2022
29 0000344526502 ESTI NURAINI P - Gastritis, unspecified Berobat Jalan
523 00:00 10:45
080912020322P000 30-03-2022 30-03-2022
30 0000344662569 ABDUL KADIR L - Myalgia Berobat Jalan
464 00:00 15:03
080912020322P000 30-03-2022 30-03-2022
31 0000344675586 elita sari P - Other atopic dermatitis Berobat Jalan
461 00:00 15:01
080912020322P000 30-03-2022 30-03-2022
32 0000344730352 RAHMAD YUSUP L - Cough Berobat Jalan
470 00:00 19:26
080912020322P000 30-03-2022 30-03-2022
33 0000344848961 LUSIDAH P - Gastritis, unspecified Berobat Jalan
460 00:00 14:59
080912020322P000 30-03-2022 30-03-2022
34 0000344883341 M. SOLEH L - Myalgia Berobat Jalan
459 00:00 14:58
080912020322P000 30-03-2022 31-03-2022
35 0000344964677 INDRI P - Hypotension, unspecified Berobat Jalan
530 00:00 10:55
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 30-03-2022 31-03-2022


36 0000345236084 REBO L - Myalgia Berobat Jalan
526 00:00 10:50
080912020322P000 30-03-2022 30-03-2022 Essential (primary)
37 0000345362556 DAHNIAL L - Berobat Jalan
463 00:00 15:03 hypertension
080912020322P000 30-03-2022 30-03-2022
38 0000345362769 JUWAHIR P - Cough Berobat Jalan
462 00:00 15:02
080912020322P000 30-03-2022 31-03-2022 Essential (primary)
39 0000345632049 WANDIMAN L - Berobat Jalan
529 00:00 10:53 hypertension
080912020322P000 30-03-2022 31-03-2022
40 0000345638103 RATMINI P - Myalgia Berobat Jalan
524 00:00 10:48
Insulin-dependent
080912020322P000 30-03-2022 30-03-2022
41 0000348011921 CARTI P - diabetes mellitus with Rujuk Vertikal
458 00:00 11:20
unspecified complications
080912020322P000 30-03-2022 30-03-2022 Atherosclerotic heart
42 0001841861283 suhadi L - Rujuk Vertikal
398 00:00 08:28 disease
080912020322P000 30-03-2022 30-03-2022 Other and unspecified
43 0001873789749 yeni apriyanti P - Rujuk Vertikal
400 00:00 09:26 abdominal pain
080912020322P000 30-03-2022 30-03-2022
44 0002442644954 MUBAKRI L - Pterygium Rujuk Vertikal
399 00:00 09:25
080912020322P000 30-03-2022 30-03-2022 Atherosclerotic heart
45 0002889504257 SITI UNAINAH P - Berobat Jalan
407 00:00 09:45 disease
080912020322P000 30-03-2022 30-03-2022 Surgical follow-up care,
46 0003046479456 SUPARNO L - Rujuk Vertikal
434 00:00 10:28 unspecified
080912020322P000 30-03-2022 30-03-2022
47 0003064509257 NUR ANANI ADE P - Other atopic dermatitis Berobat Jalan
468 00:00 15:13
080912020322P000 30-03-2022 30-03-2022 Essential (primary)
48 0003064509448 SITI FATIMAH P - Berobat Jalan
469 00:00 19:26 hypertension
080912020322P000 29-03-2022 29-03-2022
49 0000034960926 DINI FITRI SUMARDI P - Dental caries, unspecified Rujuk Vertikal
360 00:00 08:41
080912020322P000 29-03-2022 30-03-2022
50 0000343131568 FATONI L - Myalgia Berobat Jalan
477 00:00 20:50
080912020322P000 29-03-2022 31-03-2022
51 0000343246386 MERI SUSANTI P - Gastritis, unspecified Berobat Jalan
660 00:00 13:50
080912020322P000 29-03-2022 29-03-2022
52 0000343458055 DEWI APRILIA L P - Dental caries, unspecified Rujuk Vertikal
362 00:00 09:06
080912020322P000 29-03-2022 30-03-2022
53 0000343479892 EDO FERNANDO L - Other atopic dermatitis Berobat Jalan
474 00:00 20:22
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Influenza with other


080912020322P000 29-03-2022 30-03-2022
54 0000343548213 NOVA RIA P - respiratory manifestations, Berobat Jalan
479 00:00 21:01
virus not identified

080912020322P000 29-03-2022 29-03-2022


55 0000344044484 DARMINAH P - Acute abdomen Rujuk Vertikal
359 00:00 08:37
080912020322P000 29-03-2022 30-03-2022
56 0000344092296 HASAN BASRI L - Other atopic dermatitis Berobat Jalan
472 00:00 20:11
080912020322P000 29-03-2022 29-03-2022 Antenatal screening,
57 0000344135643 LIA ASTINA P - Rujuk Vertikal
366 00:00 10:49 unspecified
080912020322P000 29-03-2022 30-03-2022
58 0000344319388 ABDUL WAHID L - Dental caries, unspecified Berobat Jalan
473 00:00 20:19
080912020322P000 29-03-2022 31-03-2022
59 0000344460497 SUPARMI P - Myalgia Berobat Jalan
659 00:00 13:49
080912020322P000 29-03-2022 29-03-2022
60 0000344465763 WARIJO L - Myalgia Berobat Jalan
368 00:00 21:28
Influenza with other
080912020322P000 29-03-2022 29-03-2022
61 0000344466033 DANU TIRTO L - manifestations, virus not Berobat Jalan
367 00:00 21:26
identified
080912020322P000 29-03-2022 29-03-2022 Other headache
62 0000344473389 M. YUSUF L - Berobat Jalan
372 00:00 21:39 syndromes
080912020322P000 29-03-2022 29-03-2022
63 0000344473481 RUKAIYAH P - Gastritis, unspecified Berobat Jalan
371 00:00 21:36
080912020322P000 29-03-2022 29-03-2022 Chronic kidney disease,
64 0000344627098 ERNA WATI P - Rujuk Vertikal
363 00:00 09:25 stage 5
080912020322P000 29-03-2022 30-03-2022
65 0000344775701 IBRAHIM L - Gastritis, unspecified Berobat Jalan
476 00:00 20:30
Influenza with other
080912020322P000 29-03-2022 30-03-2022
66 0000345155499 HETI HERAWATI P - manifestations, virus not Berobat Jalan
471 00:00 20:06
identified
080912020322P000 29-03-2022 30-03-2022
67 0000345216363 ZAINUDIN L - Myalgia Berobat Jalan
480 00:00 21:03

Influenza with other


080912020322P000 29-03-2022 30-03-2022
68 0000345260709 FERLY AL BARI L - respiratory manifestations, Berobat Jalan
478 00:00 20:55
virus not identified

080912020322P000 29-03-2022 30-03-2022


69 0000345532735 PURWATI P - Gastritis, unspecified Berobat Jalan
475 00:00 20:29
080912020322P000 29-03-2022 29-03-2022
70 0000995462559 SUTRISNO L - Schizophrenia Rujuk Vertikal
365 00:00 10:16
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 29-03-2022 29-03-2022


71 0000995470446 KADIM L - Myalgia Berobat Jalan
369 00:00 21:30
080912020322P000 29-03-2022 29-03-2022
72 0000995471166 VIO AMANDA PUTRI P - Cough Berobat Jalan
370 00:00 21:34
Other specified diabetes
080912020322P000 29-03-2022 29-03-2022 Diabetes
73 0002038345121 SRI WATI P - mellitus without Rujuk Vertikal
361 00:00 08:53 Mellitus
complications
080912020322P000 29-03-2022 29-03-2022 LAYLA MIRATUN Antenatal screening,
74 0002790503919 P - Rujuk Vertikal
364 00:00 10:10 AWALIYAH unspecified

080912020322P000 28-03-2022 28-03-2022 Hypertrophy of tonsils with


75 0000034984877 PRATIWI SUKIRNO P - Rujuk Vertikal
342 00:00 09:58 hypertrophy of adenoids

080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis


76 0000344207878 ZAITUN P - Berobat Jalan
652 00:00 13:45 [common cold]
080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis
77 0000344319388 ABDUL WAHID L - Berobat Jalan
646 00:00 13:41 [common cold]
080912020322P000 28-03-2022 31-03-2022
78 0000344415903 DEDI IRAWANTO L - Gastritis, unspecified Berobat Jalan
658 00:00 13:48
080912020322P000 28-03-2022 29-03-2022 Other headache
79 0000344506702 SUPOMO L - Berobat Jalan
379 00:00 21:57 syndromes
080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis
80 0000344858916 EGHA FANDI ASNAWI L - Berobat Jalan
643 00:00 13:39 [common cold]
080912020322P000 28-03-2022 28-03-2022
81 0000345320616 NAZIMAH P - Other antenatal screening Rujuk Vertikal
336 00:00 09:51
080912020322P000 28-03-2022 31-03-2022 GESTI ENENG
82 0000345805042 P - Gastritis, unspecified Berobat Jalan
644 00:00 13:39 INGGIRYANI
080912020322P000 28-03-2022 29-03-2022 Stomatitis and related
83 0000995463088 SUKIYEM P - Berobat Jalan
377 00:00 21:52 lesions
080912020322P000 28-03-2022 28-03-2022
84 0001217818124 RUMIATI P - Benign neoplasm of breast Rujuk Vertikal
357 00:00 11:15
080912020322P000 28-03-2022 29-03-2022
85 0001252391365 TRIYANTI LATIFAH P - Urticaria Berobat Jalan
378 00:00 21:53
080912020322P000 28-03-2022 29-03-2022 Essential (primary)
86 0001252391692 JUREMI L - Berobat Jalan
376 00:00 21:50 hypertension
080912020322P000 28-03-2022 28-03-2022 PEKERJA Stroke, not specified as
87 0001284095597 FAHRUROZI L Berobat Jalan Hipertensi
327 00:00 08:46 MANDIRI haemorrhage or infarction
080912020322P000 28-03-2022 29-03-2022
88 0001309219659 GITUN P - Myalgia Berobat Jalan
374 00:00 21:43
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Other specified chronic


080912020322P000 28-03-2022 28-03-2022
89 0001434411235 siti masnah P - obstructive pulmonary Berobat Jalan
330 00:00 09:18
disease
080912020322P000 28-03-2022 31-03-2022
90 0001846906402 ANDRI L - Gastritis, unspecified Berobat Jalan
655 00:00 13:47
080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis
91 0001846907471 DENTY KUMALASARI P - Berobat Jalan
656 00:00 13:47 [common cold]
080912020322P000 28-03-2022 31-03-2022 FERDIANSYAH AL Acute nasopharyngitis
92 0001846909798 L - Berobat Jalan
657 00:00 13:48 ANSORI [common cold]
080912020322P000 28-03-2022 31-03-2022
93 0001862999144 ASYFA ADONIA ZAHRO P - Other atopic dermatitis Berobat Jalan
653 00:00 13:45
Other specified chronic
080912020322P000 28-03-2022 28-03-2022
94 0001876431104 WIJI KRISTIAnik P - obstructive pulmonary Rujuk Vertikal
331 00:00 09:29
disease
080912020322P000 28-03-2022 28-03-2022
95 0002243884667 DZAKY L - Intracranial injury Rujuk Vertikal
344 00:00 10:18
080912020322P000 28-03-2022 28-03-2022
96 0002295718119 bachtiar apriliana P - Infective dermatitis Rujuk Vertikal
358 00:00 12:22
080912020322P000 28-03-2022 31-03-2022
97 0002320578189 sarino L - Myalgia Berobat Jalan
648 00:00 13:42
080912020322P000 28-03-2022 29-03-2022
98 0002481772588 SUGITO L - Migraine, unspecified Berobat Jalan
373 00:00 21:41
080912020322P000 28-03-2022 29-03-2022
99 0002636781761 FATMA NABILA P - Acute pharyngitis Berobat Jalan
375 00:00 21:46
080912020322P000 28-03-2022 28-03-2022
100 0002638956014 LINDA ASMAWATI P - Other dental caries Rujuk Vertikal
329 00:00 09:13
080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis
101 0002639047566 PUTRI FANNY SYAKILA P - Berobat Jalan
649 00:00 13:43 [common cold]
080912020322P000 28-03-2022 31-03-2022 SHUNDARI ERICA
102 0002748313157 P - Gastritis, unspecified Berobat Jalan
654 00:00 13:46 SHELLA
Other benign neoplasm of
080912020322P000 28-03-2022 28-03-2022
103 0002773325463 DALIMAN L - connective and other soft Rujuk Vertikal
328 00:00 09:04
tissue of abdomen
080912020322P000 28-03-2022 31-03-2022 MUHAMMAD KAHFI
104 0002773325529 L - Other atopic dermatitis Berobat Jalan
647 00:00 13:42 AMRULLOH
080912020322P000 28-03-2022 31-03-2022 Acute nasopharyngitis
105 0002790504538 YULI SETIAWAN L - Berobat Jalan
651 00:00 13:44 [common cold]
080912020322P000 28-03-2022 28-03-2022
106 0002790506305 SANTONI ZAINI L - Congestive heart failure Rujuk Vertikal
343 00:00 10:03
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 28-03-2022 31-03-2022 PEKERJA


107 0003002507447 GITA INDRAYANI P Gastritis, unspecified Berobat Jalan
645 00:00 13:40 MANDIRI
080912020322P000 28-03-2022 31-03-2022
108 0003046795762 UFAIRA NADRA AFIFA P - Other atopic dermatitis Berobat Jalan
650 00:00 13:44
080912020322P000 26-03-2022 26-03-2022
109 0000035541551 BAMBANG SUSANTO L - Other visual disturbances Rujuk Vertikal
322 00:00 10:24
080912020322P000 26-03-2022 26-03-2022
110 0000343533036 HUSNIYATI P - Other visual disturbances Rujuk Vertikal
324 00:00 10:54
080912020322P000 26-03-2022 29-03-2022
111 0000343795241 SUKIRAN L - Headache Berobat Jalan
387 00:00 22:57
080912020322P000 26-03-2022 29-03-2022
112 0000344465932 ASMINI P - Pulpitis Berobat Jalan
385 00:00 22:52
080912020322P000 26-03-2022 29-03-2022
113 0000344478429 RUSMINI P - Myalgia Berobat Jalan
391 00:00 23:07
080912020322P000 26-03-2022 29-03-2022 Essential (primary)
114 0000344767533 PARIJAH P - Berobat Jalan
389 00:00 23:01 hypertension
Influenza with other
080912020322P000 26-03-2022 29-03-2022
115 0000345198497 DESI RISTA P - manifestations, virus not Berobat Jalan
388 00:00 23:00
identified
080912020322P000 26-03-2022 26-03-2022
116 0000345874768 NOVITA ELISA PUTRI P - Infective dermatitis Rujuk Vertikal
325 00:00 11:20
080912020322P000 26-03-2022 29-03-2022
117 0000995470457 DAYINAH P - Gastritis, unspecified Berobat Jalan
386 00:00 22:54

080912020322P000 26-03-2022 29-03-2022 Allergic contact dermatitis


118 0000995473664 WIWIN WITRIANI P - Berobat Jalan
390 00:00 23:04 due to other agents

080912020322P000 26-03-2022 26-03-2022


119 0001881091001 novita dwi fitriani P - Other dental caries Rujuk Vertikal
321 00:00 09:04
080912020322P000 26-03-2022 26-03-2022
120 0002457905501 RINANDA NOVIANTI P - Threatened abortion Rujuk Vertikal
326 00:00 11:21
080912020322P000 26-03-2022 26-03-2022 Other single delivery by
121 0002834919123 DEVI MARSANTI P - Rujuk Vertikal
323 00:00 10:48 caesarean section
080912020322P000 25-03-2022 29-03-2022 Essential (primary)
122 0000344500942 PONIJAH P - Berobat Jalan
393 00:00 23:45 hypertension
080912020322P000 25-03-2022 29-03-2022
123 0000344710809 DALIMAN L - Cough Berobat Jalan
394 00:00 23:48
080912020322P000 25-03-2022 29-03-2022
124 0000344980247 NUR HAYATI P - Headache Berobat Jalan
397 00:00 23:58
080912020322P000 25-03-2022 25-03-2022
125 0001433067917 AMINAH PUJI RAHAYU P - Congestive heart failure Berobat Jalan Hipertensi
319 00:00 10:15
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 25-03-2022 25-03-2022 Other and unspecified


126 0002250957868 SISWANTI P - Rujuk Vertikal
317 00:00 08:24 abdominal pain
Influenza with other
080912020322P000 25-03-2022 29-03-2022
127 0002429411815 PANGARI BOWO L - manifestations, virus not Berobat Jalan
396 00:00 23:54
identified
080912020322P000 25-03-2022 29-03-2022
128 0002582849957 ASWAR L - Myalgia Berobat Jalan
392 00:00 23:41
080912020322P000 25-03-2022 25-03-2022 Antenatal screening,
129 0002612681796 YESI OKTAVIANTI P - Rujuk Vertikal
320 00:00 10:57 unspecified
080912020322P000 25-03-2022 31-03-2022 Acute nasopharyngitis
130 0002689746715 GESTI MEDIANA P - Berobat Jalan
642 00:00 13:38 [common cold]
080912020322P000 25-03-2022 29-03-2022
131 0002790511727 DIAN RAHAYU P - Acute pharyngitis Berobat Jalan
395 00:00 23:51
080912020322P000 25-03-2022 25-03-2022 PEKERJA
132 0003119113113 DAWIYAH P Congestive heart failure Rujuk Vertikal
318 00:00 08:30 MANDIRI
080912020322P000 24-03-2022 24-03-2022 Moderate depressive
133 0000034949439 SISKA AYU KURNIA SARI P - Rujuk Vertikal
316 00:00 12:11 episode
080912020322P000 24-03-2022 24-03-2022 Other and unspecified
134 0000344506702 SUPOMO L - Rujuk Vertikal
311 00:00 08:57 abdominal pain
080912020322P000 24-03-2022 31-03-2022
135 0000344507736 EVI YANA SARI P - Gastritis, unspecified Berobat Jalan
634 00:00 12:35
080912020322P000 24-03-2022 24-03-2022
136 0000358468198 WALUYO L - Schizophrenia Rujuk Vertikal
315 00:00 10:00
080912020322P000 24-03-2022 24-03-2022
137 0001380818079 AIDAM SAHRI L - Congestive heart failure Rujuk Vertikal
313 00:00 09:35
Hypertensive heart
080912020322P000 24-03-2022 24-03-2022
138 0001833638174 M. NASIR L - disease without Berobat Jalan
312 00:00 09:24
(congestive) heart failure
080912020322P000 24-03-2022 24-03-2022
139 0002069946764 RATIH KOMALA SARI P - Other antenatal screening Rujuk Vertikal
310 00:00 08:54
080912020322P000 24-03-2022 24-03-2022 Visual disturbance,
140 0002565650081 AQILLA ANANDA ASHIVA P - Rujuk Vertikal
314 00:00 09:56 unspecified
080912020322P000 24-03-2022 31-03-2022 Acute nasopharyngitis
141 0002565655626 siti efiyah P - Berobat Jalan
635 00:00 12:36 [common cold]
080912020322P000 24-03-2022 31-03-2022
142 0002565655637 MUHAMAD HAVIT L - Gastritis, unspecified Berobat Jalan
632 00:00 12:34
080912020322P000 24-03-2022 31-03-2022 Acute nasopharyngitis
143 0002606840662 RAVI HUSIN L - Berobat Jalan
633 00:00 12:34 [common cold]
080912020322P000 24-03-2022 31-03-2022
144 0002608131971 NURHANAH P - Gastritis, unspecified Berobat Jalan
631 00:00 12:33
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 24-03-2022 31-03-2022 Acute nasopharyngitis


145 0002639522474 RAFLI SAPUTRA L - Berobat Jalan
630 00:00 12:32 [common cold]
080912020322P000 24-03-2022 31-03-2022
146 0002648324801 DAMIRI L - Myalgia Berobat Jalan
629 00:00 12:31
080912020322P000 24-03-2022 24-03-2022 Tuberculosis of bones and
147 0002648324867 WINARTO L - Rujuk Vertikal
309 00:00 08:47 joints
080912020322P000 23-03-2022 31-03-2022 Acute nasopharyngitis
148 0000343218328 ROHIM L - Berobat Jalan
626 00:00 12:11 [common cold]
080912020322P000 23-03-2022 23-03-2022
149 0000344226442 AHMAD SARI L - Atrial fibrillation and flutter Rujuk Vertikal
299 00:00 11:04
080912020322P000 23-03-2022 29-03-2022
150 0000344239007 KASMIYATI P - Gastritis, unspecified Berobat Jalan
384 00:00 22:25
080912020322P000 23-03-2022 29-03-2022
151 0000344239953 WULANDARI P - Gastritis, unspecified Berobat Jalan
382 00:00 22:20
080912020322P000 23-03-2022 31-03-2022 Acute nasopharyngitis
152 0000344272678 BAYU PRASETYO L - Berobat Jalan
628 00:00 12:12 [common cold]
080912020322P000 23-03-2022 23-03-2022 Essential (primary)
153 0000344485416 SUNARMI P - Berobat Jalan
306 00:00 11:23 hypertension
080912020322P000 23-03-2022 23-03-2022
154 0000344491806 NASARUDIN L - Headache Berobat Jalan
304 00:00 11:19
080912020322P000 23-03-2022 23-03-2022 Delivery by caesarean
155 0000344955396 APRI YANI P - Rujuk Vertikal
295 00:00 08:47 section, unspecified
080912020322P000 23-03-2022 23-03-2022
156 0000344998978 NURBAINAH P - Headache Berobat Jalan
300 00:00 11:07
080912020322P000 23-03-2022 31-03-2022
157 0000345629261 ALMA VELISA P - Gastritis, unspecified Berobat Jalan
636 00:00 13:33
Chronic obstructive
080912020322P000 23-03-2022 23-03-2022
158 0000346641298 AYU MUSTIKA P - pulmonary disease, Rujuk Vertikal
308 00:00 11:58
unspecified
080912020322P000 23-03-2022 29-03-2022
159 0000365700677 ZULKARNAIN L - Cough Berobat Jalan
380 00:00 22:17
080912020322P000 23-03-2022 29-03-2022
160 0000995464765 SUMARNI P - Gastritis, unspecified Berobat Jalan
381 00:00 22:18
080912020322P000 23-03-2022 23-03-2022
161 0000995467544 SUGIYEM P - Gastritis, unspecified Berobat Jalan
301 00:00 11:10
080912020322P000 23-03-2022 23-03-2022
162 0000995468556 TUKIYEM P - Gastritis, unspecified Berobat Jalan
307 00:00 11:26
080912020322P000 23-03-2022 23-03-2022 Antenatal screening,
163 0002064891958 MEIKA LINDA SyAFITRI P - Rujuk Vertikal
297 00:00 09:13 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 23-03-2022 31-03-2022


164 0002277185894 MINTARSIH P - Gastritis, unspecified Berobat Jalan
627 00:00 12:12
080912020322P000 23-03-2022 23-03-2022
165 0002480975043 SURATI P - Endometriosis, unspecified Rujuk Vertikal
294 00:00 08:38
080912020322P000 23-03-2022 23-03-2022
166 0002566027067 NGATIMIN L - Hyperplasia of prostate Rujuk Vertikal
293 00:00 08:32
080912020322P000 23-03-2022 23-03-2022 Acute nasopharyngitis
167 0002606754508 AYUP RIFAI L - Berobat Jalan
305 00:00 11:20 [common cold]
080912020322P000 23-03-2022 23-03-2022
168 0002637507273 SRIYANTI P - Cough Berobat Jalan
302 00:00 11:12
080912020322P000 23-03-2022 23-03-2022
169 0002738467743 ALIFHIA VIONITA P - Other appendicitis Rujuk Vertikal
296 00:00 09:02
080912020322P000 23-03-2022 23-03-2022 SHAQEENA ASSYABIYYA
170 0002758227041 P - Fever, unspecified Rujuk Vertikal
298 00:00 09:18 MECCA
080912020322P000 23-03-2022 23-03-2022 Essential (primary)
171 0002790506924 ROSNIYANTI P - Berobat Jalan
303 00:00 11:16 hypertension
080912020322P000 23-03-2022 29-03-2022
172 0002790509681 LEXSA RAMADANI P - Hypotension, unspecified Berobat Jalan
383 00:00 22:23
080912020322P000 23-03-2022 31-03-2022 Acute nasopharyngitis
173 0002932796711 HAFIZ RAMADHAN L - Berobat Jalan
637 00:00 13:35 [common cold]
080912020322P000 23-03-2022 31-03-2022
174 0003257629503 MUSTOFA L - Gastritis, unspecified Berobat Jalan
638 00:00 13:35
080912020322P000 23-03-2022 31-03-2022 Acute nasopharyngitis
175 0003257629672 MUSRINAH P - Berobat Jalan
639 00:00 13:36 [common cold]
080912020322P000 23-03-2022 31-03-2022 Acute nasopharyngitis
176 0003257629773 WAHYU WIDODO L - Berobat Jalan
640 00:00 13:37 [common cold]
080912020322P000 23-03-2022 31-03-2022
177 0003257629839 MISDI L - Myalgia Berobat Jalan
641 00:00 13:37
Other specified diabetes
080912020322P000 22-03-2022 22-03-2022 PENERIMA Diabetes Diabetes
178 0000034753509 SRI PURWATI P mellitus without Rujuk Vertikal
291 00:00 11:12 PENSIUN PNS Mellitus Mellitus
complications
080912020322P000 22-03-2022 22-03-2022
179 0000034930473 BEKTI PERTIWI P - Other visual disturbances Rujuk Vertikal
284 00:00 10:45
080912020322P000 22-03-2022 31-03-2022
180 0000341435913 KALWIYAH P - Gastritis, unspecified Berobat Jalan
614 00:00 12:02
080912020322P000 22-03-2022 22-03-2022 Acute nasopharyngitis
181 0000343712902 LINA WATI P - Berobat Jalan
281 00:00 10:38 [common cold]
080912020322P000 22-03-2022 31-03-2022
182 0000344242282 SUMIATI P - Myalgia Berobat Jalan
620 00:00 12:06
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 22-03-2022 22-03-2022 Essential (primary)


183 0000344274502 SUKARTINI P - Berobat Jalan
289 00:00 11:03 hypertension
080912020322P000 22-03-2022 22-03-2022 M. FAISAL HANDI
184 0000344762144 L PBI (APBN) Other epilepsy Rujuk Vertikal
292 00:00 13:02 SA[UTRA
080912020322P000 22-03-2022 31-03-2022
185 0000344855946 SITI AMINAH P - Gastritis, unspecified Berobat Jalan
608 00:00 11:58
080912020322P000 22-03-2022 22-03-2022 Acute nasopharyngitis
186 0000345162633 NUR MUSLIM L - Berobat Jalan
282 00:00 10:40 [common cold]
080912020322P000 22-03-2022 22-03-2022 Essential (primary)
187 0000345164308 SUKARTI P - Berobat Jalan
283 00:00 10:42 hypertension
080912020322P000 22-03-2022 31-03-2022
188 0000345272782 LIA PUSPITA P - Gastritis, unspecified Berobat Jalan
618 00:00 12:05
Influenza with other
080912020322P000 22-03-2022 22-03-2022
189 0000345291996 NURSALIM L - manifestations, virus not Berobat Jalan
286 00:00 10:49
identified
080912020322P000 22-03-2022 22-03-2022 Other chronic suppurative
190 0000345403697 TUMINAH P - Rujuk Vertikal
280 00:00 09:52 otitis media
080912020322P000 22-03-2022 31-03-2022 Acute nasopharyngitis
191 0000345429112 SUNDARI P - Berobat Jalan
609 00:00 11:59 [common cold]
080912020322P000 22-03-2022 22-03-2022
192 0000346000364 RAFFI BASTIAN NURJAYA L - Foreign body in ear Rujuk Vertikal
288 00:00 11:00
080912020322P000 22-03-2022 31-03-2022
193 0000995451783 ANA MERTASARI P - Gastritis, unspecified Berobat Jalan
625 00:00 12:10
080912020322P000 22-03-2022 22-03-2022
194 0000995467015 SUTARJO L - Headache Berobat Jalan
285 00:00 10:46
080912020322P000 22-03-2022 22-03-2022 Other secondary Diabetes Diabetes
195 0000995476151 SUPINAH P - Berobat Jalan
277 00:00 08:56 hypertension Mellitus Mellitus
080912020322P000 22-03-2022 31-03-2022
196 0001882541744 SITI KHUZAIMAH P - Myalgia Berobat Jalan
612 00:00 12:01

Viral hepatitis complicating


080912020322P000 22-03-2022 22-03-2022
197 0002033209721 risma wati P - pregnancy, childbirth and Rujuk Vertikal
287 00:00 10:51
the puerperium

080912020322P000 22-03-2022 31-03-2022 Acute nasopharyngitis


198 0002209969078 SARNI L - Berobat Jalan
613 00:00 12:02 [common cold]
080912020322P000 22-03-2022 22-03-2022 PEKERJA Chronic ischaemic heart
199 0002232786306 DIYONO L Berobat Jalan
276 00:00 08:53 MANDIRI disease
080912020322P000 22-03-2022 31-03-2022 Acute nasopharyngitis
200 0002252948231 LISA FITRIYANI P - Berobat Jalan
615 00:00 12:03 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 22-03-2022 31-03-2022


201 0002429376219 AIDA P - Myalgia Berobat Jalan
610 00:00 11:59
080912020322P000 22-03-2022 31-03-2022
202 0002442644954 MUBAKRI L - Myalgia Berobat Jalan
622 00:00 12:07

080912020322P000 22-03-2022 22-03-2022 Other specified


203 0002565646615 ANDI ISKANDAR L - Rujuk Vertikal
279 00:00 09:50 orthopaedic follow-up care

080912020322P000 22-03-2022 31-03-2022 Acute nasopharyngitis


204 0002565647076 KAYLA NUR HAFIZA P - Berobat Jalan
624 00:00 12:09 [common cold]
080912020322P000 22-03-2022 31-03-2022
205 0002565654939 DEA SELFIA P - Gastritis, unspecified Berobat Jalan
616 00:00 12:04
080912020322P000 22-03-2022 31-03-2022 Unspecified diabetes
206 0002610511547 IRAH YUNI P - Berobat Jalan
619 00:00 12:06 mellitus
080912020322P000 22-03-2022 31-03-2022 Acute nasopharyngitis
207 0002618759878 SATINAH P - Berobat Jalan
621 00:00 12:07 [common cold]
080912020322P000 22-03-2022 22-03-2022 Other and unspecified
208 0002637322931 WIDIA P - Rujuk Vertikal
290 00:00 11:04 ovarian cysts
080912020322P000 22-03-2022 22-03-2022 Thyrotoxicosis
209 0002691894464 PUTRI LOLA HANDAYANI P PBI (APBD) Rujuk Vertikal
278 00:00 09:43 [hyperthyroidism]
080912020322P000 22-03-2022 31-03-2022
210 0002939340148 SUYANTI P - Gastritis, unspecified Berobat Jalan
623 00:00 12:09
080912020322P000 22-03-2022 31-03-2022 ERVANO DAFFA Acute nasopharyngitis
211 0003051230501 L - Berobat Jalan
617 00:00 12:05 KURNIAWAN [common cold]
080912020322P000 21-03-2022 21-03-2022 Other and unspecified
212 0000343070122 ISNANDANI P - Rujuk Vertikal
259 00:00 09:34 abdominal pain
080912020322P000 21-03-2022 22-03-2022 Essential (primary)
213 0000344034022 DWI YANI P - Berobat Jalan
274 00:00 00:30 hypertension

080912020322P000 21-03-2022 21-03-2022 Unspecified haemorrhoids


214 0000344241336 PANJI AWARA L - Rujuk Vertikal
266 00:00 11:33 with other complications

Other specified chronic


080912020322P000 21-03-2022 21-03-2022
215 0000344288518 TEGUH WIYONO L PBI (APBN) obstructive pulmonary Rujuk Vertikal
263 00:00 10:41
disease
Influenza with other
080912020322P000 21-03-2022 22-03-2022
216 0000344400153 TARMIATUN P - manifestations, virus not Berobat Jalan
272 00:00 00:26
identified
080912020322P000 21-03-2022 22-03-2022 Acute nasopharyngitis
217 0000344585013 ANDIKA L - Berobat Jalan
269 00:00 00:18 [common cold]
080912020322P000 21-03-2022 22-03-2022 Essential (primary)
218 0000344693114 SUSILO WATI P - Berobat Jalan
273 00:00 00:27 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 21-03-2022 31-03-2022


219 0000344773157 SAJI L - Myalgia Berobat Jalan
607 00:00 11:57
080912020322P000 21-03-2022 21-03-2022 Other chronic suppurative
220 0000345272782 LIA PUSPITA P - Rujuk Vertikal
258 00:00 09:34 otitis media
080912020322P000 21-03-2022 31-03-2022 Acute nasopharyngitis
221 0000345299747 HERA WATI P - Berobat Jalan
602 00:00 11:54 [common cold]
080912020322P000 21-03-2022 22-03-2022
222 0000345347111 UNTUNG L - Urticaria Berobat Jalan
275 00:00 00:33
080912020322P000 21-03-2022 22-03-2022
223 0000345470591 SUKENI P - Cough Berobat Jalan
271 00:00 00:23
080912020322P000 21-03-2022 22-03-2022
224 0000995465283 SUPIATUN P - Gastritis, unspecified Berobat Jalan
270 00:00 00:21
080912020322P000 21-03-2022 21-03-2022 Tuberculous peripheral Diabetes Diabetes
225 0000995476151 SUPINAH P - Rujuk Vertikal
257 00:00 08:34 lymphadenopathy Mellitus Mellitus
080912020322P000 21-03-2022 21-03-2022
226 0001452266897 ALAMSYAH L - Ganglion Rujuk Vertikal
256 00:00 08:27
080912020322P000 21-03-2022 31-03-2022
227 0001474781613 TUMINAH P - Myalgia Berobat Jalan
603 00:00 11:54
080912020322P000 21-03-2022 21-03-2022 Primary arthrosis of other
228 0001882541744 SITI KHUZAIMAH P - Rujuk Vertikal
267 00:00 11:38 joints, unspecified site
080912020322P000 21-03-2022 21-03-2022 PEKERJA
229 0002034007132 siti munawaroh P Congestive heart failure Rujuk Vertikal
262 00:00 10:23 MANDIRI
Unspecified diabetes
080912020322P000 21-03-2022 21-03-2022
230 0002446293115 MARMO SUSANTO L PBI (APBD) mellitus with unspecified Rujuk Vertikal
264 00:00 10:44
complications
080912020322P000 21-03-2022 31-03-2022
231 0002565651486 GATI SABIA P - Gastritis, unspecified Berobat Jalan
604 00:00 11:55
080912020322P000 21-03-2022 21-03-2022 Other chronic suppurative
232 0002565654939 DEA SELFIA P - Rujuk Vertikal
260 00:00 09:36 otitis media
080912020322P000 21-03-2022 21-03-2022
233 0002566027067 NGATIMIN L - Hyperplasia of prostate Rujuk Vertikal
261 00:00 09:43
Hypertensive heart
080912020322P000 21-03-2022 21-03-2022
234 0002618759878 SATINAH P - disease without Rujuk Vertikal
255 00:00 08:25
(congestive) heart failure
080912020322P000 21-03-2022 31-03-2022 Acute nasopharyngitis
235 0002773083521 DEWI RATNA SARI P - Berobat Jalan
601 00:00 11:53 [common cold]
080912020322P000 21-03-2022 31-03-2022 Acute nasopharyngitis
236 0002869191358 MERY DIANA WATI P - Berobat Jalan
606 00:00 11:56 [common cold]
080912020322P000 21-03-2022 21-03-2022 PEKERJA
237 0003107676418 ANGGI INDRA IRAWAN L Other epilepsy Rujuk Vertikal
265 00:00 11:32 MANDIRI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 21-03-2022 21-03-2022 PEKERJA


238 0003119113078 YUSLAMUDIN L Chronic kidney disease Rujuk Vertikal
268 00:00 11:59 MANDIRI
080912020322P000 19-03-2022 19-03-2022
239 0000034911314 SUKAMDI L - Congestive heart failure Rujuk Vertikal
237 00:00 08:35
080912020322P000 19-03-2022 19-03-2022
240 0000344070786 SURATI P - Gastritis, unspecified Berobat Jalan
246 00:00 10:50
080912020322P000 19-03-2022 31-03-2022
241 0000344138883 ZUBAIDAH P - Myalgia Berobat Jalan
596 00:00 11:50
080912020322P000 19-03-2022 19-03-2022
242 0000344491547 SUMARSIH P - Gastritis, unspecified Berobat Jalan
244 00:00 10:28
080912020322P000 19-03-2022 19-03-2022
243 0000344500749 WAGIYATI P - Other dermatitis Berobat Jalan
245 00:00 10:33
080912020322P000 19-03-2022 31-03-2022 Acute nasopharyngitis
244 0000344506533 SUPAHAM L - Berobat Jalan
597 00:00 11:50 [common cold]
080912020322P000 19-03-2022 31-03-2022
245 0000344507174 DALMINI P - Gastritis, unspecified Berobat Jalan
600 00:00 11:52
080912020322P000 19-03-2022 31-03-2022 Acute nasopharyngitis
246 0000344507229 DIAH PUSPITA NINGRUM P - Berobat Jalan
599 00:00 11:51 [common cold]
080912020322P000 19-03-2022 19-03-2022 Essential (primary)
247 0000344531485 JUMINI P - Berobat Jalan
243 00:00 10:26 hypertension
080912020322P000 19-03-2022 19-03-2022 Essential (primary)
248 0000344612081 MARFUNI P - Berobat Jalan
247 00:00 10:57 hypertension
080912020322P000 19-03-2022 31-03-2022
249 0000346265572 KADILAH P - Gastritis, unspecified Berobat Jalan
598 00:00 11:51
080912020322P000 19-03-2022 19-03-2022
250 0000995471324 MIRAH P - Myalgia Berobat Jalan
242 00:00 10:24
Other benign neoplasm of
080912020322P000 19-03-2022 19-03-2022 connective and other soft
251 0000995472167 MARYANA P - Rujuk Vertikal
236 00:00 08:25 tissue of head, face and
neck
080912020322P000 19-03-2022 31-03-2022
252 0001130517617 R AGUS SUPRIYADI L - Gastritis, unspecified Berobat Jalan
595 00:00 11:49
080912020322P000 19-03-2022 19-03-2022 Diabetes Diabetes
253 0001264096585 ENNI MAFALDA P - Other dental caries Rujuk Vertikal
241 00:00 10:18 Mellitus Mellitus
080912020322P000 19-03-2022 19-03-2022
254 0001875613522 INDAH ANGGRAINI P - Other dental caries Rujuk Vertikal
240 00:00 10:17
080912020322P000 19-03-2022 31-03-2022 Acute nasopharyngitis
255 0002638956014 LINDA ASMAWATI P - Berobat Jalan
594 00:00 11:49 [common cold]
080912020322P000 19-03-2022 19-03-2022 Stroke, not specified as
256 0002834918267 MARTO DIARJO L - Rujuk Vertikal
239 00:00 10:06 haemorrhage or infarction
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 19-03-2022 19-03-2022


257 0002967030101 ANGGI RIGA DAMAYANTI P - Other epilepsy Berobat Jalan
238 00:00 09:06
Unspecified diabetes
080912020322P000 18-03-2022 18-03-2022
258 0000034817545 NOVI SUHARIYANI P PNS DAERAH mellitus with unspecified Rujuk Vertikal
233 00:00 09:41
complications
Other specified diabetes
080912020322P000 18-03-2022 18-03-2022 PENERIMA Diabetes Diabetes
259 0000034906059 SUMARDHI L mellitus without Berobat Jalan
225 00:00 08:49 PENSIUN PNS Mellitus Mellitus
complications
Chronic obstructive
080912020322P000 18-03-2022 18-03-2022 PENERIMA
260 0000034906061 SUMARSI P pulmonary disease, Berobat Jalan Hipertensi
226 00:00 08:51 PENSIUN PNS
unspecified
080912020322P000 18-03-2022 19-03-2022 PENERIMA Other headache
261 0000034995396 ISTIKAH P Berobat Jalan
253 00:00 22:04 PENSIUN PNS syndromes
080912020322P000 18-03-2022 31-03-2022 Hypertensive heart
262 0000035731901 INDRIYANI P - Berobat Jalan Hipertensi
586 00:00 11:43 disease
080912020322P000 18-03-2022 19-03-2022
263 0000171686158 SUMAMI P - Pulpitis Berobat Jalan
254 00:00 22:07
080912020322P000 18-03-2022 19-03-2022
264 0000343778409 PONIRAH P - Myalgia Berobat Jalan
248 00:00 21:53
080912020322P000 18-03-2022 19-03-2022
265 0000343854652 PONI P - Gastritis, unspecified Berobat Jalan
251 00:00 22:00
080912020322P000 18-03-2022 31-03-2022 Hypertensive heart
266 0000344021837 NURJANAH P - Berobat Jalan Hipertensi
591 00:00 11:46 disease
Hypertensive heart
080912020322P000 18-03-2022 18-03-2022
267 0000344120512 HAMINAH P - disease without Berobat Jalan
231 00:00 09:21
(congestive) heart failure
080912020322P000 18-03-2022 18-03-2022
268 0000344830983 AHMAD HERIYANTO L - Other visual disturbances Rujuk Vertikal
232 00:00 09:40
080912020322P000 18-03-2022 31-03-2022 Hypertensive heart
269 0000345928487 MASNAH P - Berobat Jalan Hipertensi
585 00:00 11:42 disease
080912020322P000 18-03-2022 31-03-2022
270 0000995472167 MARYANA P - Gastritis, unspecified Berobat Jalan
593 00:00 11:47
080912020322P000 18-03-2022 31-03-2022
271 0000995472573 SUGENG L - Myalgia Berobat Jalan
592 00:00 11:47
080912020322P000 18-03-2022 18-03-2022
272 0001261160662 SUKATMI P - Low back pain Rujuk Vertikal
227 00:00 09:00
080912020322P000 18-03-2022 18-03-2022
273 0002071454938 SRI AYEM NINGSIH P - Other nontoxic goitre Rujuk Vertikal
228 00:00 09:06
080912020322P000 18-03-2022 31-03-2022 Unspecified diabetes
274 0002087102439 SAMIJEM P - Berobat Jalan Hipertensi
584 00:00 11:42 mellitus
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 18-03-2022 19-03-2022 Stomatitis and related


275 0002118660794 EMI YULIANA P - Berobat Jalan
252 00:00 22:02 lesions
080912020322P000 18-03-2022 31-03-2022 Acute nasopharyngitis
276 0002296722453 SAIFUL IRPAN L - Berobat Jalan
583 00:00 11:41 [common cold]
080912020322P000 18-03-2022 18-03-2022 Malignant neoplasm of
277 0002489196407 SAWIYEM P - Rujuk Vertikal
234 00:00 10:06 breast
080912020322P000 18-03-2022 19-03-2022 Acute nasopharyngitis
278 0002565654298 Rian Adit Tanjaya L - Berobat Jalan
250 00:00 21:57 [common cold]

080912020322P000 18-03-2022 18-03-2022 Unspecified haemorrhoids


279 0002590659775 YANNTO ADI IRAWAN L - Rujuk Vertikal
229 00:00 09:14 with other complications

080912020322P000 18-03-2022 19-03-2022


280 0002639002127 ANDRI CAHYONO L - Acute pharyngitis Berobat Jalan
249 00:00 21:55
080912020322P000 18-03-2022 31-03-2022 Unspecified diabetes
281 0002648325914 SOPIYAH P - Berobat Jalan Hipertensi
588 00:00 11:44 mellitus
080912020322P000 18-03-2022 31-03-2022
282 0002648327837 NUR'AINI P - Gastritis, unspecified Berobat Jalan
590 00:00 11:45
080912020322P000 18-03-2022 18-03-2022 Foreign body in alimentary
283 0002689748019 ZAENAL ARIFIN L - Rujuk Vertikal
230 00:00 09:20 tract
080912020322P000 18-03-2022 18-03-2022
284 0002790509894 AFIFA ASYALWA P PBI (APBN) Epilepsy Rujuk Vertikal
235 00:00 10:47
080912020322P000 18-03-2022 31-03-2022 Hypertensive heart
285 0002886921257 RUSMIATI P - Berobat Jalan Hipertensi
589 00:00 11:45 disease
080912020322P000 18-03-2022 31-03-2022 SAFIRA MEY Acute nasopharyngitis
286 0002917980055 P - Berobat Jalan
587 00:00 11:44 NURHIDAYAH [common cold]
080912020322P000 17-03-2022 17-03-2022 PENERIMA Other specified surgical
287 0000034823608 jamilatun P Rujuk Vertikal
213 00:00 08:59 PENSIUN PNS follow-up care
080912020322P000 17-03-2022 17-03-2022
288 0000034877777 PALIYO REBIN L - Other senile cataract Rujuk Vertikal
218 00:00 10:36
080912020322P000 17-03-2022 17-03-2022
289 0000344237771 ALIPAH P - Gastritis, unspecified Berobat Jalan
221 00:00 22:03
080912020322P000 17-03-2022 31-03-2022
290 0000344454671 SURHADI L - Gastritis, unspecified Berobat Jalan
581 00:00 11:39
080912020322P000 17-03-2022 31-03-2022 Acute nasopharyngitis
291 0000344455064 ATIK YULIANTI P - Berobat Jalan
579 00:00 11:38 [common cold]
080912020322P000 17-03-2022 31-03-2022 Acute nasopharyngitis
292 0000344455986 RHEISYA SINTIA DEWI P - Berobat Jalan
580 00:00 11:39 [common cold]
080912020322P000 17-03-2022 17-03-2022
293 0000344508636 MARYATI P - Myalgia Berobat Jalan
223 00:00 22:08
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Influenza with other


080912020322P000 17-03-2022 17-03-2022
294 0000344712003 WALYANAH P - manifestations, virus not Berobat Jalan
224 00:00 22:10
identified
080912020322P000 17-03-2022 17-03-2022 Stomatitis and related
295 0000344811464 KIKI SANTIANI P - Berobat Jalan
222 00:00 22:05 lesions
080912020322P000 17-03-2022 17-03-2022
296 0000344860402 ESA SEKAR SARI P - Gastritis, unspecified Berobat Jalan
220 00:00 22:00
080912020322P000 17-03-2022 17-03-2022
297 0000345104414 MULYANTI P PBI (APBN) Schizophrenia Rujuk Vertikal
212 00:00 08:45
080912020322P000 17-03-2022 31-03-2022
298 0000345349866 MESGIATI P - Gastritis, unspecified Berobat Jalan
577 00:00 11:37
080912020322P000 17-03-2022 31-03-2022
299 0000345489063 SUKARMI P - Gastritis, unspecified Berobat Jalan
574 00:00 11:35
Hypertensive heart
080912020322P000 17-03-2022 17-03-2022
300 0000345994841 KARI L - disease without Rujuk Vertikal
216 00:00 09:55
(congestive) heart failure
080912020322P000 17-03-2022 31-03-2022
301 0000345996213 TRI ASIH P - Gastritis, unspecified Berobat Jalan
578 00:00 11:38
080912020322P000 17-03-2022 17-03-2022 Other and unspecified
302 0001874899754 ASMA NURHAYA P - Rujuk Vertikal
217 00:00 10:35 abdominal pain
080912020322P000 17-03-2022 17-03-2022 PEKERJA
303 0002046571007 KATIMAH P Unspecified jaundice Rujuk Vertikal
219 00:00 10:38 MANDIRI
080912020322P000 17-03-2022 17-03-2022
304 0002624835701 WAGIYAH P - Other schizophrenia Rujuk Vertikal
211 00:00 08:19
080912020322P000 17-03-2022 17-03-2022
305 0002691900044 MARYATUN P - Spinal stenosis Rujuk Vertikal
214 00:00 09:03
080912020322P000 17-03-2022 31-03-2022 Acute nasopharyngitis
306 0002790504325 TOMY HADI SAPUTRA L - Berobat Jalan
582 00:00 11:40 [common cold]
080912020322P000 17-03-2022 31-03-2022 Acute nasopharyngitis
307 0002923624361 DILAN ARNANDA L - Berobat Jalan
576 00:00 11:36 [common cold]
080912020322P000 17-03-2022 17-03-2022
308 0002930739423 ARISYA BILQIS MUSHLIH P - Other specified fever Rujuk Vertikal
215 00:00 09:49
080912020322P000 16-03-2022 31-03-2022
309 0000034790242 NURDIN L - Gastritis, unspecified Berobat Jalan
672 00:00 15:00
080912020322P000 16-03-2022 31-03-2022
310 0000035433999 SUWARNO L - Gastritis, unspecified Berobat Jalan
673 00:00 15:00
080912020322P000 16-03-2022 16-03-2022 Essential (primary)
311 0000343272159 SUWARTIMAH P - Berobat Jalan
208 00:00 10:42 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Hypertensive heart
080912020322P000 16-03-2022 16-03-2022
312 0000344436142 KARYAWATI P PBI (APBN) disease without Berobat Jalan
201 00:00 10:27
(congestive) heart failure
080912020322P000 16-03-2022 16-03-2022
313 0000344474482 SUTINAH P - Cough Berobat Jalan
206 00:00 10:35
080912020322P000 16-03-2022 16-03-2022
314 0000344883137 NOPITA SARI P - Gastritis, unspecified Berobat Jalan
207 00:00 10:39
080912020322P000 16-03-2022 16-03-2022
315 0000345381838 SULIYEM P - Other senile cataract Rujuk Vertikal
198 00:00 09:06
080912020322P000 16-03-2022 31-03-2022
316 0000345918609 KIYEM P - Gastritis, unspecified Berobat Jalan
670 00:00 14:57
080912020322P000 16-03-2022 16-03-2022
317 0000995471245 RUMNAH P - Myalgia Berobat Jalan
209 00:00 10:49
080912020322P000 16-03-2022 16-03-2022 Other headache
318 0000995472944 SUMARNI P - Berobat Jalan
205 00:00 10:32 syndromes
080912020322P000 16-03-2022 16-03-2022
319 0001829099035 OMAN SAPUTRA L - Chronic kidney disease Rujuk Vertikal
199 00:00 09:39
080912020322P000 16-03-2022 16-03-2022
320 0001833638174 M. NASIR L - Congestive heart failure Rujuk Vertikal
197 00:00 09:02
080912020322P000 16-03-2022 16-03-2022 PEKERJA Malignant neoplasm of
321 0002034007132 siti munawaroh P Rujuk Vertikal
200 00:00 10:18 MANDIRI breast
080912020322P000 16-03-2022 16-03-2022 PEKERJA
322 0002088455927 FEBRI DINA RISTA P Other epilepsy Berobat Jalan
202 00:00 10:28 MANDIRI
Certain early
080912020322P000 16-03-2022 16-03-2022
323 0002637611504 SAPTO SUASONO L - complications of trauma, Rujuk Vertikal
204 00:00 10:32
not elsewhere classified
Influenza with other
080912020322P000 16-03-2022 16-03-2022
324 0002689748076 RIDWAN L - manifestations, virus not Berobat Jalan
203 00:00 10:31
identified
080912020322P000 16-03-2022 16-03-2022
325 0002737652883 SAIKEM P - Congestive heart failure Rujuk Vertikal
196 00:00 08:59
080912020322P000 16-03-2022 16-03-2022
326 0002914157147 DADANG L - Chronic kidney disease Rujuk Vertikal
210 00:00 11:58
080912020322P000 16-03-2022 31-03-2022 SAFIRA MEY Acute nasopharyngitis
327 0002917980055 P - Berobat Jalan
671 00:00 14:58 NURHIDAYAH [common cold]
080912020322P000 16-03-2022 16-03-2022 Congenital deformity of
328 0003127008802 RATSABIYA AISYADIAH L - Rujuk Vertikal
195 00:00 08:56 knee
Unspecified diabetes
080912020322P000 15-03-2022 15-03-2022 Diabetes
329 0000034839731 MUNADJAM L - mellitus with unspecified Rujuk Vertikal
187 00:00 11:41 Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 15-03-2022 15-03-2022 Hypertrophy of tonsils with


330 0000034984877 PRATIWI SUKIRNO P - Rujuk Vertikal
180 00:00 09:16 hypertrophy of adenoids

080912020322P000 15-03-2022 15-03-2022


331 0000343698805 NANO FIRMANSYAH L - Ectropion of eyelid Rujuk Vertikal
179 00:00 09:04
080912020322P000 15-03-2022 31-03-2022
332 0000344063946 ASNIDAR P - Gastritis, unspecified Berobat Jalan
573 00:00 11:31
080912020322P000 15-03-2022 31-03-2022 Acute nasopharyngitis
333 0000344135643 LIA ASTINA P - Berobat Jalan
572 00:00 11:28 [common cold]
080912020322P000 15-03-2022 31-03-2022
334 0000344320233 MAIMUNAH P - Myalgia Berobat Jalan
569 00:00 11:26
080912020322P000 15-03-2022 16-03-2022
335 0000344474616 septina ligia wati P - Hypotension, unspecified Berobat Jalan
191 00:00 00:18
Influenza with other
080912020322P000 15-03-2022 16-03-2022
336 0000344758577 PANJI FERDIANSYAH L - manifestations, virus not Berobat Jalan
194 00:00 00:25
identified
Influenza with other
080912020322P000 15-03-2022 16-03-2022
337 0000345150371 IRHANI L - manifestations, virus not Berobat Jalan
190 00:00 00:16
identified
080912020322P000 15-03-2022 16-03-2022 Acute nasopharyngitis
338 0000345250157 KATEMI P - Berobat Jalan
188 00:00 00:12 [common cold]
080912020322P000 15-03-2022 16-03-2022
339 0000345251013 AKMAL ADI B L - Cough Berobat Jalan
189 00:00 00:14
080912020322P000 15-03-2022 31-03-2022
340 0000345912952 ZAKARIYAH L - Gastritis, unspecified Berobat Jalan
571 00:00 11:28
080912020322P000 15-03-2022 31-03-2022 Acute nasopharyngitis
341 0000345912974 FAUZIYAH P - Berobat Jalan
570 00:00 11:27 [common cold]
080912020322P000 15-03-2022 16-03-2022
342 0000995474057 SUPRIYANTO L - Dyspepsia Berobat Jalan
193 00:00 00:23
080912020322P000 15-03-2022 15-03-2022 Tuberculous peripheral Diabetes Diabetes
343 0000995476151 SUPINAH P - Rujuk Vertikal
178 00:00 09:00 lymphadenopathy Mellitus Mellitus
080912020322P000 15-03-2022 31-03-2022 PEKERJA
344 0001304172393 PARTIYEM P Myalgia Berobat Jalan
565 00:00 11:23 MANDIRI
080912020322P000 15-03-2022 15-03-2022
345 0001437888429 SOMO WIYADI L - Other senile cataract Rujuk Vertikal
182 00:00 09:56
Hypertensive heart
080912020322P000 15-03-2022 15-03-2022
346 0001592491331 HUSNAWATI P - disease without Rujuk Vertikal
186 00:00 11:22
(congestive) heart failure
080912020322P000 15-03-2022 31-03-2022 Acute nasopharyngitis
347 0001890140218 RINA UMAYANTI P - Berobat Jalan
566 00:00 11:23 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 15-03-2022 31-03-2022


348 0002328631582 SRI WAHYUNINGSIH P - Gastritis, unspecified Berobat Jalan
563 00:00 11:21
080912020322P000 15-03-2022 15-03-2022
349 0002565648314 RISKI FAH REZA L - Other epilepsy Rujuk Vertikal
183 00:00 10:02
080912020322P000 15-03-2022 16-03-2022 Acute nasopharyngitis
350 0002565650542 A. RAIHAN A S L - Berobat Jalan
192 00:00 00:20 [common cold]
080912020322P000 15-03-2022 15-03-2022
351 0002601769364 AYU KURNIAWATI P - Pemphigus vulgaris Rujuk Vertikal
185 00:00 11:00
080912020322P000 15-03-2022 31-03-2022
352 0002648325104 SELA NURSARI P - Gastritis, unspecified Berobat Jalan
567 00:00 11:25
080912020322P000 15-03-2022 31-03-2022 MUHAMMAD FAHDIL ALI Acute nasopharyngitis
353 0002761505932 L - Berobat Jalan
560 00:00 11:19 YUSUF [common cold]
080912020322P000 15-03-2022 31-03-2022 Acute nasopharyngitis
354 0002761606506 ALDI YANSAH L - Berobat Jalan
568 00:00 11:25 [common cold]
080912020322P000 15-03-2022 31-03-2022 Acute nasopharyngitis
355 0002773083521 DEWI RATNA SARI P - Berobat Jalan
564 00:00 11:22 [common cold]
Other benign neoplasm of
080912020322P000 15-03-2022 15-03-2022 connective and other soft
356 0002790507205 LARAS ANGGUN DARI P - Rujuk Vertikal
184 00:00 10:07 tissue of head, face and
neck
080912020322P000 15-03-2022 15-03-2022
357 0003005841082 MASHURI L - Fracture of patella Rujuk Vertikal
181 00:00 09:54
080912020322P000 15-03-2022 31-03-2022
358 0003060619931 ALPIAN L - Gastritis, unspecified Berobat Jalan
562 00:00 11:21
080912020322P000 15-03-2022 31-03-2022 AQILLA FRISKA Acute nasopharyngitis
359 0003060619997 P - Berobat Jalan
561 00:00 11:20 ANANDITA [common cold]
080912020322P000 14-03-2022 14-03-2022 SOEMARSONO Other disorders of
360 0000033436271 L - Rujuk Vertikal Hipertensi
167 00:00 10:18 SISWOWIYOTO vestibular function
080912020322P000 14-03-2022 14-03-2022
361 0000034831023 SUDAYIN L - Other dermatitis Berobat Jalan
169 00:00 10:29
080912020322P000 14-03-2022 31-03-2022
362 0000210100713 HELMANIA DONNA FANI P - Gastritis, unspecified Berobat Jalan
547 00:00 11:11
080912020322P000 14-03-2022 14-03-2022
363 0000343880684 SITI NURHAYATI P - Other schizophrenia Rujuk Vertikal
164 00:00 09:07
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
364 0000344070786 SURATI P - Berobat Jalan
559 00:00 11:18 [common cold]
080912020322P000 14-03-2022 14-03-2022 Acute nasopharyngitis
365 0000344377618 LILIK SURYANI P - Berobat Jalan
176 00:00 11:36 [common cold]
080912020322P000 14-03-2022 31-03-2022
366 0000344429638 SARNI P - Myalgia Berobat Jalan
549 00:00 11:12
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 14-03-2022 14-03-2022


367 0000344431394 KATIYEM P - Myalgia Berobat Jalan
174 00:00 11:34
080912020322P000 14-03-2022 14-03-2022
368 0000344452689 RUMSIAH P - Other dermatitis Berobat Jalan
175 00:00 11:35
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
369 0000344471512 RISKA PURNAMA SARI P - Berobat Jalan
556 00:00 11:16 [common cold]
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
370 0000344660049 AHMAD NASARUDIN L - Berobat Jalan
539 00:00 11:07 [common cold]
080912020322P000 14-03-2022 31-03-2022
371 0000344660692 MAS YATI P - Gastritis, unspecified Berobat Jalan
540 00:00 11:07
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
372 0000344660995 RIZKI RIDO PRATAMA L - Berobat Jalan
541 00:00 11:08 [common cold]
080912020322P000 14-03-2022 31-03-2022
373 0000344709753 JALALUDIN L - Myalgia Berobat Jalan
553 00:00 11:14
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
374 0000344857871 HASAN BASRI L - Berobat Jalan
554 00:00 11:15 [common cold]
080912020322P000 14-03-2022 31-03-2022 Unspecified diabetes
375 0000345116441 GANI SUGIANTO L - Berobat Jalan
550 00:00 11:13 mellitus
080912020322P000 14-03-2022 31-03-2022
376 0000345238828 SULIS LESTARI P - Gastritis, unspecified Berobat Jalan
555 00:00 11:16
Hypertensive heart
080912020322P000 14-03-2022 14-03-2022
377 0002073945003 MARSI P PBI (APBN) disease without Rujuk Vertikal
168 00:00 10:27
(congestive) heart failure
080912020322P000 14-03-2022 31-03-2022
378 0002307571468 MARYATI P - Myalgia Berobat Jalan
557 00:00 11:17
080912020322P000 14-03-2022 14-03-2022 Chronic atticoantral
379 0002309182468 DIANTI P - Rujuk Vertikal
166 00:00 10:03 suppurative otitis media
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
380 0002317852102 ARGA DWI ERLANGGA L - Berobat Jalan
551 00:00 11:13 [common cold]
080912020322P000 14-03-2022 31-03-2022
381 0002500696337 MUSTIKA PUTRI P - Other atopic dermatitis Berobat Jalan
542 00:00 11:09
Certain early
080912020322P000 14-03-2022 14-03-2022
382 0002637611504 SAPTO SUASONO L - complications of trauma, Rujuk Vertikal
173 00:00 11:06
not elsewhere classified
080912020322P000 14-03-2022 14-03-2022
383 0002648328513 TUTIK P - Myalgia Berobat Jalan
171 00:00 10:32
080912020322P000 14-03-2022 14-03-2022
384 0002648328816 NGATIJEM P - Gastritis, unspecified Berobat Jalan
177 00:00 11:37
080912020322P000 14-03-2022 14-03-2022 Chronic atticoantral
385 0002790505091 ISTIQOMAH P - Rujuk Vertikal
165 00:00 09:16 suppurative otitis media
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 14-03-2022 14-03-2022


386 0002834918458 GIYATI P - Migraine, unspecified Berobat Jalan
170 00:00 10:31
080912020322P000 14-03-2022 14-03-2022 Other chronic suppurative
387 0002880672783 SUNARTI P - Rujuk Vertikal
172 00:00 10:48 otitis media
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
388 0002886921044 SURATO L - Berobat Jalan
552 00:00 11:14 [common cold]
080912020322P000 14-03-2022 31-03-2022
389 0003053846261 LINAWATI P - Gastritis, unspecified Berobat Jalan
545 00:00 11:10
080912020322P000 14-03-2022 31-03-2022 Acute nasopharyngitis
390 0003099021917 arka sanjaya L - Berobat Jalan
543 00:00 11:09 [common cold]
080912020322P000 12-03-2022
391 03-12-2022 0000343593808 ELYA PURNAMA SARI P - Hypotension, unspecified Berobat Jalan
157 21:55
080912020322P000 12-03-2022 Primary arthrosis of other
392 03-12-2022 0000343946586 MURTINI P - Rujuk Vertikal
150 09:20 joints, unspecified site
080912020322P000 12-03-2022 Acute nasopharyngitis
393 03-12-2022 0000344489657 SOFIATUN P - Berobat Jalan
156 21:53 [common cold]
080912020322P000 12-03-2022
394 03-12-2022 0000344517884 AMAN ABADI L - Pulpitis Berobat Jalan
155 21:51
080912020322P000 12-03-2022
395 03-12-2022 0000344855428 SUGINO L - Myalgia Berobat Jalan
153 21:47
080912020322P000 31-03-2022 Acute nasopharyngitis
396 03-12-2022 0000344910947 ERNANI RAMADANI P - Berobat Jalan
534 11:00 [common cold]
080912020322P000 12-03-2022
397 03-12-2022 0000345133787 PONINTEN P - Gastritis, unspecified Berobat Jalan
154 21:49
080912020322P000 31-03-2022
398 03-12-2022 0000345719632 SAMINI P - Gastritis, unspecified Berobat Jalan
538 11:06
Unspecified diabetes
080912020322P000 12-03-2022
399 03-12-2022 0000348011921 CARTI P - mellitus with unspecified Rujuk Vertikal
152 11:01
complications
080912020322P000 31-03-2022 Unspecified diabetes Diabetes Diabetes
400 03-12-2022 0001264096585 ENNI MAFALDA P - Berobat Jalan
533 10:57 mellitus Mellitus Mellitus
080912020322P000 31-03-2022 Acute nasopharyngitis
401 03-12-2022 0001430456218 DAWUD L - Berobat Jalan
537 11:03 [common cold]
080912020322P000 31-03-2022
402 03-12-2022 0001430456545 SUMARIATI P - Gastritis, unspecified Berobat Jalan
536 11:03
080912020322P000 31-03-2022 Acute nasopharyngitis
403 03-12-2022 0001446121664 OTIK P - Berobat Jalan
531 10:56 [common cold]
080912020322P000 12-03-2022 Other specified irregular
404 03-12-2022 0002118660682 ACILIA JESICHA PUTRI P - Rujuk Vertikal
151 10:01 menstruation
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 12-03-2022 PEKERJA Chronic ischaemic heart


405 03-12-2022 0002232786306 DIYONO L Rujuk Vertikal
149 09:14 MANDIRI disease
Unspecified diabetes
080912020322P000 12-03-2022
406 03-12-2022 0002481933194 TITIK SETIYONINGSIH P - mellitus with unspecified Rujuk Vertikal
147 08:39
complications
080912020322P000 31-03-2022
407 03-12-2022 0002565646852 AZZAM AL ASHIM L - Other atopic dermatitis Berobat Jalan
535 11:01
080912020322P000 12-03-2022 PEKERJA
408 03-12-2022 0003002507447 GITA INDRAYANI P Other epilepsy Berobat Jalan
148 09:13 MANDIRI
080912020322P000 31-03-2022 PENERIMA Acute nasopharyngitis
409 03-11-2022 0000035617072 PUJIYANA P Berobat Jalan
513 10:25 PENSIUN PNS [common cold]
080912020322P000 12-03-2022
410 03-11-2022 0000343526927 GANI SURANTO L - Cough Berobat Jalan
161 22:02
080912020322P000 12-03-2022
411 03-11-2022 0000344405092 NOR ROHMI P - Other dermatitis Berobat Jalan
160 22:00
080912020322P000 31-03-2022
412 03-11-2022 0000344422067 BAYU SETIAWAN L - Gastritis, unspecified Berobat Jalan
517 10:28
080912020322P000 12-03-2022
413 03-11-2022 0000345208353 NURBAITI P - Migraine, unspecified Berobat Jalan
163 22:07
080912020322P000 31-03-2022
414 03-11-2022 0000345245747 PARTI P - Gastritis, unspecified Berobat Jalan
515 10:27
080912020322P000 12-03-2022
415 03-11-2022 0000345403697 TUMINAH P - Myalgia Berobat Jalan
158 21:57
080912020322P000 11-03-2022
416 03-11-2022 0000345508683 SULASMI P - Intracerebral haemorrhage Berobat Jalan Hipertensi Hipertensi
146 10:15
Influenza with other
080912020322P000 12-03-2022
417 03-11-2022 0000345922154 ATIKA DEWI YULIANI P - manifestations, virus not Berobat Jalan
159 21:58
identified
080912020322P000 31-03-2022 Acute nasopharyngitis
418 03-11-2022 0000995463472 AHMAD KHOIRUDIN L - Berobat Jalan
516 10:28 [common cold]
080912020322P000 31-03-2022
419 03-11-2022 0001185250511 SITI HASANAH P - Gastritis, unspecified Berobat Jalan
528 10:52
080912020322P000 12-03-2022 Essential (primary)
420 03-11-2022 0001252389284 MITRI L - Berobat Jalan
162 22:05 hypertension
080912020322P000 11-03-2022 Other and unspecified
421 03-11-2022 0001592492049 ENGKEL L - Rujuk Vertikal
142 08:46 abdominal pain
080912020322P000 31-03-2022 Unspecified diabetes
422 03-11-2022 0001967441365 SITI SOLEKAH P - Berobat Jalan
518 10:29 mellitus
080912020322P000 11-03-2022 Other secondary
423 03-11-2022 0002648328276 ISLAMIYATI P - Rujuk Vertikal
145 09:53 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 31-03-2022 Acute nasopharyngitis


424 03-11-2022 0003005576829 SUPARLAN L - Berobat Jalan
514 10:26 [common cold]
080912020322P000 11-03-2022
425 03-11-2022 0003046479456 SUPARNO L - Fracture of thumb Rujuk Vertikal
143 09:03
080912020322P000 11-03-2022 PEKERJA
426 03-11-2022 0003105056147 yusniyah P Cellulitis, unspecified Rujuk Vertikal
144 09:35 MANDIRI
080912020322P000 31-03-2022
427 03-10-2022 0000344424273 MARKINI P - Myalgia Berobat Jalan
511 10:23
080912020322P000 31-03-2022
428 03-10-2022 0000344459619 HERI PRAYETNO L - Gastritis, unspecified Berobat Jalan
504 10:20
080912020322P000 10-03-2022 Essential (primary)
429 03-10-2022 0000344524138 MURJIYANTI P - Berobat Jalan
125 12:00 hypertension
080912020322P000 10-03-2022 RIZKI ANDRIAWAN
430 03-10-2022 0000344791923 L - Cough Berobat Jalan
121 11:53 HASBULLAH
080912020322P000 10-03-2022 Other headache
431 03-10-2022 0000344879234 JUMIRAH P - Berobat Jalan
123 11:57 syndromes
080912020322P000 10-03-2022 AHMAT TEGAR Acute nasopharyngitis
432 03-10-2022 0000344879346 L - Berobat Jalan
122 11:56 APRILIANSYAH [common cold]
080912020322P000 10-03-2022 Acute nasopharyngitis
433 03-10-2022 0000344932593 SRI MARYATI P - Berobat Jalan
124 11:59 [common cold]
080912020322P000 31-03-2022 Acute nasopharyngitis
434 03-10-2022 0000344955396 APRI YANI P - Berobat Jalan
503 10:20 [common cold]
080912020322P000 31-03-2022
435 03-10-2022 0000345153903 SETIYA WATI P - Gastritis, unspecified Berobat Jalan
507 10:22
080912020322P000 10-03-2022
436 03-10-2022 0000995469895 SUSANTI P - Lumbago with sciatica Rujuk Vertikal
117 11:24
080912020322P000 31-03-2022
437 03-10-2022 0000995472573 SUGENG L - Myalgia Berobat Jalan
505 10:21
080912020322P000 31-03-2022
438 03-10-2022 0000995472584 JARWATI P - Myalgia Berobat Jalan
506 10:21
080912020322P000 10-03-2022 PEKERJA
439 03-10-2022 0001304172393 PARTIYEM P Other chronic renal failure Rujuk Vertikal
114 08:55 MANDIRI
Insulin-dependent Diabetes Diabetes
080912020322P000 10-03-2022 PEKERJA
440 03-10-2022 0002033071367 NASIYAH P diabetes mellitus with Berobat Jalan Mellitus Mellitus
119 11:50 MANDIRI
unspecified complications Hipertensi Hipertensi
080912020322P000 31-03-2022 Acute nasopharyngitis
441 03-10-2022 0002071437759 bima maula huzaif L - Berobat Jalan
509 10:23 [common cold]
080912020322P000 31-03-2022 MUHAMMAD Acute nasopharyngitis
442 03-10-2022 0002565646661 L - Berobat Jalan
508 10:22 FIKRIANSYAH [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Diarrhoea and
080912020322P000 10-03-2022
443 03-10-2022 0002565648933 TALITHA IZZATUNISA P - gastroenteritis of Berobat Jalan
120 11:51
presumed infectious origin

Hypertensive heart
080912020322P000 10-03-2022
444 03-10-2022 0002594318321 SUNARTI P - disease without Berobat Jalan
115 10:21
(congestive) heart failure
080912020322P000 10-03-2022
445 03-10-2022 0002601769004 ALDI RAMADHAN L - Other atopic dermatitis Berobat Jalan
116 10:38
080912020322P000 31-03-2022
446 03-10-2022 0002834920372 MUIS L - Gastritis, unspecified Berobat Jalan
502 10:18
080912020322P000 10-03-2022
447 03-09-2022 0000034340725 SULTHAN IRAWAN L - Pulpitis Rujuk Vertikal
118 11:36
080912020322P000 09-03-2022
448 03-09-2022 0000034878418 BOLOT RATINAH P - Congestive heart failure Rujuk Vertikal
111 10:46
080912020322P000 31-03-2022 Acute nasopharyngitis
449 03-09-2022 0000343059849 SITI AISAH P - Berobat Jalan
491 10:09 [common cold]
080912020322P000 31-03-2022
450 03-09-2022 0000343139027 ROSITA P - Gastritis, unspecified Berobat Jalan
488 10:07
080912020322P000 31-03-2022
451 03-09-2022 0000343218328 ROHIM L - Gastritis, unspecified Berobat Jalan
498 10:13
080912020322P000 09-03-2022
452 03-09-2022 0000344055756 MUNTIAH P PBI (APBN) Chronic kidney disease Rujuk Vertikal
113 11:11
080912020322P000 31-03-2022 Acute nasopharyngitis
453 03-09-2022 0000344063968 EDWAR OKTORA L - Berobat Jalan
494 10:11 [common cold]
080912020322P000 10-03-2022 Essential (primary)
454 03-09-2022 0000344471512 RISKA PURNAMA SARI P - Berobat Jalan
139 23:28 hypertension
080912020322P000 31-03-2022
455 03-09-2022 0000344478609 SUKIMAN L - Gastritis, unspecified Berobat Jalan
495 10:11
080912020322P000 10-03-2022
456 03-09-2022 0000344499557 JASMADI L - Cough Berobat Jalan
141 23:34
080912020322P000 10-03-2022
457 03-09-2022 0000344811622 MUNIROH P - Acute pharyngitis Berobat Jalan
140 23:29
080912020322P000 31-03-2022
458 03-09-2022 0000344854664 SENI DIANI P - Gastritis, unspecified Berobat Jalan
493 10:10
080912020322P000 09-03-2022 Other orthopaedic
459 03-09-2022 0000344913579 JHONI ALBERT SAPUTRA L - Rujuk Vertikal
109 09:43 follow-up care
080912020322P000 31-03-2022
460 03-09-2022 0000345271162 ASNA AFRIANSYAH L - Gastritis, unspecified Berobat Jalan
500 10:16
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 31-03-2022
461 03-09-2022 0002583495999 SUNDARI P - Gastritis, unspecified Berobat Jalan
490 10:08
080912020322P000 31-03-2022 Acute nasopharyngitis
462 03-09-2022 0002598451266 SASKIA AGUSTIN P - Berobat Jalan
501 10:17 [common cold]
Chronic obstructive
080912020322P000 09-03-2022
463 03-09-2022 0002638921408 KATIYEM P PBI (APBN) pulmonary disease, Rujuk Vertikal
108 08:41
unspecified
080912020322P000 31-03-2022
464 03-09-2022 0002790509242 DERI OKTANTO L - Gastritis, unspecified Berobat Jalan
497 10:12
080912020322P000 09-03-2022 Antenatal screening,
465 03-09-2022 0002834918739 KHUSNUL KHOTIMAH P - Rujuk Vertikal
112 11:08 unspecified

080912020322P000 09-03-2022 Traumatic amputation of


466 03-09-2022 0002834920372 MUIS L - Rujuk Vertikal
110 10:07 lower leg, level unspecified

080912020322P000 31-03-2022 Acute nasopharyngitis


467 03-09-2022 0002903746961 AMIRA ALFAESYA P - Berobat Jalan
489 10:08 [common cold]
080912020322P000 31-03-2022 MUHAMAT RIDHO Acute nasopharyngitis
468 03-09-2022 0002942956798 L - Berobat Jalan
496 10:12 ALFATIH KURNIAWAN [common cold]
080912020322P000 31-03-2022 Acute nasopharyngitis
469 03-09-2022 0003132367661 TRI RAHAYU P - Berobat Jalan
499 10:14 [common cold]
080912020322P000 10-03-2022 Acute nasopharyngitis
470 03-08-2022 0000340021664 ELIS NIA NINGSIH P - Berobat Jalan
138 23:01 [common cold]
080912020322P000 10-03-2022 Inflammatory disorders of
471 03-08-2022 0000344457483 NUR ASIAH P - Berobat Jalan
137 22:59 breast
080912020322P000 31-03-2022 Acute nasopharyngitis
472 03-08-2022 0000344666362 BURSAH L - Berobat Jalan
487 10:06 [common cold]
080912020322P000 08-03-2022
473 03-08-2022 0000344746563 JEVRI KRISTIAN L - Mitral stenosis Rujuk Vertikal
099 08:24
080912020322P000 10-03-2022
474 03-08-2022 0000344888752 NASRI L - Myalgia Berobat Jalan
136 22:54
080912020322P000 10-03-2022 Acute nasopharyngitis
475 03-08-2022 0000345275324 MAHMUD L - Berobat Jalan
132 22:46 [common cold]
080912020322P000 10-03-2022
476 03-08-2022 0000345275864 PUJI LESTARI P - Gastritis, unspecified Berobat Jalan
135 22:51
080912020322P000 08-03-2022
477 03-08-2022 0000345276516 ERWAN SYAH L PBI (APBN) Schizophrenia Rujuk Vertikal
104 09:13
080912020322P000 08-03-2022
478 03-08-2022 0000345277359 SITI ZUBAIDAH P PBI (APBN) Schizophrenia Rujuk Vertikal
103 09:12
080912020322P000 10-03-2022 Acute nasopharyngitis
479 03-08-2022 0000345517119 SAMINTEN P - Berobat Jalan
134 22:49 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Chronic obstructive
080912020322P000 08-03-2022
480 03-08-2022 0000345547361 RODIYAH P - pulmonary disease, Rujuk Vertikal
106 11:42
unspecified
080912020322P000 31-03-2022
481 03-08-2022 0000995462019 WARSINO L - Gastritis, unspecified Berobat Jalan
486 10:06
Hypertensive heart
080912020322P000 08-03-2022
482 03-08-2022 0001316345624 SUPINI P PBI (APBD) disease without Berobat Jalan
102 09:09
(congestive) heart failure
Chronic obstructive
080912020322P000 08-03-2022 GUSTI KETUT
483 03-08-2022 0001478909158 L - pulmonary disease, Rujuk Vertikal
101 09:08 SUWANTARA
unspecified
080912020322P000 08-03-2022
484 03-08-2022 0001478909913 SUYATMI P - Atrial fibrillation and flutter Rujuk Vertikal
100 09:06
080912020322P000 10-03-2022 Essential (primary)
485 03-08-2022 0001793805131 SITI AISAH P - Berobat Jalan
133 22:47 hypertension
080912020322P000 08-03-2022
486 03-08-2022 0001967441365 SITI SOLEKAH P - Congestive heart failure Rujuk Vertikal
107 11:58
080912020322P000 30-03-2022
487 03-08-2022 0002071519795 SABRI L - Myalgia Berobat Jalan
454 10:53
080912020322P000 31-03-2022 PEKERJA
488 03-08-2022 0002474144728 SARDI L Myalgia Berobat Jalan
485 10:05 MANDIRI
080912020322P000 31-03-2022 Acute nasopharyngitis
489 03-08-2022 0002596998407 GALIH SB L - Berobat Jalan
484 10:04 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
490 03-08-2022 0002638179088 DEA PUSPITA SARI P - Berobat Jalan
456 10:55 [common cold]
080912020322P000 30-03-2022
491 03-08-2022 0002883723287 PUTRI ALMIRA SAPIRA P - Other atopic dermatitis Berobat Jalan
457 10:57
080912020322P000 08-03-2022
492 03-08-2022 0002914157147 DADANG L - Chronic kidney disease Rujuk Vertikal
105 09:15
080912020322P000 30-03-2022 Unspecified diabetes
493 03-08-2022 0003101939436 SUMINEM P - Berobat Jalan
455 10:53 mellitus
Unspecified diabetes
080912020322P000 07-03-2022 PENERIMA Diabetes Diabetes
494 03-07-2022 0000034854074 SURATA L mellitus without Berobat Jalan
082 09:25 PENSIUN PNS Mellitus Mellitus
complications
080912020322P000 07-03-2022 PENERIMA
495 03-07-2022 0000035617072 PUJIYANA P Other visual disturbances Rujuk Vertikal
098 13:25 PENSIUN PNS
080912020322P000 30-03-2022
496 03-07-2022 0000344138883 ZUBAIDAH P - Gastritis, unspecified Berobat Jalan
442 10:41
080912020322P000 07-03-2022 Chronic viral hepatitis B
497 03-07-2022 0000344154543 TEGUH RAHAYU SLAMET L - Rujuk Vertikal
089 09:57 with delta-agent
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 10-03-2022
498 03-07-2022 0000344389522 PAINO L - Pulpitis Berobat Jalan
130 21:51
080912020322P000 30-03-2022
499 03-07-2022 0000344434544 DEWI RUKAYAH P - Gastritis, unspecified Berobat Jalan
450 10:48
Hypertensive heart
080912020322P000 07-03-2022
500 03-07-2022 0000344436142 KARYAWATI P PBI (APBN) disease without Rujuk Vertikal
084 09:36
(congestive) heart failure
080912020322P000 30-03-2022 Acute nasopharyngitis
501 03-07-2022 0000344454748 ANDIA P - Berobat Jalan
453 10:51 [common cold]
080912020322P000 07-03-2022 Urinary calculus,
502 03-07-2022 0000344514993 SUMINI P - Rujuk Vertikal
094 10:42 unspecified
080912020322P000 30-03-2022 Acute nasopharyngitis
503 03-07-2022 0000344710732 SELVIA MAYANI P - Berobat Jalan
443 10:42 [common cold]
080912020322P000 07-03-2022
504 03-07-2022 0000344713937 KHAYANI P - Congestive heart failure Berobat Jalan
076 08:33
080912020322P000 07-03-2022 Chronic atticoantral
505 03-07-2022 0000344735324 RATNI YATI P - Rujuk Vertikal
085 09:38 suppurative otitis media
080912020322P000 10-03-2022
506 03-07-2022 0000344816019 MANTO DIHARJO L - Gastritis, unspecified Berobat Jalan
131 22:00
080912020322P000 30-03-2022
507 03-07-2022 0000345391233 TAMYIS L - Myalgia Berobat Jalan
452 10:50
080912020322P000 30-03-2022
508 03-07-2022 0000345499986 ROHANA L - Gastritis, unspecified Berobat Jalan
439 10:38
080912020322P000 30-03-2022
509 03-07-2022 0000345629215 SUTINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
436 10:34
080912020322P000 30-03-2022
510 03-07-2022 0000345880719 WARSINO L - Gastritis, unspecified Berobat Jalan
448 10:46
080912020322P000 30-03-2022
511 03-07-2022 0000345881035 SARIJEM P - Gastritis, unspecified Berobat Jalan
449 10:47
080912020322P000 30-03-2022 Acute nasopharyngitis
512 03-07-2022 0000345881068 BAGUS SAPUTRA L - Berobat Jalan
446 10:44 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
513 03-07-2022 0000345881621 FIOLA VIRONIA P - Berobat Jalan
447 10:45 [common cold]
080912020322P000 07-03-2022 Other autoimmune
514 03-07-2022 0000346199499 MARDIANA P - Rujuk Vertikal
091 10:17 haemolytic anaemias
080912020322P000 07-03-2022
515 03-07-2022 0000348011921 CARTI P - Chronic kidney disease Rujuk Vertikal
088 09:54
080912020322P000 07-03-2022
516 03-07-2022 0000995461997 YAHMAN L PBI (APBN) Congestive heart failure Berobat Jalan
092 10:18
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 10-03-2022
517 03-07-2022 0000995463191 APRI ANGGRAINI P - Gastritis, unspecified Berobat Jalan
126 21:43
080912020322P000 10-03-2022
518 03-07-2022 0000995472573 SUGENG L - Myalgia Berobat Jalan
128 21:49
080912020322P000 07-03-2022
519 03-07-2022 0001078838987 WAGIRAN L - Other visual disturbances Rujuk Vertikal
095 11:35
080912020322P000 07-03-2022 Surgical follow-up care,
520 03-07-2022 0001425918328 EDI ALIYA L PBI (APBD) Rujuk Vertikal
077 08:55 unspecified
080912020322P000 07-03-2022
521 03-07-2022 0001433067917 AMINAH PUJI RAHAYU P - Low back pain Rujuk Vertikal Hipertensi
093 10:38
080912020322P000 30-03-2022 Acute nasopharyngitis
522 03-07-2022 0001440347062 EDI SOFYAN L - Berobat Jalan
435 10:33 [common cold]
080912020322P000 07-03-2022 Atherosclerotic heart
523 03-07-2022 0001841861283 suhadi L - Rujuk Vertikal
074 08:16 disease
080912020322P000 30-03-2022
524 03-07-2022 0001853156024 YUNITA SARI P - Gastritis, unspecified Berobat Jalan
444 10:43
Excessive and frequent
080912020322P000 07-03-2022
525 03-07-2022 0001890140218 RINA UMAYANTI P - menstruation with regular Rujuk Vertikal
079 09:12
cycle
080912020322P000 30-03-2022
526 03-07-2022 0002309182277 KHADIJAH P - Myalgia Berobat Jalan
438 10:37
080912020322P000 07-03-2022 Malignant neoplasm of
527 03-07-2022 0002436935815 RUSNI P PBI (APBN) Rujuk Vertikal
075 08:27 breast, unspecified
080912020322P000 30-03-2022
528 03-07-2022 0002453182277 HINDUN P - Myalgia Berobat Jalan
441 10:40
080912020322P000 10-03-2022 Acute nasopharyngitis
529 03-07-2022 0002481772588 SUGITO L - Berobat Jalan
127 21:45 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
530 03-07-2022 0002565646582 NOVI SEPTIANA P - Berobat Jalan
440 10:39 [common cold]
Unspecified diabetes
080912020322P000 07-03-2022
531 03-07-2022 0002601254823 UMBARWATI P PBI (APBN) mellitus without Berobat Jalan Hipertensi Hipertensi
081 09:20
complications
080912020322P000 07-03-2022 Fracture of shaft of tibia,
532 03-07-2022 0002610511547 IRAH YUNI P - Rujuk Vertikal
080 09:18 closed
080912020322P000 30-03-2022 Acute nasopharyngitis
533 03-07-2022 0002648325407 SITI NURAINI P - Berobat Jalan
445 10:43 [common cold]
080912020322P000 10-03-2022 Essential (primary)
534 03-07-2022 0002648326937 JUMIKEM P - Berobat Jalan
129 21:50 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Other benign neoplasm of


080912020322P000 07-03-2022 connective and other soft
535 03-07-2022 0002648328265 SARMAN L - Rujuk Vertikal
096 12:39 tissue of head, face and
neck
080912020322P000 07-03-2022
536 03-07-2022 0002689746715 GESTI MEDIANA P - Chalazion Rujuk Vertikal
090 10:05
Other benign neoplasm of
080912020322P000 07-03-2022
537 03-07-2022 0002851793921 SUNARTI P - connective and other soft Rujuk Vertikal
083 09:31
tissue of abdomen
Other benign neoplasm of
080912020322P000 07-03-2022
538 03-07-2022 0002869191628 NURSIAH P - connective and other soft Rujuk Vertikal
078 09:05
tissue, unspecified
080912020322P000 30-03-2022
539 03-07-2022 0002890767778 SURINAH P - Myalgia Berobat Jalan
437 10:36
Hypertensive heart
080912020322P000 07-03-2022
540 03-07-2022 0002922312971 PATIMAH P - disease without Rujuk Vertikal
097 12:51
(congestive) heart failure
080912020322P000 07-03-2022 Antenatal screening,
541 03-07-2022 0003005529816 YENI PARYANTI P - Rujuk Vertikal
087 09:50 unspecified
080912020322P000 30-03-2022 Acute nasopharyngitis
542 03-07-2022 0003046793602 ZULI WAHYUNI P - Berobat Jalan
451 10:49 [common cold]
080912020322P000 07-03-2022 Other and unspecified
543 03-07-2022 0003131429545 SUKINEM P - Rujuk Vertikal
086 09:44 ovarian cysts
080912020322P000 06-03-2022
544 03-05-2022 0000341436137 NOFA ARIANTO L - Cough Berobat Jalan
068 19:55
080912020322P000 06-03-2022 Essential (primary)
545 03-05-2022 0000344350618 SUMINI P - Berobat Jalan
071 20:01 hypertension
080912020322P000 30-03-2022
546 03-05-2022 0000345191703 SUPARTIN P - Myalgia Berobat Jalan
432 10:14
080912020322P000 05-03-2022 Antenatal screening,
547 03-05-2022 0000345193345 FARIDA YANA P - Rujuk Vertikal
057 10:08 unspecified
080912020322P000 06-03-2022 Essential (primary)
548 03-05-2022 0000345730667 SUMINEM P - Berobat Jalan
073 20:13 hypertension
080912020322P000 06-03-2022
549 03-05-2022 0000345795873 TUTIK YULIASIH P - Gastritis, unspecified Berobat Jalan
072 20:10
080912020322P000 30-03-2022 Acute nasopharyngitis
550 03-05-2022 0000348011921 CARTI P - Berobat Jalan
433 10:15 [common cold]
080912020322P000 06-03-2022 Essential (primary)
551 03-05-2022 0000995466363 MUKANI L - Berobat Jalan
069 19:57 hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 06-03-2022
552 03-05-2022 0001252389519 MENIK P - Myalgia Berobat Jalan
067 19:53
080912020322P000 05-03-2022
553 03-05-2022 0001433067917 AMINAH PUJI RAHAYU P - Congestive heart failure Berobat Jalan Hipertensi
054 08:21
080912020322P000 06-03-2022 Acute nasopharyngitis
554 03-05-2022 0002565649844 ROHIDIN L - Berobat Jalan
070 19:59 [common cold]
Other benign neoplasm of
080912020322P000 05-03-2022 ARFA AGUSTIAN connective and other soft
555 03-05-2022 0002689746759 L - Rujuk Vertikal
056 09:34 PRANAJA tissue of head, face and
neck
080912020322P000 05-03-2022
556 03-05-2022 0002834918741 SARTINI P PBI (APBN) Congestive heart failure Berobat Jalan
055 09:06
080912020322P000 05-03-2022 Atherosclerotic heart
557 03-05-2022 0002889504257 SITI UNAINAH P - Berobat Jalan
058 10:45 disease
080912020322P000 04-03-2022
558 03-04-2022 0000034817545 NOVI SUHARIYANI P PNS DAERAH Other visual disturbances Rujuk Vertikal
046 09:16
080912020322P000 04-03-2022
559 03-04-2022 0000034817556 SARWO SAMBODO L PNS DAERAH Other visual disturbances Rujuk Vertikal
047 09:17
080912020322P000 04-03-2022 Stroke, not specified as
560 03-04-2022 0000034998276 ZAINAL ARIFIN L - Rujuk Vertikal
053 10:27 haemorrhage or infarction
080912020322P000 30-03-2022
561 03-04-2022 0000035033848 NURING TRI RUSMINI P - Gastritis, unspecified Berobat Jalan
417 09:59
080912020322P000 04-03-2022
562 03-04-2022 0000343070122 ISNANDANI P - Other visual disturbances Rujuk Vertikal
050 09:42
080912020322P000 06-03-2022 Acute nasopharyngitis
563 03-04-2022 0000343252539 ARDIAN MUKTI L - Berobat Jalan
059 19:36 [common cold]
080912020322P000 06-03-2022
564 03-04-2022 0000343682864 TUGIMIN L - Myalgia Berobat Jalan
060 19:38
080912020322P000 06-03-2022
565 03-04-2022 0000344074184 HADI SUWARNO L - Cough Berobat Jalan
061 19:40
080912020322P000 30-03-2022 Acute nasopharyngitis
566 03-04-2022 0000344175142 SUKINO L - Berobat Jalan
428 10:08 [common cold]
080912020322P000 30-03-2022
567 03-04-2022 0000344175478 MURYANI P - Gastritis, unspecified Berobat Jalan
427 10:07
080912020322P000 30-03-2022
568 03-04-2022 0000344362443 ROSDIYANA P - Gastritis, unspecified Berobat Jalan
419 10:01
080912020322P000 30-03-2022 Acute nasopharyngitis
569 03-04-2022 0000344366471 DESTINA SAPITRI P - Berobat Jalan
420 10:02 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
570 03-04-2022 0000344449179 NIA NABILA P - Berobat Jalan
421 10:03 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 30-03-2022
571 03-04-2022 0000344464244 SITI NURHIDAYATI P - Gastritis, unspecified Berobat Jalan
425 10:06
080912020322P000 04-03-2022
572 03-04-2022 0000344627098 ERNA WATI P - Chronic kidney disease Rujuk Vertikal
045 09:10
080912020322P000 06-03-2022
573 03-04-2022 0000344739025 DEVIA NURJANAH P - Other dermatitis Berobat Jalan
065 19:48
080912020322P000 06-03-2022
574 03-04-2022 0000344739172 ANISA INDA SARI P - Acute pharyngitis Berobat Jalan
066 19:51
080912020322P000 06-03-2022 Acute nasopharyngitis
575 03-04-2022 0000344758509 BEJAN L - Berobat Jalan
063 19:43 [common cold]
080912020322P000 06-03-2022 Essential (primary)
576 03-04-2022 0000344787366 NURHADI L - Berobat Jalan
062 19:41 hypertension
080912020322P000 30-03-2022 Acute nasopharyngitis
577 03-04-2022 0000344844257 M FERNANDA L - Berobat Jalan
426 10:07 [common cold]
080912020322P000 30-03-2022
578 03-04-2022 0000344912793 SARINEM P - Myalgia Berobat Jalan
415 09:57
080912020322P000 30-03-2022
579 03-04-2022 0000345570614 RIJALDIAN SAPUTRA L - Other atopic dermatitis Berobat Jalan
422 10:04
080912020322P000 04-03-2022 Tuberculous peripheral Diabetes Diabetes
580 03-04-2022 0000995476151 SUPINAH P - Rujuk Vertikal
049 09:26 lymphadenopathy Mellitus Mellitus
080912020322P000 06-03-2022
581 03-04-2022 0001252389159 KANTI P - Gastritis, unspecified Berobat Jalan
064 19:45
080912020322P000 30-03-2022 PEKERJA Acute nasopharyngitis
582 03-04-2022 0001304172393 PARTIYEM P Berobat Jalan
412 09:52 MANDIRI [common cold]
080912020322P000 30-03-2022
583 03-04-2022 0001304173787 ADIS L - Gastritis, unspecified Berobat Jalan
413 09:53

Other benign neoplasm of


080912020322P000 04-03-2022
584 03-04-2022 0001452266897 ALAMSYAH L - connective and other soft Rujuk Vertikal
052 10:09
tissue of trunk, unspecified

Other specified chronic


080912020322P000 04-03-2022
585 03-04-2022 0001833638174 M. NASIR L - obstructive pulmonary Rujuk Vertikal
044 09:05
disease
080912020322P000 30-03-2022 Acute nasopharyngitis
586 03-04-2022 0001860482643 HERWANSYAH L - Berobat Jalan
430 10:10 [common cold]
Hypertensive heart
080912020322P000 04-03-2022 PEKERJA
587 03-04-2022 0002483937753 SEH WINARTI P disease without Rujuk Vertikal Hipertensi
051 10:06 MANDIRI
(congestive) heart failure
080912020322P000 04-03-2022
588 03-04-2022 0002636768406 KARINA MUKTI P - Benign neoplasm of breast Rujuk Vertikal
043 08:52
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

Panniculitis affecting
080912020322P000 04-03-2022
589 03-04-2022 0002648326937 JUMIKEM P - regions of neck and back, Rujuk Vertikal
048 09:24
site unspecified
080912020322P000 30-03-2022 Acute nasopharyngitis
590 03-04-2022 0002689077857 ANTON SAPUTRA L - Berobat Jalan
416 09:58 [common cold]
080912020322P000 30-03-2022 ARFA AGUSTIAN Acute nasopharyngitis
591 03-04-2022 0002689746759 L - Berobat Jalan
431 10:14 PRANAJA [common cold]
080912020322P000 30-03-2022
592 03-04-2022 0002689749145 SITI AMINAH P - Gastritis, unspecified Berobat Jalan
423 10:04
080912020322P000 30-03-2022 Acute nasopharyngitis
593 03-04-2022 0002689749167 MUHAMMAD LUTH L - Berobat Jalan
424 10:05 [common cold]
080912020322P000 30-03-2022 Unspecified diabetes
594 03-04-2022 0002834918741 SARTINI P PBI (APBN) Berobat Jalan
429 10:10 mellitus
080912020322P000 30-03-2022
595 03-04-2022 0002834921474 RUKIMIN L - Myalgia Berobat Jalan
414 09:54
080912020322P000 30-03-2022
596 03-04-2022 0003109506737 elvano saputra L - Other atopic dermatitis Berobat Jalan
418 10:00
080912020322P000 02-03-2022 Acute nasopharyngitis
597 03-02-2022 0000034790163 NGATEMAN L - Berobat Jalan
034 22:23 [common cold]
080912020322P000 30-03-2022
598 03-02-2022 0000034820717 SAODAH SALEHA P - Myalgia Berobat Jalan
411 09:51
080912020322P000 30-03-2022 Acute nasopharyngitis
599 03-02-2022 0000343036912 DIPO SAMUDRO L - Berobat Jalan
401 09:32 [common cold]
Influenza with other
080912020322P000 02-03-2022
600 03-02-2022 0000343383625 HARTATIK P - manifestations, virus not Berobat Jalan
036 22:26
identified
Other specified chronic
080912020322P000 02-03-2022
601 03-02-2022 0000343470677 MUHAIDIN L - obstructive pulmonary Berobat Jalan
027 09:07
disease
080912020322P000 02-03-2022
602 03-02-2022 0000344005143 SUTIYEM P - Myalgia Berobat Jalan
039 22:32
080912020322P000 30-03-2022
603 03-02-2022 0000344119871 SYAHRIL L - Gastritis, unspecified Berobat Jalan
403 09:35
080912020322P000 02-03-2022
604 03-02-2022 0000344460172 SUGIATI P PBI (APBN) Other visual disturbances Rujuk Vertikal
025 08:19
080912020322P000 02-03-2022
605 03-02-2022 0000344506252 ANGGIT AGUSTIYAWAN L - Schizophrenia, unspecified Rujuk Vertikal
032 18:32
080912020322P000 02-03-2022
606 03-02-2022 0000344737495 SURAYEM P - Other dermatitis Berobat Jalan
041 22:37
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 02-03-2022
607 03-02-2022 0000344854236 SUNATA L - Pulpitis Berobat Jalan
040 22:35
080912020322P000 02-03-2022
608 03-02-2022 0000344908102 BONASIR L - Myalgia Berobat Jalan
035 22:24
080912020322P000 30-03-2022 Acute nasopharyngitis
609 03-02-2022 0000345149807 TIRTA PRATIWI P - Berobat Jalan
404 09:37 [common cold]
080912020322P000 02-03-2022 Other and unspecified
610 03-02-2022 0000345208779 MASNAH P - Rujuk Vertikal
030 10:29 abdominal pain
Unspecified diabetes
080912020322P000 02-03-2022 Diabetes Diabetes
611 03-02-2022 0000995476151 SUPINAH P - mellitus with unspecified Berobat Jalan
026 08:58 Mellitus Mellitus
complications
080912020322P000 02-03-2022
612 03-02-2022 0001433067917 AMINAH PUJI RAHAYU P - Congestive heart failure Berobat Jalan Hipertensi
031 10:48
080912020322P000 02-03-2022
613 03-02-2022 0001442076287 CANDRALEKA L - Cough Berobat Jalan
037 22:27
080912020322P000 02-03-2022
614 03-02-2022 0001442076849 ZAHRA NOVA RIA P - Acute pharyngitis Berobat Jalan
038 22:30
080912020322P000 30-03-2022 Acute nasopharyngitis
615 03-02-2022 0001963260202 FITRI YATIN P - Berobat Jalan
406 09:39 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
616 03-02-2022 0001963260393 ADELYA SANIA PUTRI L - Berobat Jalan
405 09:38 [common cold]
080912020322P000 30-03-2022 Acute nasopharyngitis
617 03-02-2022 0002089811834 SAMIJEM P - Berobat Jalan
409 09:49 [common cold]
080912020322P000 02-03-2022 Antenatal screening,
618 03-02-2022 0002217220503 NOVA LIDYA P - Rujuk Vertikal
028 09:09 unspecified
Other specified chronic
080912020322P000 03-03-2022
619 03-02-2022 0002280409615 SRI WAHYUNI P - obstructive pulmonary Rujuk Vertikal
042 21:53
disease
080912020322P000 02-03-2022 Antenatal screening,
620 03-02-2022 0002565645028 ANA FITRIYANI P - Rujuk Vertikal
029 10:27 unspecified
080912020322P000 30-03-2022 RAISHA PUTRI
621 03-02-2022 0002565646672 P - Other atopic dermatitis Berobat Jalan
410 09:50 SALSABILA
080912020322P000 30-03-2022 Acute nasopharyngitis
622 03-02-2022 0002630037104 ILHAM PRATAMA L - Berobat Jalan
402 09:33 [common cold]
080912020322P000 02-03-2022
623 03-02-2022 0002637756911 SUSI RAHAYU P - Gastritis, unspecified Berobat Jalan
033 22:21
080912020322P000 30-03-2022 Acute nasopharyngitis
624 03-02-2022 0002747203479 ABELYA ALFANIA PUTRI P - Berobat Jalan
408 09:47 [common cold]
080912020322P000 01-03-2022
625 03-01-2022 0000034739684 SITI KHOTIPAH P - Endometriosis, unspecified Rujuk Vertikal
024 13:46
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 01-03-2022 Calculus of kidney with


626 03-01-2022 0000034954582 SYAMSURI SOEBING L - Rujuk Vertikal
002 08:57 calculus of ureter
080912020322P000 28-03-2022
627 03-01-2022 0000343716164 ERTINA LESTARI P - Gastritis, unspecified Berobat Jalan
341 09:55
080912020322P000 01-03-2022 Acute nasopharyngitis
628 03-01-2022 0000344272678 BAYU PRASETYO L - Berobat Jalan
013 10:21 [common cold]
080912020322P000 01-03-2022 Cerebrovascular disease,
629 03-01-2022 0000344443195 SUGIYATIN P - Berobat Jalan Hipertensi Hipertensi
009 09:47 unspecified
Other postprocedural
080912020322P000 01-03-2022 PRAYOGA GALIH
630 03-01-2022 0000344490219 L - disorders of eye and Rujuk Vertikal
004 09:02 KUNCORO
adnexa
080912020322P000 01-03-2022 Acute nasopharyngitis
631 03-01-2022 0000344493404 YULY LARA SATI P - Berobat Jalan
012 10:21 [common cold]
080912020322P000 28-03-2022 Acute nasopharyngitis
632 03-01-2022 0000344506702 SUPOMO L - Berobat Jalan
345 10:27 [common cold]
Influenza with other
080912020322P000 01-03-2022
633 03-01-2022 0000344731048 SURAHYO L - manifestations, virus not Berobat Jalan
023 12:27
identified
080912020322P000 28-03-2022
634 03-01-2022 0000344870414 BASTIYAH P - Gastritis, unspecified Berobat Jalan
356 10:48
080912020322P000 28-03-2022
635 03-01-2022 0000345238828 SULIS LESTARI P - Gastritis, unspecified Berobat Jalan
332 09:47
080912020322P000 28-03-2022
636 03-01-2022 0000345923807 JALAL LUDIN L - Myalgia Berobat Jalan
352 10:39
080912020322P000 01-03-2022
637 03-01-2022 0000346139436 TIARA aGUSTIN P - Prolonged pregnancy Rujuk Vertikal
017 10:35
080912020322P000 01-03-2022 Other secondary
638 03-01-2022 0000995463257 TUSIYEM P - Berobat Jalan Hipertensi Hipertensi
008 09:43 hypertension
080912020322P000 28-03-2022
639 03-01-2022 0000995470018 SENAM L - Gastritis, unspecified Berobat Jalan
339 09:53
080912020322P000 28-03-2022 Acute nasopharyngitis
640 03-01-2022 0000995470042 SITI RUSMIATI P - Berobat Jalan
340 09:54 [common cold]
080912020322P000 01-03-2022
641 03-01-2022 0000995472628 LEGIMAN L - Cough Berobat Jalan
022 11:54
080912020322P000 01-03-2022 Antenatal screening,
642 03-01-2022 0001155828025 MIFTAHUL JANAH P - Rujuk Vertikal
016 10:30 unspecified
080912020322P000 01-03-2022 Urinary tract infection, site
643 03-01-2022 0001252389756 WASIMIN L - Berobat Jalan
019 11:45 not specified
080912020322P000 01-03-2022 Senile cataract,
644 03-01-2022 0001262117531 MASNONA P - Rujuk Vertikal
001 08:11 unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 01-03-2022
645 03-01-2022 0001390025733 parmono L - Myalgia Berobat Jalan
015 10:23
Sequelae of respiratory
080912020322P000 01-03-2022
646 03-01-2022 0001434411235 siti masnah P - and unspecified Berobat Jalan
007 09:26
tuberculosis
080912020322P000 01-03-2022
647 03-01-2022 0001446816352 YINA AGUSTINA P - Gastritis, unspecified Berobat Jalan
011 10:12
080912020322P000 28-03-2022 Acute nasopharyngitis
648 03-01-2022 0001816224131 tamin L - Berobat Jalan
353 10:41 [common cold]
080912020322P000 28-03-2022
649 03-01-2022 0001816225132 bunyana P - Myalgia Berobat Jalan
354 10:42
080912020322P000 01-03-2022
650 03-01-2022 0001967441365 SITI SOLEKAH P - Congestive heart failure Rujuk Vertikal
003 09:00
080912020322P000 28-03-2022
651 03-01-2022 0002043237295 NISWANTO L - Myalgia Berobat Jalan
333 09:48
080912020322P000 31-03-2022
652 03-01-2022 0002062814196 ARIFFAH SUNARYO P - Gastritis, unspecified Berobat Jalan
667 14:54
080912020322P000 31-03-2022
653 03-01-2022 0002087329419 ROHMA P - Myalgia Berobat Jalan
666 14:54
080912020322P000 01-03-2022 NAZJUA ZEFHALY Acute viral hepatitis,
654 03-01-2022 0002287449459 P - Rujuk Vertikal
010 10:05 ROSHIMA unspecified
080912020322P000 31-03-2022
655 03-01-2022 0002292880768 IDA YANA P - Gastritis, unspecified Berobat Jalan
668 14:55
080912020322P000 28-03-2022 Acute nasopharyngitis
656 03-01-2022 0002436935771 HASMI WIJAYA L - Berobat Jalan
338 09:52 [common cold]
080912020322P000 01-03-2022
657 03-01-2022 0002487667937 YULIUS SUPONO L - Congestive heart failure Rujuk Vertikal
005 09:03
080912020322P000 28-03-2022 Acute nasopharyngitis
658 03-01-2022 0002599870454 RAZYTA ALYA P - Berobat Jalan
350 10:35 [common cold]
080912020322P000 31-03-2022
659 03-01-2022 0002612681796 YESI OKTAVIANTI P - Myalgia Berobat Jalan
669 14:55
080912020322P000 28-03-2022 Acute nasopharyngitis
660 03-01-2022 0002612682077 JELIKA NATASYA P - Berobat Jalan
355 10:47 [common cold]
080912020322P000 28-03-2022
661 03-01-2022 0002639665236 SINTA WULANDARI L - Gastritis, unspecified Berobat Jalan
346 10:28
080912020322P000 01-03-2022 Acute nasopharyngitis
662 03-01-2022 0002648328039 SURATI P - Berobat Jalan
020 11:48 [common cold]
080912020322P000 28-03-2022 Acute nasopharyngitis
663 03-01-2022 0002689077868 ELA SELVIA P - Berobat Jalan
348 10:32 [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : METRO - 0803

FKTP : SUKARAJA NUBAN - 08091202

080912020322P000 28-03-2022 Acute nasopharyngitis


664 03-01-2022 0002689077879 ALYCIA FEBRINA PUTRI P - Berobat Jalan
349 10:34 [common cold]
080912020322P000 28-03-2022 Acute nasopharyngitis
665 03-01-2022 0002689749696 AKHDAN HAFIZ ALAZZAM L - Berobat Jalan
347 10:31 [common cold]
080912020322P000 28-03-2022 Acute nasopharyngitis
666 03-01-2022 0002761948653 ELIN RAHMANITA ALYA P - Berobat Jalan
335 09:50 [common cold]
080912020322P000 01-03-2022 Acute nasopharyngitis
667 03-01-2022 0002779391215 ALIKA KASTURI NAIM P - Berobat Jalan
021 11:50 [common cold]
080912020322P000 28-03-2022 DINDA SAFA NUR Acute nasopharyngitis
668 03-01-2022 0002790511211 P - Berobat Jalan
334 09:49 ANGGRAINI [common cold]
080912020322P000 01-03-2022 Atherosclerotic heart
669 03-01-2022 0002889504257 SITI UNAINAH P - Rujuk Vertikal
006 09:13 disease
080912020322P000 01-03-2022 Acute nasopharyngitis
670 03-01-2022 0003078942625 JIHAN VANEA KAESYA P - Berobat Jalan
014 10:22 [common cold]
080912020322P000 28-03-2022
671 03-01-2022 0003096832511 warinem P - Gastritis, unspecified Berobat Jalan
337 09:51
Malignant neoplasm of
080912020322P000 01-03-2022
672 03-01-2022 0003109128208 RAMIJO L - liver and intrahepatic bile Rujuk Vertikal
018 10:56
ducts
080912020322P000 28-03-2022
673 03-01-2022 0003110433557 EVI SUSANTI P - Gastritis, unspecified Berobat Jalan
351 10:38

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