Entri Skrining

TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN
1 101111010322P000 31-03-2022 31-03-2022 0000401789788 MARI P

706 00:00 09:49
2 101111010322P000 31-03-2022 31-03-2022 0000401999185 IDA P
715 00:00 10:08
3 101111010322P000 31-03-2022 31-03-2022 0000402365979 ENCEH P
708 00:00 09:50
4 101111010322P000 31-03-2022 31-03-2022 0000402502882 TUTI S P

714 00:00 10:07
5 101111010322P000 31-03-2022 31-03-2022 0000402596008 SANTI RUSTINI P

713 00:00 10:06
6 101111010322P000 31-03-2022 31-03-2022 0000402605302 ANISA JUNIATI P
722 00:00 11:11
7 101111010322P000 31-03-2022 31-03-2022 0000402883637 MUHAMAD SAEPULOH P

716 00:00 10:14
8 101111010322P000 31-03-2022 31-03-2022 0000402949361 KOKOM P

703 00:00 09:46
9 101111010322P000 31-03-2022 31-03-2022 0000403279288 ADE SOPANDI L

719 00:00 10:18
10 101111010322P000 31-03-2022 31-03-2022 0000403279806 ENTIN P
705 00:00 09:47
11 101111010322P000 31-03-2022 31-03-2022 0000403323693 MASROPAH P

704 00:00 09:46
12 101111010322P000 31-03-2022 31-03-2022 0000403426135 USUP SUPARMAN L

718 00:00 10:17
13 101111010322P000 31-03-2022 31-03-2022 0001002227736 NURJAMILAH P

701 00:00 08:38
14 101111010322P000 31-03-2022 31-03-2022 0001316702171 DEDI SUPRIADI L
712 00:00 10:05
15 101111010322P000 31-03-2022 31-03-2022 0001316703622 NUURI NAZLA RAMADHANI P
710 00:00 10:04
16 101111010322P000 31-03-2022 31-03-2022 0002186080547 UJANG RUSWANDI L

709 00:00 09:54
17 101111010322P000 31-03-2022 31-03-2022 0002186080558 MEIRITA P

711 00:00 10:05
18 101111010322P000 31-03-2022 31-03-2022 0002186208145 NURYANI P
720 00:00 10:19
19 101111010322P000 31-03-2022 31-03-2022 0002186473972 ENI MALIHAH P

707 00:00 09:50
20 101111010322P000 31-03-2022 31-03-2022 0002399996428 H UBAIDILAH L
723 00:00 11:13
21 101111010322P000 31-03-2022 31-03-2022 0002399996439 HALIMAH P

721 00:00 11:11
22 101111010322P000 31-03-2022 31-03-2022 0002421271361 JAKA L
702 00:00 09:45
23 101111010322P000 31-03-2022 31-03-2022 0002921625933 NURJANAH P

717 00:00 10:15
24 101111010322P000 30-03-2022 30-03-2022 0000062113948 ENDANG RAHMAT L

675 00:00 10:21
25 101111010322P000 30-03-2022 30-03-2022 0000062364554 E SOBANDI L

672 00:00 09:43
101111010322P000 30-03-2022 30-03-2022
26 670 00:00 08:40 0000062379112 ADE HUNAENAH P
27 101111010322P000 30-03-2022 30-03-2022 0000210610866 IIN KURAESIN P

698 00:00 10:54
28 101111010322P000 30-03-2022 30-03-2022 0000401527991 CUCU P

682 00:00 10:31
101111010322P000 30-03-2022 30-03-2022

29 671 00:00 08:52 0000401864736 TITING SOPIAH P
30 101111010322P000 30-03-2022 30-03-2022 0000401876357 IIS BT KARDI P

699 00:00 10:54
31 101111010322P000 30-03-2022 30-03-2022 0000401890656 MAMAT RAHMAT L

689 00:00 10:44
32 101111010322P000 30-03-2022 30-03-2022 0000402249453 SANIA P

691 00:00 10:48
33 101111010322P000 30-03-2022 30-03-2022 0000402328631 WINA NURGAWATI P

694 00:00 10:50
34 101111010322P000 30-03-2022 30-03-2022 0000402343874 MIMI AMINAH P
687 00:00 10:43
35 101111010322P000 30-03-2022 30-03-2022 0000402384431 ASEP MUHIBAN L

695 00:00 10:51
36 101111010322P000 30-03-2022 30-03-2022 0000402452741 SITI MARIAM P

677 00:00 10:23
37 101111010322P000 30-03-2022 30-03-2022 0000402583061 NURMELI KUSNIAWATI P

676 00:00 10:22
38 101111010322P000 30-03-2022 30-03-2022 0001002226904 ANDRA WIJAYA L
688 00:00 10:44
39 101111010322P000 30-03-2022 30-03-2022 0001181093556 NENI P
681 00:00 10:30
40 101111010322P000 30-03-2022 30-03-2022 0001521065338 RIKA SANTIKA HOERIAH P
683 00:00 10:39
101111010322P000 30-03-2022 30-03-2022
41 692 00:00 10:49 0001642971633 RENI ROMLAH P
42 101111010322P000 30-03-2022 30-03-2022 0001668909464 NURHAYATI P

680 00:00 10:28
43 101111010322P000 30-03-2022 30-03-2022 0001817300891 WINDIYANI P

693 00:00 10:50
44 101111010322P000 30-03-2022 30-03-2022 0002051391598 ZHIVANIA AREEVA ORLIN P
674 00:00 10:18
45 101111010322P000 30-03-2022 30-03-2022 0002120203473 IMAS MASPUPAH P
690 00:00 10:48
46 101111010322P000 30-03-2022 30-03-2022 0002186075395 ANIMAH P

700 00:00 10:55
47 101111010322P000 30-03-2022 30-03-2022 0002186473116 SITI NURAISAH P

673 00:00 10:17
48 101111010322P000 30-03-2022 30-03-2022 0002186473149 MUHAMAD IRZA MAULANA L

679 00:00 10:28
49 101111010322P000 30-03-2022 30-03-2022 0002186477054 AAN SUMINAR P

696 00:00 10:52
50 101111010322P000 30-03-2022 30-03-2022 0002186666111 SAPRUDIN L

684 00:00 10:40
51 101111010322P000 30-03-2022 30-03-2022 0002419692107 SUCI AYU LESTARI P
669 00:00 08:38
52 101111010322P000 30-03-2022 30-03-2022 0002435241622 NURYADI L

697 00:00 10:53
53 101111010322P000 30-03-2022 30-03-2022 0002588490483 LINA SULASTRI P
686 00:00 10:42
54 101111010322P000 30-03-2022 30-03-2022 0002602675102 AZIZ MAULANA L

685 00:00 10:41
55 101111010322P000 30-03-2022 30-03-2022 0002739182793 MUHAMMAD REYHAN IKHLAS L

678 00:00 10:24
56 101111010322P000 30-03-2022 30-03-2022 0003089454041 ASEP NURHUSAENI L

667 00:00 08:07
57 101111010322P000 29-03-2022 29-03-2022 0000062063111 ASEP SUNDJAJA L

649 00:00 09:37
58 101111010322P000 29-03-2022 29-03-2022 0000062312769 EMPIH SOPIAH P
650 00:00 09:38
59 101111010322P000 29-03-2022 29-03-2022 0000062332536 YETI HENDRAWATI P

645 00:00 09:33
60 101111010322P000 29-03-2022 29-03-2022 0000401547519 MARNA L

658 00:00 10:32
61 101111010322P000 29-03-2022 29-03-2022 0000401562538 MAHFUDIN L

655 00:00 10:23
62 101111010322P000 29-03-2022 29-03-2022 0000401808914 ILAH P
651 00:00 09:41
63 101111010322P000 29-03-2022 29-03-2022 0000401986113 IRPAN L

653 00:00 09:42
64 101111010322P000 29-03-2022 29-03-2022 0000402049618 TITIN P
654 00:00 09:44
65 101111010322P000 29-03-2022 29-03-2022 0000402072131 ACHMAD MIRZA L

646 00:00 09:35
66 101111010322P000 29-03-2022 29-03-2022 0000402203621 AGUS BUDIMAN L
656 00:00 10:24
STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS
PBI (APBN) Typhoid fever Berobat Jalan
PBI (APBN) Contraceptive management, Berobat Jalan

unspecified
PBI (APBN) Essential (primary) hypertension Berobat Jalan
PBI (APBN) Headache Berobat Jalan

unspecified
PBI (APBN) Caries of dentine Berobat Jalan
PBI (APBN) Dermatitis, unspecified Berobat Jalan
PBI (APBN) Pyoderma Berobat Jalan
PBI (APBN) Fever, unspecified Berobat Jalan
PBI (APBN) Other disorders of urinary Berobat Jalan

system
PBI (APBN) Visual disturbance, unspecified Rujuk Vertikal
PEGAWAI SWASTA Acute pharyngitis, unspecified Berobat Jalan
PEGAWAI SWASTA Acute bronchitis Berobat Jalan
PBI (APBD) Typhoid fever Berobat Jalan
PBI (APBD) Gastro-oesophageal reflux Berobat Jalan

disease
PBI (APBD) Acute pharyngitis, unspecified Berobat Jalan
PBI (APBD) Headache Berobat Jalan
PBI (APBD) Essential (primary) hypertension Berobat Jalan
PBI (APBN) Myalgia Berobat Jalan
PEKERJA MANDIRI Other contraceptive Berobat Jalan

management
PNS PUSAT Pulpitis Berobat Jalan
PNS PUSAT Left ventricular failure Rujuk Vertikal

Systemic lupus erythematosus,
PNS DAERAH unspecified Rujuk Vertikal
PNS PUSAT Impacted cerumen Berobat Jalan
PBI (APBN) Low back pain Berobat Jalan
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

PBI (APBN) with unspecified complications Rujuk Vertikal
PBI (APBN) Acute pharyngitis, unspecified Berobat Jalan
PBI (APBN) Gastritis, unspecified Berobat Jalan

unspecified
PBI (APBN) Dyspepsia Berobat Jalan
- Fever, unspecified Berobat Jalan
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan

cold]
- Chronic gingivitis Berobat Jalan
PBI (APBN) Bronchitis, not specified as Berobat Jalan

acute or chronic
- Essential (primary) hypertension Berobat Jalan
PEGAWAI SWASTA Surveillance of (intrauterine)

contraceptive device Berobat Jalan
PEGAWAI BUMN Myalgia Berobat Jalan
PEGAWAI SWASTA Supervision of normal Berobat Jalan

pregnancy, unspecified
- Necrosis of pulp Berobat Jalan

unspecified
PBI (APBD) Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin
PBI (APBD) Gastritis, unspecified Berobat Jalan

PBI (APBD) Myalgia Berobat Jalan

PBI (APBD) Childhood autism Rujuk Vertikal
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan
PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
PBI (APBN) General medical examination Berobat Jalan
KEPALA DESA DAN Epilepsy, unspecified Rujuk Vertikal

PERANGKAT DESA
PNS DAERAH Myalgia Berobat Jalan
PENERIMA PENSIUN Dyspepsia Berobat Jalan

PNS
PENERIMA PENSIUN Dyspepsia Berobat Jalan Hipertensi

PNS
PBI (APBN) Schizophrenia, unspecified Berobat Jalan
PBI (APBN) Acute upper respiratory Berobat Jalan

infection, unspecified
PBI (APBD) Schizophrenia, unspecified Berobat Jalan
PBI (APBN) Tuberculosis of lung, confirmed Berobat Jalan

histologically
PNS DAERAH Conjunctivitis, unspecified Berobat Jalan

101111010322P000 29-03-2022 29-03-2022

67 642 00:00 09:29 0000402272245 SUMIYATI P
68 101111010322P000 29-03-2022 29-03-2022 0000402317965 ODIE DWI PAMUNGKAS L

652 00:00 09:41
69 101111010322P000 29-03-2022 29-03-2022 0000402388525 SITI NURHASANAH P
657 00:00 10:25
70 101111010322P000 29-03-2022 29-03-2022 0000402414388 ENUNG P
639 00:00 09:26
71 101111010322P000 29-03-2022 29-03-2022 0000402437024 TATI P
640 00:00 09:26
72 101111010322P000 29-03-2022 29-03-2022 0000402605302 ANISA JUNIATI P

660 00:00 11:05
73 101111010322P000 29-03-2022 01-04-2022 0000402694582 EEN ROHANAH P

727 00:00 13:12
74 101111010322P000 29-03-2022 29-03-2022 0000402812256 AGUS PANJI MAULANA L

666 00:00 11:12
75 101111010322P000 29-03-2022 29-03-2022 0000402952037 nofa fatmawati P

662 00:00 11:07
76 101111010322P000 29-03-2022 29-03-2022 0000403094619 YULIA P
661 00:00 11:06
77 101111010322P000 29-03-2022 29-03-2022 0000403119527 SITI JUPENTI P
665 00:00 11:11
101111010322P000 29-03-2022 29-03-2022

78 664 00:00 11:09 0000403563126 SUNSUN SURYANI P
79 101111010322P000 29-03-2022 29-03-2022 0001002227725 YULI KRISTINA P

659 00:00 11:05
80 101111010322P000 29-03-2022 29-03-2022 0001450149794 AMANDA UTAMI PRASETIA P
637 00:00 08:40
81 101111010322P000 29-03-2022 29-03-2022 0001668905471 RUSTINI P
647 00:00 09:35
82 101111010322P000 29-03-2022 29-03-2022 0001668905482 ADRON L

648 00:00 09:36
83 101111010322P000 29-03-2022 29-03-2022 0001819257153 DJUMRON L
643 00:00 09:31
84 101111010322P000 29-03-2022 29-03-2022 0001819258402 siti mulyati P
644 00:00 09:32
85 101111010322P000 29-03-2022 29-03-2022 0002186079006 ATIH P
638 00:00 09:25
86 101111010322P000 29-03-2022 29-03-2022 0002399996698 NABILA BILQIS P

641 00:00 09:27
87 101111010322P000 29-03-2022 29-03-2022 0002836755639 PENNY DWI ASTUTI P

663 00:00 11:08
88 101111010322P000 29-03-2022 02-04-2022 0002836756124 WARMINI P
728 00:00 09:39
101111010322P000 28-03-2022 28-03-2022

89 629 00:00 10:42 0000062332525 UUS USMARA L
90 101111010322P000 28-03-2022 28-03-2022 0000400281052 AI RENI P

636 00:00 10:56
91 101111010322P000 28-03-2022 28-03-2022 0000401586794 YULIANA P

630 00:00 10:43
92 101111010322P000 28-03-2022 28-03-2022 0000401940494 HINDUN P
632 00:00 10:45
93 101111010322P000 28-03-2022 28-03-2022 0000401992233 AYI ROHILAH P

622 00:00 10:34
94 101111010322P000 28-03-2022 28-03-2022 0000402308379 MULYATI P

620 00:00 10:29
101111010322P000 28-03-2022 28-03-2022
95 634 00:00 10:54 0000402413016 NELI WINA S P
96 101111010322P000 28-03-2022 28-03-2022 0000402533649 AI ROKAYAH P

626 00:00 10:40
97 101111010322P000 28-03-2022 28-03-2022 0000402606808 EUIS DARIAH P

623 00:00 10:35
98 101111010322P000 28-03-2022 28-03-2022 0000402966764 HANI HATIMAH P

635 00:00 10:55
99 101111010322P000 28-03-2022 28-03-2022 0000402974267 ROHENDI L
621 00:00 10:30
100 101111010322P000 28-03-2022 28-03-2022 0000403187962 HASANAH P

633 00:00 10:52
101 101111010322P000 28-03-2022 28-03-2022 0000403221543 HALIMAH P

616 00:00 09:54
102 101111010322P000 28-03-2022 28-03-2022 0000513129881 ANITA SENTIANI P

624 00:00 10:36
101111010322P000 28-03-2022 28-03-2022
103 615 00:00 09:15 0001002229615 E MULYANI P
104 101111010322P000 28-03-2022 28-03-2022 0001668904391 LISE NURPITASARI P

628 00:00 10:42
105 101111010322P000 28-03-2022 28-03-2022 0001668910678 LILING P

625 00:00 10:39
106 101111010322P000 28-03-2022 28-03-2022 0002186077836 WINDI ASTUTI P

619 00:00 10:28
107 101111010322P000 28-03-2022 28-03-2022 0002186479449 KOKOM. B P
618 00:00 10:28
101111010322P000 28-03-2022 28-03-2022
108 614 00:00 08:58 0002482487471 ENI SUMARNI P
109 101111010322P000 28-03-2022 28-03-2022 0002608005519 AJIB L

627 00:00 10:41
101111010322P000 28-03-2022 28-03-2022

110 617 00:00 09:59 0002609930968 BOGITA KARUNIA ILLAHI P
111 101111010322P000 28-03-2022 28-03-2022 0003117555876 M. ARIS YASIN ILYAS L

631 00:00 10:44
112 101111010322P000 27-03-2022 30-03-2022 0000401934238 ARIAN L
668 00:00 08:11
113 101111010322P000 26-03-2022 26-03-2022 0000062510771 DEDEH KURNIASIH P
612 00:00 09:39
114 101111010322P000 26-03-2022 26-03-2022 0000401805909 HERMAN L

611 00:00 09:39
115 101111010322P000 26-03-2022 01-04-2022 0000402254752 MARSITI P
724 00:00 11:03
116 101111010322P000 26-03-2022 26-03-2022 0000402392463 ANI P
609 00:00 09:38
117 101111010322P000 26-03-2022 26-03-2022 0000402462257 UYUM P
608 00:00 09:37
101111010322P000 26-03-2022 26-03-2022

118 613 00:00 09:53 0000402464079 IMAS MASRIKAH P
119 101111010322P000 26-03-2022 26-03-2022 0000402643023 MIMI SRI MULYANI P

610 00:00 09:38
120 101111010322P000 26-03-2022 01-04-2022 0002186079333 AISYAH P
725 00:00 11:13
121 101111010322P000 25-03-2022 25-03-2022 0000400558061 ENI S MAESAROH P

586 00:00 10:04
122 101111010322P000 25-03-2022 25-03-2022 0000401624594 RISKA RINDIANI P

595 00:00 10:16
123 101111010322P000 25-03-2022 25-03-2022 0000401957403 MAESAROH P

584 00:00 10:02
124 101111010322P000 25-03-2022 25-03-2022 0000401992479 TIROH P
588 00:00 10:07
125 101111010322P000 25-03-2022 25-03-2022 0000402138843 ENENG ARYANI P

600 00:00 10:22
101111010322P000 25-03-2022 25-03-2022

126 590 00:00 10:09 0000402142678 RUSTAM EFFENDI L
127 101111010322P000 25-03-2022 01-04-2022 0000402172479 DILA DAMAYANTI P

726 00:00 11:55
101111010322P000 25-03-2022 25-03-2022
128 574 00:00 08:44 0000402243129 BADRUDIN L
129 101111010322P000 25-03-2022 25-03-2022 0000402514604 AMIM L

589 00:00 10:07
130 101111010322P000 25-03-2022 25-03-2022 0000402545474 JAJA L
602 00:00 10:33
131 101111010322P000 25-03-2022 25-03-2022 0000402707698 CUCU P

597 00:00 10:20
132 101111010322P000 25-03-2022 25-03-2022 0000402709331 SITI AMINAH P
591 00:00 10:10
STATUS
Unspecified diabetes mellitus

PBI (APBN) with unspecified complications Berobat Jalan

acute or chronic
PBI (APBN) Essential (primary) hypertension Berobat Jalan Hipertensi
- Single spontaneous delivery, Sembuh

unspecified

unspecified
PBI (APBN) Necrosis of pulp Berobat Jalan
PBI (APBN) Other contraceptive Berobat Jalan

management
Special screening examination

PBI (APBN) for other viral diseases Berobat Jalan
PEGAWAI SWASTA Epilepsy Rujuk Vertikal
- Pulpitis Berobat Jalan
- Scabies Berobat Jalan
PEKERJA MANDIRI Scabies Berobat Jalan
PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBN) Supervision of normal first Berobat Jalan

pregnancy
- Vertigo of central origin Berobat Jalan Hipertensi
PENERIMA PENSIUN Unspecified diabetes mellitus

PNS without complications Berobat Jalan
- Supervision of normal Berobat Jalan

- Asthma Berobat Jalan


unspecified
Excessive and frequent

- menstruation with irregular cycle Berobat Jalan
PBI (APBN) Scabies Berobat Jalan
- Contraceptive management, Berobat Jalan

unspecified

unspecified
- Conjunctivitis Berobat Jalan
- Myalgia Berobat Jalan
- Follow-up examination after Rujuk Vertikal

unspecified treatment for other
conditions
- Acute tonsillitis, unspecified Berobat Jalan
Non-insulin-dependent diabetes Diabetes Mellitus

- mellitus with unspecified Rujuk Vertikal
complications
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan

- Dyspepsia Berobat Jalan
- Headache Berobat Jalan
Non-insulin-dependent diabetes Diabetes Mellitus Diabetes Mellitus

- mellitus with unspecified Berobat Jalan Hipertensi
complications
PBI (APBN) Vertigo of central origin Berobat Jalan
Follow-up examination after

- surgery for other conditions Rujuk Vertikal
- Bronchitis, not specified as Berobat Jalan

acute or chronic
- Acute nasopharyngitis [common Berobat Jalan
cold]
PNS DAERAH Pure hypercholesterolaemia Berobat Jalan

unspecified

PBI (APBN) without complications Berobat Jalan Hipertensi

unspecified
PBI (APBN) Carcinoma in situ of breast, Rujuk Vertikal

unspecified
Unilateral or unspecified
PBI (APBN) inguinal hernia, without Berobat Jalan
obstruction or gangrene

unspecified
PBI (APBN) surgery for other conditions Rujuk Vertikal
PBI (APBN) Nontoxic goitre, unspecified Berobat Jalan
PBI (APBN) Open wound of head, part Berobat Jalan

unspecified
PBI (APBN) Cataract, unspecified Berobat Jalan

133 101111010322P000 25-03-2022 25-03-2022 0000402817768 AHMAD GOJALI L

575 00:00 09:51
101111010322P000 25-03-2022 25-03-2022
134 596 00:00 10:17 0000402828895 LILIS P
135 101111010322P000 25-03-2022 25-03-2022 0000403146235 DAHLAN L

577 00:00 09:53
136 101111010322P000 25-03-2022 25-03-2022 0001668906685 ELSA MUSTIKA P

578 00:00 09:54
137 101111010322P000 25-03-2022 25-03-2022 0001723688572 TIKA KARTIKA P
580 00:00 09:57
138 101111010322P000 25-03-2022 25-03-2022 0001723688583 ARDI RAMADHAN L
581 00:00 09:58
139 101111010322P000 25-03-2022 25-03-2022 0001796431364 asri aulia janwar P

594 00:00 10:15
140 101111010322P000 25-03-2022 25-03-2022 0002120217131 TISA NASIA P
579 00:00 09:55
141 101111010322P000 25-03-2022 25-03-2022 0002186079849 SITI HINDUN P

585 00:00 10:03
142 101111010322P000 25-03-2022 25-03-2022 0002186208178 AI FARIDA P
593 00:00 10:14
143 101111010322P000 25-03-2022 25-03-2022 0002186666122 TITIM PATIMAH P

576 00:00 09:52
144 101111010322P000 25-03-2022 25-03-2022 0002399625009 ANGGA PRATAMA ADI L

598 00:00 10:21
145 101111010322P000 25-03-2022 25-03-2022 0002462202303 LISWATI P

599 00:00 10:22
146 101111010322P000 25-03-2022 25-03-2022 0002587676848 M ABDUL AZIS L

583 00:00 10:01
147 101111010322P000 25-03-2022 25-03-2022 0002598446619 SITI MARIAM P
582 00:00 10:00
148 101111010322P000 25-03-2022 25-03-2022 0002627949835 ASEP MUHAMAD DAFA L

601 00:00 10:33
149 101111010322P000 25-03-2022 25-03-2022 0002880019877 ILMA FIDIANTI P
592 00:00 10:12
101111010322P000 25-03-2022 25-03-2022
587 00:00 10:05
150 0003079944246 ERNI WIDANINGSIH P
151 101111010322P000 24-03-2022 24-03-2022 0000401643279 IDAH P

566 00:00 10:42
152 101111010322P000 24-03-2022 24-03-2022 0000401844475 NURPADILAH P

568 00:00 10:44
153 101111010322P000 24-03-2022 24-03-2022 0000401920896 IIN JAMILAH P
563 00:00 10:04
154 101111010322P000 24-03-2022 24-03-2022 0000401967382 MULYATI P

548 00:00 09:26
155 101111010322P000 24-03-2022 24-03-2022 0000402029021 M ALQUDIS L

567 00:00 10:43
101111010322P000 24-03-2022 24-03-2022

156 552 00:00 09:31 0000402292664 KUSNADI L
157 101111010322P000 24-03-2022 24-03-2022 0000402298356 ABDUL LATIP L
571 00:00 10:50
158 101111010322P000 24-03-2022 24-03-2022 0000402505481 LENI APRILIANI P

560 00:00 10:01
101111010322P000 24-03-2022 24-03-2022

159 555 00:00 09:36 0000402534167 IDA P
160 101111010322P000 24-03-2022 24-03-2022 0000402534279 RIKI L

554 00:00 09:35
161 101111010322P000 24-03-2022 24-03-2022 0000402570527 IMAS P
561 00:00 10:02
162 101111010322P000 24-03-2022 24-03-2022 0000402601375 NITA P

564 00:00 10:04
163 101111010322P000 24-03-2022 24-03-2022 0000402608619 ILIS P

558 00:00 09:59
164 101111010322P000 24-03-2022 24-03-2022 0000402674872 TIKA SANTIKA P

562 00:00 10:03
165 101111010322P000 24-03-2022 24-03-2022 0000402829119 AMRI L

547 00:00 09:24
166 101111010322P000 24-03-2022 24-03-2022 0000402949361 KOKOM P
569 00:00 10:45
167 101111010322P000 24-03-2022 24-03-2022 0000403105948 TATI R P

565 00:00 10:40
168 101111010322P000 24-03-2022 24-03-2022 0000403221543 HALIMAH P

573 00:00 11:44
169 101111010322P000 24-03-2022 24-03-2022 0000403323693 MASROPAH P
559 00:00 10:00
170 101111010322P000 24-03-2022 24-03-2022 0001668908957 ENTIS L
551 00:00 09:30
101111010322P000 24-03-2022 24-03-2022

572 00:00 11:04
171 0001806076866 ANDI RAMDANI L
172 101111010322P000 24-03-2022 24-03-2022 0002186478213 SHAFIK MUHAMMAD MAULANA L

549 00:00 09:27
173 101111010322P000 24-03-2022 24-03-2022 0002186666111 SAPRUDIN L

553 00:00 09:33
174 101111010322P000 24-03-2022 24-03-2022 0002363044904 AJENG RATNA DINARTI P
550 00:00 09:28
175 101111010322P000 24-03-2022 24-03-2022 0002895200886 AI NURWAHIDAH P

546 00:00 09:23
176 101111010322P000 24-03-2022 24-03-2022 0002896407595 DHAFA RADITYA TEGAR L

556 00:00 09:38
177 101111010322P000 24-03-2022 24-03-2022 0002937054339 MUHAMMAD ALFHI PERMANA L

557 00:00 09:38
101111010322P000 24-03-2022 24-03-2022
178 570 00:00 10:48 0003115658665 IMAN ROHIMAN L
179 101111010322P000 23-03-2022 23-03-2022 0000062115085 ENDANG ZAENU DAHLAN L

529 00:00 09:52
180 101111010322P000 23-03-2022 23-03-2022 0000062646096 ACHMAD ZAEDY SAPUTRA L

535 00:00 10:07
181 101111010322P000 23-03-2022 23-03-2022 0000401632953 ELLY YULIANTI P
528 00:00 09:49
182 101111010322P000 23-03-2022 23-03-2022 0000402328631 WINA NURGAWATI P
540 00:00 10:14
183 101111010322P000 23-03-2022 23-03-2022 0000402462652 NISA RAHMAWATI P

544 00:00 10:53
184 101111010322P000 23-03-2022 23-03-2022 0000402491665 SITI ROHMAH P

530 00:00 10:02
185 101111010322P000 23-03-2022 23-03-2022 0000402545474 JAJA L

545 00:00 11:11
186 101111010322P000 23-03-2022 23-03-2022 0000402578122 SARIMANAH P
538 00:00 10:10
187 101111010322P000 23-03-2022 23-03-2022 0000402699677 ENIH P

537 00:00 10:10
101111010322P000 23-03-2022 23-03-2022

188 539 00:00 10:13 0000403142837 SITI NURAENI P
189 101111010322P000 23-03-2022 23-03-2022 0002186589688 ISOH P

542 00:00 10:18
190 101111010322P000 23-03-2022 23-03-2022 0002399597998 DEDE ALYA SEPTIANA P
541 00:00 10:16
191 101111010322P000 23-03-2022 23-03-2022 0002399997159 MUHAMAD FADLI AKBAR L

531 00:00 10:03
101111010322P000 23-03-2022 23-03-2022

192 532 00:00 10:04 0002608003552 LILIS MUKHLISOH P
193 101111010322P000 23-03-2022 23-03-2022 0002742063377 YANI ANGGRAENI P

534 00:00 10:06
194 101111010322P000 23-03-2022 23-03-2022 0002887470426 PUTRI NABILA AZZHRA P
543 00:00 10:19
195 101111010322P000 23-03-2022 23-03-2022 0002898831508 M ADAM AL KHALIFI L

536 00:00 10:09
196 101111010322P000 23-03-2022 23-03-2022 0003114145787 WIWIN WINARTI P

533 00:00 10:05
101111010322P000 22-03-2022 22-03-2022

197 522 00:00 11:07 0000062195499 NI RUWACHIDAH P
101111010322P000 22-03-2022 22-03-2022

198 521 00:00 10:26 0000062296547 WAWAN NURWANA L
STATUS

PBI (APBD) with unspecified complications Berobat Jalan
PEGAWAI BUMN Dyspepsia Berobat Jalan
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan

PEKERJA MANDIRI Nail disorder, unspecified Berobat Jalan
PEGAWAI SWASTA Urticaria, unspecified Berobat Jalan
PBI (APBN) Urticaria, unspecified Berobat Jalan
PBI (APBD) Gastro-oesophageal reflux Berobat Jalan

disease
PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
PBI (APBD) Gastritis, unspecified Berobat Jalan
PBI (APBN) Chronic gingivitis Berobat Jalan

acute or chronic
PBI (APBN) Superficial injury of head Berobat Jalan
PEGAWAI
PEMERINTAH
DENGAN Chronic gingivitis Berobat Jalan
PERJANJIAN KERJA


unspecified
PBI (APBN) Dizziness and giddiness Berobat Jalan
Observation for other suspected

PBI (APBN) diseases and conditions Berobat Jalan

unspecified
Acute and transient psychotic

PBI (APBN) disorder, unspecified Berobat Jalan

unspecified

unspecified

unspecified

unspecified

- Other surgical follow-up care Berobat Jalan

unspecified
PEGAWAI BUMN Superficial injury of ankle and Berobat Jalan
foot, unspecified
PEGAWAI Diabetes Mellitus

PEMERINTAH
DENGAN Typhoid fever Berobat Jalan
PERJANJIAN KERJA
PBI (APBD) Acute upper respiratory Berobat Jalan

PBI (APBN) Urinary tract infection, site not Berobat Jalan

specified
PEGAWAI SWASTA Rheumatoid arthritis, Berobat Jalan
unspecified
KEPALA DESA DAN Dyspepsia Berobat Jalan

PERANGKAT DESA
KEPALA DESA DAN Pulpitis Berobat Jalan

PERANGKAT DESA
PEGAWAI SWASTA Necrosis of pulp Berobat Jalan
Generalized skin eruption due

PBI (APBN) to drugs and medicaments Berobat Jalan
PNS DAERAH Atherosclerotic heart disease Rujuk Vertikal
PENERIMA PENSIUN Senile cataract, unspecified Berobat Jalan

PNS
PBI (APBN) Congestive heart failure Rujuk Vertikal

unspecified
PBI (APBN) Supervision of normal Berobat Jalan

PBI (APBN) Open wound of head, part Berobat Jalan

unspecified
pregnancy

PBI (APBN) for other viral diseases Berobat Jalan

acute or chronic
PBI (APBD) Acute nasopharyngitis [common Berobat Jalan
cold]


PEGAWAI SWASTA Bronchitis, not specified as Berobat Jalan

acute or chronic
PEGAWAI SWASTA Fever, unspecified Berobat Jalan

cold]
- Other forms of stomatitis Berobat Jalan
PENERIMA PENSIUN Non-insulin-dependent diabetes Diabetes Mellitus

PNS mellitus with unspecified Rujuk Vertikal
complications
Sequelae of stroke, not

PNS DAERAH specified as haemorrhage or Rujuk Vertikal
infarction
199 101111010322P000 22-03-2022 22-03-2022 0000401789788 MARI P

510 00:00 10:15
200 101111010322P000 22-03-2022 22-03-2022 0000401884042 SOPIAH P
501 00:00 10:04
201 101111010322P000 22-03-2022 22-03-2022 0000401893198 IRAH P
496 00:00 09:58
202 101111010322P000 22-03-2022 22-03-2022 0000401897057 LIA P

500 00:00 10:03
203 101111010322P000 22-03-2022 22-03-2022 0000401940494 HINDUN P

499 00:00 10:01
101111010322P000 22-03-2022 22-03-2022
204 497 00:00 09:59 0000401965356 OKOY P
205 101111010322P000 22-03-2022 22-03-2022 0000402014081 ITA ROSITA P

514 00:00 10:20
101111010322P000 22-03-2022 22-03-2022
206 494 00:00 09:57 0000402120696 N SURYATI P
207 101111010322P000 22-03-2022 22-03-2022 0000402217874 A RAHMAT L

517 00:00 10:24
208 101111010322P000 22-03-2022 22-03-2022 0000402343299 TITIM PATIMAH P
524 00:00 11:09
209 101111010322P000 22-03-2022 22-03-2022 0000402411159 CUCU P

512 00:00 10:18
210 101111010322P000 22-03-2022 22-03-2022 0000402450581 IPAN SOPYAN L

511 00:00 10:16
211 101111010322P000 22-03-2022 22-03-2022 0000402587998 JUJU RUBLATI P

502 00:00 10:06
212 101111010322P000 22-03-2022 22-03-2022 0000402627745 ARDIANSAH L
509 00:00 10:15
213 101111010322P000 22-03-2022 22-03-2022 0000402645914 KOKOM P

495 00:00 09:57
214 101111010322P000 22-03-2022 22-03-2022 0000402786033 ELA NURHAYATI P

498 00:00 10:00
215 101111010322P000 22-03-2022 22-03-2022 0000402954873 YAYANG R. BIN MARKO L

519 00:00 10:25
216 101111010322P000 22-03-2022 22-03-2022 0000403061534 MARIAM P

493 00:00 09:56
217 101111010322P000 22-03-2022 22-03-2022 0000403198784 JANAH P
508 00:00 10:14
218 101111010322P000 22-03-2022 22-03-2022 0000403331714 MILAH P
515 00:00 10:22
219 101111010322P000 22-03-2022 22-03-2022 0000977577096 ELDA PERMATASARI P

492 00:00 08:59
220 101111010322P000 22-03-2022 22-03-2022 0001668907348 ROHMAN L

507 00:00 10:13
221 101111010322P000 22-03-2022 22-03-2022 0001898612471 WAWAN KUSWANDI L

516 00:00 10:23
101111010322P000 22-03-2022 22-03-2022
222 513 00:00 10:18 0001898612875 ELIS P
223 101111010322P000 22-03-2022 22-03-2022 0001913171477 SITI MARYAM P
503 00:00 10:07
224 101111010322P000 22-03-2022 22-03-2022 0002186479181 RAJA ABDUL ZABBAR L

506 00:00 10:12
225 101111010322P000 22-03-2022 22-03-2022 0002263062857 ADE SUHERMAN L

523 00:00 11:08
226 101111010322P000 22-03-2022 22-03-2022 0002263062969 ENUNG ROHAYATI P
526 00:00 11:10
227 101111010322P000 22-03-2022 22-03-2022 0002399595107 NENG SYIFAULQOLBI P

527 00:00 11:11
228 101111010322P000 22-03-2022 22-03-2022 0002592529604 ETI ESTIAN P

518 00:00 10:24
229 101111010322P000 22-03-2022 22-03-2022 0002633534943 M AMMAR AL HAFIZD L

525 00:00 11:10
230 101111010322P000 22-03-2022 22-03-2022 0002878096162 OMON L
520 00:00 10:26
101111010322P000 22-03-2022 22-03-2022

231 491 00:00 08:54 0003005257792 ENTIH P
232 101111010322P000 22-03-2022 22-03-2022 0003066942824 HAMID L

504 00:00 10:07
233 101111010322P000 22-03-2022 22-03-2022 0003117847206 M AMAN SUPARMAN L

505 00:00 10:09
234 101111010322P000 21-03-2022 21-03-2022 0000062646816 HIDAYAT L
478 00:00 10:00
235 101111010322P000 21-03-2022 21-03-2022 0000401700036 WULAN P

475 00:00 09:57
236 101111010322P000 21-03-2022 21-03-2022 0000402066617 ABEN L

487 00:00 11:05
237 101111010322P000 21-03-2022 21-03-2022 0000402373078 AISAH P

488 00:00 11:07
238 0000402556419 SUMARDI L
101111010322P000 21-03-2022 21-03-2022
473 00:00 09:55
239 101111010322P000 21-03-2022 21-03-2022 0000402707698 CUCU P

481 00:00 10:09
240 101111010322P000 21-03-2022 04-04-2022 0000402991852 ERIYAWATI P
730 00:00 13:53
241 101111010322P000 21-03-2022 21-03-2022 0000403143693 ULAN L

483 00:00 10:11
101111010322P000 21-03-2022 21-03-2022
242 477 00:00 09:59 0000403424651 RINA P
243 101111010322P000 21-03-2022 21-03-2022 0002186075621 CAHYANI P

474 00:00 09:56
244 101111010322P000 21-03-2022 21-03-2022 0002186472385 OJIAH P
482 00:00 10:09
245 101111010322P000 21-03-2022 21-03-2022 0002399996428 H UBAIDILAH L

489 00:00 11:08
246 101111010322P000 21-03-2022 21-03-2022 0002399996439 HALIMAH P
490 00:00 11:09
247 101111010322P000 21-03-2022 21-03-2022 0002435241622 NURYADI L
479 00:00 10:00
101111010322P000 21-03-2022 21-03-2022

248 485 00:00 10:31 0002525114529 EPA HUNAEPA P
249 101111010322P000 21-03-2022 21-03-2022 0002633534864 SYAKILA YUNITA P

476 00:00 09:57
250 101111010322P000 21-03-2022 21-03-2022 0002895169871 INDRIYANI P

486 00:00 10:45
251 0002895277836 AGUS L

101111010322P000 21-03-2022 21-03-2022
472 00:00 09:25
101111010322P000 21-03-2022 21-03-2022

252 0003006817626 ROHADI L
480 00:00 10:04
253 101111010322P000 21-03-2022 21-03-2022 0003051923387 AI HERAWATI P

484 00:00 10:13
101111010322P000 20-03-2022 04-04-2022
254 729 00:00 13:45 0000402597832 SITI KULSUM P
255 101111010322P000 20-03-2022 25-03-2022 0000403243108 TITA NURMILA P

607 00:00 13:41
256 101111010322P000 19-03-2022 19-03-2022 0000062312758 E KUSMANA L

458 00:00 10:22
257 101111010322P000 19-03-2022 19-03-2022 0000062646737 FATIMAH P

471 00:00 10:38
258 101111010322P000 19-03-2022 19-03-2022 0000401721636 KARLINA P
468 00:00 10:35
259 101111010322P000 19-03-2022 19-03-2022 0000402289885 HASANAH P

469 00:00 10:37
260 101111010322P000 19-03-2022 19-03-2022 0000402311261 DEDE SULAEMAN L
453 00:00 08:20
261 101111010322P000 19-03-2022 19-03-2022 0000402332308 SAHUDIN L

465 00:00 10:32
262 101111010322P000 19-03-2022 19-03-2022 0000402339598 HOLIAH P
462 00:00 10:27
263 101111010322P000 19-03-2022 19-03-2022 0000402392463 ANI P
459 00:00 10:23
264 101111010322P000 19-03-2022 19-03-2022 0000402477636 AYI P

463 00:00 10:28
STATUS
PBI (APBN) Myalgia Berobat Jalan Hipertensi

acute or chronic

unspecified

unspecified

unspecified
- without complications Berobat Jalan
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi

unspecified
PBI (APBN) Dermatitis, unspecified Berobat Jalan
PBI (APBN) Epilepsy Berobat Jalan
- Respiratory tuberculosis, not Berobat Jalan

confirmed bacteriologically or
histologically

unspecified

unspecified
PNS DAERAH Other and unspecified Rujuk Vertikal

abdominal pain
PEGAWAI BUMN Low back pain Berobat Jalan
PEKERJA MANDIRI Asthma, unspecified Berobat Jalan
PEKERJA MANDIRI Unspecified diabetes mellitus

with unspecified complications Berobat Jalan

PEKERJA MANDIRI Myalgia Berobat Jalan
PEKERJA MANDIRI Pure hypercholesterolaemia Berobat Jalan


histologically
PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

- other treatment for other Rujuk Vertikal
conditions
PEKERJA MANDIRI Gastro-oesophageal reflux Berobat Jalan

disease
PBI (APBN) Gastro-oesophageal reflux Berobat Jalan

disease
PENERIMA PENSIUN Pyoderma Berobat Jalan
PNS
PBI (APBD) Bronchitis, not specified as Berobat Jalan

acute or chronic

unspecified
PBI (APBN) Respiratory tuberculosis, not Berobat Jalan
histologically
PBI (APBN) Cataract, unspecified Berobat Jalan
- Prolonged first stage (of labour) Rujuk Vertikal

pregnancy
Cutaneous abscess, furuncle
PBI (APBN) and carbuncle of other sites Berobat Jalan
PBI (APBD) Pterygium Berobat Jalan


PBI (APBN) surgery for other conditions Rujuk Vertikal
KEPALA DESA DAN Schizophrenia Rujuk Vertikal

PERANGKAT DESA
KEPALA DESA DAN Rujuk Vertikal

PERANGKAT DESA Stroke, not specified as
haemorrhage or infarction
Localization-related (focal)
(partial) symptomatic epilepsy
and epileptic syndromes with
PEKERJA MANDIRI simple partial seizures Rujuk Vertikal
PEGAWAI SWASTA Low back pain Berobat Jalan
Premature rupture of
- membranes, onset of labour Rujuk Vertikal
within 24 hours

unspecified
PENERIMA PENSIUN Essential (primary) hypertension Berobat Jalan

PNS

unspecified

acute or chronic
PBI (APBN) Epilepsy Berobat Jalan

265 101111010322P000 19-03-2022 19-03-2022 0000402507044 NENI NURAENI P

464 00:00 10:31
266 101111010322P000 19-03-2022 19-03-2022 0000402540221 SITI MARIAM P

460 00:00 10:25
267 101111010322P000 19-03-2022 19-03-2022 0000402607956 AAN P
466 00:00 10:33
101111010322P000 19-03-2022 19-03-2022

268 470 00:00 10:37 0000402811097 YUNI HARYUNI P
269 101111010322P000 19-03-2022 19-03-2022 0000402864478 WENDA KHOERIAH P

457 00:00 10:20
270 101111010322P000 19-03-2022 19-03-2022 0001668915742 NURUL ALFATAH L

461 00:00 10:26
271 101111010322P000 19-03-2022 19-03-2022 0001723688583 ARDI RAMADHAN L
454 00:00 10:18
272 101111010322P000 19-03-2022 19-03-2022 0002186479179 SITI AISYAH P
455 00:00 10:18
273 101111010322P000 19-03-2022 19-03-2022 0002762339602 DANDI saputra L

456 00:00 10:19
274 101111010322P000 19-03-2022 19-03-2022 0003121631032 NAYLA NUR AZIZAH P

467 00:00 10:34
275 101111010322P000 19-03-2022 25-03-2022 0003134697895 RISKA P
606 00:00 13:27
276 101111010322P000 18-03-2022 18-03-2022 0000401964704 SELVI APRILIANI P

446 00:00 10:12
277 101111010322P000 18-03-2022 18-03-2022 0000401999095 BUDI MOEH MARSUDIN L

440 00:00 09:54
278 101111010322P000 18-03-2022 18-03-2022 0000402059349 NENTRI P

451 00:00 10:26
279 101111010322P000 18-03-2022 18-03-2022 0000402067473 ENAH P
450 00:00 10:25
280 101111010322P000 18-03-2022 18-03-2022 0000402090197 NENSIH P
434 00:00 09:37
281 101111010322P000 18-03-2022 18-03-2022 0000402128537 MAESAROH P

436 00:00 09:41
282 101111010322P000 18-03-2022 18-03-2022 0000402305861 JAMA L
437 00:00 09:42
283 101111010322P000 18-03-2022 18-03-2022 0000402306546 ADAH P

445 00:00 10:10
284 101111010322P000 18-03-2022 18-03-2022 0000402701567 NURDENI L

449 00:00 10:23
285 101111010322P000 18-03-2022 18-03-2022 0000402702254 NURAIDAH P

452 00:00 10:27
286 101111010322P000 18-03-2022 18-03-2022 0000402736083 EKA YUNIAWATI P
439 00:00 09:46
287 101111010322P000 18-03-2022 18-03-2022 0000403061534 MARIAM P

448 00:00 10:15
288 101111010322P000 18-03-2022 18-03-2022 0000403250141 AI SAFITRI P

435 00:00 09:40
289 101111010322P000 18-03-2022 18-03-2022 0001181093556 NENI P

438 00:00 09:44
290 101111010322P000 18-03-2022 18-03-2022 0001668906999 TITIN SUPARTINI P
432 00:00 09:16
291 101111010322P000 18-03-2022 18-03-2022 0001668908889 AMIN L

442 00:00 10:04
292 101111010322P000 18-03-2022 18-03-2022 0002034872234 adellia azzahra P

433 00:00 09:34
293 101111010322P000 18-03-2022 18-03-2022 0002315098181 ATHAYA ZULAIKHA AMANY P
443 00:00 10:07
294 101111010322P000 18-03-2022 18-03-2022 0002399594229 MUHAMMAD IRSYADUL FAUZY L
444 00:00 10:08
295 101111010322P000 18-03-2022 18-03-2022 0002638366964 DEDE SUPARDI L

441 00:00 09:58
296 101111010322P000 18-03-2022 18-03-2022 0002895154536 GANJAR PRIYADI L

447 00:00 10:14
297 101111010322P000 17-03-2022 17-03-2022 0000401586794 YULIANA P

428 00:00 10:27
298 101111010322P000 17-03-2022 17-03-2022 0000401724472 YUSUP L
422 00:00 10:22
299 101111010322P000 17-03-2022 17-03-2022 0000402045265 SINTA FITRI LESTARI P

416 00:00 10:14
300 101111010322P000 17-03-2022 17-03-2022 0000402063153 WITA P

426 00:00 10:25
301 101111010322P000 17-03-2022 17-03-2022 0000402106184 UUN P

423 00:00 10:23
302 101111010322P000 17-03-2022 17-03-2022 0000402277757 EBAH SUHAEBAH P

419 00:00 10:18
303 101111010322P000 17-03-2022 17-03-2022 0000402343299 TITIM PATIMAH P
429 00:00 10:39
304 101111010322P000 17-03-2022 17-03-2022 0000402365981 EROS P

425 00:00 10:24
305 101111010322P000 17-03-2022 17-03-2022 0000402371403 ASEP L
430 00:00 10:39
306 101111010322P000 17-03-2022 17-03-2022 0000402388525 SITI NURHASANAH P
420 00:00 10:19
307 101111010322P000 17-03-2022 17-03-2022 0000402604931 CINDRA ISMAIL P

421 00:00 10:20
308 101111010322P000 17-03-2022 17-03-2022 0000402708745 UJANG NEDIN L

427 00:00 10:26
309 101111010322P000 17-03-2022 17-03-2022 0000402863725 PARMAN L

418 00:00 10:18
101111010322P000 17-03-2022 17-03-2022

310 417 00:00 10:16 0001257523187 ITING P
311 101111010322P000 17-03-2022 17-03-2022 0001261674808 M FAREL AZWA APRILIAN L

431 00:00 10:42
312 101111010322P000 17-03-2022 17-03-2022 0001668906448 AYI SUMARNI P

424 00:00 10:24
313 101111010322P000 16-03-2022 16-03-2022 0000062186139 PATIMAH P
412 00:00 11:27
314 101111010322P000 16-03-2022 16-03-2022 0000062716004 NENENG YUSI MERLIAWATI P

406 00:00 10:48
315 101111010322P000 16-03-2022 16-03-2022 0000401536001 YULIA P
401 00:00 10:28
316 101111010322P000 16-03-2022 16-03-2022 0000401775434 PIPIH P

395 00:00 10:22
317 101111010322P000 16-03-2022 16-03-2022 0000401775996 SAEPUL R L
404 00:00 10:32
318 101111010322P000 16-03-2022 16-03-2022 0000402150519 PUDIN L

415 00:00 11:33
101111010322P000 16-03-2022 16-03-2022

319 389 00:00 10:17 0000402323319 ENING P
320 101111010322P000 16-03-2022 16-03-2022 0000402362987 AI ROHMAH P

388 00:00 08:28
321 101111010322P000 16-03-2022 16-03-2022 0000402515324 ULIAH P

413 00:00 11:31
101111010322P000 16-03-2022 16-03-2022
322 402 00:00 10:30 0000402622031 JUARIAH P
323 101111010322P000 16-03-2022 16-03-2022 0000402818815 DEDI MULYADI L

410 00:00 11:24
324 101111010322P000 16-03-2022 16-03-2022 0000402819445 IYET P

411 00:00 11:25
325 101111010322P000 16-03-2022 16-03-2022 0000403184968 KINKIN P
409 00:00 11:24
326 0000403330948 ELISTA HERIANTI P
101111010322P000 16-03-2022 16-03-2022
407 00:00 10:52
327 101111010322P000 16-03-2022 16-03-2022 0000403427092 DEPI P

392 00:00 10:19
328 101111010322P000 16-03-2022 16-03-2022 0000403744353 SUPARTINI P
398 00:00 10:26
329 101111010322P000 16-03-2022 16-03-2022 0001668910645 IIS P

394 00:00 10:21
330 101111010322P000 16-03-2022 16-03-2022 0001819257153 DJUMRON L
390 00:00 10:17
skrining baru
sudah skrining
bpjs tidak aktif
belum skrining (tidak bisa skrining)
STATUS

unspecified
PBI (APBN) Benign paroxysmal vertigo Berobat Jalan
Essential (primary) hypertension Diabetes Mellitus

- Berobat Jalan Hipertensi

acute or chronic
PEKERJA MANDIRI Pyoderma Berobat Jalan

acute or chronic
PEKERJA MANDIRI Dyspepsia Berobat Jalan
- Allergic contact dermatitis Berobat Jalan

unspecified
- Care and examination Berobat Jalan

immediately after delivery

acute or chronic
- Disorder of conjunctiva, Berobat Jalan

unspecified
- Pulpitis Berobat Jalan

unspecified
- Disorder of conjunctiva, Berobat Jalan

unspecified

unspecified
- Diarrhoea and gastroenteritis of Berobat Jalan


- Calculus of kidney Rujuk Vertikal
- Dental caries, unspecified Berobat Jalan

unspecified
- Conjunctivitis, unspecified Berobat Jalan
- Acute upper respiratory Berobat Jalan

- Gastritis, unspecified Berobat Jalan

- Urticaria, unspecified Berobat Jalan

histologically

- with peripheral circulatory Berobat Jalan
complications

histologically
PNS DAERAH Caries of dentine Berobat Jalan
PNS DAERAH Malignant neoplasm of nipple Rujuk Vertikal

and areola
unspecified
PBI (APBD) Tuberculous peripheral Berobat Jalan

lymphadenopathy
PBI (APBN) Observation for suspected Berobat Jalan

tuberculosis

PBI (APBN) without complications Berobat Jalan
PBI (APBN) Congestive heart failure Rujuk Vertikal Hipertensi
PBI (APBN) Corneal ulcer Berobat Jalan
Other specified
PBI (APBN) noninflammatory disorders of Berobat Jalan
uterus

unspecified
PBI (APBN) Follow-up examination after Rujuk Vertikal
unspecified treatment for other
conditions

PEGAWAI BUMN Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

331 101111010322P000 16-03-2022 16-03-2022 0002127450385 SALWA P

400 00:00 10:28
332 101111010322P000 16-03-2022 16-03-2022 0002186472958 TATI SULASTRI P

393 00:00 10:21
333 101111010322P000 16-03-2022 16-03-2022 0002263875355 ASEP SETIADI L

405 00:00 10:33
334 101111010322P000 16-03-2022 16-03-2022 0002451618663 NENENG SOPIAH P

408 00:00 11:21
335 101111010322P000 16-03-2022 16-03-2022 0002583285467 MUTIARA SARI P

397 00:00 10:25
336 101111010322P000 16-03-2022 16-03-2022 0002591579968 WIWIN WINARTI P
403 00:00 10:32
337 101111010322P000 16-03-2022 16-03-2022 0002591579968 WIWIN WINARTI P

414 00:00 11:32
101111010322P000 16-03-2022 16-03-2022
338 396 00:00 10:24 0002596408637 ILA SUSILAWATI P
339 101111010322P000 16-03-2022 16-03-2022 0002605855926 YAYAN SOPIAN L

391 00:00 10:18
340 101111010322P000 16-03-2022 16-03-2022 0002608003596 NYINYI ROBIAH P

399 00:00 10:27
341 101111010322P000 15-03-2022 15-03-2022 0000062264428 SUMPENA L

384 00:00 10:32
342 101111010322P000 15-03-2022 15-03-2022 0000062365048 NY. MIMIN P
376 00:00 10:24
343 101111010322P000 15-03-2022 15-03-2022 0000210610653 NINA NURHAETI P

370 00:00 09:58
344 101111010322P000 15-03-2022 15-03-2022 0000401880576 JUJU P

378 00:00 10:26
345 101111010322P000 15-03-2022 15-03-2022 0000401940393 OHID L

373 00:00 10:09
346 101111010322P000 15-03-2022 15-03-2022 0000401967382 MULYATI P
374 00:00 10:10
347 101111010322P000 15-03-2022 15-03-2022 0000401999185 IDA P

367 00:00 09:56
348 101111010322P000 15-03-2022 15-03-2022 0000402433391 ISUM P

385 00:00 10:32
349 101111010322P000 15-03-2022 15-03-2022 0000402459243 ABID L
366 00:00 09:56
350 101111010322P000 15-03-2022 15-03-2022 0000402506122 DAHLAN L
386 00:00 11:00
351 101111010322P000 15-03-2022 15-03-2022 0000402672791 TITI M P
375 00:00 10:11
352 101111010322P000 15-03-2022 25-03-2022 0000402846243 NURHAYATI P

605 00:00 13:14
353 101111010322P000 15-03-2022 15-03-2022 0000402872758 NENG LENI P

372 00:00 10:07
354 101111010322P000 15-03-2022 15-03-2022 0000403323838 RUSTANDI L
383 00:00 10:31
355 101111010322P000 15-03-2022 15-03-2022 0001002227141 ENANG ATIKAH P

365 00:00 09:53
356 101111010322P000 15-03-2022 15-03-2022 0001002229165 JUBAEDAH P
377 00:00 10:25
357 101111010322P000 15-03-2022 15-03-2022 0001662557995 CUCU SUMARNI P

371 00:00 10:02
358 101111010322P000 15-03-2022 15-03-2022 0001668905471 RUSTINI P

369 00:00 09:57
359 101111010322P000 15-03-2022 15-03-2022 0001668905482 ADRON L

368 00:00 09:57
360 101111010322P000 15-03-2022 15-03-2022 0002186473994 NINGSIH P
379 00:00 10:27
361 101111010322P000 15-03-2022 15-03-2022 0002433407455 AISYAH P

380 00:00 10:28
362 101111010322P000 15-03-2022 15-03-2022 0002582438534 M.NAZRIL KURNIAWAN L
382 00:00 10:29
363 101111010322P000 15-03-2022 15-03-2022 0002628702786 SITI ROHIMAH P

387 00:00 11:02
101111010322P000 15-03-2022 15-03-2022
364 381 00:00 10:28 0002695003233 SITI MARYATI P
365 101111010322P000 15-03-2022 15-03-2022 0003003028323 CECEP SOMANTRI L

364 00:00 08:22
366 101111010322P000 14-03-2022 14-03-2022 0000062115085 ENDANG ZAENU DAHLAN L

327 00:00 11:05
367 101111010322P000 14-03-2022 14-03-2022 0000400312506 DEDE PATIMAH P

329 00:00 11:07
368 101111010322P000 14-03-2022 14-03-2022 0000400910771 WIWI P
313 00:00 08:28
369 101111010322P000 14-03-2022 14-03-2022 0000401630141 SITI SOPIAH P
318 00:00 10:55
370 101111010322P000 14-03-2022 14-03-2022 0000401741561 YENI NURAENI P

320 00:00 10:57
371 101111010322P000 14-03-2022 14-03-2022 0000401788574 e fatimah P

315 00:00 10:52
372 101111010322P000 14-03-2022 14-03-2022 0000401860563 NINING P

319 00:00 10:57
101111010322P000 14-03-2022 14-03-2022

373 332 00:00 11:08 0000401931652 NENAH P
374 101111010322P000 14-03-2022 14-03-2022 0000402022282 SITI MAESAROH P

340 00:00 11:16
375 101111010322P000 14-03-2022 14-03-2022 0000402028255 AI LISNA P
356 00:00 11:29
376 101111010322P000 14-03-2022 14-03-2022 0000402091312 FITRI P

351 00:00 11:25
377 101111010322P000 14-03-2022 14-03-2022 0000402269905 YANTI YULIANTI P

322 00:00 10:59
378 101111010322P000 14-03-2022 14-03-2022 0000402292708 HALIMAH P

347 00:00 11:23
379 101111010322P000 14-03-2022 14-03-2022 0000402343874 MIMI AMINAH P
349 00:00 11:24
380 101111010322P000 14-03-2022 14-03-2022 0000402362752 ONING L
337 00:00 11:14
381 101111010322P000 14-03-2022 14-03-2022 0000402362875 NIA P

353 00:00 11:28
382 101111010322P000 14-03-2022 14-03-2022 0000402362987 AI ROHMAH P

333 00:00 11:09
383 101111010322P000 14-03-2022 14-03-2022 0000402452886 EDOH P
350 00:00 11:25
384 101111010322P000 14-03-2022 14-03-2022 0000402453729 SUKAT L

328 00:00 11:06
385 101111010322P000 14-03-2022 14-03-2022 0000402454012 IMAS NURMAYANTI P

334 00:00 11:12
386 101111010322P000 14-03-2022 14-03-2022 0000402532604 EGI L

325 00:00 11:04
387 101111010322P000 14-03-2022 14-03-2022 0000402634045 MAESAROH P
354 00:00 11:28
101111010322P000 14-03-2022 14-03-2022
388 321 00:00 10:58 0000402672172 SITI PATONAH P
389 101111010322P000 14-03-2022 14-03-2022 0000402703536 YENI P

352 00:00 11:26
390 101111010322P000 14-03-2022 14-03-2022 0000402807846 ELSA P
330 00:00 11:07
391 101111010322P000 14-03-2022 14-03-2022 0000402811108 LINA HERLINA P
342 00:00 11:17
392 101111010322P000 14-03-2022 14-03-2022 0000402850607 NUNUNG NURJANAH P

358 00:00 11:32
393 101111010322P000 14-03-2022 14-03-2022 0000402850607 NUNUNG NURJANAH P

360 00:00 11:35
394 101111010322P000 14-03-2022 14-03-2022 0000402904214 DEDEH P
335 00:00 11:13
395 101111010322P000 14-03-2022 14-03-2022 0000403105948 TATI R P

317 00:00 10:54
396 101111010322P000 14-03-2022 14-03-2022 0000403121316 AI IPAH P

355 00:00 11:29
STATUS
PBI (APBN) Influenza with other respiratory Berobat Jalan

manifestations, virus not
identified

PEGAWAI SWASTA Respiratory tuberculosis Berobat Jalan

unspecified, confirmed
bacteriologically and
histologically
- General medical examination Berobat Jalan

cold]

PBI (APBN) Diarrhoea and gastroenteritis of Berobat Jalan

PBI (APBN) Impetiginization of other Berobat Jalan

dermatoses

acute or chronic
- Myalgia Berobat Jalan Hipertensi

acute or chronic

- Bacterial infection, unspecified Berobat Jalan
- Superficial injury of head, part Berobat Jalan

unspecified
- Essential (primary) hypertension Berobat Jalan Hipertensi

unspecified

- Urticaria, unspecified Berobat Jalan
- Low back pain Berobat Jalan

acute or chronic

- with unspecified complications Berobat Jalan
- Cataract, unspecified Rujuk Vertikal
PNS DAERAH Bronchitis, not specified as Berobat Jalan

acute or chronic
PBI (APBN) Fibroadenosis of breast Rujuk Vertikal


PBI (APBN) Pregnancy confirmed Berobat Jalan

PBI (APBN) Rheumatoid arthritis, Berobat Jalan

unspecified

unspecified
unspecified
- Supervision of normal first Berobat Jalan

pregnancy
PBI (APBN) Congestive heart failure Berobat Jalan Hipertensi

unspecified
- Dizziness and giddiness Berobat Jalan

pregnancy

PBI (APBN) Schizophrenia Berobat Jalan
PBI (APBN) Irritant contact dermatitis, Berobat Jalan

unspecified cause

- General medical examination Berobat Jalan

397 101111010322P000 14-03-2022 14-03-2022 0000403147383 NARSIH P

324 00:00 11:02
398 101111010322P000 14-03-2022 14-03-2022 0000403290189 SITI AIDAH P
357 00:00 11:30
399 101111010322P000 14-03-2022 14-03-2022 0000403330026 OYIB L
341 00:00 11:17
400 101111010322P000 14-03-2022 14-03-2022 0001002230256 SRI MARLINA P

323 00:00 11:00
401 101111010322P000 14-03-2022 14-03-2022 0001521065338 RIKA SANTIKA HOERIAH P

339 00:00 11:16
402 101111010322P000 14-03-2022 14-03-2022 0001668910173 SUNENGSIH P
316 00:00 10:54
403 101111010322P000 14-03-2022 14-03-2022 0001668910241 AYI MARTINI P

331 00:00 11:08
404 101111010322P000 14-03-2022 14-03-2022 0001668911141 YETI RIDOWATI P

314 00:00 09:55
405 101111010322P000 14-03-2022 14-03-2022 0002186078062 YUNI WIDANINGSIH P

345 00:00 11:21
406 101111010322P000 14-03-2022 14-03-2022 0002186078062 YUNI WIDANINGSIH P
346 00:00 11:21
101111010322P000 14-03-2022 14-03-2022

407 361 00:00 11:36 0002186208178 AI FARIDA P
408 101111010322P000 14-03-2022 14-03-2022 0002186208189 AKILA RAHMA NURANI P

326 00:00 11:05
101111010322P000 14-03-2022 14-03-2022

409 362 00:00 11:43 0002186665402 NURHAYATI P
410 101111010322P000 14-03-2022 14-03-2022 0002298963914 SRI APRIANI P

363 00:00 11:44
411 101111010322P000 14-03-2022 14-03-2022 0002582745939 LISA P

359 00:00 11:34
412 101111010322P000 14-03-2022 14-03-2022 0002616569201 SADIAH P

336 00:00 11:14
101111010322P000 14-03-2022 14-03-2022
343 00:00 11:18
413 0002619943266 TINI HADIYANTI P
101111010322P000 14-03-2022 14-03-2022 MUHAMMAD RAPATAN

344 00:00 11:19 JANUAR
414 0002619944166 L
415 101111010322P000 14-03-2022 14-03-2022 0002676652031 IIS SUSILAWATI P

348 00:00 11:24
416 101111010322P000 14-03-2022 14-03-2022 0003113778262 AI SUMYATI P

338 00:00 11:15
417 101111010322P000 03-12-2022 12-03-2022 0000401668615 MAMAH P
291 09:12
418 101111010322P000 03-12-2022 12-03-2022 0000401940494 HINDUN P

297 09:16
419 101111010322P000 03-12-2022 12-03-2022 0000402339598 HOLIAH P

299 09:17
420 101111010322P000 03-12-2022 12-03-2022 0000402441221 DEDE P
298 09:17
421 101111010322P000 03-12-2022 12-03-2022 0000402443346 NANIH P
305 09:42
422 101111010322P000 03-12-2022 12-03-2022 0000402572722 NUR HALIMAH P

304 09:42
423 101111010322P000 03-12-2022 12-03-2022 0000402608654 ENGKAR L

295 09:15
424 101111010322P000 03-12-2022 12-03-2022 0000402722605 EMEN L

307 09:44
425 101111010322P000 03-12-2022 12-03-2022 0000403017737 ROSITA P

296 09:15
426 101111010322P000 03-12-2022 12-03-2022 0000403076349 IDAH P

303 09:41
427 101111010322P000 03-12-2022 12-03-2022 0000403428712 AAH P
302 09:41
428 101111010322P000 03-12-2022 12-03-2022 0000403428712 AAH P

312 10:44
429 101111010322P000 03-12-2022 12-03-2022 0001182482098 PUTRI DAMAYANTI P
301 09:40
430 101111010322P000 03-12-2022 12-03-2022 0001667093613 NUR AJIJAH RAMADANTI P

293 09:13
431 101111010322P000 03-12-2022 12-03-2022 0001668904389 SARIBANON P

294 09:14
432 101111010322P000 03-12-2022 12-03-2022 0001668908406 SITI SRI SUSILAWATI P

306 09:43
433 101111010322P000 03-12-2022 12-03-2022 0001913172298 HENRA L
311 10:43
434 101111010322P000 03-12-2022 12-03-2022 0002491379291 EUIS NURI NURAENI P

300 09:39
435 101111010322P000 03-12-2022 12-03-2022 0002605855331 ELI P
308 10:41
436 101111010322P000 03-12-2022 12-03-2022 0002605855342 ASEP SETIAWAN L

309 10:42
437 101111010322P000 03-12-2022 12-03-2022 0002605855353 VIMA KASILAH P
310 10:43
438 101111010322P000 03-12-2022 12-03-2022 0002861278929 OIM L

292 09:12
439 101111010322P000 03-12-2022 12-03-2022 0003006239297 ELI ELMAWATI P

290 09:11
440 101111010322P000 03-11-2022 11-03-2022 0000401805459 OON P

276 09:39
441 101111010322P000 03-11-2022 11-03-2022 0000401890656 MAMAT RAHMAT L
266 09:26
442 101111010322P000 03-11-2022 11-03-2022 0000401985573 ANI NURYANTI L

283 09:57
443 101111010322P000 03-11-2022 25-03-2022 0000401985573 ANI NURYANTI L

604 13:03
444 101111010322P000 03-11-2022 11-03-2022 0000402321802 SOPIAH P

281 09:54
445 101111010322P000 03-11-2022 11-03-2022 0000402379806 SA ADAH P
277 09:41
101111010322P000 11-03-2022
446 286 03-11-2022 10:00 0000402389684 YADI L
447 101111010322P000 03-11-2022 11-03-2022 0000402501082 ITOH P

274 09:38
448 101111010322P000 03-11-2022 11-03-2022 0000402505031 NORI P

275 09:39
449 101111010322P000 03-11-2022 11-03-2022 0000402521084 SUPARMAN L

265 09:26
450 101111010322P000 03-11-2022 11-03-2022 0000402522568 AYI MAEMUNAH P

273 09:37
451 101111010322P000 03-11-2022 11-03-2022 0000402555947 ADAH ROSIDAH P
279 09:51
452 101111010322P000 03-11-2022 11-03-2022 0000402736083 EKA YUNIAWATI P

271 09:35
453 101111010322P000 03-11-2022 11-03-2022 0000402961048 FITRIANINGSIH P

282 09:56
454 101111010322P000 03-11-2022 11-03-2022 0000402977621 MARYATI P

284 09:58
455 101111010322P000 03-11-2022 11-03-2022 0000403066451 WIDA P
272 09:36
456 101111010322P000 03-11-2022 11-03-2022 0000403243457 RENDI SAPUTRA L

268 09:30
457 101111010322P000 03-11-2022 11-03-2022 0000403279288 ADE SOPANDI L

278 09:44
458 101111010322P000 03-11-2022 11-03-2022 0000403279806 ENTIN P
285 10:00
459 101111010322P000 03-11-2022 11-03-2022 0001668908878 IMAS P
267 09:28
101111010322P000 11-03-2022
460 270 03-11-2022 09:34 0001668908889 AMIN L
461 101111010322P000 03-11-2022 11-03-2022 0001668915742 NURUL ALFATAH L

269 09:31
462 101111010322P000 03-11-2022 11-03-2022 0002471297589 BADRU TAMAM L
264 09:20
STATUS



disease
PEGAWAI BUMN Acute upper respiratory Berobat Jalan

PEGAWAI BUMN Nontoxic goitre, unspecified Rujuk Vertikal
PBI (APBD) Supervision of normal Berobat Jalan


PBI (APBD) for other viral diseases Berobat Jalan


PBI (APBD) for other viral diseases Berobat Jalan
PEGAWAI SWASTA Supervision of normal first Berobat Jalan

pregnancy

PEGAWAI
PEMERINTAH
DENGAN Conjunctivitis, unspecified Berobat Jalan
PERJANJIAN KERJA
PEGAWAI Acute upper respiratory

PEMERINTAH infection, unspecified
DENGAN Berobat Jalan
PERJANJIAN KERJA

pregnancy



PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

unspecified
PBI (APBN) Other urticaria Berobat Jalan
PBI (APBN) Influenza with other respiratory Berobat Jalan

identified

cold]

unspecified
unspecified
PEGAWAI SWASTA Other chronic suppurative otitis Berobat Jalan

media
- Diarrhoea and gastroenteritis of Berobat Jalan

PEGAWAI BUMN Influenza with other respiratory Berobat Jalan

identified

cold]
PEGAWAI SWASTA Scabies Berobat Jalan

PBI (APBN) Other forms of stomatitis Berobat Jalan
PBI (APBN) Gastritis, unspecified Berobat Jalan
- Pregnancy, not (yet) confirmed Berobat Jalan

disease
cold]

pregnancy

unspecified

unspecified

- and carbuncle of other sites Berobat Jalan

PBI (APBN) Asthma, unspecified Berobat Jalan
- Acute pharyngitis, unspecified Berobat Jalan

unspecified
- Pregnancy confirmed Berobat Jalan



acute or chronic
Hypertensive renal disease

PEGAWAI BUMN without renal failure Berobat Jalan
PEGAWAI BUMN Headache Berobat Jalan
PEKERJA MANDIRI Retention of urine Rujuk Vertikal

463 101111010322P000 03-11-2022 11-03-2022 0003114145787 WIWIN WINARTI P

280 09:52
464 101111010322P000 03-10-2022 10-03-2022 0000062205851 NENG AMINAH P

246 10:14
465 101111010322P000 03-10-2022 10-03-2022 0000401789788 MARI P

235 09:51
466 101111010322P000 03-10-2022 10-03-2022 0000401939289 IMAS P
244 10:12
467 101111010322P000 03-10-2022 10-03-2022 0000401958551 DEWI HAYATI P

253 10:21
468 101111010322P000 03-10-2022 10-03-2022 0000402031056 AAY P

245 10:13
101111010322P000 10-03-2022
469 247 03-10-2022 10:16 0000402120696 N SURYATI P
470 101111010322P000 03-10-2022 10-03-2022 0000402147516 M RYAN KUSWANDI L

233 09:50
471 101111010322P000 03-10-2022 10-03-2022 0000402415661 ROHMAT L

255 10:27
101111010322P000 10-03-2022
472 256 03-10-2022 10:31 0000402464079 IMAS MASRIKAH P
473 101111010322P000 03-10-2022 10-03-2022 0000402514659 YUYU Y P

254 10:22
474 101111010322P000 03-10-2022 10-03-2022 0000402557523 JUHENDI L
236 09:53
475 101111010322P000 03-10-2022 10-03-2022 0000402643023 MIMI SRI MULYANI P

258 10:35
476 101111010322P000 03-10-2022 10-03-2022 0000402715372 UJANG IYEN L

237 09:54
101111010322P000 10-03-2022
477 238 03-10-2022 09:55 0000402811097 YUNI HARYUNI P
478 101111010322P000 03-10-2022 10-03-2022 0000402824564 DEDI SETIAWAN L

241 10:09
479 101111010322P000 03-10-2022 10-03-2022 0000402841146 AI MULYANI P
257 10:32
480 101111010322P000 03-10-2022 10-03-2022 0000402854556 MAEDIN L
240 09:57
481 101111010322P000 03-10-2022 10-03-2022 0000402859934 ETI P

243 10:11
482 101111010322P000 03-10-2022 10-03-2022 0000403143873 ADE SURAHMAN L

232 09:49
483 101111010322P000 03-10-2022 10-03-2022 0000403314884 ERI WINARSIH P

251 10:19
484 101111010322P000 03-10-2022 10-03-2022 0000403314952 SILMI RUSIDAH P
252 10:20
485 101111010322P000 03-10-2022 10-03-2022 0000403426135 USUP SUPARMAN L

234 09:51
486 101111010322P000 03-10-2022 10-03-2022 0001002227725 YULI KRISTINA P
260 10:51
487 101111010322P000 03-10-2022 10-03-2022 0001668904143 KAYAH P

239 09:56
101111010322P000 10-03-2022
488 248 03-10-2022 10:17 0001668904716 EROS P
489 101111010322P000 03-10-2022 10-03-2022 0001668910173 SUNENGSIH P

259 10:35
101111010322P000 10-03-2022
490 230 03-10-2022 08:26 0002490694525 MIA ROSMIATI SAPARILA P
491 101111010322P000 03-10-2022 10-03-2022 0002608894168 RATNA SUMIRAH P

250 10:19
492 03-10-2022 0002778760855 ILMI SYAKIRA BAHIR L
101111010322P000 10-03-2022
261 11:08
493 101111010322P000 03-10-2022 10-03-2022 0002901751749 SITI KHANIFAH P

242 10:11
494 101111010322P000 03-10-2022 10-03-2022 0002943181179 SRI DEVI SALAMAH P

262 11:09
495 101111010322P000 03-10-2022 10-03-2022 0003106286561 NINING RASMININGSIH P

231 09:02
496 101111010322P000 03-10-2022 10-03-2022 0003116766003 YANTI P
249 10:18
497 101111010322P000 03-10-2022 25-03-2022 0003133517916 IRMA AMALIA P

603 12:49
498 101111010322P000 03-09-2022 09-03-2022 0000401840223 D SOLIHIN L

206 10:19
499 101111010322P000 03-09-2022 09-03-2022 0000401854882 RANY AMELIA P

205 10:17
500 101111010322P000 03-09-2022 09-03-2022 0000402022282 SITI MAESAROH P

207 10:20
501 101111010322P000 03-09-2022 09-03-2022 0000402049157 LILIS HOLISOH P
223 10:36
502 101111010322P000 03-09-2022 09-03-2022 0000402218043 KASMINEM P
222 10:35
503 101111010322P000 03-09-2022 09-03-2022 0000402269905 YANTI YULIANTI P

220 10:33
101111010322P000 09-03-2022
504 225 03-09-2022 10:45 0000402389684 YADI L
505 101111010322P000 03-09-2022 09-03-2022 0000402433457 SARAH P

216 10:26
101111010322P000 12-03-2022
506 289 03-09-2022 09:10 0000402457241 ERPIN L
101111010322P000 09-03-2022
507 200 03-09-2022 10:12 0000402534167 IDA P
508 101111010322P000 03-09-2022 09-03-2022 0000402537609 BURHAN L

218 10:28
509 101111010322P000 03-09-2022 09-03-2022 0000402545158 TUTIH P

226 11:01
510 101111010322P000 03-09-2022 09-03-2022 0000402545474 JAJA L
227 11:02
511 101111010322P000 03-09-2022 09-03-2022 0000402564137 ENI ROHAENI P

217 10:27
512 101111010322P000 03-09-2022 09-03-2022 0000402749583 AMAH WIWI P

209 10:22
513 101111010322P000 03-09-2022 09-03-2022 0000402972759 NOLIS P
221 10:33
514 101111010322P000 03-09-2022 09-03-2022 0000403106567 AYI MASRIAH P
210 10:22
515 101111010322P000 03-09-2022 09-03-2022 0001316702171 DEDI SUPRIADI L

203 10:14
516 101111010322P000 03-09-2022 09-03-2022 0001426568027 HATIJAH P

208 10:21
517 101111010322P000 03-09-2022 09-03-2022 0001662557973 HAMZAH WAHAB L

224 10:37
518 101111010322P000 03-09-2022 09-03-2022 0001668907091 ENUR B L

214 10:25
519 101111010322P000 03-09-2022 09-03-2022 0001668908755 NEUIS P
228 11:03
520 101111010322P000 03-09-2022 09-03-2022 0001670235827 SUPRIATNA L
215 10:26
521 101111010322P000 03-09-2022 09-03-2022 0001799767945 HJ SITI KULSUM P

202 10:13
522 101111010322P000 03-09-2022 09-03-2022 0002076846322 TETI ELIYANTI P

211 10:23
523 101111010322P000 03-09-2022 09-03-2022 0002186666111 SAPRUDIN L
201 10:13
524 101111010322P000 03-09-2022 09-03-2022 0002399996428 H UBAIDILAH L

213 10:25
525 101111010322P000 03-09-2022 09-03-2022 0002399996439 HALIMAH P

212 10:24
526 101111010322P000 03-09-2022 09-03-2022 0002605856095 AISAH P
204 10:15
527 03-09-2022 0002895199222 RINA HARYANI P
101111010322P000 09-03-2022
229 12:04
528 101111010322P000 03-09-2022 09-03-2022 0003078764032 MUHAMMAD AQMAR NADHIF L

219 10:29 RAMADHAN
STATUS

unspecified
PNS DAERAH Asthma, unspecified Berobat Jalan

acute or chronic

unspecified


PBI (APBN) without complications Berobat Jalan Hipertensi

acute or chronic
Acute pharyngitis, unspecified Diabetes Mellitus

- Berobat Jalan Hipertensi

specified


specified
PBI (APBN) Cellulitis and abscess of mouth Berobat Jalan
PEGAWAI BUMN Other arthritis Berobat Jalan Hipertensi

PENERIMA PENSIUN
SWASTA Low back pain Berobat Jalan

PEGAWAI SWASTA Follow-up examination after

surgery for other conditions Rujuk Vertikal
Diarrhoea and gastroenteritis of Berobat Jalan

PEGAWAI SWASTA

PEKERJA MANDIRI Atherosclerotic heart disease Rujuk Vertikal

unspecified

cold]

PBI (APBN) Irregular menstruation, Berobat Jalan
unspecified
PBI (APBN) Other contraceptive Berobat Jalan

management

- and carbuncle of other sites Berobat Jalan

Hyperemesis gravidarum with
- metabolic disturbance Berobat Jalan
Acute and transient psychotic

PBI (APBN) disorder, unspecified Berobat Jalan


unspecified
PEGAWAI SWASTA Influenza with other respiratory Berobat Jalan

identified
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEGAWAI BUMN Low back pain Berobat Jalan

PEGAWAI SWASTA Headache Berobat Jalan

cold]
- Spontaenous abortion, Rujuk Vertikal

incomplete, with other and
unspecified complications

101111010322P000 08-03-2022
529 187 03-08-2022 10:35 0000062031082 ABDUL RAHMAN L
530 101111010322P000 03-08-2022 08-03-2022 0000165210884 INA WALYINA,ST P

178 10:24
531 101111010322P000 03-08-2022 08-03-2022 0000401767817 HOBSAH P
184 10:31
532 101111010322P000 03-08-2022 08-03-2022 0000401820794 IJA L

162 08:17
533 101111010322P000 03-08-2022 08-03-2022 0000401877066 MOCH IHSAN L
197 10:52
101111010322P000 08-03-2022
176 10:22
534 03-08-2022 0000402176812 HASANUDIN L
535 101111010322P000 03-08-2022 08-03-2022 0000402615819 EMAH P

164 10:07
536 101111010322P000 03-08-2022 08-03-2022 0000402655228 ACIH P

175 10:21
537 101111010322P000 03-08-2022 08-03-2022 0000402675794 SUPARTINI P
169 10:13
538 101111010322P000 03-08-2022 08-03-2022 0000402782962 RESA ERVIANA P

198 11:13
539 101111010322P000 03-08-2022 08-03-2022 0000402896384 ADAH P

186 10:34
540 101111010322P000 03-08-2022 08-03-2022 0000402982299 ITA ROSITA P

173 10:19
541 101111010322P000 03-08-2022 08-03-2022 0000403008704 SITI SANIAH P
194 10:49
542 101111010322P000 03-08-2022 08-03-2022 0000403086497 NENI P

177 10:23
543 101111010322P000 03-08-2022 08-03-2022 0000403086971 YANTI P
174 10:20
101111010322P000 08-03-2022
544 163 03-08-2022 08:58 0000403222746 DEDI L
545 101111010322P000 03-08-2022 08-03-2022 0000403238035 YENI P

170 10:15
546 101111010322P000 03-08-2022 08-03-2022 0000403424526 HERMAN L

166 10:09
547 101111010322P000 03-08-2022 08-03-2022 0001169738807 RANTI P

172 10:18
548 101111010322P000 03-08-2022 08-03-2022 0001468855451 RIFKI FAUZAN RINALDI L

192 10:45
549 101111010322P000 03-08-2022 08-03-2022 0001662557591 YOYOK MISBAHUDIN L
180 10:26
550 101111010322P000 03-08-2022 08-03-2022 0001668904132 EDI SUPARMAN L

185 10:33
551 101111010322P000 03-08-2022 08-03-2022 0001668904391 LISE NURPITASARI P

182 10:29
552 101111010322P000 03-08-2022 08-03-2022 0001668910329 SURYANI P

189 10:42
553 101111010322P000 03-08-2022 08-03-2022 0001668910397 MAMAY P
193 10:46
554 101111010322P000 03-08-2022 08-03-2022 0001670568489 SUHERMAN L

181 10:27
555 101111010322P000 03-08-2022 08-03-2022 0001817305211 ROHANAH P
165 10:08
556 101111010322P000 03-08-2022 08-03-2022 0002056786896 M. ARKHAN ATHA GUNAWAN L

179 10:24
557 101111010322P000 03-08-2022 11-03-2022 0002186479596 SITI PATIMAH P

287 11:38
558 101111010322P000 03-08-2022 08-03-2022 0002196422087 SUMSUM P

183 10:30
559 101111010322P000 03-08-2022 08-03-2022 0002248081626 ALYA APRIYANTI P
171 10:16
560 101111010322P000 03-08-2022 08-03-2022 0002452545393 ITOH P

188 10:40
561 101111010322P000 03-08-2022 08-03-2022 0002590983538 ADE RUSTIANA L
168 10:13
562 101111010322P000 03-08-2022 08-03-2022 0002636959847 SITI NUR FADILAH P

167 10:11
563 101111010322P000 03-08-2022 08-03-2022 0002743365633 REFI FIRMAN TAUPIK M L
190 10:43
564 101111010322P000 03-08-2022 08-03-2022 0003051923387 AI HERAWATI P
195 10:50
565 101111010322P000 03-08-2022 08-03-2022 0003107736977 Solahudin L

191 10:44
566 101111010322P000 03-08-2022 08-03-2022 0003117176897 SUPARMAN L

196 10:51
567 03-07-2022 0000062332525 UUS USMARA L
101111010322P000 09-03-2022
199 10:11
568 101111010322P000 03-07-2022 07-03-2022 0000062536836 DAUD SAEPUDIN L

140 10:27
569 101111010322P000 03-07-2022 07-03-2022 0000400910771 WIWI P

135 10:20
570 101111010322P000 03-07-2022 07-03-2022 0000401503972 SANTI SUSANTI P
156 11:06
571 101111010322P000 03-07-2022 07-03-2022 0000401619486 ROHILAH P
145 10:31
572 101111010322P000 03-07-2022 07-03-2022 0000401978259 TITA ROSITA P

157 11:07
573 101111010322P000 03-07-2022 07-03-2022 0000402042835 RAHMAT L

149 10:39
574 101111010322P000 03-07-2022 07-03-2022 0000402387208 ENUR P
151 10:42
575 101111010322P000 03-07-2022 07-03-2022 0000402570527 IMAS P

152 10:43
576 101111010322P000 03-07-2022 07-03-2022 0000402576491 ARDIANA L

161 11:16
577 101111010322P000 03-07-2022 07-03-2022 0000402634596 EUIS P

155 10:57
578 101111010322P000 03-07-2022 07-03-2022 0000402691599 ELI P
141 10:28
101111010322P000 07-03-2022
153 10:43
579 03-07-2022 0000402814574 M NURALAMSAH L
580 101111010322P000 03-07-2022 07-03-2022 0000402829119 AMRI L

137 10:22
581 101111010322P000 03-07-2022 07-03-2022 0000402847176 ELIS P

159 11:08
101111010322P000 07-03-2022
582 150 03-07-2022 10:40 0000403128303 DUDUN WAHYUDIN L
583 101111010322P000 03-07-2022 07-03-2022 0000403337417 APID L

144 10:31
584 101111010322P000 03-07-2022 07-03-2022 0001002222573 YOYOH P
133 10:17
585 101111010322P000 03-07-2022 07-03-2022 0001012202289 NENG SRI P

143 10:30
132 10:16
587 101111010322P000 03-07-2022 07-03-2022 0001668904839 SANANG L
138 10:26
588 101111010322P000 03-07-2022 07-03-2022 0001668906617 SUTARYAT L

148 10:38
589 101111010322P000 03-07-2022 07-03-2022 0001668908619 NENTI P
154 10:47
590 101111010322P000 03-07-2022 07-03-2022 0001670235939 ADI L

147 10:34
591 101111010322P000 03-07-2022 07-03-2022 0001728360077 SUMYATI P
130 10:09
592 101111010322P000 03-07-2022 07-03-2022 0001780497911 IDAWATI P
158 11:08
593 101111010322P000 03-07-2022 07-03-2022 0001809030363 NINA HERLINA P

134 10:18
594 101111010322P000 03-07-2022 07-03-2022 0002120217704 AISAH P

146 10:32
STATUS

PNS DAERAH with unspecified complications Berobat Jalan
PNS DAERAH Acute upper respiratory Berobat Jalan

PBI (APBN) Acute myocardial infarction, Rujuk Vertikal

unspecified
Respiratory tuberculosis
unspecified, without mention of
PBI (APBN) bacteriological or histological Berobat Jalan
confirmation

unspecified
PBI (APBN) Otitis media, unspecified Berobat Jalan


unspecified

acute or chronic
Other benign neoplasm of

PBI (APBN) connective and other soft tissue, Rujuk Vertikal
unspecified
unspecified

PEGAWAI SWASTA Bronchitis, not specified as Berobat Jalan

acute or chronic



PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan
PNS DAERAH Acute pharyngitis, unspecified Berobat Jalan

unspecified

PEGAWAI SWASTA Myalgia Berobat Jalan
- Typhoid fever Berobat Jalan
PEKERJA MANDIRI Schizophrenia Berobat Jalan
Diarrhoea and gastroenteritis of Berobat Jalan

PENERIMA PENSIUN presumed infectious origin
PNS
PENERIMA PENSIUN Radiculopathy, lumbar region Berobat Jalan

PNS
PBI (APBN) Fibroadenosis of breast Berobat Jalan
PBI (APBN) Acute tonsillitis, unspecified Berobat Jalan

acute or chronic


disease
PBI (APBN) Pulpitis Berobat Jalan
PBI (APBN) Low back pain, site unspecified Rujuk Vertikal
- Urinary tract infection, site not Berobat Jalan

specified
Localization-related (focal)
(partial) idiopathic epilepsy and
PBI (APBN) epileptic syndromes with Berobat Jalan
seizures of localized onset

unspecified
PBI (APBN) Tuberculous pleurisy, confirmed Berobat Jalan

bacteriologically and
histologically
PBI (APBN) Tinea pedis Berobat Jalan



PEKERJA MANDIRI Malignant neoplasm of Rujuk Vertikal
abdomen
PEGAWAI SWASTA Contraceptive management, Berobat Jalan
unspecified


595 101111010322P000 03-07-2022 07-03-2022 0002186476705 IIS HAYATI P

142 10:29
596 101111010322P000 03-07-2022 07-03-2022 0002497581821 NURHAYATI P

136 10:21
597 101111010322P000 03-07-2022 07-03-2022 0002591763783 RIZKI MAULANA L

139 10:26
598 101111010322P000 03-07-2022 10-03-2022 0002836564784 ANISA LESTARI P

263 13:58
599 101111010322P000 03-07-2022 07-03-2022 0002891261507 NURDIN L
131 10:15
101111010322P000 07-03-2022
160 11:14
600 03-07-2022 0003079944246 ERNI WIDANINGSIH P
601 101111010322P000 03-06-2022 06-03-2022 0003255641335 jajang sunandang L

129 10:21
602 101111010322P000 03-05-2022 05-03-2022 0000402234399 YUYUN P

124 10:40
603 101111010322P000 03-05-2022 05-03-2022 0000402343299 TITIM PATIMAH P
126 10:43
604 101111010322P000 03-05-2022 05-03-2022 0000402441715 SANI P

119 10:36
605 101111010322P000 03-05-2022 05-03-2022 0000402462088 UNANG SANUSI L

112 10:13
606 101111010322P000 03-05-2022 05-03-2022 0000402542662 HERMAN L

120 10:36
607 101111010322P000 03-05-2022 05-03-2022 0000402631435 SITI AISAH P
114 10:14
608 101111010322P000 03-05-2022 05-03-2022 0000403001144 HAWANAH BT BAKUR P

123 10:40
609 101111010322P000 03-05-2022 05-03-2022 0000403049171 ASEP RAMLAN L
110 10:10
610 101111010322P000 03-05-2022 05-03-2022 0000403049272 FITRI NURAENI P

127 10:46
611 101111010322P000 03-05-2022 05-03-2022 0000403049755 KEYSHA PUTRI ANGGRAENI P

116 10:17
612 101111010322P000 03-05-2022 05-03-2022 0000403105948 TATI R P

113 10:13
613 101111010322P000 03-05-2022 05-03-2022 0000403150678 SUSI P
117 10:18
614 101111010322P000 03-05-2022 05-03-2022 0000403243637 OMA SETIAWAN L

125 10:41
615 101111010322P000 03-05-2022 05-03-2022 0000403334087 MARNAH P
115 10:15

121 10:37
617 101111010322P000 03-05-2022 05-03-2022 0001668908733 DEDE SUHERMAN L
111 10:11
618 101111010322P000 03-05-2022 05-03-2022 0001668916045 ELVA ELVIRA D P
122 10:39
619 101111010322P000 03-05-2022 05-03-2022 0002186079535 SITI SOLIHAT P

128 10:46
620 101111010322P000 03-05-2022 05-03-2022 0002452545393 ITOH P
118 10:19
101111010322P000 04-03-2022
621 090 03-04-2022 10:27 0000062332525 UUS USMARA L
622 101111010322P000 03-04-2022 04-03-2022 0000401543649 EROS P

098 10:37
623 101111010322P000 03-04-2022 04-03-2022 0000401799273 U SUPANDI L
087 10:23
624 101111010322P000 03-04-2022 04-03-2022 0000401799576 ECIN P

097 10:34
625 101111010322P000 03-04-2022 04-03-2022 0000401871216 SUPIANDI L

096 10:33
626 101111010322P000 03-04-2022 04-03-2022 0000401891152 SANTI RAHMAWATI P

100 10:40
627 101111010322P000 03-04-2022 04-03-2022 0000401996632 SUKANDAR L
103 10:43
628 101111010322P000 03-04-2022 04-03-2022 0000402139023 SAPIAH P
080 10:09
629 101111010322P000 03-04-2022 04-03-2022 0000402217198 AWA ROHMAN L

082 10:12
630 101111010322P000 03-04-2022 04-03-2022 0000402339598 HOLIAH P
081 10:10
631 101111010322P000 03-04-2022 04-03-2022 0000402362932 ISAH P
106 10:46
632 101111010322P000 03-04-2022 04-03-2022 0000402440185 EMON L
086 10:18
633 101111010322P000 03-04-2022 04-03-2022 0000402510508 SUSI P

109 10:52
634 101111010322P000 03-04-2022 04-03-2022 0000402572035 SARI P

079 10:07
635 101111010322P000 03-04-2022 04-03-2022 0000402572722 NUR HALIMAH P

101 10:41
101111010322P000 04-03-2022
636 105 03-04-2022 10:45 0000402584951 SAEPUDIN L
637 101111010322P000 03-04-2022 04-03-2022 0000403267015 SARTIKA P

099 10:39
638 101111010322P000 03-04-2022 04-03-2022 0000403392701 AI NURAENI P
091 10:28
639 101111010322P000 03-04-2022 04-03-2022 0000403424651 RINA P

095 10:32
640 101111010322P000 03-04-2022 04-03-2022 0001662557848 IWAN SUPRIATNA L
104 10:44
641 101111010322P000 03-04-2022 11-03-2022 0001668904918 YULIANA P

288 11:50
642 101111010322P000 03-04-2022 04-03-2022 0001668908799 YOYOH P

085 10:15
643 101111010322P000 03-04-2022 04-03-2022 0001668909947 MIDI L

108 10:51
644 101111010322P000 03-04-2022 04-03-2022 0001730121412 AANG ABDUL ROHMAN L

107 10:50
645 101111010322P000 03-04-2022 04-03-2022 0001817300891 WINDIYANI P

102 10:42
646 101111010322P000 03-04-2022 04-03-2022 0002186472036 NURLELA P
093 10:30
647 101111010322P000 03-04-2022 04-03-2022 0002186472047 BAGAS SAPUTRA L
092 10:29
648 101111010322P000 03-04-2022 04-03-2022 0002186666267 SITI MASITOH P

089 10:26
649 101111010322P000 03-04-2022 04-03-2022 0002186666278 YAYU HAMIDAH P

088 10:24
650 101111010322P000 03-04-2022 04-03-2022 0002435241622 NURYADI L

084 10:14
651 101111010322P000 03-04-2022 04-03-2022 0002435241688 HALIMAH P
083 10:13
652 101111010322P000 03-04-2022 04-03-2022 0003113016772 M RAHMAT L

094 10:31
653 101111010322P000 03-04-2022 04-03-2022 0003255264663 neni P

078 09:22
654 101111010322P000 03-02-2022 02-03-2022 0000062367052 IDAN NUGRAHA L
058 10:29
655 101111010322P000 03-02-2022 02-03-2022 0000062647694 ENTIN SUPRIATIN P
036 09:03
101111010322P000 02-03-2022
656 037 03-02-2022 09:30 0000401864736 TITING SOPIAH P
101111010322P000 02-03-2022
657 075 03-02-2022 11:06 0000401931652 NENAH P
658 101111010322P000 03-02-2022 02-03-2022 0000401939289 IMAS P

059 10:29
659 101111010322P000 03-02-2022 02-03-2022 0000401941236 MASNUNG P
047 10:18
660 101111010322P000 03-02-2022 02-03-2022 0000401985088 ANIS P

063 10:34
STATUS
PBI (APBN) Corns and callosities Berobat Jalan
PEKERJA MANDIRI Visual disturbance, unspecified Rujuk Vertikal

unspecified
PEGAWAI
PEMERINTAH
DENGAN Chronic gingivitis Berobat Jalan
PERJANJIAN KERJA
- Gangrene, not elsewhere Rujuk Vertikal

classified
PBI (APBN) Other disorders of urinary Berobat Jalan Hipertensi

system

- Other forms of stomatitis Berobat Jalan
- Other diseases of Bartholin's Berobat Jalan

gland

cold]
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]

unspecified
PEGAWAI SWASTA Scabies Berobat Jalan
PENERIMA PENSIUN Unspecified diabetes mellitus

PNS without complications Berobat Jalan

- Gastro-oesophageal reflux Berobat Jalan

disease
- Presence of functional implant, Berobat Jalan

unspecified


unspecified


unspecified
Other spondylosis with
PBI (APBN) radiculopathy, lumbar region Berobat Jalan

unspecified
PBI (APBN) Asthma Berobat Jalan


unspecified



acute or chronic
- Fibroadenosis of breast Rujuk Vertikal
PNS PUSAT Essential (primary) hypertension Berobat Jalan
PENERIMA PENSIUN Carpal tunnel syndrome Rujuk Vertikal

PNS
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

PBI (APBN) Observation for suspected Berobat Jalan

tuberculosis
- Ankylosing spondylitis, thoracic Rujuk Vertikal

region
661 101111010322P000 03-02-2022 02-03-2022 0000402009489 NENENG P

065 10:37
662 101111010322P000 03-02-2022 02-03-2022 0000402114576 HAMNA L

041 10:10
663 101111010322P000 03-02-2022 02-03-2022 0000402158698 KOMALASARI P

067 10:39
664 101111010322P000 03-02-2022 02-03-2022 0000402158698 KOMALASARI P

068 10:41
665 101111010322P000 03-02-2022 02-03-2022 0000402343299 TITIM PATIMAH P

074 11:05
666 101111010322P000 03-02-2022 02-03-2022 0000402462562 ITOH P
077 11:07
667 101111010322P000 03-02-2022 02-03-2022 0000402468186 JAJANG sundara L
050 10:20
668 101111010322P000 03-02-2022 02-03-2022 0000402496391 ASEP SAEPUDIN L

066 10:37
669 101111010322P000 03-02-2022 02-03-2022 0000402502882 TUTI S P

043 10:15
670 101111010322P000 03-02-2022 02-03-2022 0000402634596 EUIS P
057 10:28
671 101111010322P000 03-02-2022 02-03-2022 0000402659831 DEDE ERNA P
046 10:17
672 101111010322P000 03-02-2022 02-03-2022 0000402672791 TITI M P

062 10:32
673 101111010322P000 03-02-2022 02-03-2022 0000402854556 MAEDIN L

054 10:23
674 101111010322P000 03-02-2022 02-03-2022 0000402861227 NAZWA P
061 10:31
675 101111010322P000 03-02-2022 02-03-2022 0000402863725 PARMAN L

045 10:16
101111010322P000 02-03-2022
676 039 03-02-2022 09:57 0000403197546 KAILA NOER ROHIMAH P
677 101111010322P000 03-02-2022 02-03-2022 0000403240972 JEJEN L

076 11:06
678 101111010322P000 03-02-2022 02-03-2022 0001002227725 YULI KRISTINA P
069 10:47
679 101111010322P000 03-02-2022 02-03-2022 0001270736831 SITI ROHMAH P

070 10:49
680 101111010322P000 03-02-2022 02-03-2022 0001282658308 IIS NIA KURNIASIH P

051 10:21
681 101111010322P000 03-02-2022 02-03-2022 0001668906617 SUTARYAT L

060 10:30
101111010322P000 02-03-2022
682 056 03-02-2022 10:27 0001898612875 ELIS P
683 101111010322P000 03-02-2022 02-03-2022 0002186665661 MUTIA NURCAHAYA NENGSIH P

064 10:36
684 101111010322P000 03-02-2022 02-03-2022 0002222431749 IVAN OKTAFYANA NUGRAHA L

044 10:16
685 101111010322P000 03-02-2022 02-03-2022 0002399997273 A. SAEPUDIN L
052 10:22
686 101111010322P000 03-02-2022 02-03-2022 0002399997306 SALIMAH SALSA P
053 10:23
687 101111010322P000 03-02-2022 02-03-2022 0002435241688 HALIMAH P

040 10:09
688 101111010322P000 03-02-2022 02-03-2022 0002497232057 AIDAH P

038 09:48
689 101111010322P000 03-02-2022 02-03-2022 0002497581821 NURHAYATI P
042 10:12
690 101111010322P000 03-02-2022 02-03-2022 0002608894168 RATNA SUMIRAH P

055 10:24
691 101111010322P000 03-02-2022 02-03-2022 0002943183159 M JANDAN KHOLIF ALKAVIN L

071 10:55
692 101111010322P000 03-02-2022 02-03-2022 0003006298348 ADIBA SAKILAATMARINI P

048 10:19
693 101111010322P000 03-02-2022 02-03-2022 0003051923387 AI HERAWATI P
073 10:59
694 101111010322P000 03-02-2022 02-03-2022 0003101662192 aishwa nahla azkayra P
072 10:57
695 101111010322P000 03-02-2022 02-03-2022 0003255264663 neni P

049 10:19
696 101111010322P000 03-01-2022 01-03-2022 0000062240848 SARIMANAH P

020 10:37
697 101111010322P000 03-01-2022 01-03-2022 0000062312758 E KUSMANA L
018 10:34
698 101111010322P000 03-01-2022 01-03-2022 0000062312769 EMPIH SOPIAH P

017 10:32
699 101111010322P000 03-01-2022 01-03-2022 0000401814235 ENUNG LOMRAH P

005 09:32
700 101111010322P000 03-01-2022 01-03-2022 0000401985854 AMI P

032 11:02
701 101111010322P000 03-01-2022 01-03-2022 0000402041878 DAYAT L

007 10:16
702 101111010322P000 03-01-2022 01-03-2022 0000402059981 SUDIRMAN L
023 10:43
703 101111010322P000 03-01-2022 01-03-2022 0000402203621 AGUS BUDIMAN L

019 10:36
704 101111010322P000 03-01-2022 01-03-2022 0000402321082 WATI P

028 10:48
705 101111010322P000 03-01-2022 01-03-2022 0000402343874 MIMI AMINAH P
025 10:46
706 101111010322P000 03-01-2022 01-03-2022 0000402345898 SANTI P
022 10:42
707 101111010322P000 03-01-2022 01-03-2022 0000402380605 DEWI P

034 11:06
708 101111010322P000 03-01-2022 01-03-2022 0000402530308 ADAH P
012 10:27
709 101111010322P000 03-01-2022 01-03-2022 0000402708745 UJANG NEDIN L
011 10:25
101111010322P000 01-03-2022
002 08:39
710 03-01-2022 0000402728207 ENY MARYAM P
711 101111010322P000 03-01-2022 01-03-2022 0000402833913 MAEMUNAH P
031 11:02
712 101111010322P000 03-01-2022 01-03-2022 0000402838018 SETIAWATI P

035 11:08
713 101111010322P000 03-01-2022 01-03-2022 0000403251276 MARYATI P

029 10:59
714 101111010322P000 03-01-2022 01-03-2022 0001002229165 JUBAEDAH P
008 10:17
715 101111010322P000 03-01-2022 01-03-2022 0001668905414 ROHMAT L

026 10:47
716 101111010322P000 03-01-2022 01-03-2022 0001670235827 SUPRIATNA L

001 08:21
717 101111010322P000 03-01-2022 01-03-2022 0001670236031 HERMAN APANDI L

014 10:29
718 101111010322P000 03-01-2022 01-03-2022 0001670236064 RINA LUTHFIAH ISHWANDARI P

009 10:17
719 101111010322P000 03-01-2022 01-03-2022 0001670236132 PEPEN SUPENDI L

010 10:23
720 101111010322P000 03-01-2022 01-03-2022 0002186590498 DODO SAEPUDIN L
015 10:29
101111010322P000 01-03-2022
721 003 03-01-2022 08:52 0002186590509 LILIS SITI MARYANI P
722 101111010322P000 03-01-2022 01-03-2022 0002298963914 SRI APRIANI P

030 11:00
723 101111010322P000 03-01-2022 01-03-2022 0002393373666 MISBAH L

027 10:48
724 101111010322P000 03-01-2022 01-03-2022 0002399996428 H UBAIDILAH L
024 10:45
725 101111010322P000 03-01-2022 01-03-2022 0002399996439 HALIMAH P

016 10:31
101111010322P000 01-03-2022
726 013 03-01-2022 10:28 0002435241622 NURYADI L
727 101111010322P000 03-01-2022 01-03-2022 0002471297589 BADRU TAMAM L

004 09:28
728 101111010322P000 03-01-2022 01-03-2022 0002605855926 YAYAN SOPIAN L
006 10:09
101111010322P000 01-03-2022
729 021 03-01-2022 10:39 0002695003233 SITI MARYATI P
730 101111010322P000 03-01-2022 01-03-2022 0002836754201 JAMILAH P

033 11:05
STATUS

cold]

PBI (APBN) Pulpitis Berobat Jalan

unspecified
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi

PBI (APBN) Other arthritis Berobat Jalan
PBI (APBN) Radiculopathy, lumbar region Berobat Jalan
- Acute gingivitis Berobat Jalan Hipertensi

disease
PBI (APBD) Scabies Berobat Jalan
Vaginal delivery following

PBI (APBN) previous caesarean section Rujuk Vertikal
PBI (APBN) Asthma, unspecified Berobat Jalan
PBI (APBN) Cellulitis and abscess of mouth Berobat Jalan
PEKERJA MANDIRI Contraceptive management, Berobat Jalan

unspecified
PEKERJA MANDIRI Rheumatoid arthritis, Berobat Jalan

unspecified
PEKERJA MANDIRI Unspecified diabetes mellitus

with unspecified complications Berobat Jalan

PNS DAERAH Fever, unspecified Berobat Jalan
PBI (APBD) Scabies Berobat Jalan

- Bitten or stung by nonvenomous Berobat Jalan

insect and other nonvenomous
arthropods
PEKERJA MANDIRI Atrial septal defect Rujuk Vertikal
PEKERJA MANDIRI Chronic kidney disease, stage 5 Rujuk Vertikal
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]
PEGAWAI SWASTA Influenza with other respiratory Berobat Jalan

identified
PNS DAERAH Essential (primary) hypertension Berobat Jalan
PENERIMA PENSIUN Low back pain Berobat Jalan

PNS
PENERIMA PENSIUN Dyspepsia Berobat Jalan

PNS
PBI (APBN) Low back pain, lumbar region Rujuk Vertikal

unspecified
PBI (APBN) Migraine, unspecified Berobat Jalan
PBI (APBN) Chronic gingivitis Berobat Jalan

unspecified
- Tuberculous peripheral Berobat Jalan

lymphadenopathy
Human immunodeficiency virus
[HIV] disease resulting in
PBI (APBN) infectious and parasitic Rujuk Vertikal
diseases
unspecified
PEGAWAI SWASTA Impacted teeth Rujuk Vertikal
PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan


Non-insulin-dependent diabetes Diabetes Mellitus

PBI (APBD) mellitus with unspecified Berobat Jalan
complications
PEGAWAI SWASTA Supervision of normal first Berobat Jalan

pregnancy

PBI (APBD) Bronchitis, not specified as Berobat Jalan
acute or chronic
PEKERJA MANDIRI Cutaneous abscess, furuncle

and carbuncle of other sites Berobat Jalan
PEKERJA MANDIRI Unspecified renal colic Rujuk Vertikal
PBI (APBN) Atherosclerotic heart disease Rujuk Vertikal



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TANGGAL TANGGAL JENIS

NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN

1 101111010322P000 31-03-2022 31-03-2022 0000401789788 MARI P

4 101111010322P000 31-03-2022 31-03-2022 0000402502882 TUTI S P

5 101111010322P000 31-03-2022 31-03-2022 0000402596008 SANTI RUSTINI P

7 101111010322P000 31-03-2022 31-03-2022 0000402883637 MUHAMAD SAEPULOH P

8 101111010322P000 31-03-2022 31-03-2022 0000402949361 KOKOM P

9 101111010322P000 31-03-2022 31-03-2022 0000403279288 ADE SOPANDI L

11 101111010322P000 31-03-2022 31-03-2022 0000403323693 MASROPAH P

12 101111010322P000 31-03-2022 31-03-2022 0000403426135 USUP SUPARMAN L

13 101111010322P000 31-03-2022 31-03-2022 0001002227736 NURJAMILAH P

16 101111010322P000 31-03-2022 31-03-2022 0002186080547 UJANG RUSWANDI L

17 101111010322P000 31-03-2022 31-03-2022 0002186080558 MEIRITA P

19 101111010322P000 31-03-2022 31-03-2022 0002186473972 ENI MALIHAH P

21 101111010322P000 31-03-2022 31-03-2022 0002399996439 HALIMAH P

23 101111010322P000 31-03-2022 31-03-2022 0002921625933 NURJANAH P

24 101111010322P000 30-03-2022 30-03-2022 0000062113948 ENDANG RAHMAT L

25 101111010322P000 30-03-2022 30-03-2022 0000062364554 E SOBANDI L

27 101111010322P000 30-03-2022 30-03-2022 0000210610866 IIN KURAESIN P

28 101111010322P000 30-03-2022 30-03-2022 0000401527991 CUCU P

101111010322P000 30-03-2022 30-03-2022

30 101111010322P000 30-03-2022 30-03-2022 0000401876357 IIS BT KARDI P

31 101111010322P000 30-03-2022 30-03-2022 0000401890656 MAMAT RAHMAT L

32 101111010322P000 30-03-2022 30-03-2022 0000402249453 SANIA P

33 101111010322P000 30-03-2022 30-03-2022 0000402328631 WINA NURGAWATI P

35 101111010322P000 30-03-2022 30-03-2022 0000402384431 ASEP MUHIBAN L

36 101111010322P000 30-03-2022 30-03-2022 0000402452741 SITI MARIAM P

37 101111010322P000 30-03-2022 30-03-2022 0000402583061 NURMELI KUSNIAWATI P

42 101111010322P000 30-03-2022 30-03-2022 0001668909464 NURHAYATI P

43 101111010322P000 30-03-2022 30-03-2022 0001817300891 WINDIYANI P

46 101111010322P000 30-03-2022 30-03-2022 0002186075395 ANIMAH P

47 101111010322P000 30-03-2022 30-03-2022 0002186473116 SITI NURAISAH P

48 101111010322P000 30-03-2022 30-03-2022 0002186473149 MUHAMAD IRZA MAULANA L

49 101111010322P000 30-03-2022 30-03-2022 0002186477054 AAN SUMINAR P

50 101111010322P000 30-03-2022 30-03-2022 0002186666111 SAPRUDIN L

52 101111010322P000 30-03-2022 30-03-2022 0002435241622 NURYADI L

54 101111010322P000 30-03-2022 30-03-2022 0002602675102 AZIZ MAULANA L

55 101111010322P000 30-03-2022 30-03-2022 0002739182793 MUHAMMAD REYHAN IKHLAS L

56 101111010322P000 30-03-2022 30-03-2022 0003089454041 ASEP NURHUSAENI L

57 101111010322P000 29-03-2022 29-03-2022 0000062063111 ASEP SUNDJAJA L

59 101111010322P000 29-03-2022 29-03-2022 0000062332536 YETI HENDRAWATI P

60 101111010322P000 29-03-2022 29-03-2022 0000401547519 MARNA L

61 101111010322P000 29-03-2022 29-03-2022 0000401562538 MAHFUDIN L

63 101111010322P000 29-03-2022 29-03-2022 0000401986113 IRPAN L

65 101111010322P000 29-03-2022 29-03-2022 0000402072131 ACHMAD MIRZA L

PBI (APBN) Typhoid fever Berobat Jalan

PBI (APBN) Contraceptive management, Berobat Jalan

PBI (APBN) Headache Berobat Jalan

PBI (APBN) Contraceptive management, Berobat Jalan

PBI (APBN) Dermatitis, unspecified Berobat Jalan

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBN) Pyoderma Berobat Jalan

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBN) Fever, unspecified Berobat Jalan

PBI (APBN) Other disorders of urinary Berobat Jalan

PBI (APBN) Visual disturbance, unspecified Rujuk Vertikal

PEGAWAI SWASTA Acute pharyngitis, unspecified Berobat Jalan

PEGAWAI SWASTA Acute bronchitis Berobat Jalan

PBI (APBD) Typhoid fever Berobat Jalan

PBI (APBD) Gastro-oesophageal reflux Berobat Jalan

PBI (APBD) Headache Berobat Jalan

PBI (APBD) Essential (primary) hypertension Berobat Jalan

PBI (APBD) Essential (primary) hypertension Berobat Jalan