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LAPORAN KUNJUNGAN RAWAT JALAN

Kabupaten : Karanganyar Kunjungan Lama : 1292 Laki-Laki : 425


Puskesmas : UPT PUSKESMAS KERJO Kunjungan Baru : 13 Perempuan : 880
Tanggal : 16-07-2023 s.d. 28-07-2023 Total Kunjungan : 1305

TGL Umur Kunjungan


No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1 2023-07-16 3313162806210002 BRYAN ARSHAKA ALFARIZKI 2021-06-28 2 Th MOJOREJO 2/2, BOTOK, KERJO, 008187.6 J00 Acute nasopharyngitis [common UGD & R INAP
2 2023-07-16 3313160904190004 ELINA ZHAFIRA MAHESWARI 2019-06-26 4 Th RANDUBENER 01/03, KUTO, 106120.23 R50 Fever of other and unknown UGD & R INAP
3 2023-07-16 - EKAWATI NOVITANINGRUM 1995-11-14 27 Th BLIGO RT 05 RW 04, KUTO, 000930.1 Z39.2 Routine postpartum follow-up RUANG
4 2023-07-16 0 DIVA AZZAHRA AN 2006-07-25 16 Th KERJO 2/2, SUMBEREJO, KERJO, 006167.4 J00 Acute nasopharyngitis [common UGD & R INAP
5 2023-07-16 3313161303210001 GIOVANI BRYAN AN 2021-03-13 2 Th BLORAN RT 01 RW 03, 002777.6 A09 Other gastroenteritis and colitis UGD & R INAP
6 2023-07-16 3313161500521000 EL DHEBARAN RAHMADHAN 2021-05-10 2 Th DUWET RT 01 RW 11, 004269.14 J06.9 Acute upper respiratory UGD & R INAP
7 2023-07-16 3313165408140001 INE NUR CAHYANI AN 2014-08-14 8 Th MOJOREJO RT 4 RW 2, BOTOK, 008262.11 J00 Acute nasopharyngitis [common UGD & R INAP
8 2023-07-16 3313165208790002 HARIYANTI NY 1979-08-12 43 Th MOJOREJO RT 04 RW 02, BOTOK, 008262.2 L23 Allergic contact dermatitis UGD & R INAP
9 2023-07-16 3313162706070001 IBNU SABIQ AR-RAIHAN SDR 2007-06-27 16 Th BRANGKAL RT 2 RW 1, 004074.15 S60 Superficial injury of wrist and UGD & R INAP
10 2023-07-16 3313164302520001 HARTINI NY 1952-02-03 71 Th BLIGO RT 03 RW 04, KUTO, 000841.5 Z48 Other surgical follow-up care UGD & R INAP
11 2023-07-16 3313162105980001 AS AD TN 1998-05-21 25 Th KERJO RT 02 RW 03, SUMBEREJO, 006133.7 Z48 Other surgical follow-up care UGD & R INAP
12 2023-07-16 3313165209170001 VIA AYU KHASANAH AN 2017-09-12 5 Th TEPUS RT 3 RW 5, TAMANSARI, 001785.10 J00 Acute nasopharyngitis [common UGD & R INAP
13 2023-07-16 3313167112560029 LASIYEM NY 1956-12-31 66 Th PANTI RT 03 RW 03, 006830.1 K30 Functional dyspepsia UGD & R INAP
14 2023-07-16 3309034604090001 NAURAH ATHAILLAH NOER 2009-04-06 14 Th KAUMAN RT 3 RW 5, 005852.8 R51 Headache UGD & R INAP
15 2023-07-16 3309034707870002 SRI RAHAYU NY 1987-07-07 36 Th KAUMAN RT 3 RW 5, 005852.5 J02 Acute pharyngitis UGD & R INAP
16 2023-07-16 3313161507610001 ROHMADI TN 1961-07-15 62 Th KLIWONAN RT 3 RW 2, 004989.15 S90 Superficial injury of ankle and UGD & R INAP
17 2023-07-16 3307091206830003 WAWAN SUPRIYADI TN 1983-06-12 40 Th KURAHAN RT 2 RW 7, 003913.4 J00 Acute nasopharyngitis [common UGD & R INAP
18 2023-07-16 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 Z48 Other surgical follow-up care UGD & R INAP
19 2023-07-16 3313162005870003 ARIS SETIAWAN TN 1987-05-20 36 Th KWADUNGAN RT 3 RW 3, 005283.3 R42 Dizziness and giddiness UGD & R INAP
20 2023-07-16 3313161804680001 SUYUDI TN 1968-04-18 55 Th BLORAN RT 2 RW 1, GEMPOLAN, 107757.1 S60 Superficial injury of wrist and UGD & R INAP
21 2023-07-16 3313161408590002 SUTARNO TN 1959-08-14 63 Th SUMBEREJO RT 3 RW 12, 006749.8 J00 Acute nasopharyngitis [common UGD & R INAP
22 2023-07-17 3313164102780002 WAHYU EKO SARI NY 1978-02-01 45 Th KARANGREJO 1/3, KARANGREJO, 009161.21 K01.1 Impacted teeth UGD & R INAP
23 2023-07-17 3313167112480036 SUKIRAH NY 1948-12-31 74 Th GONDANGREJO RT 02 RW 08, 004582.11 M79.1 Myalgia POLI UMUM
24 2023-07-17 3313166704780002 ARY MUSLIKHAH 1978-04-27 45 Th DERSO 04/04, SUMBEREJO, 006093.20 Z00 General examination and UGD & R INAP
25 2023-07-17 1505071906640001 WARSITA H.S TN 1964-06-19 59 Th GUWOREJO RT 03 RW 08, 006307.4 I50 Heart failure POLI UMUM
26 2023-07-17 3313167010190001 ALMEERA NAZEEFAH 2019-10-30 3 Th KWADUNGAN RT 1 RW 3, 005248.4 K29.7 Gastritis, unspecified KIA
27 2023-07-17 3313164112580002 PANI NY 1958-12-01 64 Th MAJAN RT 3 RW 4, KWADUNGAN, 005474.1 E11.4 Non-insulin-dependent diabetes POLI UMUM
28 2023-07-17 3313165407170001 ALIVIA KIRANI PUTRI AN 2017-07-14 6 Th SIDOMULYO RT 2 RW 8, 001583.5 G40 Epilepsy POLI UMUM
29 2023-07-17 3313164608840002 KRISTIANI NY 1984-08-06 38 Th GANTEN RT 01 RW 01, GANTEN, 002128.5 R03 Abnormal blood-pressure POLI UMUM
30 2023-07-17 3313164303730002 ELIA TRIHARYANTI NY 1973-03-03 50 Th JAMBEWANGI RT 4 RW 4, 001927.4 POLI UMUM
31 2023-07-17 3313166507100001 HANAYA AULIA SYIFA AN 2010-07-25 12 Th BANGKLE RT 3 RW 4, 004829.6 Z02.0 Encounter for examination for POLI UMUM
32 2023-07-17 3313165508570002 SINEM NY 1957-08-15 65 Th NGASEM RT 02 RW 09, 004437.8 I48 Atrial fibrillation and flutter POLI UMUM
33 2023-07-17 3313165308530001 NGADINEM NY 1953-08-13 69 Th BELUKAN RT 5 RW 6, KUTO, 001404.3 M54.5 Low back pain POLI UMUM
34 2023-07-17 3313166712700001 WARSINI NY 1970-12-27 52 Th KESONGO RT 1 RW 4, 002946.5 M10 Gout POLI UMUM
35 2023-07-17 3313157112380012 SINEM NY 1938-12-31 84 Th MILIR RT 2 RW 13, GENTUNGAN, 9009119.1 I48 Atrial fibrillation and flutter POLI UMUM
36 2023-07-17 3313165407670002 MAMI NY 1967-07-14 56 Th SIDOMULYO RT 02 RW 06, 003004.3 K27 Peptic ulcer, site unspecified POLI UMUM
37 2023-07-17 3313161103590001 SUNARYO TN 1959-03-11 64 Th PLOSOREJO RT 04 RW 02, KUTO, 000373.1 Z00 General examination and POLI UMUM
38 2023-07-17 3313164609600001 SUPARMI NY 1960-09-06 62 Th JAMUS RT 4 RW 3, KUTO, KERJO, 000591.1 R03 Abnormal blood-pressure POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
39 2023-07-17 3313162612160001 MUHAMMAD KHOIR ALFARIZY 2016-12-26 6 Th SIDOMULYO RT 01 RW 06, 003034.19 K00.6 Disturbances in tooth eruption POLI GIGI
40 2023-07-17 3314045103840009 RINI SETYOWATI NY 1984-03-11 39 Th JATIMALANG RT 1 RW 10 , 007669.2 KIA
41 2023-07-17 3313167112510014 PARIYEM NY 1951-12-31 71 Th KARANGNONGKO RT 01 RW 05, 004637.7 I48 Atrial fibrillation and flutter POLI UMUM
42 2023-07-17 3313175512100001 NAIFAH SALSABILLA AN 2010-12-15 12 Th BLINGI RT 5 RW 5, SELOROMO, 9003560.1 Z02.0 Encounter for examination for POLI UMUM
43 2023-07-17 3313166506870003 DWI UTAMI NY 1987-06-25 36 Th SUMBEREJO RT 3 RW 3, BOTOK, 007913.4 Z34 Supervision of normal pregnancy KIA
44 2023-07-17 3309035010130003 NAILLAH AZ ZAHRA AN 2013-10-10 9 Th KAUMAN RT 3 RW 5, 005852.7 J00 Acute nasopharyngitis [common POLI UMUM
45 2023-07-17 3309034604090001 NAURAH ATHAILLAH NOER 2009-04-06 14 Th KAUMAN RT 3 RW 5, 005852.8 I88 Nonspecific lymphadenitis POLI UMUM
46 2023-07-17 - SRI MULYANI NY 1995-01-01 28 Th MLOKOLEGI RT 3 RW 1, 007081.6 Z34 Supervision of normal pregnancy KIA
47 2023-07-17 3313161605600001 SUWARNO TN 1960-05-16 63 Th RANDUBENER RT 2 RW 2, KUTO, 000512.5 K05.3 Chronic periodontitis POLI GIGI
48 2023-07-17 3313165506550002 SUMINEM NY 1955-06-15 68 Th KAWORAN RT 02 RW 03, 005087.10 R73.9 Hyperglycaemia, unspecified POLI UMUM
49 2023-07-17 3313165208500001 NGADIYEM NY 1950-08-12 72 Th WATES 3/2, PLOSOREJO, KERJO, 003431.1 R03 Abnormal blood-pressure POLI UMUM
50 2023-07-17 3313160608700002 GIMANTO TN 1970-08-06 52 Th GESANGAN RT 01 RW 06, 005553.13 K05.2 Acute periodontitis POLI GIGI
51 2023-07-17 3313076108890001 ETIK WAHYUNI NY 1989-08-21 33 Th MOJOREJO RT 2 RW 2, BOTOK, 008186.5 Z34 Supervision of normal pregnancy KIA
52 2023-07-17 3313167112560029 LASIYEM NY 1956-12-31 66 Th PANTI RT 03 RW 03, 006830.1 R03 Abnormal blood-pressure POLI UMUM
53 2023-07-17 3313175906830001 HARSINI NY 1983-06-19 40 Th MELIKAN 3/3 , SELOROMO, 009408.1 B20.8 HIV disease resulting in other POLI UMUM
54 2023-07-17 3313164507450001 GIYEM NY 1945-07-05 78 Th KEPOH RT 003 RW 005, GANTEN, 002345.5 K05.3 Chronic periodontitis POLI GIGI
55 2023-07-17 3313162511670001 SUGINO TN 1967-11-25 55 Th BLORAN RT 2 RW 1, GEMPOLAN, 002806.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
56 2023-07-17 - BRYANTARA PRATAMA 2022-07-20 11 Bl BAKALAN RT 4 RW 2, BOTOK, 008260.18 J11 Influenza, virus not identified KIA
57 2023-07-17 3313164107490034 NGADIYEM NY 1949-07-01 74 Th SAMBENGREJO RT 2 RW 4, 004881.1 R03 Abnormal blood-pressure POLI UMUM
58 2023-07-17 3313161005550003 SUPARNO TN 1955-05-10 68 Th TAWANGREJO RT 1 RW 2, 007201.6 D21.0 Benign neoplasm, connective POLI UMUM
59 2023-07-17 3313164806630002 SUGIYEM NY 1963-06-08 60 Th GONDANGREJO RT 02 RW 08, 004600.3 R05 Cough POLI UMUM
60 2023-07-17 3313166506870006 SARTINI NY 1987-06-25 36 Th TEPUS RT 01 RW 05, TAMANSARI, 001761.6 R51 Headache POLI UMUM
61 2023-07-17 3313165702060001 ANDINI CANTIKASARI SDRI 2006-02-17 17 Th TEPUS RT 01 RW 05, TAMANSARI, 001761.8 R51 Headache POLI UMUM
62 2023-07-17 3313166911010003 TARISA NUGRAHENI NY 2001-11-29 21 Th DERSO 3/4, SUMBEREJO, KERJO, 008833.5 Z34 Supervision of normal pregnancy KIA
63 2023-07-17 3313164306840002 ERMA NURULLAILI NY 1984-06-03 39 Th PRAYAN RT 2 RW 6, 004130.10 M79.1 Myalgia POLI UMUM
64 2023-07-17 3313166610480001 SUGIYEM NY 1948-10-26 74 Th NERANG RT 2 RW 5, PLOSOREJO, 003703.2 R03 Abnormal blood-pressure POLI UMUM
65 2023-07-17 3313165002710002 SUTARMI NY 1971-02-10 52 Th JENGGRIK RT 01 RW 08, GANTEN, 002540.3 UGD & R INAP
66 2023-07-17 3313164203740001 SUWANTI NY 1974-03-02 49 Th KAUMAN RT 01 RW 05, 005782.13 M10 Gout POLI UMUM
67 2023-07-17 3313164101660005 SUYATI NY 1966-01-01 57 Th BULAK RT 2 RW 1, KWADUNGAN, 005661.1 R03 Abnormal blood-pressure POLI UMUM
68 2023-07-17 3313164911580001 SUWANTI NY 1958-11-09 64 Th GLAGAH RT 01 RW 07, 001444.1 R03 Abnormal blood-pressure POLI UMUM
69 2023-07-17 3313165401500002 SUMIYEM NY 1950-01-14 73 Th SENTONO RT 2 RW 7, 007763.3 K30 Functional dyspepsia POLI UMUM
70 2023-07-17 3313161910650003 SUWANDI TN 1965-10-19 57 Th SIDOMULYO RT 02 RW 08, 001580.2 Z48 Other surgical follow-up care POLI UMUM
71 2023-07-17 3313164901040001 DWI HANDAYANI SDRI 2004-01-09 19 Th KAUMAN RT 3 RW 5, 010143.32 H02.2 Lagophthalmos POLI UMUM
72 2023-07-17 3314101708660006 KRISTIYANINGSIH NY 1966-08-17 56 Th KERJO 3/2, SUMBEREJO, KERJO, 006191.3 M13 Other arthritis POLI UMUM
73 2023-07-17 3313095708040002 PIPIN PINGKIANA NY 2004-08-17 18 Th NGRENAK RT 1 RW 10 , 001372.13 Z34 Supervision of normal pregnancy KIA
74 2023-07-17 3313160911220001 TEGAR ZHAFRAN SHAFARAZ 2022-11-09 8 Bl DERSO RT 1 RW 4, SUMBEREJO, 006368.8 Z00 General examination and KIA
75 2023-07-17 3314075101980002 PUTRI PUSPITA GANDA SARI 1998-01-11 25 Th TUNJUNGSEMI 8/2, BEDORO, 386918.22 UGD & R INAP
76 2023-07-17 3313162912790001 SUROSO TN 1979-12-29 43 Th JENGGRIK RT 1 RW 8, GANTEN, 002549.2 K08.3 Retained dental root POLI GIGI
77 2023-07-17 3313165109180002 ZULAIKA NAURA SEPTIANI AN 2018-09-11 4 Th NERANG RT 1 RW 5, PLOSOREJO, 003675.10 K04.7 Periapical abscess without sinus POLI GIGI
78 2023-07-17 3313165112370002 HADI SUPARNI NY 1937-12-11 85 Th JETIS RT 6 RW 1, KUTO, KERJO, 000294.3 R03 Abnormal blood-pressure POLI UMUM
79 2023-07-17 3313165002660001 SUDARMI NY 1966-02-10 57 Th KEDUNGSENGON RT 5 RW 2, 008316.1 R03 Abnormal blood-pressure POLI UMUM
80 2023-07-17 3313164709660001 SARMINI NY 1966-09-07 56 Th KUTO RT 01 RW 01, KUTO, KERJO, 000024.3 K04.7 Periapical abscess without sinus POLI GIGI
81 2023-07-17 3313164107100004 ERIKA INDRIANI SDRI 2010-07-01 13 Th KEPOH RT 1 RW 5, GANTEN, 002362.8 H66.4 Suppurative otitis media, POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
82 2023-07-17 3313162209740001 WIDODO TN 1974-09-22 48 Th BOTOK RT 3 RW 1, BOTOK, 008114.5 K04.7 Periapical abscess without sinus POLI GIGI
83 2023-07-17 3313077011930002 SUNARSIH NY 1993-11-30 29 Th BANARAN RT 002 RW 004, 007325.9 Z36 Antenatal screening KIA
84 2023-07-17 3313160401220001 RAHSYA ABYAN DONISATYA 2022-01-04 1 Th GEMPOLAN RT 1 RW 7, 003118.17 J11 Influenza, virus not identified KIA
85 2023-07-17 3313161501170001 RISKI PUTRA TRI JOSYUA AN 2017-01-15 6 Th BANARAN RT 02 RW 04, 007349.15 K00.6 Disturbances in tooth eruption POLI GIGI
86 2023-07-17 3313161611640001 AMIR TN 1964-11-16 58 Th SIDOMULYO 4/4, GANTEN, KERJO, 002311.1 Z48 Other surgical follow-up care UGD & R INAP
87 2023-07-17 3313165605170002 NAURA SYIFAUL HUSNA AN 2017-05-16 6 Th SEMANG RT 03 RW 11, 003137.12 R05 Cough POLI UMUM
88 2023-07-17 3313161005630001 SAIMIN TN 1963-05-10 60 Th KOTTO RT 1 RW 10, 004205.4 M54.5 Low back pain POLI UMUM
89 2023-07-17 3313166103710001 WINDARTI NY 1971-03-21 52 Th PLOSOREJO RT 5 RW 2, KUTO, 106732.1 I25.9 Chronic ischaemic heart disease, POLI UMUM
90 2023-07-17 3313160110220001 ZAKI FAHREZA AN 2022-10-01 9 Bl SUMBEREJO RT 4 RW 3, BOTOK, 007915.16 Z00 General examination and KIA
91 2023-07-17 3313165206190002 PUTRI RAISYA MIKAILA AN 2019-06-12 4 Th GEMPOLAN RT 3 RW 8, 107986.2 J00 Acute nasopharyngitis [common KIA
92 2023-07-17 0 ARKA REGA RAMADAN 2016-06-07 7 Th SUMBEREJO RT 3 RW 12, 006729.5 K00.6 Disturbances in tooth eruption POLI GIGI
93 2023-07-17 - PURWANTI NY 1979-03-05 44 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006053.5 Z39 Postpartum care and UGD R
94 2023-07-17 3313162505170001 QORI LUQMAN MAKRUF AN 2017-05-25 6 Th NERANG RT 2 RW 5, PLOSOREJO, 003709.6 K00.6 Disturbances in tooth eruption POLI GIGI
95 2023-07-17 3313164611720003 WARSITI NY 1972-11-06 50 Th DELOK RT 02 RW 01, BOTOK, 008428.2 I25.9 Chronic ischaemic heart disease, POLI UMUM
96 2023-07-17 3313162111060001 MUHAMMAD SYAIFUL SDR 2006-11-21 16 Th WATES RT 02 RW 02, 003414.2 J00 Acute nasopharyngitis [common POLI UMUM
97 2023-07-17 3313166402550001 SASTRO GINEM NY 1955-02-24 68 Th SIDODADI RT 3 RW 2, JATIREJO, 003084.1 POLI UMUM
98 2023-07-17 3313164911820003 DWI ISTANTI NY 1982-11-09 40 Th PANTI RT 1 RW 3, TAWANGSARI, 006793.2 J30 Vasomotor and allergic rhinitis POLI UMUM
99 2023-07-17 3313165504630001 TUTIK PURWANINGSIH NY 1963-04-15 60 Th PRAYAN RT 1 RW 6, 004086.1 J00 Acute nasopharyngitis [common POLI UMUM
100 2023-07-17 3313162806160001 MUHAMMAD RIDWAN DWIKI 2016-06-28 7 Th GONDANGREJO RT01/08, 004512.13 K04.7 Periapical abscess without sinus POLI GIGI
101 2023-07-17 3313166406180001 HAIBAH AN 2018-06-24 5 Th KARANGNONGKO RT 1 RW 5, 004624.24 R05 Cough POLI UMUM
102 2023-07-17 3201027112800009 HARSINI NY 1980-12-31 42 Th MOJOSARI RT 15 RW -, 9009200.2 K02.1 Caries of dentine POLI GIGI
103 2023-07-17 3313160208040001 ANDIKA BINTANG PARATAMA 2004-08-02 18 Th SUMBEREJO RT 2 RW 3, BOTOK, 007880.15 G40 Epilepsy POLI UMUM
104 2023-07-17 3313167009150001 AFSHIEN ABIDAH AN 2015-09-30 7 Th BONO RT 02 RW 03, PLOSOREJO, 002352.10 H10 Conjunctivitis POLI UMUM
105 2023-07-17 3313165006990002 AJENG INDRIANI SDRI 1999-06-13 24 Th GONDANGREJO RT 2 RW 8, 004554.2 Z00 General examination and KIA
106 2023-07-17 3313160107500036 MITRO JAMIN TN 1950-07-01 73 Th TROMOYO RT 1 RW 1, 007014.2 M54.3 Sciatica POLI UMUM
107 2023-07-17 3313160509630001 JONO TN 1963-09-05 59 Th BETIS RT 1 RW 7 , TAWANGSARI, 007588.3 M54 Dorsalgia POLI UMUM
108 2023-07-17 3313161807440001 SARIJO TN 1944-07-18 78 Th KURAHAN 1/7, KARANGREJO, 003856.9 I64 Stroke, not specified as POLI UMUM
109 2023-07-17 3313164912570003 SUTINAH NY 1957-12-09 65 Th BETIS RT 02 RW 10, 007618.4 M54.3 Sciatica POLI UMUM
110 2023-07-17 3310084503830001 ANITA SRI SUMARNI NY 1983-03-05 40 Th PLOSOREJO 2/2, KUTO, KERJO, 000405.9 Z30 Contraceptive management KB
111 2023-07-17 3313167112600016 SUTI NY 1960-12-31 62 Th GEMPOLAN RT 3 RW 8 , 003106.1 I64 Stroke, not specified as POLI UMUM
112 2023-07-17 3313165104970001 APRILIA TRI NURHAYATI 1997-04-11 26 Th KURAHAN 1/7, KARANGREJO, 003935.2 Z00 General examination and KIA
113 2023-07-17 - HANNA SALSABILA 2010-11-25 12 Th KERJO RT 1 RW 2, SUMBEREJO, 006128.6 POLI UMUM
114 2023-07-17 3313161609100001 RAFLI MANGGALIH AN 2010-09-16 12 Th SUMBEREJO RT 03 RW 03, 007939.11 S90 Superficial injury of ankle and UGD & R INAP
115 2023-07-17 3313162712180001 FAEYZA MAULANA RAFIEF 2018-12-27 4 Th PLOSOREJO RT 5 RW 2, 000426.13 S01 Open wound of head UGD & R INAP
116 2023-07-17 3313165605030001 KURNIA PUTRI NUR AISAH NY 2003-05-16 20 Th GOMBELAN RT 1 RW 5, 007238A.3 Z34 Supervision of normal pregnancy KIA
117 2023-07-17 3313161605880001 SARYANTO TN 1988-05-16 35 Th GLAGAH RT 1 RW 7, TAMANSARI, 001537.3 M10.0 Idiopathic gout UGD & R INAP
118 2023-07-17 3313166704480001 KARTINI NY 1948-04-27 75 Th PRAYAN RT 01 RW 06, 004109.7 R42 Dizziness and giddiness UGD & R INAP
119 2023-07-17 3313165003150002 ALVHYNA FAIHA ADZRA AN 2015-03-10 8 Th GIREN RT 2 RW 3, TAMANSARI, 001740.1 K29 Gastritis and duodenitis UGD & R INAP
120 2023-07-17 3313161711130002 REZKY PUTRA RAYAN AN 2013-11-17 9 Th KURAHAN RT 2 RW 7, 003937.21 K29 Gastritis and duodenitis UGD & R INAP
121 2023-07-17 3313164608220001 NAYLA DIAN AGUSTINA AN 2022-08-06 11 Bl JAMUS RT 006 RW 003, KUTO, 000605.7 Q87.0 Congenital malformation KIA
122 2023-07-17 6201020902080001 RIZKI ADI SAPUTRA SDR 2008-02-09 15 Th GOMBELAN RT 02 RW 05, 007386.10 K30 Functional dyspepsia UGD & R INAP
123 2023-07-17 3313166504100001 NESYA PERMATASARI AN 2010-04-25 13 Th DUKUHREJO RT 4 RW 4, 004676.11 K29 Gastritis and duodenitis UGD & R INAP
124 2023-07-17 3313160201160001 YOSSY DIMAS SAPUTRA AN 2016-01-02 7 Th DERSO RT 04 RW 04, 006358.17 R50 Fever of other and unknown UGD & R INAP
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
125 2023-07-18 3313165107170001 NADA HANIFAH GUNAWAN AN 2017-07-11 6 Th GIREN 2/3, TAMANSARI, KERJO, 001739.11 A09.9 Gastroenteritis and colitis of POLI UMUM
126 2023-07-18 3313166205190001 SAFA ZAHIRAH GUNAWAN AN 2019-05-22 4 Th GIREN 2/3, TAMANSARI, KERJO, 001739.7 A09 Other gastroenteritis and colitis POLI UMUM
127 2023-07-18 3313165501210001 ALYA HASANAH GUNAWAN 2021-01-15 2 Th GIREN 2/3, TAMANSARI, KERJO, - 001739.9 POLI UMUM
128 2023-07-18 3313160504630002 SUYATNO TN 1963-04-05 60 Th KWADUNGAN 2/3, KWADUNGAN, 0010054.3 E11.6 Non-insulin-dependent diabetes POLI UMUM
129 2023-07-18 3313164306000001 ANIS SARILA NY 2000-06-03 23 Th GENENG RT 02 RW 03, GANTEN, 002271.7 KIA
130 2023-07-18 3313165212570003 SUKIYEM NY 1957-12-12 65 Th BETIS 2/10, TAWANGSARI, KERJO, 007616.6 R10.4 Other and unspecified abdominal POLI UMUM
131 2023-07-18 3313155907970002 DEWI ALFIN NURJANAH NY 1997-07-19 25 Th GONDANGREJO RT 2 RW 8, 004027.5 Z34 Supervision of normal pregnancy KIA
132 2023-07-18 3313166111170002 ARVINKI CAHYA MAGHFIRA 2017-11-21 5 Th DERSO RT 2 RW 4, SUMBEREJO, 006349.9 K00.6 Disturbances in tooth eruption POLI GIGI
133 2023-07-18 - SUTARMI NY 1956-03-21 67 Th KURAHAN RT 02 RW 07, 003913.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
134 2023-07-18 3313164504550001 MURSIYAH NY 1955-04-05 68 Th JENGGRIK RT 02 RW 08, GANTEN, 002561.2 R03 Abnormal blood-pressure POLI UMUM
135 2023-07-18 3313167112540029 SAMIYEM NY 1954-12-31 68 Th PLANDAAN RT 04 RW 10, 006628.7 R51 Headache POLI UMUM
136 2023-07-18 3314164810740002 MURTINI NY 1974-10-08 48 Th SIDOMULYO RT 01 RW 06, 0010308.7 R03 Abnormal blood-pressure POLI UMUM
137 2023-07-18 3313165906900001 YUNIARSIH NY 1990-06-19 33 Th TROMOYO RT 2 RW 1, 007036.18 Z12.3 Encounter for screening for KB
138 2023-07-18 3313164107760014 SRIYANTI NY 1976-07-01 47 Th BOTOK 3/1, BOTOK, KERJO, 008433.3 R05 Cough POLI UMUM
139 2023-07-18 3674055312650001 SUJIYEM NY 1965-12-13 57 Th GENENG RT 03 RW 04, GANTEN, 002282.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
140 2023-07-18 3313163006600001 PARNO WOLO TN 1960-06-30 63 Th TROMOYO RT 1 RW 1, 007018.1 M54 Dorsalgia POLI UMUM
141 2023-07-18 3313164504730001 SRI MULYANI NY 1973-04-05 50 Th KLEWONAN RT 2 RW 2, 004975.2 R03 Abnormal blood-pressure POLI UMUM
142 2023-07-18 3327046305580001 HARTIWI NY 1958-05-23 65 Th MAJAN 2/4, KWADUNGAN, KERJO, 005462.5 R03 Abnormal blood-pressure POLI UMUM
143 2023-07-18 3313161405140001 GALANG ADI PRASTYO AN 2014-05-14 9 Th KADIPESO RT1 RW 7, 006259.9 H60 Otitis externa POLI UMUM
144 2023-07-18 3313164506930001 TUTIK HARYANI NY 1993-06-05 30 Th TROMOYO RT 01 RW 01, 007005.19 O30.0 Twin pregnancy KIA
145 2023-07-18 3313161901700001 EKO SARWANTO TN 1970-01-19 53 Th SIDI 2/1, TAMANSARI, KERJO, 002052.24 I42 Cardiomyopathy POLI UMUM
146 2023-07-18 3313164502800002 DARYANTI NY 1980-04-24 43 Th KARANGREJO 1/3, KARANGREJO, 005034.6 POLI UMUM
147 2023-07-18 3313164101100001 KHARISA PUTRI SETIAWAN 2010-01-01 13 Th GEMPOLAN RT 5 RW 3, 003071.11 H61.2 Impacted cerumen POLI UMUM
148 2023-07-18 - IPUNG LINA SARI NY 2000-10-06 22 Th GONDANGREJO RT 2 RW 8, 004613.8 Z34 Supervision of normal pregnancy KIA
149 2023-07-18 3329134702030009 PUJI PURYANTI NY 2003-02-07 20 Th PENGARADAN RT 1 RW 5, 107318.1 O32.1 Maternal care for breech KIA
150 2023-07-18 3313161202680002 PAIJO TN 1968-02-12 55 Th NERANG RT 02 RW 05, 003707.2 K06.0 Gingival recession POLI GIGI
151 2023-07-18 3313163103040002 YUSUF TAUFIK NUR ARDI 2004-03-31 19 Th DUWET RT 3 RW 11, 004263.2 Z09.0 Follow-up examination after POLI UMUM
152 2023-07-18 3313164103590002 SUKARSI NY 1959-03-01 64 Th KAUMAN RT 01 RW 05, 005793.1 I64 Stroke, not specified as POLI UMUM
153 2023-07-18 3313166505790003 SUKARNI NY 1979-05-25 44 Th KADIPESO RT 01 RW 07, 006223.1 I11 Hypertensive heart disease POLI UMUM
154 2023-07-18 3313165507930001 HENI LESTARI NY 1993-07-15 30 Th PENTUK, RT 02/09, SUMBEREJO, 006509.1 E11.8 Non-insulin-dependent diabetes POLI UMUM
155 2023-07-18 3313164510650001 DARYATMI NY 1965-10-05 57 Th TEPUS RT 01 RW 05, TAMANSARI, 001780.5 N23 Unspecified renal colic POLI UMUM
156 2023-07-18 3313164506610001 SUGIYEM NY 1961-06-05 62 Th PLOSOREJO RT 05/02, KUTO, 000406.1 R05 Cough POLI UMUM
157 2023-07-18 0 KHOIRUNAZAM ALGHIFARI AN 2016-09-24 6 Th MEKARSARI TENGAH RT 3 RW 13, 007407.4 POLI UMUM
158 2023-07-18 3313161708580001 ABDULLAH TN 1958-08-17 64 Th KUDUR 5/5, KUTO, KERJO, 001067.2 I64 Stroke, not specified as POLI UMUM
159 2023-07-18 3313166209730001 PARNAWATI SEPTIANTINI NY 1973-09-22 49 Th PRAYAN RT 1 RW 3, SUMBEREJO, 006782.4 J00 Acute nasopharyngitis [common POLI UMUM
160 2023-07-18 3314044111040003 ASHYAMI FINA SUCIATI NY 2004-11-01 18 Th SIDOMULYO RT 1 RW 8, 001584.8 Z36 Antenatal screening KIA
161 2023-07-18 3313164306000001 ANIS SARILA NY 2000-06-03 23 Th GENENG RT 02 RW 03, GANTEN, 002271.7 Z34 Supervision of normal pregnancy KIA
162 2023-07-18 - NURYANTI NY 1989-09-29 33 Th SEMANG RT 2 RW 10 , 009279.10 Z39 Postpartum care and UGD R
163 2023-07-18 3313154607950001 NURHAYATI NY 1995-07-06 28 Th KUTO RT 2 RW 1, KUTO, KERJO, 000060.11 Z34 Supervision of normal pregnancy KIA
164 2023-07-18 3314104809980002 SAIKA ADZA SUBEKTI NY 1998-09-08 24 Th KESONGO 3/4, GEMPOLAN, 107388.10 Z34 Supervision of normal pregnancy KIA
165 2023-07-18 3313166705700001 SUWARSI NY 1970-05-27 53 Th RANDUBENER RT 3 RW 3, KUTO, 000569.2 I64 Stroke, not specified as POLI UMUM
166 2023-07-18 3313165408730001 SUMIYATI NY 1973-08-14 49 Th KARANGGANDU 5/3, GEMPOLAN, 003265.2 R03 Abnormal blood-pressure POLI UMUM
167 2023-07-18 3313166212000003 NURUL ANJARWATI NY 1999-12-22 23 Th SIDOMULYO RT 03 RW 08, 001606.5 Z48 Other surgical follow-up care IVA & IMS
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
168 2023-07-18 3313164208820001 TITIN AGUSTINA NY 1982-08-02 40 Th PENGIN RT 03 RW 06, KUTO, 001039.2 R51 Headache POLI UMUM
169 2023-07-18 3313162403220001 FARREL BISMA ARGANTHA 2022-03-24 1 Th KADIPESO RT 03 RW 08, 006226.6 J06 Acute upper respiratory KIA
170 2023-07-18 3313161201050001 WIMBO AGIL RIFQI 2005-01-12 18 Th KESONGO RT 4 RW 5, 107362gp. Z02.0 Encounter for examination for POLI UMUM
171 2023-07-18 3313160610710002 SULIMIN TN 1971-10-06 51 Th NERANG RT 02 RW 05, 003700.3 M79 Other soft tissue disorders, not POLI UMUM
172 2023-07-18 3313165911650001 WIYATMI NY 1965-11-19 57 Th KERJO 2/2, SUMBEREJO, KERJO, 005232.16 G51 Facial nerve disorders POLI UMUM
173 2023-07-18 3313162002750002 GIMIN TN 1975-02-20 48 Th PLOSOREJO RT 4 RW 4 , 009311.6 K01.1 Impacted teeth POLI GIGI
174 2023-07-18 3313166202870001 FITRI SUCIYYATI NY 1987-02-22 36 Th GONDANGJAGIR RT 3 RW 9 , 9004896.1 Z34 Supervision of normal pregnancy KIA
175 2023-07-18 3313165302850001 SUMIRAH NY 1985-02-13 38 Th TEPUS RT 01 RW 05, TAMANSARI, 001762.7 K30 Functional dyspepsia POLI UMUM
176 2023-07-18 3313165105780001 KIMI SULISTYANI NY 1978-05-11 45 Th BABADAN 2/5, TAMANSARI, 001814.3 K30 Functional dyspepsia POLI UMUM
177 2023-07-18 3313162004930002 ARIYADI TN 1993-04-20 30 Th NGASEM RT 1 RW 9, 004373.6 K04.7 Periapical abscess without sinus POLI GIGI
178 2023-07-18 3313151410570001 ZAINAL ARIFIN TN 2000-01-20 23 Th KOTTO RT 02 RW 10, 004219.24 J30.0 Vasomotor rhinitis POLI UMUM
179 2023-07-18 3313163112510020 TADI TN 1951-12-31 71 Th DUMPUL RT 02 RW 05, 005977.1 K80 Cholelithiasis POLI UMUM
180 2023-07-18 3313160302680002 EKO HERU HERWANTO TN 1968-02-03 55 Th KWADUNGAN RT 8 RW 3, 005381.6 B20.8 HIV disease resulting in other POLI UMUM
181 2023-07-18 3313161606530001 SURATMAN TN 1953-06-16 70 Th PANTI RT 2 RW 3, TAWANGSARI, 006878.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
182 2023-07-18 3174072012640007 SABANI TN 1964-12-20 58 Th JL.ANTENE IV 7/9 , KRAMAT PELA, 006334.6 J02 Acute pharyngitis POLI UMUM
183 2023-07-18 3313164103040002 CLARISTA AYU RAHMAWATI 2004-03-01 19 Th SEKADI 2/6, TAWANGSARI, 007809.9 R11 Nausea and vomiting POLI UMUM
184 2023-07-18 3313162209220002 GEMAH NAZRIEL SOLIHIN AN 2022-09-22 9 Bl BLORAN RT 01 RW 01, 002780.14 L02.9 Cutaneous abscess, furuncle KIA
185 2023-07-18 3313167112570044 SUGIYEM NY 1957-12-31 65 Th PRAYAN RT 01 RW 06, 004099.3 Z00 General examination and POLI UMUM
186 2023-07-18 3313165901030002 IFA TRIYULIANTI NY 2003-01-19 20 Th GEMPOLAN RT 2 RW 7, 003149.5 Z34 Supervision of normal pregnancy KIA
187 2023-07-18 3313165010510001 SUKASMI NY 1951-10-10 71 Th KACANGAN RT 002 RW 008, 007539.7 E11 Non-insulin-dependent diabetes POLI UMUM
188 2023-07-18 3313165404470001 SUTINI NY 1947-04-14 76 Th BULAK RT 04 RW 01, 005706.1 M79.1 Myalgia POLI UMUM
189 2023-07-18 3313165209170001 VIA AYU KHASANAH AN 2017-09-12 5 Th TEPUS RT 3 RW 5, TAMANSARI, 001785.10 R05 Cough POLI UMUM
190 2023-07-18 3313162904190003 MUHAMAD RIFAI AN 2019-04-29 4 Th TEPUS RT 3 RW 5, TAMANSARI, 001785.11 J00 Acute nasopharyngitis [common KIA
191 2023-07-18 3313164802750001 WARI NY 1975-02-08 48 Th KARANGGANDU RT 2 RW 2, 002854.11 M79.1 Myalgia POLI UMUM
192 2023-07-18 3313152106140001 DAFFA IBNU HAFIDZ AN 2014-06-21 9 Th GEMPOLAN RT6 RW9, 003037.9 J00 Acute nasopharyngitis [common POLI UMUM
193 2023-07-18 331316041110002 FAJAR TRI NUGROHO AN 2010-11-04 12 Th DERSO RT 2 RW 3, SUMBEREJO, 008792.6 J45 Asthma POLI UMUM
194 2023-07-18 3313165104910001 MAYA RINDIASTUTI NY 1991-04-11 32 Th DERSO RT 2 RW 3, SUMBEREJO, 008792.5 J45 Asthma POLI UMUM
195 2023-07-18 3313164405610002 SUMIYEM NY 1961-05-04 62 Th SINTRU RT 02 RW 06, 003832.2 L20.9 Atopic dermatitis, unspecified POLI UMUM
196 2023-07-18 3313161102010002 DIKA HARNANTO 2001-02-11 22 Th GEMPOLAN RT 2 RW 7, 008841.5 Z02.2 Encounter for examination for POLI UMUM
197 2023-07-18 0 AHMAD HELMI 2004-11-21 18 Th GONDANGBARU RT 15 , -, -, - 008605.68 Z02.2 Encounter for examination for POLI UMUM
198 2023-07-18 3313164907770001 SUDARYANTI NY 1977-07-09 46 Th KWADUNGAN RT 03 RW 03, 005288.5 Z02.2 Encounter for examination for POLI UMUM
199 2023-07-18 3313047112700022 WAGINEM NY 1970-12-31 52 Th SAKUL RT 1 RW 9, SRINGIN, 9009214.1 H52.5 Disorders of accommodation POLI UMUM
200 2023-07-18 3313167112630013 SUTARMI NY 1963-12-31 59 Th MOJOREJO RT 03 RW 02, BOTOK, 008224.2 POLI UMUM
201 2023-07-18 3313165405830003 SARWANTI NY 1983-05-14 40 Th PANTI RT 03 RW 02, 006839.1 K04.7 Periapical abscess without sinus POLI GIGI
202 2023-07-18 3313165702600001 TARMI NY 1960-02-17 63 Th KARANGGANDU RT 02 RW 03, 002825.2 J00 Acute nasopharyngitis [common POLI UMUM
203 2023-07-18 3313169650600002 HEVY NUR KHASANAH SDRI 2000-06-25 23 Th DOMAS RT 1 RW 2, KWADUNGAN, 005155.5 Z02.2 Encounter for examination for POLI UMUM
204 2023-07-18 3313164607880001 SUWARSI NY 1985-01-02 38 Th PENGIN RT 02 RW 05, KUTO, 000998.5 M79.1 Myalgia POLI UMUM
205 2023-07-18 3313160208540001 SUNARTO TN 1954-08-02 68 Th BOTOK RT 03 RW 01, BOTOK, 008440.5 K04.1 Necrosis of pulp POLI GIGI
206 2023-07-18 3313162509720001 JONO TN 1972-09-25 50 Th PLANDAKAN 3/10, SUMBEREJO, 006586.2 H25 Senile cataract POLI UMUM
207 2023-07-18 3313162201870004 TRI HERIYANTO TN 1987-01-22 36 Th GROBOGAN RT 2 RW 4, KUTO, 000744.11 L03.8 Cellulitis of other sites POLI UMUM
208 2023-07-18 3313166309140001 ELYSIA ESTYNING TYAS 2014-09-23 8 Th JAMBEWANGI RT 1 RW 4, 001866.4 K00.6 Disturbances in tooth eruption POLI GIGI
209 2023-07-18 3313164107560003 NGADINEM NY 1956-07-01 67 Th SAMBENGREJO 2/4, 004877.4 M13 Other arthritis UGD & R INAP
210 2023-07-18 3313164508810002 SUTARNI NY 1981-08-05 41 Th NGASEM RT 02 RW 09, 004486.2 Z48 Other surgical follow-up care UGD & R INAP
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
211 2023-07-18 - TIA PARTININGSIH NY 1995-09-27 27 Th SEMANG RT 3 RW 11, GEMPOLAN, 002873.8 R42 Dizziness and giddiness UGD & R INAP
212 2023-07-18 3313164605680001 SUPARMI NY 1968-05-06 55 Th KUTO RT 001 RW 001, KUTO, 000040.3 POLI UMUM
213 2023-07-18 - FARHANA NUR MUYSSAROH 2010-11-22 12 Th DUKUHREJO RT 04 RW 04, 004776.4 L23 Allergic contact dermatitis UGD & R INAP
214 2023-07-18 3313166711850003 SRI WAHYUNI NY 1985-11-27 37 Th KARANGNONGKO RT 1 RW 5, 004634.9 S10 Superficial injury of neck UGD & R INAP
215 2023-07-18 3313146901090002 ANGGUN SETYA BUDI AN 2009-01-29 14 Th KAUMAN 2/10, NANGSRI, 9009014.2 K29 Gastritis and duodenitis UGD & R INAP
216 2023-07-18 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 S90 Superficial injury of ankle and UGD & R INAP
217 2023-07-18 3313162201130001 MUHAMMAD RASYA 2013-01-21 10 Th NGASEM RT 01 RW 09, 004385.6 S00 Superficial injury of head UGD & R INAP
218 2023-07-18 3313167112430031 KASINAH NY 1943-12-31 79 Th TEGALREJO RT 03 RW 02, KUTO, 000362.11 M10 Gout UGD & R INAP
219 2023-07-18 null FITRI HANDAYANI AN 2015-01-16 8 Th BRANGKAL RT 1 RW 1, 003965.9 J02 Acute pharyngitis UGD & R INAP
220 2023-07-18 3313166608070001 INA NUR AMALIA SDRI 2007-08-26 15 Th BAKALAN RT 04 RW 02, BOTOK, 008262.9 R51 Headache UGD & R INAP
221 2023-07-18 - IPUNG LINA SARI NY 2000-10-06 22 Th GONDANGREJO RT 2 RW 8, 004613.8 KIA
222 2023-07-19 3313076108890001 ETIK WAHYUNI NY 1989-08-21 33 Th MOJOREJO RT 2 RW 2, BOTOK, 008186.5 UGD R
223 2023-07-19 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 Z48 Other surgical follow-up care UGD & R INAP
224 2023-07-19 - ANGGUN KUSUMANINGRUM 1999-07-29 23 Th DERSO RT 01 RW 04, 006367.1 Z39 Postpartum care and UGD R
225 2023-07-19 3313164601200002 CELSY FIDELLA OKTO 2020-01-06 3 Th SUMBEREJO 1/12, SUMBEREJO, 006727.6 J00 Acute nasopharyngitis [common UGD & R INAP
226 2023-07-19 - EKAWATI NOVITANINGRUM 1995-11-14 27 Th BLIGO RT 05 RW 04, KUTO, 000930.1 UGD R
227 2023-07-19 - PURWANTI NY 1979-03-05 44 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006053.5 UGD R
228 2023-07-19 3313165003890001 DWI MARYANTI NY 1989-03-10 34 Th DELEG RT 07 RW 01, 005759.8 A09 Other gastroenteritis and colitis UGD & R INAP
229 2023-07-19 3313164107550070 LAMIYEM NY 1955-07-01 68 Th TROMOYO RT 02 RW 01, 007032.3 L23 Allergic contact dermatitis UGD & R INAP
230 2023-07-19 3273177112840003 NAFIAH NY 1984-12-31 38 Th KERJO RT 2 RW 1, SUMBEREJO, 006094.15 R05 Cough UGD & R INAP
231 2023-07-19 3201070103780013 IDA BAGUS HERMAWAN 1978-03-01 45 Th KERJO RT 1 RW 2, SUMBEREJO, 006128.5 S90 Superficial injury of ankle and UGD & R INAP
232 2023-07-19 3313165809970003 IIS ISTIQOMAH NUR FAJAR 1997-09-18 25 Th SENTONO 1/6, TAWANGSARI, 386920.24 R05 Cough UGD & R INAP
233 2023-07-19 3313166012140003 ANAYYA EVELLYN AN 2014-12-20 8 Th SENTONO 1/6, TAWANGSARI, 007682.6 J45 Asthma UGD & R INAP
234 2023-07-19 3313162305170001 AGIL RASYDAN AHNAF AN 2017-05-23 6 Th KARANGNONGKO RT 01 RW 05, 004624.23 R05 Cough UGD & R INAP
235 2023-07-19 3313162501920001 SUGINO TN 1992-01-25 31 Th MLOKOLEGI RT 03 RW 01, 007066.5 G44 Other headache syndromes UGD & R INAP
236 2023-07-19 3313165806980002 ERNINDA YUN FATIKAH 1988-06-18 35 Th SUMBEREJO 2/11, SUMBEREJO, 006663.3 J00 Acute nasopharyngitis [common UGD & R INAP
237 2023-07-19 3313141208860001 AGUS PARYONO 1986-08-12 36 Th KERJO RT01 RW 02, SUMBEREJO, 825673.11 Z48 Other surgical follow-up care UGD & R INAP
238 2023-07-19 3313165309210002 AN FELISIA JOVANKA PUTRI 2021-09-13 1 Th DOMAS 1/2, KWADUNGAN, KERJO, 002731.9 K29 Gastritis and duodenitis UGD & R INAP
239 2023-07-19 3313166709150001 DEVINA ZAMZARA PUTRI 2015-09-27 7 Th GONDANG 1/2, KWADUNGAN, 002731.8 K29 Gastritis and duodenitis UGD & R INAP
240 2023-07-20 3313166802190001 SYAHIRA IMA SUPRIYANTI AN 2019-01-28 4 Th KESONGO RT 3 RW 5, 002931.17 J00 Acute nasopharyngitis [common KIA
241 2023-07-20 3311086003830009 SURYATI NY 1983-03-20 40 Th KESONGO RT 3 RW 5, 002931.2 J06.9 Acute upper respiratory POLI UMUM
242 2023-07-20 3313166109550001 SUMIYEM NY 1955-09-21 67 Th KOTTO RT 02 RW 10, 004186.3 J06.9 Acute upper respiratory POLI UMUM
243 2023-07-20 3276022201040016 RIZKY FAUZI NUROHMAN 2004-01-22 19 Th WATES RT 03 RW 02, 003442.6 G40 Epilepsy POLI UMUM
244 2023-07-20 3313164202600001 NGATINEM NY 1960-02-02 63 Th GONDANG RT 02 RW 10, GANTEN, 002734.2 R03 Abnormal blood-pressure POLI UMUM
245 2023-07-20 0 SISWOYO TN 1963-04-03 60 Th BULAK RT 04 RW 01, 005721.5 J44 Other chronic obstructive POLI UMUM
246 2023-07-20 3313166404600001 SUHARTI NY 1960-04-24 63 Th JETIS RT 06 RW 01, KUTO, KERJO, 000159.9 R03 Abnormal blood-pressure POLI UMUM
247 2023-07-20 3372035306850001 LISA AYU KUSUMASTUTI 1985-06-13 38 Th DERSO RT 02 RW 03, 008807.10 Z09 Follow-up examination after POLI UMUM
248 2023-07-20 3374024705590003 MUDJIYANTI NY 1959-05-07 64 Th DELOK RT 1 RW 1, BOTOK, 107978.2 I64 Stroke, not specified as POLI UMUM
249 2023-07-20 3313163012180002 MUHAMMAD ALFIN ZAIDAN 2018-12-30 4 Th GEMPOLAN RT 3 RW 8, 003122.9 J00 Acute nasopharyngitis [common KIA
250 2023-07-20 3313164706960001 MERLIN PUSPITA SARI NY 1996-06-07 27 Th GEMPOLAN RT 03 RW 08, 003122.6 J02 Acute pharyngitis POLI UMUM
251 2023-07-20 3313166009990001 SRI RAHAYU NY 1999-09-20 23 Th PLOSOREJO RT 3 RW 4, 003616.6 O34.2 Maternal care due to uterine scar KIA
252 2023-07-20 3313161706460001 PRIYONO, SP. TN 1946-06-17 77 Th KWADUNGAN RT 4 RW 3, 005316.2 M79.2 Neuralgia and neuritis, POLI UMUM
253 2023-07-20 3313161708520004 SUMARNO TN 1952-08-17 70 Th DUMPUL RT 2 RW 5, SUMBEREJO, 005973.2 J06.9 Acute upper respiratory POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
254 2023-07-20 3313164706640002 SUWARNI NY 1964-06-07 59 Th GESANGAN RT 02 RW 06, 005547.10 POLI UMUM
255 2023-07-20 3313162109580001 MARYANTO TN 1958-09-21 64 Th PRAYAN RT 02 RW 03, 008795.8 L03.9 Cellulitis, unspecified POLI UMUM
256 2023-07-20 3313166211580001 SUKARMI NY 1958-11-22 64 Th BRANGKAL RT 1 RW 1, 003990.1 R03.0 Elevated blood-pressure reading, POLI UMUM
257 2023-07-20 3313164702880003 VINI DAVINCI NY 1988-02-07 35 Th DUMPUL RT 02 RW 06, 006024.9 Z34 Supervision of normal pregnancy KIA
258 2023-07-20 3313166507520001 SRI MULYANI NY 1952-07-25 70 Th JENGGRIK RT 2 RW 8, GANTEN, 002569.1 R03 Abnormal blood-pressure POLI UMUM
259 2023-07-20 3313163112600042 SUKARDI TN 1960-12-31 62 Th TAWANGREJO RT 2 RW 2, 007210.1 M54.5 Low back pain POLI UMUM
260 2023-07-20 3313164112000001 DHIA RAMADHANTI 2000-12-01 22 Th BULAK RT 02 RW 01, 005673.4 J45 Asthma POLI UMUM
261 2023-07-20 3313165009690002 SUTARNI NY 1969-09-10 53 Th TAMAN 2/2, TAMANSARI, KERJO, 001995.2 F20.9 Schizophrenia, unspecified POLI UMUM
262 2023-07-20 3313165603930003 SRI MARYANI NY 1993-03-16 30 Th DUMPUL RT 01 RW 06, 005965.3 O13 Gestational [pregnancy-induced] KIA
263 2023-07-20 3313165004880004 SITI SRI REJEKI NY 1988-04-10 35 Th SUMBEREJO RT 02 RW 03, 007960.8 Z34 Supervision of normal pregnancy KIA
264 2023-07-20 1507106806480001 SUGIYEM NY 1948-06-28 75 Th KARANG HARJO RT 5 , RANTAU 005321.4 I50.0 Congestive heart failure POLI UMUM
265 2023-07-20 3313162709510002 HARDI WIYONO TN 1951-09-27 71 Th GLAGAH RT 01 RW 07, 00107392. N23 Unspecified renal colic POLI UMUM
266 2023-07-20 3313166308010003 RISMAWATI AL KHAROMAH 2001-08-23 21 Th GLAGAH RT 1 RW 7, TAMANSARI, 001440.5 Z02.2 Encounter for examination for POLI UMUM
267 2023-07-20 3313165612640002 ANIK SUPARNI NY 1964-12-16 58 Th PANTI RT 02 RW 03, 006874.2 K30 Functional dyspepsia POLI UMUM
268 2023-07-20 3313154803830002 NANIK SETYOWATI NY 1983-03-08 40 Th BABADAN RT 4 RW 5, TAMANSARI, 001833.3 K05.3 Chronic periodontitis POLI GIGI
269 2023-07-20 3507155506860002 UCE DEWI WIDODO NY 1986-06-15 37 Th GLAGAH RT 04 RW 07, 001538.5 Z34 Supervision of normal pregnancy KIA
270 2023-07-20 3313164210170001 ASYILA OKTA ANGELICA 2017-10-02 5 Th GONDANGREJO RT 1 RW 8, 004618.2 K00.6 Disturbances in tooth eruption POLI GIGI
271 2023-07-20 3313160112670002 MELKIOR DULLY TN 1967-12-01 55 Th KARANGGANDU RT 2 RW 2, 002815.3 K04.1 Necrosis of pulp POLI GIGI
272 2023-07-20 3313167112430039 DARSINI NY 1943-12-31 79 Th DERSO RT 04 RW 04, 006356.1 M79.1 Myalgia POLI UMUM
273 2023-07-20 3313164201210001 ELSA CAHYA NINGRUM AN 2021-01-02 2 Th BANDUNGAN RT 4 RW 6, KUTO, 001366.8 G40.5 Special epileptic syndromes KIA
274 2023-07-20 3313164302020002 TIFFANY AISYA FFEBRIANI 2002-02-03 21 Th KARANGGANDU RT5 RW3, 002908.5 K04.7 Periapical abscess without sinus POLI GIGI
275 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
276 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
277 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
278 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
279 2023-07-20 3313162411010002 REHAN TYAS PRIHANTORO 2001-11-24 21 Th KARANGGANDU RT 2 RW 2, 002894.1 Z02.2 Encounter for examination for POLI UMUM
280 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
281 2023-07-20 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
282 2023-07-20 3313166909530001 MINI NY 1953-09-29 69 Th SEMANG RT 2/10, GEMPOLAN, 009277.2 C73 Malignant neoplasm of thyroid POLI UMUM
283 2023-07-20 3313166612820003 DARSITI WIDARWATI NY 1982-12-26 40 Th KACANGAN RT 1 RW 8, 007492.5 K05.2 Acute periodontitis POLI GIGI
284 2023-07-20 3313165106690002 DARSINI NY 1969-06-11 54 Th GONDANG RT 04 RW 11, GANTEN, 002720.4 LABORATORIU
285 2023-07-20 3372054705990002 HAYU REZA ANINDITA NY 1999-05-07 24 Th GROBOGAN RT 1 RW 4, KUTO, 000758.3 Z36 Antenatal screening KIA
286 2023-07-20 3313165207750001 SRI LESTARI NY 1971-08-02 51 Th NGRANDON 4/8, GEMPOLAN, 003092.7 R03 Abnormal blood-pressure POLI UMUM
287 2023-07-20 3313164906680001 SARIYEM NY 1968-06-09 55 Th KLEBREKAN RT 3 RW 1, 002091.2 B20.8 HIV disease resulting in other POLI UMUM
288 2023-07-20 3313092306210001 AZKHA AULIAN PUTRA 2021-06-23 2 Th KLEBREKAN RT 3 RW 1, 002091.9 L20 Atopic dermatitis KIA
289 2023-07-20 3313163112580015 DARTOSUWITO TN 1958-12-31 64 Th GESANGAN RT 2 RW 6, 005567.11 M79.1 Myalgia POLI UMUM
290 2023-07-20 3313161112650001 SUPARDI TN 1977-06-20 46 Th PENGIN RT 02 RW 05, KUTO, 001056.4 R05 Cough POLI UMUM
291 2023-07-20 3374014611820005 SRI WAHYUNI NY 1982-11-06 40 Th PENGIN RT 02 RW 05, KUTO, 001056.10 J00 Acute nasopharyngitis [common POLI UMUM
292 2023-07-20 3313165501810003 SUGIYEM NY 1961-01-15 62 Th PENTUK 1/9, SUMBEREJO, KERJO, 006464.6 R05 Cough POLI UMUM
293 2023-07-20 - ZAHIDAH MULINAKUS 1993-09-24 29 Th BAYAN KRAJAN RT 6 RW 15, 004063.6 Z39 Postpartum care and UGD R
294 2023-07-20 3313164505550001 SUYAMTI NY 1955-05-05 68 Th GENENG RT 03 RW 04, GANTEN, 002295.5 M22.0 Recurrent dislocation of patella POLI UMUM
295 2023-07-20 3313161212220001 MUHAMMAD FIQI MAULANA 2022-12-12 7 Bl SINGGET 3/11, TAWANGSARI, 007458.18 B37.0 Candidal stomatitis KIA
296 2023-07-20 3313162704690001 SUPARNO TN 1969-04-27 54 Th KEDUNGSENGON 5/2, BOTOK, 008335.4 R03 Abnormal blood-pressure POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
297 2023-07-20 3313164107550070 LAMIYEM NY 1955-07-01 68 Th TROMOYO RT 02 RW 01, 007032.3 L50 Urticaria POLI UMUM
298 2023-07-20 3313167112570044 SUGIYEM NY 1957-12-31 65 Th PRAYAN RT 01 RW 06, 004099.3 M54.5 Low back pain POLI UMUM
299 2023-07-20 3313162905230002 ALTAF MAHASIN AL ZAHIER 2023-05-29 1 Bl SIDOMULYO RT 3 RW 8, 001595.14 J00 Acute nasopharyngitis [common KIA
300 2023-07-20 3313165309880003 SUNARSIH NY 1988-09-13 34 Th SIDOMULYO RT 03 RW 06, 003009.3 Z00 General examination and KB
301 2023-07-20 3313165005710003 SITI SUMARIYAH NY 1971-05-10 52 Th BLORAN RT 02 RW 01, 002806.4 M79.1 Myalgia POLI UMUM
302 2023-07-20 3313161601150001 ABID AQILA PRATAMA AN 2015-01-16 8 Th KARANGGANDU RT 3 RW 2, 006874.8 A01.0 Typhoid fever POLI UMUM
303 2023-07-20 3313165603910002 MARYATI NY 1991-03-16 32 Th DUREN JAYA BLOK A 2/143, 00107803. Z34 Supervision of normal pregnancy KIA
304 2023-07-20 3313162103860002 RONI HARDIYANTO SDR 1986-03-21 37 Th KARANGNONGKO RT 1 RW 5, 009053.3 R03 Abnormal blood-pressure POLI UMUM
305 2023-07-20 3313162305690002 DAKUN EFENDI TN 1969-05-23 54 Th PANTI RT 1 RW 3, TAWANGSARI, 006796.9 R05 Cough POLI UMUM
306 2023-07-20 3313166306690001 TRI YUNIATUN NY 1969-06-13 54 Th PANTI RT 1 RW 3, TAWANGSARI, 006796.8 R03 Abnormal blood-pressure POLI UMUM
307 2023-07-20 3313165011750004 YATI NY 1975-11-10 47 Th PLANDAKAN RT 3 RW 10, 006592.15 I84 Haemorrhoids POLI UMUM
308 2023-07-20 3313166511990002 IGA AYU AGUSTINA NY 1999-11-25 23 Th PLANDAKAN RT 3 RW 10, 006592.1 POLI UMUM
309 2023-07-20 3313165902720001 MULYANI NY 1972-02-19 51 Th KIRINGAN RT 04 RW 04, BOTOK, 009174.7 M54.57 Low back pain, lumbosacral POLI UMUM
310 2023-07-20 3313161304820003 SUMARYONO TN 1982-04-13 41 Th GEMPOLAN RT 2 RW 7, 003102.7 R73.9 Hyperglycaemia, unspecified POLI UMUM
311 2023-07-20 3313164611810001 SRI SUNARMI NY 1981-11-06 41 Th BLIGO RT 04 RW 04, KUTO, 000892.15 K02.2 Caries of cementum POLI GIGI
312 2023-07-20 3313166806970003 VETY NUR INDAHSARI NY 1997-06-28 26 Th KARANGREJO RT 01 RW 03, 005080.9 Z12.3 Encounter for screening for KIA
313 2023-07-20 3313166812830002 IIS HARTANTI NY 1983-12-28 39 Th KARANGGANDU RT 02 RW 02, 008877.3 M79 Other soft tissue disorders, not POLI UMUM
314 2023-07-20 3313165710170001 FAWZIA ADREENA SHEZA AN 2017-10-17 5 Th JENGGRIK RT 03 RW 09, GANTEN, 002598.4 R05 Cough POLI UMUM
315 2023-07-20 3313165706820001 WARYANTI NY 1982-06-17 41 Th GEMPOLAN RT 1 RW 7, 003144.2 K04.7 Periapical abscess without sinus POLI GIGI
316 2023-07-20 3313054710980001 LATRI UTAMI NY 1998-10-07 24 Th BEYAN RT 2 RW 7, DAWUNG, 001119.20 Z34 Supervision of normal pregnancy KIA
317 2023-07-20 3313162112810001 YULI KURNIANTO TN 1981-12-21 41 Th TUKOREJO RT 06 RW 01, BOTOK, 008534.5 L50 Urticaria POLI UMUM
318 2023-07-20 3313165003890001 DWI MARYANTI NY 1989-03-10 34 Th DELEG RT 07 RW 01, 005759.8 A88.1 Epidemic vertigo POLI UMUM
319 2023-07-20 3313164203790001 SRI PARYANTI NY 1979-03-02 44 Th KEREP RT 3 RW 4, BOTOK, 008078.19 R05 Cough POLI UMUM
320 2023-07-20 3313161612110001 DEO KENNY FAEYZA RAQILA 2011-12-16 11 Th KERJO RT 02 RW 02, SUMBEREJO, 006173.4 A09 Other gastroenteritis and colitis POLI UMUM
321 2023-07-20 3313164502620001 SUKINEM NY 1962-02-05 61 Th TEGALREJO 6/2, KUTO, KERJO, 000461.2 M54.3 Sciatica POLI UMUM
322 2023-07-20 3313161011550002 SUKIMAN TN 1955-11-10 67 Th SIDOMULYO RT 1/6, GEMPOLAN, 003034.10 M79.1 Myalgia POLI UMUM
323 2023-07-20 3313162905200001 ALBYAN IQBAL FAHREZI AN 2020-05-29 3 Th DUKUHREJO RT 03 RW 04, 004827.11 M79.01 Rheumatism, unspecified, KIA
324 2023-07-20 3313165211040001 IKE VERA KURNIAWATI NY 2004-11-12 18 Th GESANGAN RT 4 RW 6, 005591.5 Z00 General examination and KIA
325 2023-07-20 3313075401030002 JANISKA PARSELTIRINI NY 2003-01-14 20 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006040.3 Z34 Supervision of normal pregnancy KIA
326 2023-07-20 3313160704830001 JOKO MARWANTO TN 1983-04-07 40 Th BRANGKAL RT 1 RW 1, 003988.6 A09 Other gastroenteritis and colitis POLI UMUM
327 2023-07-20 3313167112510019 WAGINAH NY 1951-12-31 71 Th KWADUNGAN RT 08 RW 03, 005395.2 POLI UMUM
328 2023-07-20 1812015012860013 SUPRIHATIN NY 1986-12-10 36 Th GROBOGAN RT 1 RW 4, KUTO, 000751.16 Z00 General examination and KIA
329 2023-07-20 0 ASIFA NUR AINI 2011-11-06 11 Th PANTI RT 001 RW 003, 006791.5 J00 Acute nasopharyngitis [common POLI UMUM
330 2023-07-20 3313161804680001 SUYUDI TN 1968-04-18 55 Th BLORAN RT 2 RW 1, GEMPOLAN, 107757.1 K04.7 Periapical abscess without sinus POLI GIGI
331 2023-07-20 3521115503010001 MAYATRI CAHAYA NY 2001-03-15 22 Th GENENG 3/4, GANTEN, KERJO, 002280.8 Z30.9 Contraceptive management, KB
332 2023-07-20 3313166509680002 SUMINI NY 1968-09-25 54 Th SEMANG RT 3 RW 11, GEMPOLAN, 003215.5 K04.0 Pulpitis POLI GIGI
333 2023-07-20 3313162305050003 RAIHAN PAMBUDI SDR 2005-05-23 18 Th KARANGNONGKO RT 1 RW 5, 004647.4 Z02.0 Encounter for examination for POLI UMUM
334 2023-07-20 3313165201810001 WAHYUNI NY 1981-01-12 42 Th SENTONO RT 3 RW 7, 00107055. H60 Otitis externa POLI UMUM
335 2023-07-20 - ADHEESA ATTAR WASKITO 2019-04-17 4 Th KERJO 2/2 , SUMBEREJO, KERJO, 006167.19 J03.9 Acute tonsillitis, unspecified KIA
336 2023-07-20 3313167112570042 SUMINI NY 1957-12-31 65 Th BONO RT 1 RW 3, PLOSOREJO, 003546.1 H00.0 Hordeolum and other deep POLI UMUM
337 2023-07-20 3313167112410007 SURIP NY 1941-12-31 81 Th WATES RT 1 RW 2, PLOSOREJO, 003392.6 J44 Other chronic obstructive POLI UMUM
338 2023-07-20 3313164205650002 SUTINI NY 1965-05-02 58 Th KWADUNGAN RT 5 RW 3, 005364.2 E11.4 Non-insulin-dependent diabetes POLI UMUM
339 2023-07-20 3313164304960001 NUR WALIDATUSH 1996-04-03 27 Th KAUMAN RT 3 RW 5, 005834.5 Z00 General examination and KIA
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
340 2023-07-20 3313164906160001 VARISHA ALFATHUNISA 2016-06-09 7 Th TEGALREJO RT 3 RW 2, KUTO, 000337.13 R05 Cough POLI UMUM
341 2023-07-20 3309165010830006 SITI MUSIPAH NY 1983-10-10 39 Th TEGALREJO RT 3 RW 2, KUTO, 000337.11 L20 Atopic dermatitis POLI UMUM
342 2023-07-20 3313160907190002 FATAH MUHAMMAD AL HAKIM 2019-07-09 4 Th SAMBENGREJO RT 2 RW 4, 004888.22 L20 Atopic dermatitis KIA
343 2023-07-20 3313164708090001 NAJWA NAWAWIYAH AN 2009-08-07 13 Th SAMBENGREJO RT 02 RW 04, 004888.9 B86 Scabies POLI UMUM
344 2023-07-20 3313167112590038 DIKEM NY 1959-12-31 63 Th SETEMBOK RT 03 RW 02, 004994.3 J00 Acute nasopharyngitis [common POLI UMUM
345 2023-07-20 3313163112580019 PARMO SUTRISNO TN 1958-12-31 64 Th TAWANGREJO RT 2 RW 2, 007202.17 J04 Acute laryngitis and tracheitis POLI UMUM
346 2023-07-20 3313167112560016 SAMIYEM NY 1958-12-31 64 Th DUMPUL RT 03 RW 06, 006048.2 R03 Abnormal blood-pressure POLI UMUM
347 2023-07-20 3313163112430034 CIPTO WARSONO TN 1943-12-31 79 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006048.1 M13 Other arthritis POLI UMUM
348 2023-07-20 3313164302520001 HARTINI NY 1952-02-03 71 Th BLIGO RT 03 RW 04, KUTO, 000841.5 Z48 Other surgical follow-up care UGD & R INAP
349 2023-07-20 0 SYAKIRA BRILIANA S 2020-06-15 3 Th PLOSOREJO 1/3 , KUTO, KERJO, 106730.4 L20 Atopic dermatitis KIA
350 2023-07-20 - ALVINO FAREL RAMADHAN 2019-05-06 4 Th KURAHAN RT 02 RW 07, 003929.17 R50.0 Fever with chills UGD & R INAP
351 2023-07-20 3313105707980001 RURI YULIASTUTI 1998-07-17 25 Th PENDEM KULO 001/001, SURUH, 005774.19 Z48 Other surgical follow-up care UGD & R INAP
352 2023-07-20 3313162712180001 FAEYZA MAULANA RAFIEF 2018-12-27 4 Th PLOSOREJO RT 5 RW 2, 000426.13 Z48 Other surgical follow-up care UGD & R INAP
353 2023-07-20 3313161007930001 EHSAN YUSUF AHMAD 1993-07-10 30 Th SUMBEREJO RT 02 RW 11, 006677.3 R05 Cough UGD & R INAP
354 2023-07-20 3313164712010002 FITRI LESTARI NY 2001-12-07 21 Th NERANG 3/5, PLOSOREJO, 007950.4 R05 Cough UGD & R INAP
355 2023-07-20 - ALVINO FAREL RAMADHAN 2019-05-06 4 Th KURAHAN RT 02 RW 07, 003929.17 UGD & R INAP
356 2023-07-20 - ALVINO FAREL RAMADHAN 2019-05-06 4 Th KURAHAN RT 02 RW 07, 003929.17 UGD & R INAP
357 2023-07-21 0 ANTASENA SETYA RADENTA 2020-07-07 3 Th GONDANGREJO RT 1 RW 8, 006779.9 UGD & R INAP
358 2023-07-21 3313164306000001 ANIS SARILA NY 2000-06-03 23 Th GENENG RT 02 RW 03, GANTEN, 002271.7 O48 Prolonged pregnancy KIA
359 2023-07-21 3313164405580006 SUGIYARTI NY 1958-05-04 65 Th JETIS RT 5 RW 1, KUTO, KERJO, 000156.1 J06.9 Acute upper respiratory POLI UMUM
360 2023-07-21 3313160507550002 SUJIYO TN 1955-07-05 68 Th SUMBEREJO RT 1 RW 12, 006726.1 M79.1 Myalgia POLI UMUM
361 2023-07-21 3313167112720002 RAJIYANTI NY 1972-12-31 50 Th KLIWONAN RT 3 RW 2, 005015.4 J06.9 Acute upper respiratory POLI UMUM
362 2023-07-21 3313164910600002 SADIYEM NY 1960-10-09 62 Th GANTEN RT 02 RW 01, GANTEN, 002223.1 LABORATORIU
363 2023-07-21 3313164104860002 SRI HARTINI NY 1986-04-01 37 Th GANTEN RT 2 RW 01, GANTEN, 002217.2 LABORATORIU
364 2023-07-21 3313165307530001 SUKINI NY 1953-07-13 70 Th JETIS 6/1, KUTO, KERJO, 106080.1 R03.0 Elevated blood-pressure reading, POLI UMUM
365 2023-07-21 3313162212730001 JOKO SARWANTO TN 1973-12-23 49 Th BLORAN RT 02 RW 01, 002758.5 F20.9 Schizophrenia, unspecified POLI UMUM
366 2023-07-21 3313164606800004 SAPTONING HARTATI NY 1980-06-06 43 Th JL.POROS 5/1 BERINGIN AGUNG , 002758.2 F20.9 Schizophrenia, unspecified POLI UMUM
367 2023-07-21 3313164709880002 SUNARMI NY 1988-09-07 34 Th NGASEM 1/9, KARANGREJO, 004373.5 K02.2 Caries of cementum POLI GIGI
368 2023-07-21 3313165809770004 DWI PURDATIN NY 1977-09-18 45 Th DUMPUL 1/5, SUMBEREJO, 005942.3 K30 Functional dyspepsia POLI UMUM
369 2023-07-21 3313167112590051 NGATINI NY 1959-12-31 63 Th DUMPUL 1/5, SUMBEREJO, 005955.5 K30 Functional dyspepsia POLI UMUM
370 2023-07-21 3314191911870001 EKO DARSONO TN 1987-11-19 35 Th KAUMAN RT 2 RW 5, 005790.10 R50 Fever of other and unknown POLI UMUM
371 2023-07-21 3313164107640020 JUMINI NY 1964-07-01 59 Th KURAHAN RT 1 RW 7, 003867.10 J02.9 Acute pharyngitis, unspecified POLI UMUM
372 2023-07-21 3313167112900004 SRI SUYATMI NY 1990-12-31 32 Th KADIPESO RT 02 RW 08, 006639.4 S60 Superficial injury of wrist and UGD & R INAP
373 2023-07-21 3313162810010002 ROHKID ADI SAPUTRO SDR 2001-10-28 21 Th KARANGGANDU RT 02 RW 02, 002810.1 J06.9 Acute upper respiratory UGD & R INAP
374 2023-07-21 3313164605760001 SUMINI NY 1976-05-06 47 Th NGASEM RT 2 RW 9, 004479.3 R03.0 Elevated blood-pressure reading, POLI UMUM
375 2023-07-21 3313162911630001 SUGIYATMO TN 1963-11-29 59 Th NGESAM RT 3 RW 4, KUTO, 000844.3 L28.0 Lichen simplex chronicus POLI UMUM
376 2023-07-21 3313164810710003 SULASMI NY 1971-10-08 51 Th GONDANGREJO RT 01 RW 08, 009652.2 J06.9 Acute upper respiratory POLI UMUM
377 2023-07-21 3175064507690002 MARIKEM NY 1969-07-05 54 Th KARANGGANDU RT 01 RW 02, 00107897. K30 Functional dyspepsia POLI UMUM
378 2023-07-21 3313167112570024 TUMI NY 1957-12-31 65 Th SEMANG RT 03 RW 11, 003173.4 J06.9 Acute upper respiratory POLI UMUM
379 2023-07-21 3313162707680002 SUKADI TN 1968-07-27 54 Th NERANG RT 01 RW 05, 003691.9 J06.9 Acute upper respiratory POLI UMUM
380 2023-07-21 3313163112500039 MARIMIN TN 1950-12-31 72 Th KURAHAN RT 02 RW 07, 003922.1 K30 Functional dyspepsia POLI UMUM
381 2023-07-21 3313164209980002 LARSIH SAMSIAH SDRI 1998-09-02 24 Th SEMANG 1/10, GEMPOLAN, 003243.6 K12 Stomatitis and related lesions POLI UMUM
382 2023-07-21 3313164504740001 MARSINI NY 1974-04-05 49 Th BLORAN RT 01 RW 01, 002766.2 K30 Functional dyspepsia POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
383 2023-07-21 3313165908680002 SUKARMI NY 1968-08-19 54 Th NGLOROG RT 01 RW 11, 004239.2 R03.0 Elevated blood-pressure reading, POLI UMUM
384 2023-07-21 3313162404670004 MARYANTO TN 1967-04-24 56 Th NGLOROG RT 1 RW 11, 004239.8 L03.1 Cellulitis of other parts of limb POLI UMUM
385 2023-07-21 3313160208540001 SUNARTO TN 1954-08-02 68 Th BOTOK RT 03 RW 01, BOTOK, 008440.5 M54.5 Low back pain POLI UMUM
386 2023-07-21 3372035805930005 MERINA PUJIASTUTI NY 1993-05-18 30 Th WATES RT 3 RW 2, PLOSOREJO, 003429.8 I84.5 External haemorrhoids without POLI UMUM
387 2023-07-21 3313161008540001 PURWANTO TN 1954-08-10 68 Th TEPUS 1/5, TAMANSARI, KERJO, 001778.1 E11.4 Non-insulin-dependent diabetes POLI UMUM
388 2023-07-21 3313160107580003 ARIYADI TN 1958-07-01 65 Th DUKUHREJO RT 4 RW 4, 004777.6 LABORATORIU
389 2023-07-21 3313167112590002 SURATMI NY 1959-12-31 63 Th PENCOL RT 3 RW 5, KUTO, 108023.1 H10 Conjunctivitis POLI UMUM
390 2023-07-21 3313164105020002 LENI HERLINA NY 2002-05-01 21 Th SENTONO RT 01 RW 07, 007837.7 Z36 Antenatal screening KIA
391 2023-07-21 0 AFITA DEVI ANGGRAINI AN 2016-07-18 7 Th NGRANDAH RT 1 RW 3, 001698.7 K00.6 Disturbances in tooth eruption POLI GIGI
392 2023-07-21 3313163107150001 JULIO AL FITRIANTO AN 2015-07-31 7 Th DELOK RT 002 RW 001, BOTOK, 008405.10 J06.9 Acute upper respiratory POLI UMUM
393 2023-07-21 3313164211800001 TRI HASTUTI NY 1980-11-02 42 Th DELOK 2/1, BOTOK, KERJO, 008405.13 M79.0 Rheumatism, unspecified POLI UMUM
394 2023-07-21 3313161801660002 MULYONO TN 1966-01-18 57 Th DERSO RT 5 RW 4, SUMBEREJO, 006423.5 POLI UMUM
395 2023-07-21 3313165506160001 YUNITA SAFITRI AN 2016-06-15 7 Th GANTEN RT 01 RW 01, GANTEN, 002128.13 J06.9 Acute upper respiratory POLI UMUM
396 2023-07-21 3313164608840002 KRISTIANI NY 1984-08-06 38 Th GANTEN RT 01 RW 01, GANTEN, 002128.5 R42 Dizziness and giddiness POLI UMUM
397 2023-07-21 3313161605600001 SUWARNO TN 1960-05-16 63 Th RANDUBENER RT 2 RW 2, KUTO, 000512.5 K04.7 Periapical abscess without sinus POLI GIGI
398 2023-07-21 3313165106690002 DARSINI NY 1969-06-11 54 Th GONDANG RT 04 RW 11, GANTEN, 002720.4 LABORATORIU
399 2023-07-21 3313160201160001 YOSSY DIMAS SAPUTRA AN 2016-01-02 7 Th DERSO RT 04 RW 04, 006358.17 Z01 Other special examinations and POLI GIGI
400 2023-07-21 3313160402220001 FAQIH AL ARIP BILLAH AN 2022-02-04 1 Th KARANGNONGKO RT 01 RW 05, 004637.17 R50 Fever of other and unknown KIA
401 2023-07-21 3313161303160001 ASRORI LISANA SIDQIN AN 2016-03-13 7 Th GOMBELAN RT 01 RW 05, 007276.12 L02.9 Cutaneous abscess, furuncle POLI UMUM
402 2023-07-21 3313165401540001 SUDARSI NY 1954-01-14 69 Th KARANGNONGKO RT 01 RW 05, 004619.2 LABORATORIU
403 2023-07-21 3313167112640007 GIYARTI NY 1964-12-31 58 Th KERJO RT 02 RW 01, SUMBEREJO, 006118.1 R03 Abnormal blood-pressure POLI UMUM
404 2023-07-21 3313167112640007 GIYARTI NY 1964-12-31 58 Th KERJO RT 02 RW 01, SUMBEREJO, 006118.1 LABORATORIU
405 2023-07-21 3313164410000001 MAYA PUTRI HARYANTI NY 2000-10-04 22 Th JATIMALANG RT 1 RW 10 , 007547.1 L50 Urticaria POLI UMUM
406 2023-07-21 3313164411820005 TUTI WULANDARI NY 1982-11-04 40 Th KESONGO RT 3 RW 5, 10558GP. K08.3 Retained dental root POLI GIGI
407 2023-07-21 3313161711560002 DWI WARDIYATNO TN 1956-11-17 66 Th BULAK 2/1, KWADUNGAN, KERJO, 005666.4 I64 Stroke, not specified as POLI UMUM
408 2023-07-21 3313163010180002 ELVANO FAJRIN PRATAMA AN 2018-10-30 4 Th BANGKLE RT 3 RW 4, 004975.9 J00 Acute nasopharyngitis [common KIA
409 2023-07-21 3313164911120002 NOVI DWI RAMADANI AN 2011-11-09 11 Th SINTRU RT 02 RW 06, 003812.7 J06.9 Acute upper respiratory POLI UMUM
410 2023-07-21 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 LABORATORIU
411 2023-07-21 3313164806830003 TRI SUPARNI NY 1983-06-08 40 Th SINTRU RT 2 RW 6, PLOSOREJO, 003812.2 R05 Cough POLI UMUM
412 2023-07-21 3175094305010008 WINGKI DWI HASTUTI NY 2001-05-03 22 Th JL.LENGKENG NO 37 RT 9 RW 12, 9009211.2 J06.9 Acute upper respiratory POLI UMUM
413 2023-07-21 3313164706480001 NGADINEM NY 1948-06-07 75 Th TEPUS RT 01 RW 05, TAMANSARI, 001772.2 K30 Functional dyspepsia POLI UMUM
414 2023-07-21 3313166909770002 SUGIYANTI NY 1977-09-29 45 Th SIDI RT 2 RW 1, TAMANSARI, 009782.5 J00 Acute nasopharyngitis [common POLI UMUM
415 2023-07-21 3313166704480001 KARTINI NY 1948-04-27 75 Th PRAYAN RT 01 RW 06, 004109.7 LABORATORIU
416 2023-07-21 3313162105120001 VAJAR BAKTI UTOMO AN 2012-05-21 11 Th SIDI RT 02 RW 01, TAMANSARI, 009782.8 J06.9 Acute upper respiratory POLI UMUM
417 2023-07-21 3313165908440001 MUTINGAH NY 1944-08-19 78 Th BULAK RT 04 RW 01, 005710.3 LABORATORIU
418 2023-07-21 3313162108710001 ROIS HARYANTO TN 1971-08-21 51 Th SIDI RT 2 RW 1, TAMANSARI, 009782.2 R05 Cough POLI UMUM
419 2023-07-21 3313166602690001 NARTI NY 1969-02-26 54 Th KARANGNONGKO RT 01 RW 05, 004661.3 R51 Headache POLI UMUM
420 2023-07-21 3313167112400051 WARNI NY 1940-12-31 82 Th WATES RT 003 RW 002, 003420.2 R51 Headache POLI UMUM
421 2023-07-21 3313166609980001 GIYARSI NY 1998-09-26 24 Th GOPEL RT 1 RW 9, 002481.4 R63.4 Abnormal weight loss POLI UMUM
422 2023-07-21 3313165502840001 SURYANI NY 1984-02-15 39 Th DUKUHREJO RT 02 RW 04, 005017.4 Z30 Contraceptive management KB
423 2023-07-21 3175092503460003 IR TRIWI HUSODO TN 1946-03-25 77 Th JL. MANUNGGAL NO 29 D RT 9 RW 006071.31 I25.9 Chronic ischaemic heart disease, POLI UMUM
424 2023-07-21 3313161010680002 JOKO SUWARDIYANTO TN 1968-10-14 54 Th MAJAN RT 02 RW 04, 005515.6 L57.8 Other skin changes due to POLI UMUM
425 2023-07-21 3313165902700001 NUR FAJARIAH NY 1970-02-19 53 Th KERJO RT 01 RW 02, SUMBEREJO, 006132.2 LABORATORIU
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
426 2023-07-21 3313167112470020 SUMIYEM NY 1947-12-31 75 Th SUMBEREJO RT 3 RW 3, BOTOK, 007920.1 H44.9 Disorder of globe, unspecified POLI UMUM
427 2023-07-21 3313162005720003 LADANG BARUS TN 1972-05-20 51 Th KUTO RT 4 RW 1, KUTO, KERJO, 000042.3 K04.1 Necrosis of pulp POLI GIGI
428 2023-07-21 3313165907670002 PAINAH NY 1967-07-19 56 Th MAJAN RT 03 RW 04, 005429.1 LABORATORIU
429 2023-07-21 3313166511580001 SUGIYEM NY 1958-11-25 64 Th KERJO RT 02 RW 01, SUMBEREJO, 006114.3 R05 Cough POLI UMUM
430 2023-07-21 - PAIYEM NY 1966-01-07 57 Th GONDANGREJO 1/8, 004618.6 LABORATORIU
431 2023-07-21 3313164901040002 ADELLA AYUNDA PATRISIA 2004-01-09 19 Th SUMBEREJO RT 3 RW 3, BOTOK, 007932.6 K03.6 Deposits [accretions] on teeth POLI GIGI
432 2023-07-21 3313161608120001 GALANG RAMADHAN AN 2012-08-16 10 Th SUMBEREJO RT 3 RW 3, BOTOK, 007932.7 K00.6 Disturbances in tooth eruption POLI GIGI
433 2023-07-21 3313165601650001 PUNIYEM NY 1965-01-16 58 Th DUKUHREJO RT 01 RW 04, 004750.1 LABORATORIU
434 2023-07-21 3313164202170001 SYABILA INNAYAH AL FATHIN 2017-02-02 6 Th GONDANGREJO RT 01 RW 08, 004528.6 L23.9 Allergic contact dermatitis, POLI UMUM
435 2023-07-21 3313166212640001 SARWANTI NY 1964-12-22 58 Th GONDANGREJO RT 2 RW 8, 004528.1 J06.9 Acute upper respiratory POLI UMUM
436 2023-07-21 3313165410160001 ALIKHA ELMYRA SHANUM AN 2016-10-14 6 Th GEMPOLAN RT 06 RW 09, 003068.9 R04.0 Epistaxis POLI UMUM
437 2023-07-21 3314085807810002 TITIN INDARTI NY 1981-07-18 42 Th KACANGAN RT 01 RW 08, 007496.16 M13 Other arthritis POLI UMUM
438 2023-07-21 3313160306510001 SASTRO WIYONO AL GIMAN 1951-06-01 72 Th GENENG 3/4, GANTEN, KERJO, - 002289.1 LABORATORIU
439 2023-07-21 3313165206660001 SUNARNI NY 1966-06-12 57 Th GEMPOLAN RT 02 RW 07, 003111.6 R03.0 Elevated blood-pressure reading, POLI UMUM
440 2023-07-21 3313165006650001 KAMINI NY 1965-06-10 58 Th BRANGKAL RT 2 RW 1, 004049.1 A09 Other gastroenteritis and colitis POLI UMUM
441 2023-07-21 3312112903050002 DESTA ARYA PRASETYA SDR 2005-03-29 18 Th KERJO RT 02 RW 01, SUMBEREJO, 006119.7 M79.1 Myalgia POLI UMUM
442 2023-07-21 3313161401570003 SASTRO SUMIDI TN 1957-01-14 66 Th KARANGNONGKO RT 1 RW 5, 004652.3 LABORATORIU
443 2023-07-21 3313164406580004 SAMINI NY 1958-06-04 65 Th BETIS RT 2 RW 7, TAWANGSARI, 007609.2 LABORATORIU
444 2023-07-21 3313166507550001 SEMI NY 1955-07-25 67 Th KESONGO RT 01 RW 04, 002983.1 R03 Abnormal blood-pressure POLI UMUM
445 2023-07-21 3313161705770001 SUGIYANTI NY 1977-05-17 46 Th GONDANGREJO RT 1 RW 8, 004518.2 K05 Gingivitis and periodontal POLI GIGI
446 2023-07-21 - SAMSUDIN TN 1949-12-31 73 Th KURAHAN RT 1 RW 7 , 003853.5 LABORATORIU
447 2023-07-21 3313163017550001 SUMPENO TN 1955-07-31 67 Th KESONGO RT 01 RW 04, 002981.3 LABORATORIU
448 2023-07-21 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 LABORATORIU
449 2023-07-21 3313166011680001 SITI SOLIKAH NY 1968-11-20 54 Th GOMBELAN 2/5, TAWANGSARI, 007376.2 LABORATORIU
450 2023-07-21 3313165808620001 SRI DARYANTI NY 1962-08-18 60 Th DERSO RT 02 RW 04, 006396.2 LABORATORIU
451 2023-07-21 3313161208570001 SUNARNO TN 1957-08-12 65 Th GANTEN RT 1 RW 1, GANTEN, 002141.1 LABORATORIU
452 2023-07-21 3313160207590001 SUKADI TN 1959-07-02 64 Th RANDUBENER RT 03 RW 03, 000549.6 LABORATORIU
453 2023-07-21 3313162004150001 FADINO ARA APRILIO AN 2015-04-20 8 Th TEGALREJO 6/2, KUTO, KERJO, 000389.4 B86 Scabies POLI UMUM
454 2023-07-21 3313164109080001 ALSA DINAR RAMADHANI 2008-09-01 14 Th TEGALREJO 6/2, KUTO, KERJO, 000389.5 B86 Scabies POLI UMUM
455 2023-07-21 3313162806570001 SUDJONO TN 1957-06-28 66 Th KERJO RT 02 RW 02, SUMBEREJO, 006161.1 LABORATORIU
456 2023-07-21 3313161112700001 SUDARDI TN 1970-12-11 52 Th KERJO RT 01 RW 01, SUMBEREJO, 006077.10 LABORATORIU
457 2023-07-21 3313161412770001 SURONO TN 1977-12-14 45 Th JAMBEWANGI RT 03 RW 04, 001906.2 I11 Hypertensive heart disease POLI UMUM
458 2023-07-21 3313163112530046 PAIMAN TN 1953-12-31 69 Th KURAHAN RT 01 RW 07, 003857.1 LABORATORIU
459 2023-07-21 3313165008540001 SUKINEM NY 1954-08-10 68 Th TUKOREJO RT 6 RW 1, BOTOK, 008524.5 LABORATORIU
460 2023-07-21 - SUTARMI NY 1956-03-21 67 Th KURAHAN RT 02 RW 07, 003913.1 LABORATORIU
461 2023-07-21 3313164402520003 SUKASNI NY 1952-02-04 71 Th DOMAS RT 02 RW 02, 005193.2 LABORATORIU
462 2023-07-21 3313161503520001 RAMELAN TN 1952-03-15 71 Th JETIS RT 06 RW 01, KUTO, KERJO, 106080.8 LABORATORIU
463 2023-07-21 3313165712670002 SUWARTI NY 1967-12-17 55 Th WATES RT 1 RW 2, PLOSOREJO, 003372.6 LABORATORIU
464 2023-07-21 3313165708630001 SUHARTI NY 1963-08-17 52 Th KLEWONAN RT 02 RW 02, 004976.2 LABORATORIU
465 2023-07-21 - TUMIYEM NY 1949-12-31 73 Th KEPOH RT 2/5, GANTEN, KERJO, - 002387.5 LABORATORIU
466 2023-07-21 - ERNI NY 1976-08-31 46 Th PRAYAN RT 1 RW 6, 004123.3 LABORATORIU
467 2023-07-21 3173015705770006 SUMI NY 1977-05-17 46 Th PANTI RT 01 RW 02, 006825.10 M13 Other arthritis POLI UMUM
468 2023-07-21 3313166206540001 TARSI NY 1954-06-22 69 Th KARANGNONGKO RT 1 RW 5, 004664.1 LABORATORIU
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
469 2023-07-21 3313165003480003 SUKARTI NY 1948-03-10 75 Th PRAYAN RT 1 RW 3, SUMBEREJO, 008779.1 LABORATORIU
470 2023-07-21 - WAGIYEM NY 1962-12-31 60 Th KLIWONAN RT 01 RW 02, 009060.1 LABORATORIU
471 2023-07-21 3313164509590001 SUMARNI NY 1959-09-05 63 Th DERSO RT 03 RW 04, 006323.1 LABORATORIU
472 2023-07-21 3313164304520001 WAGIYEM NY 1952-04-03 71 Th PLOSOREJO RT 2 RW 5, 003715.2 LABORATORIU
473 2023-07-21 3313162304670001 SUYARJO TN 1967-04-23 56 Th GONDANGREJO RT 01 RW 08, 004494.3 LABORATORIU
474 2023-07-21 - WIYONO TN 1967-09-09 55 Th RANDUBENER RT 02 RW 03, 000544.2 LABORATORIU
475 2023-07-21 3313164404550001 SRIYANI NY 1955-04-04 68 Th KURAHAN RT 2 RW 7, 003838.2 LABORATORIU
476 2023-07-21 3313161708520004 SUMARNO TN 1952-08-17 70 Th DUMPUL RT 2 RW 5, SUMBEREJO, 005973.2 LABORATORIU
477 2023-07-21 3313164502730001 WATI NY 1973-02-05 50 Th KARANGNONGKO RT 01 RW 05, 004659.3 LABORATORIU
478 2023-07-21 3313166907750001 SULASTRI NY 1975-07-29 47 Th KAUMAN RT 2 RW 5, 005810.2 LABORATORIU
479 2023-07-21 - TARWIYAH NY 1968-11-08 54 Th BULAK 6/1, KWADUNGAN, KERJO, 005739.8 LABORATORIU
480 2023-07-21 3313167001660002 NGADINEM NY 1966-01-30 57 Th GENENG RT 2 RW 3, GANTEN, 002266.2 LABORATORIU
481 2023-07-21 3313164712720001 SUTARTI NY 1972-12-07 50 Th DERSO RT 05 RW 04, 006424.3 LABORATORIU
482 2023-07-21 3313164909540001 MARIYEM NY 1954-09-09 68 Th KERJO RT 1 RW 1, SUMBEREJO, 006077.4 LABORATORIU
483 2023-07-21 3313167112620021 PARMI NY 1962-12-31 60 Th KOTTO RT 02 RW 10, 004204.1 LABORATORIU
484 2023-07-21 3313165611550001 KASINI NY 1955-11-16 67 Th GENENG RT 4 RW 4, GANTEN, 002407.5 LABORATORIU
485 2023-07-21 3313161312490002 YOSO WANDI TN 1949-12-13 73 Th PENGIN 2/5, KUTO, KERJO, 000983.2 LABORATORIU
486 2023-07-21 3313162207170001 DANIEL CRISTIAN 2017-07-22 5 Th KWADUNGAN RT 02 RW 03, 005273.5 J06 Acute upper respiratory POLI UMUM
487 2023-07-21 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 Z48 Other surgical follow-up care UGD & R INAP
488 2023-07-21 - MARIMAN TN 1959-01-01 64 Th KARANGREJO RT 01 RW 03, 005064.3 A16 Respiratory tuberculosis, not POLI UMUM
489 2023-07-21 0 IMMUNISASI 2020-08-07 2 Th PUSKESMAS KERJO, IMMUNIS POLI
490 2023-07-21 3313165008650001 GIYANTI 1965-08-10 57 Th GONDANG RT 03 RW 11, GANTEN, 002703.3 S90 Superficial injury of ankle and UGD & R INAP
491 2023-07-21 3313165403900002 DARYANTI 1990-03-14 33 Th KAUMAN RT 03/05, KWADUNGAN, 0010094.7 R51 Headache UGD & R INAP
492 2023-07-21 3313161507610001 ROHMADI TN 1961-07-15 62 Th KLIWONAN RT 3 RW 2, 004989.15 S90 Superficial injury of ankle and UGD & R INAP
493 2023-07-21 3313162201130001 MUHAMMAD RASYA 2013-01-21 10 Th NGASEM RT 01 RW 09, 004385.6 Z48 Other surgical follow-up care UGD & R INAP
494 2023-07-21 - FIYANDIEGO MARCO REUS 2021-10-22 1 Th KEPOH 2/5, SUMBEREJO, KERJO, 002381.12 J00 Acute nasopharyngitis [common UGD & R INAP
495 2023-07-21 - DEVALISHA VALLERY 2015-11-23 7 Th KEPOH 2/5, GANTEN, KERJO, - 002381.13 J00 Acute nasopharyngitis [common UGD & R INAP
496 2023-07-21 3313156901930001 FITRIANA NOVITA DEWI NY 1993-01-29 30 Th KEPOH 2/5, GANTEN, KERJO, 002381.11 N94.5 Secondary dysmenorrhoea UGD & R INAP
497 2023-07-21 3313135604190001 AYUDIA NAURA MAHESWARI 2019-04-16 4 Th DELOK RT 2 RW 1, BOTOK, 008421.7 Z48 Other surgical follow-up care UGD & R INAP
498 2023-07-21 3313162509720001 JONO TN 1972-09-25 50 Th PLANDAKAN 3/10, SUMBEREJO, 006586.2 POLI UMUM
499 2023-07-21 0 SUNARDI TN 1963-11-01 59 Th DOMAS RT 02 RW 02, 005156.5 S90 Superficial injury of ankle and UGD & R INAP
500 2023-07-21 3313162209220002 GEMAH NAZRIEL SOLIHIN AN 2022-09-22 9 Bl BLORAN RT 01 RW 01, 002780.14 L02.9 Cutaneous abscess, furuncle KIA
501 2023-07-21 3313160503760002 SAIMAN TN 1976-03-05 47 Th KAUMAN RT 4 RW 5, 386920.23 M13 Other arthritis UGD & R INAP
502 2023-07-21 - ALVINO FAREL RAMADHAN 2019-05-06 4 Th KURAHAN RT 02 RW 07, 003929.17 R05 Cough UGD & R INAP
503 2023-07-21 - DANTI OKTAVIANI NY 1999-10-13 23 Th NGASEM 3/9, KARANGREJO, 004386.1 R11 Nausea and vomiting UGD & R INAP
504 2023-07-22 3313164807790003 SUFAIKAH NY 1979-07-08 44 Th DERSO RT 2 RW 4, -, KERJO, 006393.6 K30 Functional dyspepsia UGD & R INAP
505 2023-07-22 3313167112480036 SUKIRAH NY 1948-12-31 74 Th GONDANGREJO RT 02 RW 08, 004582.11 R03.0 Elevated blood-pressure reading, POLI UMUM
506 2023-07-22 3313167112620021 PARMI NY 1962-12-31 60 Th KOTTO RT 02 RW 10, 004204.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
507 2023-07-22 3313164802170002 ANGGUN AYSKAA MAHARANI 2017-02-08 6 Th SUMBEREJO RT 01 RW 03, 007864.6 K00.6 Disturbances in tooth eruption POLI GIGI
508 2023-07-22 3313163112520023 GITO SUHARNO TN 1952-12-31 70 Th KURAHAN RT 1 RW 7, 003947.5 E78.0 Pure hypercholesterolaemia POLI UMUM
509 2023-07-22 3313165510910001 SULARNI NY 1991-10-15 31 Th TUKOREJO RT 6 RW 1, BOTOK, 008542.4 O13 Gestational [pregnancy-induced] KIA
510 2023-07-22 3313115305690006 TATIK BUDI RAHARTI NY 1969-05-13 54 Th DERSO RT 5 RW 4, SUMBEREJO, 008955.3 E78.0 Pure hypercholesterolaemia POLI UMUM
511 2023-07-22 3313167112780016 GIYEM NY 1978-12-31 44 Th KESONGO RT 3 RW 5, 002971.1 H16 Keratitis POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
512 2023-07-22 3313160503760002 SAIMAN TN 1976-03-05 47 Th KAUMAN RT 4 RW 5, 386920.23 M79.1 Myalgia POLI UMUM
513 2023-07-22 331316480280001 GIYEM NY 1980-02-08 43 Th DUKUHREJO RT 4 RW 4, 004783.2 H16 Keratitis KB
514 2023-07-22 3313162205050001 AFRIZAL ALKI SETYAWAN 2005-05-22 18 Th SUDAN RT 1 RW 9, TAWANGSARI, 007806.4 Z02.2 Encounter for examination for POLI UMUM
515 2023-07-22 3313161604100001 ZIDHAN A TAMI SDR 2010-04-16 13 Th KURAHAN RT 02 RW 07, 003954.7 B86 Scabies POLI UMUM
516 2023-07-22 3372052804230003 AWWAHUN HALIM AN 2023-04-28 2 Bl BAYAN KRAJAN RT 6 RW 15 , 107849.16 J00 Acute nasopharyngitis [common KIA
517 2023-07-22 3313161312920001 NATANAEL ABRAM SINAGA 1992-12-13 30 Th KUTO RT 04 RW 01, KUTO, KERJO, 000108.2 M79.1 Myalgia POLI UMUM
518 2023-07-22 3313164306560001 DARSI NY 1956-06-03 67 Th PRAYAN RT 1 RW 6, 004117.3 J02.9 Acute pharyngitis, unspecified POLI UMUM
519 2023-07-22 3313166807650001 SUHARNI NY 1965-07-28 57 Th DELOK RT 1 RW 1, BOTOK, 008382.1 R03.0 Elevated blood-pressure reading, POLI UMUM
520 2023-07-22 3313164506550001 SUPARNI NY 1955-06-05 68 Th KURAHAN RT01/07, KARANGREJO, 003850.11 M79.1 Myalgia POLI UMUM
521 2023-07-22 3313165002710002 SUTARMI NY 1971-02-10 52 Th JENGGRIK RT 01 RW 08, GANTEN, 002540.3 R51 Headache POLI UMUM
522 2023-07-22 3313161809680001 PARNO TN 1968-09-18 54 Th JENGGRIK 1/8, GANTEN, KERJO, 002540.1 J00 Acute nasopharyngitis [common POLI UMUM
523 2023-07-22 3313164705600002 WAGINAH NY 1960-05-07 63 Th BANARAN RT 02 RW 04, 007335.3 M79.1 Myalgia POLI UMUM
524 2023-07-22 3313161808530001 SULARDI TN 1953-08-18 69 Th KURAHAN 01/07, KARANGREJO, 003850.10 R73.9 Hyperglycaemia, unspecified POLI UMUM
525 2023-07-22 3372055709530001 SRI LUGIYARTI NY 1953-09-17 69 Th KUDUR RT 05 RW 05, KUTO, 001068.1 K02.1 Caries of dentine POLI GIGI
526 2023-07-22 3313162906840005 EKO WAGIYANTO TN 1986-06-29 37 Th JAMBEWANGI RT 02 RW 04, 001881a.5 K30 Functional dyspepsia POLI UMUM
527 2023-07-22 3313160608700002 GIMANTO TN 1970-08-06 52 Th GESANGAN RT 01 RW 06, 005553.13 K05.3 Chronic periodontitis POLI GIGI
528 2023-07-22 3313164312040002 DESMITA AZZAHRA SDRI 2004-12-03 18 Th DUKUHREJO RT 02 RW 04, 005017.5 Z02.0 Encounter for examination for POLI UMUM
529 2023-07-22 3313166503650002 SUTIYEM NY 1965-03-25 58 Th NGASEM RT 01 RW 09, 004360.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
530 2023-07-22 3313165306880001 YUNI ASTUTI NY 1988-06-13 35 Th SIDI RT 1 RW 1, TAMANSARI, 009776.3 Z02.0 Encounter for examination for POLI UMUM
531 2023-07-22 3313165008540001 SUKINEM NY 1954-08-10 68 Th TUKOREJO RT 6 RW 1, BOTOK, 008524.5 R05 Cough POLI UMUM
532 2023-07-22 3313161404110001 RIDHO KURNIAWAN AN 2011-04-14 12 Th KESONGO RT 01 RW 04, 002960.8 R05 Cough POLI UMUM
533 2023-07-22 3313164906780002 SUPARNI NY 1978-06-09 45 Th KESONGO RT 01 RW 04, 002960.6 J00 Acute nasopharyngitis [common POLI UMUM
534 2023-07-22 - WILIS HANDAYANI NY 1989-09-02 33 Th KURAHAN RT 02 RW 07, 003938.4 Z39.2 Routine postpartum follow-up UGD R
535 2023-07-22 3315092106000003 AGNA FATARDA RASYID SDR 2000-06-21 23 Th GANTEN RT 4 RW 2, GANTEN, 002198.18 R03.0 Elevated blood-pressure reading, POLI UMUM
536 2023-07-22 3313161712590001 SULARDI TN 1959-12-17 63 Th BRANGKAL RT 1 RW 1, 003988.2 S43.0 Dislocation of shoulder joint POLI UMUM
537 2023-07-22 3313161305150001 MUHAMMAD FAISHAL 2015-05-13 8 Th KEPOH RT 01 RW 05, GANTEN, 002368.15 K00.6 Disturbances in tooth eruption POLI GIGI
538 2023-07-22 3313167112420012 SUKARSIH NY 1942-12-31 80 Th KEPOH RT 01 RW 05, GANTEN, 002368.1 E11.4 Non-insulin-dependent diabetes POLI UMUM
539 2023-07-22 3313165208730001 GIYATMI NY 1973-08-12 49 Th GONDANGREJO RT 1 RW 8, 004539.2 Z30.9 Contraceptive management, KB
540 2023-07-22 3313161406530001 KASIMIN TN 1953-06-14 70 Th KUTO RT 4 RW 1, KUTO, KERJO, 000112.2 L28.0 Lichen simplex chronicus POLI UMUM
541 2023-07-22 3313164506000002 JUNITA SAMTI DEWI SDRI 2000-06-05 23 Th KWADUNGAN RT 07 RW 03, 005389.19 Z02.2 Encounter for examination for POLI UMUM
542 2023-07-22 3313165509570002 ENDANG DARYATI NY 1957-09-15 65 Th DERSO RT 04 RW 04, 006357.9 E11.4 Non-insulin-dependent diabetes POLI UMUM
543 2023-07-22 3313160104640001 KRISTIYANTO TN 1964-04-01 59 Th PLOSOREJO RT 02 RW 02, KUTO, 000283.2 K05.3 Chronic periodontitis POLI GIGI
544 2023-07-22 3313170209150001 VITTO SEPTIANO 2015-09-02 7 Th KARANGREJO 05/04 , SELOROMO, 9009199.3 R05 Cough POLI UMUM
545 2023-07-22 3312025203870001 SUGIHARTINI NY 1987-03-12 36 Th KARANG REJO RT 5 RW 4, 9009199.1 J06.9 Acute upper respiratory POLI UMUM
546 2023-07-22 331316020120000 MUHAMMAD AKHTAR 2023-06-17 1 Bl DUMPUL RT 1 RW 5, SUMBEREJO, 005949.11 Z23.2 Need for immunization against POLI
547 2023-07-22 3313170209150001 SUTARDI TN 1982-07-26 40 Th KARANG REJO RT 5 RW 4, 9009199.4 J00 Acute nasopharyngitis [common POLI UMUM
548 2023-07-22 3313160403210002 MUHAMMAD TSAQIB 2021-03-04 2 Th BULUREJO 2/4, TAWANGSARI, 007992.6 Z24.4 Need for immunization against POLI
549 2023-07-22 3313162010120002 DENTA SANDIKA PUTRA AN 2012-10-20 10 Th TUKOREJO RT 6 RW 1, BOTOK, 008363.16 POLI UMUM
550 2023-07-22 3313164412850002 NINIK LESTARI NY 1985-12-04 37 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006060.6 R05 Cough POLI UMUM
551 2023-07-22 3313161502670002 SELO DARMANTO TN 1967-02-15 56 Th KERJO RT 01 RW 02, SUMBEREJO, 006375.2 M13 Other arthritis POLI UMUM
552 2023-07-22 3313174107990011 HAFIZAN UQQIL ALFARILY 2021-12-20 1 Th GEMPOLAN RT 04 RW 08, 003059.11 Z27.2 Need for immunization against POLI
553 2023-07-22 3313161403970001 ARDITO CHANDRA ARYAN 1997-03-14 26 Th JAMUS RT 5 RW 3, KUTO, KERJO, 106735.1 Z47 Other orthopaedic follow-up care POLI UMUM
554 2023-07-22 1114066305900001 ALWIANSYAH RAVINDRA 2021-12-10 1 Th GESANGAN RT 2 RW 6, 005558.12 Z27.2 Need for immunization against POLI
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
555 2023-07-22 3313160502050002 RISNAH DAR PRASETYO SDR 2005-02-05 18 Th GEMPOLAN RT 4 RW 8, 008843.8 J06.9 Acute upper respiratory POLI UMUM
556 2023-07-22 3313165201220001 MAURA SHEZA HIMAWARI AN 2022-01-12 1 Th MAJAN RT 4 RW 4, KWADUNGAN, 008084.9 Z27 Need for immunization against POLI
557 2023-07-22 - ANKA JANUA JAYANTAKA 2023-01-17 6 Bl GLAGAH 3/7, KUTO, KERJO, - 001500.10 Z24.0 Z24.0 - Need for immunization POLI
558 2023-07-22 3313160505550004 SURATNO TN 1955-05-05 68 Th DERSO RT 04 RW 04, 006354.1 J18.0 Bronchopneumonia, unspecified POLI UMUM
559 2023-07-22 3311075404920002 FITRI HARYANTI NY 1992-04-14 31 Th KACANGAN RT 01 RW 08, 007503.14 H81 Disorders of vestibular function POLI UMUM
560 2023-07-22 3313163105053908 NAZIRUL AQMAR ELZAIN AN 2023-05-11 2 Bl GANTEN RT 02 RW 01, GANTEN, 002228.11 Z27.2 Need for immunization against POLI
561 2023-07-22 13161003230001 PRADIPTA KHOIRUL ABROR 2023-03-10 4 Bl KIRINGAN 4/4 , TAMANSARI, 10051.12 Z23 Need for immunization against POLI
562 2023-07-22 3314046912920002 DWININGSIH NY 1992-12-29 30 Th WATES RT 2 RW 2, PLOSOREJO, 003408.7 Z34 Supervision of normal pregnancy KIA
563 2023-07-22 3314080706890003 EKO EDI SAPUTRO TN 1989-06-07 34 Th KEPOH RT 20, WONOREJO, 9004831.8 K02.2 Caries of cementum POLI GIGI
564 2023-07-22 0 lexxa maysita 2023-05-07 2 Bl DERSO, SUMBEREJO, KERJO, 008947.13 Z27.2 Need for immunization against POLI
565 2023-07-22 3313164510930006 SRIYATUN NY 1993-10-05 29 Th SUDAN RT 01 RW 09, 006954.3 B86 Scabies POLI UMUM
566 2023-07-22 3313161304230002 BHIRAWA SIWI 2023-04-13 3 Bl SIDI, TAMANSARI, KERJO, 002019.8 Z27.2 Need for immunization against POLI
567 2023-07-22 3314045405920004 ERNA ARYANTI NY 1992-05-15 31 Th SUDAN RT 1 RW 9, TAWANGSARI, 006913.1 J46 Status asthmaticus POLI UMUM
568 2023-07-22 3313162109210001 MUHAMMAD SAPUTRA 2021-09-21 1 Th SIDI RT 1 RW 1, KARANGREJO, 009776.4 Z24.4 Need for immunization against POLI
569 2023-07-22 3313161203230001 RAFFASYA KENZIE MELVIANO 2023-03-12 4 Bl MAJAN RT 5 RW 4, KWADUNGAN, 002694.12 Z27.2 Need for immunization against POLI
570 2023-07-22 3313164704720002 PARMI NY 1972-04-07 51 Th GEMPOLAN RT 06 RW 09, 003154.1 M79.1 Myalgia POLI UMUM
571 2023-07-22 3313164203230001 KINARA ZEA ELSHANUM 2023-03-02 4 Bl BLORAN RT 2 RW 1, GEMPOLAN, 004038.9 Z27.2 Need for immunization against POLI
572 2023-07-22 3313166107080001 EVA YULIANA SDRI 2008-07-21 15 Th GEMPOLAN RT 06 RW 09, 103025.3 K04.1 Necrosis of pulp POLI GIGI
573 2023-07-22 3313162001190002 FAHLEVI ELVANO SABIAN AN 2019-01-20 4 Th MOJOREJO RT 5 RW 3, BOTOK, 009836.8 J06.9 Acute upper respiratory KIA
574 2023-07-22 3313165409200002 AFIFAH FALITA AN 2020-09-14 2 Th GONDANGREJO 1/8, 004524.10 Z24.4 Need for immunization against POLI
575 2023-07-22 3313164208570001 SUGENG NY 1957-08-02 65 Th TAWANGREJO 3/2, TAWANGSARI, 007274.1 M13 Other arthritis POLI UMUM
576 2023-07-22 0 HAFSIYA RAYRA MAFAZA 0023-04-29 2000 TAMAN 1/2, SUMBEREJO, KERJO, 001956.8 Z27.2 Need for immunization against POLI
577 2023-07-22 3313161909810007 SUMARNO TN 1981-09-19 41 Th SIDOMULYO RT 02 RW 06, 003019.2 I88 Nonspecific lymphadenitis POLI UMUM
578 2023-07-22 3313162811210001 NOVAN AAN TRI SAPUTRA 2021-11-28 1 Th PENTUK R 2 RW 9 , SUMBEREJO, 006488.10 Z24.4 Need for immunization against POLI
579 2023-07-22 3313165907220001 SABBIHISMA KORI 2022-07-19 1 Th GONDANGREJO RT 1 RW 8, 005061.4 Z24.0 Z24.0 - Need for immunization POLI
580 2023-07-22 3313164803640001 FATHONAH NY 1964-03-08 59 Th KARANGNONGKO RT 01 RW 5, 004671.1 M17.9 Gonarthrosis, unspecified POLI UMUM
581 2023-07-22 3313160405220001 ARRAZY CLEO MAHARDIKA 2022-05-04 1 Th JENGGRIK 4/9, KUTO, KERJO, 002641.10 Z24.0 Z24.0 - Need for immunization POLI
582 2023-07-22 3313165109180001 ALYA SAPUTRI AN 2018-09-11 4 Th SEMANG RT 004 RW 011, 003196.11 K04.7 Periapical abscess without sinus POLI GIGI
583 2023-07-22 - FELICIA LATAVIA VIOLLY 2023-06-18 1 Bl NGASEM 3/9, KARANGREJO, 004386.7 Z23.2 Need for immunization against POLI
584 2023-07-22 3313165401230001 SYAKILA NOURA ADZKIYA AN. 2023-01-14 6 Bl KWADUNGAN 2/3, KWADUNGAN, 005270.4 Z23 Need for immunization against POLI
585 2023-07-22 3313166101230001 HASNA TALITA 2023-01-21 6 Bl PLANDAKAN RT 3 RW 10, KLATEN, 006625.8 Z24.0 Z24.0 - Need for immunization POLI
586 2023-07-22 3313162209740001 WIDODO TN 1974-09-22 48 Th BOTOK RT 3 RW 1, BOTOK, 008114.5 K04.1 Necrosis of pulp POLI GIGI
587 2023-07-22 3313161505230001 ARSHAKA KEENANDRA EL 2023-05-15 2 Bl WATES 1/2, PLOSOREJO, KERJO, 008605.42 Z27.2 Need for immunization against POLI
588 2023-07-22 3313166610680001 SITI PURWANTI NY 1968-10-26 54 Th KUTO 2/1, KUTO, KERJO, 000033.3 R03.0 Elevated blood-pressure reading, POLI UMUM
589 2023-07-22 3313166112860002 TRI DARYANTI NY 1986-12-21 36 Th SUMBERJO RT 2 RW 3, BOTOK, 007896.7 Z30.9 Contraceptive management, KB
590 2023-07-22 3313163112460013 SUKIJO TN 1946-12-31 76 Th KESONGO RT 2 RW 4, 0010575.4 J44 Other chronic obstructive POLI UMUM
591 2023-07-22 0 ARNETA WULANDARI AN 2023-06-19 1 Bl SEMANG RT 04 RW 11, 003196.17 Z23.2 Need for immunization against POLI
592 2023-07-22 3313160709770001 MARDOWO SURONO TN 1978-05-23 45 Th KESONGO RT 01 RW 04, 002942.10 Z09 Follow-up examination after POLI UMUM
593 2023-07-22 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 E11.9 Non-insulin-dependent diabetes POLI UMUM
594 2023-07-22 3313160910210002 ARKHA NURFAIZ MAULANA 2021-10-09 1 Th GESANGAN RT 4 RW 6 , 005597.10 Z24.4 Need for immunization against POLI
595 2023-07-22 3313162301220001 MUHAMMAD JOKO WIDODO 2022-01-23 1 Th GONDANG 4/11, GANTEN, KERJO, 002827.15 J06.9 Acute upper respiratory KIA
596 2023-07-22 3313162206210001 DIMAS RENDRA SAPUTRA AN 2021-06-22 2 Th PEDAAN 8/3, KWADUNGAN, 005395.15 Z24.4 Need for immunization against POLI
597 2023-07-22 3313165810160001 CHALISTA ANNUHA 2016-10-18 6 Th KESONGO RT 1 RW 4, 003256.15 K00.6 Disturbances in tooth eruption POLI GIGI
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
598 2023-07-22 3313165209970005 SEPTINA TRI RAHAYU NY 1997-09-12 25 Th KESONGO RT 4 RW 5, 002928.4 K03.6 Deposits [accretions] on teeth POLI GIGI
599 2023-07-22 3313164705670001 NANIK NY 1967-05-07 56 Th KADIPESO RT 2 RW 8, 006297.3 R03 Abnormal blood-pressure POLI UMUM
600 2023-07-22 3313164610590001 SITI MURTIYAH NY 1959-10-06 63 Th SIDOMULYO RT 003 RW 004, 002293.1 L29.8 Other pruritus POLI UMUM
601 2023-07-22 3313165001580003 SUTINI NY 1958-01-10 65 Th DUKUHREJO RT 04 RW 04, 004768.10 M54.5 Low back pain POLI UMUM
602 2023-07-22 3313165001220001 SELINA MARYAM ALMAHYRA 2022-01-10 1 Th BANARAN 4/1, PLOSOREJO, 003295.5 Z00 General examination and KIA
603 2023-07-22 3313164910220001 ADIBA SYIFA M 2022-10-09 9 Bl WATES, KUTO, KERJO, 003547.6 POLI
604 2023-07-22 3313162110220001 BY NY ISNAINI YUNIAR 2023-07-18 4 Hr GLAGAH RT 4 RW 7, TAMANSARI, 001522.10 Z00 General examination and KIA
605 2023-07-22 3313166108220001 TIARA KASIH MIRA ARDELA 2022-08-21 11 Bl SEMANG RT 2 RW 10, KUTO, 008899.8 Z24.0 Z24.0 - Need for immunization POLI
606 2023-07-22 3313165003480003 SUKARTI NY 1948-03-10 75 Th PRAYAN RT 1 RW 3, SUMBEREJO, 008779.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
607 2023-07-22 3313091710220001 AKSAGAR RIANG PANDEGA 2022-10-17 9 Bl DUKUH 4/5 , SELOROMO, JENAWI, 007936.9 Z24 Need for immunization against POLI
608 2023-07-22 3313165802230001 AQILLA VANNYA NUGRAHA 2023-02-18 5 Bl GONDANGREJO RT 2 RW 8 , 004596.7 Z27 Need for immunization against POLI
609 2023-07-22 3313164802230001 SHANUM INAYATUL LAILA 2023-02-08 5 Bl GOMBELAN RT 1 RW 5, 007297.7 Z27 Need for immunization against POLI
610 2023-07-22 331316 SUGIMIN TN 1959-07-21 64 Th MAJAN RT 4 RW 4, KWADUNGAN, 005486.2 E11.4 Non-insulin-dependent diabetes POLI UMUM
611 2023-07-22 3313164501680002 SURANEM NY 1968-01-05 55 Th MAJAN RT 04 RW 04, 005486.3 M79.0 Rheumatism, unspecified POLI UMUM
612 2023-07-22 - SINTA PUTRI WANDASARI NY 2001-03-01 22 Th BUTUH RT 31 RW 00, BANARAN, 009598.8 Z39.2 Routine postpartum follow-up UGD R
613 2023-07-22 - ALLEETA QUEENARA 2023-05-15 2 Bl KACANGAN RT 01 RW 08, 007512.10 Z27 Need for immunization against POLI
614 2023-07-22 3313165310220001 AMEERA ZAYN 2022-10-13 9 Bl TAMANSARI, KUTO, KERJO, 001705.6 Z24.0 Z24.0 - Need for immunization POLI
615 2023-07-22 331317402980001 JUMIATI NY 1998-02-06 25 Th PLANDAAN RT 4 RW 10, 006613.8 Z48 Other surgical follow-up care POLI UMUM
616 2023-07-22 3314114612930005 SITI DEWI MASITOH NY 1993-12-06 29 Th GANTEN RT 01 RW 01, GANTEN, 002145.19 B85.3 Phthiriasis POLI UMUM
617 2023-07-22 0 KIANO DIRATAMA AN 2023-06-21 1 Bl KADIPESO RT 3 RW 8, 006314.11 Z23.2 Need for immunization against POLI
618 2023-07-22 3313166004810006 KASINEM NY 1981-04-20 42 Th WATES 4/2, PLOSOREJO, KERJO, 003547.5 KB
619 2023-07-22 0 AISYFA CAHYANI AN 2023-06-19 1 Bl BRANGKAL RT 1 RW 1, 003999.10 Z23.2 Need for immunization against POLI
620 2023-07-22 0 ASWINDRA GAZZAL 2021-05-24 2 Th JENGGRIK 4/9, GANTEN, KERJO, 002648.9 Z24.4 Need for immunization against POLI
621 2023-07-22 3313162903230000 SHENA NAYYARA JAZILA 2023-05-04 2 Bl SIDOMULYO RT 1 RW 6, 009299.18 Z23 Need for immunization against POLI
622 2023-07-22 3313164304860003 SUWARNI NY 1986-04-30 37 Th GANTEN 2/1, GANTEN, KERJO, 002230.3 POLI UMUM
623 2023-07-22 3313166904740001 RENI SUMALI NY 1974-04-29 49 Th BONO RT 2 RW 3, PLOSOREJO, 100455.1 M13 Other arthritis POLI UMUM
624 2023-07-22 3313164302520001 HARTINI NY 1952-02-03 71 Th BLIGO RT 03 RW 04, KUTO, 000841.5 Z48 Other surgical follow-up care UGD & R INAP
625 2023-07-22 3313165907000001 RATNA PUJI ASTUTI NY 2000-07-19 23 Th BONO RT 002 RW 003, 010455.9 M79.1 Myalgia POLI UMUM
626 2023-07-22 0 FAEYZA ARSHAKA ROSYIDI 2022-07-10 1 Th SIAO MULYO RT 3 RW 4, GANTEN, 002279.9 Z24.4 Need for immunization against POLI
627 2023-07-22 3313164504720001 SRIYATNI NY 1975-04-05 48 Th KOTTO RT 2 RW 10, 004190.1 R42 Dizziness and giddiness POLI UMUM
628 2023-07-22 3313165311930001 NOVITA PANCA SAKTI 1993-11-13 29 Th GANTEN 4/2, GANTEN, KERJO, 002192.2 Z00 General examination and POLI UMUM
629 2023-07-22 3313165302040001 FEBRINA AISYAH ARIFANI 2004-02-13 19 Th NGESAM RT 3 RW 4, KUTO, 000850.1 K02.2 Caries of cementum POLI GIGI
630 2023-07-22 3313164611910003 ITA TRIYANTI NY 1991-11-06 31 Th NGESAM RT 3 RW 4, KUTO, 004690.2 K08.3 Retained dental root POLI GIGI
631 2023-07-22 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 Z48 Other surgical follow-up care UGD & R INAP
632 2023-07-22 3313162311140001 MUHAMMAD GHOZALI LABIB 2014-11-23 8 Th SABRANG RT 01 RW 02, BOTOK, 008132.10 J00 Acute nasopharyngitis [common POLI UMUM
633 2023-07-22 3313162905170003 MUHAMMMAD UWAIS AL 2017-05-29 6 Th SABRANG RT 01 / 02, BOTOK, 008132.13 K00.6 Disturbances in tooth eruption POLI GIGI
634 2023-07-22 3313167005860002 SITI RUKMINI NY 1986-05-30 37 Th SABRANG RT 01 RW 02, BOTOK, 008132.9 B35.4 Tinea corporis POLI UMUM
635 2023-07-22 3313164610780001 PONIYEM NY 1978-10-06 44 Th PLOSOREJO RT 05 RW 02, KUTO, 000423.2 Z48 Other surgical follow-up care UGD & R INAP
636 2023-07-22 3313167112500031 SADINEM NY 1950-12-31 72 Th DUWET 1/11, KARANGREJO, 004342.4 K30 Functional dyspepsia POLI UMUM
637 2023-07-22 3313164506550002 PARTINI NY 1955-06-05 68 Th MOJOREJO 6/2, BOTOK, KERJO, 008262.3 A09 Other gastroenteritis and colitis POLI UMUM
638 2023-07-22 3313164202910001 YESI AMNESTI NY 1991-02-02 32 Th DOMAS 1/2, KWADUNGAN, KERJO, 005460.5 K02.1 Caries of dentine POLI GIGI
639 2023-07-22 3313164109100001 CHERIS NARAWANSA ELSIN 2010-09-01 12 Th JETIS RT 6 RW 1, KUTO, KERJO, 000192.4 A09 Other gastroenteritis and colitis POLI UMUM
640 2023-07-22 3313164107650051 MURTINI NY 1965-07-01 58 Th SUMBEREJO RT 02 RW 12, 008914.5 H25.0 Senile incipient cataract POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
641 2023-07-22 3311104302900001 ARGA YUDHA PRATAMA AN 2021-08-16 1 Th SAMBENGREJO 2/4, 009693.6 L23 Allergic contact dermatitis KIA
642 2023-07-22 3313165011650001 ENDANG HARI BAWATI NY 1965-11-10 57 Th SUMBEREJO RT 01 RW 11, 00107201. R03.0 Elevated blood-pressure reading, POLI UMUM
643 2023-07-22 0 BHP001 2020-12-16 2 Th SUMBEREJO, SUMBEREJO, BHP002 UGD & R INAP
644 2023-07-22 331316 ASRI PARWATI NY 1972-02-29 51 Th SENTONO 4/6, TAWANGSARI, 007029.3 M79.1 Myalgia POLI UMUM
645 2023-07-22 - EKAWATI NOVITANINGRUM 1995-11-14 27 Th BLIGO RT 05 RW 04, KUTO, 000930.1 Z39.2 Routine postpartum follow-up UGD R
646 2023-07-22 0 NEIRA KESHWARI BY. 2023-06-18 1 Bl KUTO RT 1 RW 1, KUTO, KERJO, 000004.7 Z23.2 Need for immunization against POLI
647 2023-07-22 0 EMBUN DEVANA AN 2023-06-15 1 Bl GENENG RT 01 RW 03, GANTEN, 002250.11 Z23.2 Need for immunization against POLI
648 2023-07-22 0 RAYZAN SIDRA 2023-06-21 1 Bl TROMOYO RT 02 RW 01, 007059.11 Z23.2 Need for immunization against POLI
649 2023-07-22 0 CLEMIRA ARUMI SABRINA 2023-06-06 1 Bl JENGGRIK RT 4 RW 9, GANTEN, 002638.10 Z23.2 Need for immunization against POLI
650 2023-07-22 0 SHOFIYAH AMATULLAH 2023-06-21 1 Bl BANARAN RT 02 RW 04, 007355.9 Z23.2 Need for immunization against POLI
651 2023-07-22 3314092210220001 MUHAMMAD RAFKA ALFARIZI 2022-10-22 9 Bl PUCUNG 20/6 , -, -, SRAGEN 000916.8 Z24.4 Need for immunization against POLI
652 2023-07-22 0 ADEVA NALENDRA P 2021-02-07 2 Th DOMAS RT 3/RW2, -, -, - 005207.7 Z27.2 Need for immunization against POLI
653 2023-07-22 3313167112550056 WAGINEM NY 1955-12-01 67 Th GONDANGREJO RT 01 RW 08, 004531.6 M79.1 Myalgia UGD & R INAP
654 2023-07-22 0 CHELSEA YULIYA 2023-06-16 1 Bl JAMBEWANGI RT 004/004, 001935.10 Z23.2 Need for immunization against POLI
655 2023-07-22 0 NADHIFA ALMAIRA 2023-02-02 5 Bl GANTEN RT 02 RW 01, GANTEN, 002228.12 Z27.2 Need for immunization against POLI
656 2023-07-22 0 ATHALLAH KHAIRIN BY. 2023-06-16 1 Bl JATIMALANG RT 01 RW 10, 007667.11 Z24.0 Z24.0 - Need for immunization POLI
657 2023-07-22 0 THISA GHAINA BY. 2023-03-03 4 Bl MAGERU 3/1, KARANGMALANG, 006225.10 Z27.2 Need for immunization against POLI
658 2023-07-22 3313166303210001 AGHNIA ALBIRRU AN 2021-03-23 2 Th TEGALREJO RT 3 RW 2, KUTO, 000337.15 J00 Acute nasopharyngitis [common UGD & R INAP
659 2023-07-22 3313164602460001 SUTINEM NY 1946-02-06 77 Th GENENG RT 1 RW 3, GANTEN, 002240.2 R42 Dizziness and giddiness UGD & R INAP
660 2023-07-22 3313166512640001 SUNARMI NY 1964-12-25 58 Th KWADUNGAN RT 03 RW 03, 005281.1 J00 Acute nasopharyngitis [common UGD & R INAP
661 2023-07-22 - ISMI AMELIA 2006-12-11 16 Th KARANGREJO 04/0, MUSUK, 901112.10 S00.7 Multiple superficial injuries of UGD & R INAP
662 2023-07-22 0 TUMINI NY 1978-09-14 44 Th SIDOMULYO 2/8, TAMANSARI, 001589.3 R03 Abnormal blood-pressure UGD & R INAP
663 2023-07-22 3313113007220001 ALFARO JIONANTA PRATAMA 2022-07-13 1 Th KAUMAN RT 1 RW 5 , 005791.17 J00 Acute nasopharyngitis [common UGD & R INAP
664 2023-07-22 0 YASINTA KUSNUL HUDA AN 2005-06-21 18 Th BENDOSARI RT 03 RW 09, -, 001271.6 J00 Acute nasopharyngitis [common UGD & R INAP
665 2023-07-22 3313160806550003 MARNA DARTAWIYANA TN 1955-06-08 68 Th NERANG RT 03 RW 05, 010515.2 T63 Toxic effect of contact with UGD & R INAP
666 2023-07-22 3313165701690001 SUKARTI NY 1969-01-17 54 Th KEPOH RT 02 RW 05, GANTEN, 002383.3 J00 Acute nasopharyngitis [common UGD & R INAP
667 2023-07-22 3313161604950003 BAGUS LELONO 1995-04-16 28 Th KARANGGANDU 4/3, GEMPOLAN, 002835A.3 R42 Dizziness and giddiness UGD & R INAP
668 2023-07-22 3313164304590001 PARIYEM NY 1959-04-03 64 Th KESONGO RT 3/5, GEMPOLAN, 00107347 R42 Dizziness and giddiness UGD & R INAP
669 2023-07-22 3175075808840020 DEDEH SUNINGSIH NY 1984-08-18 38 Th DUKUHREJO RT 1 RW 4, 004749.5 J45 Asthma UGD & R INAP
670 2023-07-22 3313165801210001 HANIFAH DWITA ANGGRAINI 2021-01-18 2 Th SINGGET RT 02 RW 11, 007459.6 R50 Fever of other and unknown UGD & R INAP
671 2023-07-22 3313167005010002 PRITASARI NAWANGSIH SDRI 2001-05-30 22 Th KEPOH RT 02 RW 05, GANTEN, 002389.3 UGD & R INAP
672 2023-07-23 3313166012970001 SITI NUR MUT MAINAH NY 1997-12-20 25 Th BEJI RT 04 RW 07, GANTEN, 004003.2 O14 Pre-eclampsia RUANG
673 2023-07-23 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 S90 Superficial injury of ankle and UGD & R INAP
674 2023-07-23 3313162105980001 AS AD TN 1998-05-21 25 Th KERJO RT 02 RW 03, SUMBEREJO, 006133.7 S60 Superficial injury of wrist and UGD & R INAP
675 2023-07-23 3313161306170001 MUHAMMAD ILHAM RAMADAN 2017-06-13 6 Th DUMPUL RT 2 RW 5, SUMBEREJO, 005966.13 R50.1 Persistent fever UGD & R INAP
676 2023-07-23 3313162005210001 ALVINO ARDITYA WIJAYA 2021-05-20 2 Th BELUKAN RT 05 RW 06, KUTO, 001216.14 UGD & R INAP
677 2023-07-23 3313164108810001 TATIK NURYANI NY 1981-08-01 41 Th PLOSOREJO RT 5 RW 2, KUTO, 000426.4 A09 Other gastroenteritis and colitis UGD & R INAP
678 2023-07-23 3313162712180001 FAEYZA MAULANA RAFIEF 2018-12-27 4 Th PLOSOREJO RT 5 RW 2, 000426.13 Z48 Other surgical follow-up care UGD & R INAP
679 2023-07-23 3313164508810002 SUTARNI NY 1981-08-05 41 Th NGASEM RT 02 RW 09, 004486.2 Z48 Other surgical follow-up care UGD & R INAP
680 2023-07-23 3313164203160003 TANIA SYABILA AN 2016-03-02 7 Th GONDANGREJO RT 02 RW 08, 004601.10 R50 Fever of other and unknown UGD & R INAP
681 2023-07-23 3313161802850001 DARYONO TN 1985-02-18 38 Th DUMPUL RT 3 RW 6, SUMBEREJO, 006056.8 S00 Superficial injury of head UGD & R INAP
682 2023-07-23 3313135604190001 AYUDIA NAURA MAHESWARI 2019-04-16 4 Th DELOK RT 2 RW 1, BOTOK, 008421.7 Z48 Other surgical follow-up care UGD & R INAP
683 2023-07-23 3313163010090001 AZWAN GAYUH PUTRA 2009-10-30 13 Th DELEG RT07/01, KWADUNGAN, 005759.4 S90 Superficial injury of ankle and UGD & R INAP
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
684 2023-07-23 3313165402220001 SITI KHOTIJAH 2022-02-14 1 Th BOTOK RT 03 RW 01, BOTOK, 008440.11 A09 Other gastroenteritis and colitis UGD & R INAP
685 2023-07-23 3313165908790003 RIANA CAHYAWATI NY 1979-08-19 43 Th KERJO RT 00 RW 00, SUMBEREJO, 006167.8 L20 Atopic dermatitis UGD & R INAP
686 2023-07-23 3313154801940001 SRI WAHYUNI NY 1994-01-08 29 Th SUMBEREJO 1/12, SUMBEREJO, 006727.5 M79 Other soft tissue disorders, not UGD & R INAP
687 2023-07-23 - MUHAMMAD IQBAL ALFARISI 2018-07-18 5 Th MOJOREJO RT 005 RW 003, 008182.8 J06 Acute upper respiratory UGD & R INAP
688 2023-07-24 3313161205210001 MUCHAMMAD TAJUDDIN 2021-05-12 2 Th KADIPESO RT 2 RW 8 , 008767.25 UGD & R INAP
689 2023-07-24 3313111008710006 SISWO HARIYONO DR 1971-08-10 51 Th PRAYAN RT 01 RW 03, 008784.1 Z02.2 Encounter for examination for POLI UMUM
690 2023-07-24 3313116908840002 WAHYU NUR AISYAH NY 1984-08-29 38 Th KUTO , KUTO, KERJO, 008784.2 Z02.2 Encounter for examination for POLI UMUM
691 2023-07-24 3313167112560020 KARTINI NY 1956-12-31 66 Th BULAK RT 07 RW 01, 005774.10 R73.9 Hyperglycaemia, unspecified POLI UMUM
692 2023-07-24 3313166306490001 SUMIYEM NY 1949-06-23 74 Th KADIPESO RT 03 RW 08, 006317.3 POLI UMUM
693 2023-07-24 3313166704480001 KARTINI NY 1948-04-27 75 Th PRAYAN RT 01 RW 06, 004109.7 POLI UMUM
694 2023-07-24 3313163017550001 SUMPENO TN 1955-07-31 67 Th KESONGO RT 01 RW 04, 002981.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
695 2023-07-24 3313164509590001 SUMARNI NY 1959-09-05 63 Th DERSO RT 03 RW 04, 006323.1 I10 Essential (primary) hypertension POLI UMUM
696 2023-07-24 3313164712720001 SUTARTI NY 1972-12-07 50 Th DERSO RT 05 RW 04, 006424.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
697 2023-07-24 3313165908440001 MUTINGAH NY 1944-08-19 78 Th BULAK RT 04 RW 01, 005710.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
698 2023-07-24 3313161112700001 SUDARDI TN 1970-12-11 52 Th KERJO RT 01 RW 01, SUMBEREJO, 006077.10 E11.9 Non-insulin-dependent diabetes POLI UMUM
699 2023-07-24 3313165610510002 SRIYATUN NY 1951-10-16 71 Th TEPUS RT 01 RW 05, TAMANSARI, 001776.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
700 2023-07-24 3313165509740001 PRIHATIN RAHAYUNINGSIH 1974-09-15 48 Th KARANGNONGKO RT 01 RW 05, 004666.3 Z02.2 Encounter for examination for POLI UMUM
701 2023-07-24 3313166404600001 SUHARTI NY 1960-04-24 63 Th JETIS RT 06 RW 01, KUTO, KERJO, 000159.9 R03 Abnormal blood-pressure POLI UMUM
702 2023-07-24 3313165204730002 TUKIYEM NY 1973-04-12 50 Th PANTI RT 01 RW 03, 006804.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
703 2023-07-24 3313164507640001 PAINEM NY 1964-07-05 59 Th BULAK RT 1 RW 1, KWADUNGAN, 005637.5 I64 Stroke, not specified as POLI UMUM
704 2023-07-24 3313165006710002 WARTI NY 1971-06-10 52 Th KAUMAN RT 2 RW 5, 005790.5 M79.1 Myalgia POLI UMUM
705 2023-07-24 3313165007650003 SULAM SUPINAH NY 1965-07-10 58 Th NERANG RT 02 RW 05, 003716.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
706 2023-07-24 3313161306720001 WAGIYANTO TN 1972-06-13 51 Th WATES RT 05 RW 02, 003477.3 E11.4 Non-insulin-dependent diabetes POLI UMUM
707 2023-07-24 3313164712530004 PAINEM NY 1953-12-07 69 Th KAUMAN 3/5, KWADUNGAN, 005851.1 B20.8 HIV disease resulting in other POLI UMUM
708 2023-07-24 3313166010780003 SUWARNI NY 1978-10-20 44 Th WATES 3/2, PLOSOREJO, KERJO, 003407.11 E05.9 Thyrotoxicosis, unspecified POLI UMUM
709 2023-07-24 3278056401010006 LIHAN PUNJILAH NY 2001-01-24 22 Th SIDODADI RT 6 RW 12, 005943.11 Z34 Supervision of normal pregnancy KIA
710 2023-07-24 3313162612990003 AGUNG RAHMAD RAMADHAN 1999-12-26 23 Th DELOK RT 1 RW 1, BOTOK, 008356.1 J02 Acute pharyngitis POLI UMUM
711 2023-07-24 3313164404600001 HARTINI NY 1960-04-04 63 Th KADIPESO RT 01 RW 07, 006247.3 H54 Visual impairment including POLI UMUM
712 2023-07-24 3313162603180002 PALMA SURYA BHAKTI AN 2018-03-26 5 Th MAJAN RT 02 RW 04 , 005424.12 J02 Acute pharyngitis POLI UMUM
713 2023-07-24 3313162407160004 MUHAMMAD LUTFI MAULANA 2016-07-24 7 Th DUMPUL RT 01 RW 06, 006000.11 J00 Acute nasopharyngitis [common POLI UMUM
714 2023-07-24 3313164107680045 SAMIYEM NY 1968-07-01 55 Th DUMPUL RT 01 RW 06, 006000.2 K30 Functional dyspepsia POLI UMUM
715 2023-07-24 3313167105830001 PRIYANI NY 1983-05-31 40 Th SIDOMULYO RT 01 RW 06, 00107860. Z30 Contraceptive management KB
716 2023-07-24 3309034604090001 NAURAH ATHAILLAH NOER 2009-04-06 14 Th KAUMAN RT 3 RW 5, 005852.8 L03.8 Cellulitis of other sites POLI UMUM
717 2023-07-24 3309035010130003 NAILLAH AZ ZAHRA AN 2013-10-10 9 Th KAUMAN RT 3 RW 5, 005852.7 R05 Cough POLI UMUM
718 2023-07-24 3313164203160003 TANIA SYABILA AN 2016-03-02 7 Th GONDANGREJO RT 02 RW 08, 004601.10 J00 Acute nasopharyngitis [common POLI UMUM
719 2023-07-24 3313166507770001 MISNAWATI NY 1977-07-25 45 Th MOJOREJO RT 03 RW 02, BOTOK, 008238.4 K04.0 Pulpitis POLI GIGI
720 2023-07-24 3313166410550002 SUKINEM NY 1955-10-24 67 Th GEMPOLAN RT 06 RW 09, 003036.4 K05.3 Chronic periodontitis POLI GIGI
721 2023-07-24 3313164205580002 SUTINEM NY 1958-05-02 65 Th RANDUGUNTING RT 1 RW 10, 006532.2 R05 Cough POLI UMUM
722 2023-07-24 3313166104660003 SUMARSI NY 1966-04-21 57 Th BULUREJO RT 3 RW 4, BOTOK, 008050.3 E11 Non-insulin-dependent diabetes POLI UMUM
723 2023-07-24 3313165509570002 ENDANG DARYATI NY 1957-09-15 65 Th DERSO RT 04 RW 04, 006357.9 R73.9 Hyperglycaemia, unspecified POLI UMUM
724 2023-07-24 3313161205610001 GIYATMO TN 1961-05-12 62 Th PANTI RT 02 RW 03, 006874.1 R05 Cough POLI UMUM
725 2023-07-24 - PAIYEM NY 1966-01-07 57 Th GONDANGREJO 1/8, 004618.6 R73.9 Hyperglycaemia, unspecified POLI UMUM
726 2023-07-24 3313166602170001 ADIN DWI VRAMASWARY AN 2017-02-26 6 Th KLIWONAN RT 01 RW 02, 004936.11 K00.6 Disturbances in tooth eruption POLI GIGI
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
727 2023-07-24 3313163112580028 LAMIN TN 1958-12-31 64 Th SEMANG RT 03 RW 11, 003137.11 POLI UMUM
728 2023-07-24 3313165904730001 SUKIYEM NY 1973-04-19 50 Th GEMPOLAN RT 4 RW 8, 010562.4 R06.0 Dyspnoea POLI UMUM
729 2023-07-24 3313160904600001 DIMAN TN 1960-04-09 63 Th KUTO RT 01 RW 01, KUTO, KERJO, 000034.4 L03.1 Cellulitis of other parts of limb POLI UMUM
730 2023-07-24 3313161401570003 SASTRO SUMIDI TN 1957-01-14 66 Th KARANGNONGKO RT 1 RW 5, 004652.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
731 2023-07-24 3313164204620002 SUTARNI NY 1962-04-02 61 Th KARANGNONGKO 1/5, 004652.20 R51 Headache POLI UMUM
732 2023-07-24 3313161909810007 SUMARNO TN 1981-09-19 41 Th SIDOMULYO RT 02 RW 06, 003019.2 D21 Other benign neoplasms of POLI UMUM
733 2023-07-24 3314046606860007 SUTINI NY 1986-06-26 37 Th KURAHAN RT 2 RW 7, 004846.2 Z34 Supervision of normal pregnancy KIA
734 2023-07-24 3313165612030003 ARLINDA DESTRIANA NY 2003-12-16 19 Th TEGALREJO RT 3 RW 2, KUTO, 106190.4 Z34 Supervision of normal pregnancy KIA
735 2023-07-24 3313165211550001 SRI FATIMAH NY 1955-11-12 67 Th PRAYAN RT 01 RW 06, 004073.3 POLI UMUM
736 2023-07-24 3313164701880001 SUMIATI NY 1988-01-07 35 Th TAMAN RT 002 RW 002, 001997.1 K27 Peptic ulcer, site unspecified POLI UMUM
737 2023-07-24 3313166812150002 CHYARA FAYYOLA PUTRI 2015-12-28 7 Th SUMBEREJO RT 1 RW 12, 006109.20 H60 Otitis externa POLI UMUM
738 2023-07-24 3313164606520002 WARSITI NY 1952-06-06 71 Th SABRANG RT 1 RW 2, BOTOK, 008147.2 H52.5 Disorders of accommodation POLI UMUM
739 2023-07-24 3313162902640001 SUKARDI TN 1964-02-29 59 Th GENENG RT 05 RW 04, GANTEN, 002336.1 R05 Cough POLI UMUM
740 2023-07-24 3313162011950001 DERI KARDILA SETYA SDR 1995-11-20 27 Th GENENG RT 5 RW 4, GANTEN, 002336.8 R05 Cough POLI UMUM
741 2023-07-24 3313160309690001 PAIDI TN 1969-09-03 53 Th SENTONO RT 4 RW 6 , 007821.1 B35.1 Tinea unguium POLI UMUM
742 2023-07-24 3372035805930005 MERINA PUJIASTUTI NY 1993-05-18 30 Th WATES RT 3 RW 2, PLOSOREJO, 003429.8 I84 Haemorrhoids POLI UMUM
743 2023-07-24 3313164801620001 NUR BAETY NY 1962-01-08 61 Th TEPUS RT1 RW 5, TAMANSARI, 001778.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
744 2023-07-24 3313161008540001 PURWANTO TN 1954-08-10 68 Th TEPUS 1/5, TAMANSARI, KERJO, 001778.1 H40.9 Glaucoma, unspecified POLI UMUM
745 2023-07-24 3313164508710001 MULYANI NY 1971-08-05 51 Th TAMAN RT 02 RW 01, TAMANSARI, 001992.1 R05 Cough POLI UMUM
746 2023-07-24 3313161010160002 GEVIO WISHAKA RIYADI AN 2016-10-10 6 Th SENTONO 2/7, TAWANGSARI, 007028A. K00.6 Disturbances in tooth eruption POLI GIGI
747 2023-07-24 3313165203650002 SUTARMI NY 1965-03-12 58 Th PENCOL RT 3 RW 5, KUTO, 00106203. POLI UMUM
748 2023-07-24 3313161608600001 SURATMAN TN 1960-08-16 62 Th PENCOL RT 3 RW 5, KUTO, 00106203. M79.1 Myalgia POLI UMUM
749 2023-07-24 3313165209800001 HARNI NY 1980-04-04 43 Th DUWET RT 01 RW 11, 004277.3 K05.3 Chronic periodontitis POLI GIGI
750 2023-07-24 3313164901680001 SUDARSI NY 1968-01-09 55 Th KUTO RT 01 RW 03, KUTO, KERJO, 000506.2 K30 Functional dyspepsia POLI UMUM
751 2023-07-24 3313166706740001 TUMIARSIH NY 1974-06-27 49 Th DUMPUL RT 01 RW 05, 005990.4 M79.1 Myalgia POLI UMUM
752 2023-07-24 3313161707220001 NISCALA NAREN PRADANA 2022-07-17 1 Th BLORAN RT 01 RW 01, 002757.12 K12 Stomatitis and related lesions KIA
753 2023-07-24 3313161012180001 ADITYA PUTRA PRATAMA AN 2018-12-10 4 Th NERANG RT 1 RW 5, PLOSOREJO, 003669.8 J00 Acute nasopharyngitis [common KIA
754 2023-07-24 - DENI TRI ARIYANTO AN 2009-01-04 14 Th NERANG RT 01 RW 05, 003669.6 J02 Acute pharyngitis POLI UMUM
755 2023-07-24 3313166710130001 AISYAH LATIFAH AN 2013-10-27 9 Th DUKUHREJO RT 01 RW 04, 004740.7 K00.6 Disturbances in tooth eruption POLI GIGI
756 2023-07-24 3313165011800003 PANIYEM NY 1980-11-10 42 Th DUKUHREJO RT 01 RW 04, 004740.4 I25.9 Chronic ischaemic heart disease, POLI UMUM
757 2023-07-24 3313165501570001 SAMIKEM NY 1957-01-15 66 Th TEGALREJO RT 3 RW 2, KUTO, 000331.4 M79.1 Myalgia POLI UMUM
758 2023-07-24 3313161205210001 MUCHAMMAD TAJUDDIN 2021-05-12 2 Th KADIPESO RT 2 RW 8 , 008767.25 A09 Other gastroenteritis and colitis KIA
759 2023-07-24 3313054407910002 WIWIK WIJAYANTI NY 1991-07-04 32 Th KARANGREJO RT 1 RW 3, 005062.9 M79.1 Myalgia POLI UMUM
760 2023-07-24 - TORIQ ABIMANYU AN 2021-08-24 1 Th KWADUNGAN RT 3 RW 3, 005280.11 J00 Acute nasopharyngitis [common KIA
761 2023-07-24 3313167112900004 SRI SUYATMI NY 1990-12-31 32 Th KADIPESO RT 02 RW 08, 006639.4 S60 Superficial injury of wrist and UGD & R INAP
762 2023-07-24 3313161309060006 ARYA TATA PRADIPTA AN 2006-09-13 16 Th KWADUNGAN RT 03 RW 03, 009242.5 R05 Cough POLI UMUM
763 2023-07-24 3313164207840008 SRI MUNDARI NY 1984-07-02 39 Th GONDANGREJO RT 02 RW 08, 004611.5 Z47 Other orthopaedic follow-up care POLI UMUM
764 2023-07-24 3313162301220001 MUHAMMAD JOKO WIDODO 2022-01-23 1 Th GONDANG 4/11, GANTEN, KERJO, 002827.15 L23 Allergic contact dermatitis KIA
765 2023-07-24 3313161712130002 DIMAS ANGGARA SAPUTRA 2013-12-17 9 Th KLEBREKAN RT 4 RW 1, 002109.8 POLI UMUM
766 2023-07-24 3313166107080001 EVA YULIANA SDRI 2008-07-21 15 Th GEMPOLAN RT 06 RW 09, 103025.3 K04.1 Necrosis of pulp POLI GIGI
767 2023-07-24 - ZAHIDAH MULINAKUS 1993-09-24 29 Th BAYAN KRAJAN RT 6 RW 15, 004063.6 Z39.2 Routine postpartum follow-up UGD R
768 2023-07-24 3313164105710001 SUWARNI NY 1971-05-01 52 Th NERANG RT 3 RW 4, PLOSOREJO, 003728.2 POLI UMUM
769 2023-07-24 3313160905520001 SUWARSO TN 1955-05-09 68 Th DOMAS RT 03 RW 02, 005209.2 R03 Abnormal blood-pressure POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
770 2023-07-24 3313164101660005 SUYATI NY 1966-01-01 57 Th BULAK RT 2 RW 1, KWADUNGAN, 005661.1 R03 Abnormal blood-pressure POLI UMUM
771 2023-07-24 3313165504170001 PRISILIA DAUNA NIDI AN 2017-04-15 6 Th JETIS RT 6 RW 1, KUTO, KERJO, 000175.4 R05 Cough POLI UMUM
772 2023-07-24 3313162912790001 SUROSO TN 1979-12-29 43 Th JENGGRIK RT 1 RW 8, GANTEN, 002549.2 K03.6 Deposits [accretions] on teeth POLI GIGI
773 2023-07-24 3313166008590001 GIYANTI NY 1959-08-20 63 Th GROBOGAN 2/4, KUTO, KERJO, 000822.2 M79.1 Myalgia POLI UMUM
774 2023-07-24 3313164102730001 SANEM NY 1973-02-01 50 Th BONO RT 02 RW 03, PLOSOREJO, 003515.3 S93 Dislocation, sprain and strain of POLI UMUM
775 2023-07-24 3313164906220001 OLIVIA MAUREEN AURISTELA 2022-06-09 1 Th PANTI RT 01 RW 02, 006787.14 J00 Acute nasopharyngitis [common KIA
776 2023-07-24 3313164602640003 YATNI NY 1964-02-06 59 Th DUMPUL 2/6, SUMBEREJO, 006016.4 R03 Abnormal blood-pressure POLI UMUM
777 2023-07-24 3313161911020001 RAMDANI FIKO NUGROHO 2002-11-19 20 Th DELOK RT 2 RW 1, BOTOK, 008403.1 K03.6 Deposits [accretions] on teeth POLI GIGI
778 2023-07-24 3313167110650001 SUYATI NY 1965-10-31 57 Th SUMBEREJO RT 1 RW 11, 006637.2 POLI UMUM
779 2023-07-24 3313165007799002 ENDAH YULIANI NY 1979-07-10 44 Th MAJAN RT 4 RW 4, KWADUNGAN, 005463.7 M79.1 Myalgia POLI UMUM
780 2023-07-24 3313164302520001 HARTINI NY 1952-02-03 71 Th BLIGO RT 03 RW 04, KUTO, 000841.5 Z48 Other surgical follow-up care UGD & R INAP
781 2023-07-24 3313160712660001 GINTING SUKIMAN TN 1966-12-07 56 Th GLAGAH RT 2 RW 7, TAMANSARI, 001473.5 M79.1 Myalgia POLI UMUM
782 2023-07-24 3313166707780002 SUGIYEM NY 1976-12-31 46 Th JATIMALANG RT 01 RW 10, 007620.3 M79.1 Myalgia POLI UMUM
783 2023-07-24 3313164308560001 SUTINI NY 1956-08-03 66 Th KURAHAN RT 1 RW 7, 003910.1 POLI UMUM
784 2023-07-24 3314052211630001 SARYONO TN 1962-11-22 60 Th SUMBEREJO RT04 RW03, BOTOK, 107963.1 H11.0 Pterygium POLI UMUM
785 2023-07-24 3314046710680004 NANIK NY 1968-10-27 54 Th BLORAN RT 02 RW 01, 107757.5 M79.1 Myalgia POLI UMUM
786 2023-07-24 3313160611200001 ELVANO VANDRA SAQUELE 2020-11-06 2 Th KAUMAN RT 1 RW 5, 005797.14 K04.0 Pulpitis POLI GIGI
787 2023-07-24 3313161411870002 SUPRIYADI TN 1987-11-14 35 Th GEMPOLAN RT 03 RW 08, 003106.4 J01 Acute sinusitis POLI UMUM
788 2023-07-24 3313162503190002 ALFARO AZNA PRATAMA AN 2019-03-25 4 Th GANTEN RT 03 RW 02, GANTEN, 002173.7 J00 Acute nasopharyngitis [common KIA
789 2023-07-24 - EKAWATI NOVITANINGRUM 1995-11-14 27 Th BLIGO RT 05 RW 04, KUTO, 000930.1 Z39.2 Routine postpartum follow-up UGD R
790 2023-07-24 3313164712790001 SUPADMI NY 1979-12-07 43 Th GANTEN RT 03 RW 02, GANTEN, 002173.4 J02 Acute pharyngitis POLI UMUM
791 2023-07-24 3313167101220001 NABILA ANASTASYA AN 2022-01-31 1 Th KESONGO RT 1 RW 4, 002946.25 J00 Acute nasopharyngitis [common KIA
792 2023-07-24 3313160604790001 WALIDI TN 1979-04-06 44 Th SEMANG RT 2 RW 10, GEMPOLAN, 003177.1 A90 Dengue fever [classical dengue] POLI UMUM
793 2023-07-24 3313167003970001 MIRA DWI FATONAH SDRI 1997-03-30 26 Th DELOK RT 02 RW 01, BOTOK, 008412.1 K05.3 Chronic periodontitis POLI GIGI
794 2023-07-24 3313164706830001 SRI MULYANI NY 1983-06-07 40 Th MOJOREJO RT 02 RW 02, BOTOK, 008212.3 L50 Urticaria POLI UMUM
795 2023-07-24 3313167112600011 SUTARNI NY 1960-12-31 62 Th KWADUNGAN 1/3, KWADUNGAN, 005251.5 POLI UMUM
796 2023-07-24 3313162904190003 MUHAMAD RIFAI AN 2019-04-29 4 Th TEPUS RT 3 RW 5, TAMANSARI, 001785.11 J00 Acute nasopharyngitis [common KIA
797 2023-07-24 3313160710210001 RAFASYA AZLAN ARSANA AN 2021-10-07 1 Th BLORAN RT 2 RW 1, GEMPOLAN, 002758.16 K30 Functional dyspepsia KIA
798 2023-07-24 3313167112430031 KASINAH NY 1943-12-31 79 Th TEGALREJO RT 03 RW 02, KUTO, 000362.11 K27 Peptic ulcer, site unspecified POLI UMUM
799 2023-07-24 3313166903650001 ENDANG TRI 1965-03-29 58 Th GIREN RT 02 RW 03, TAMANSARI, 001739.1 POLI UMUM
800 2023-07-24 3313094905730001 SRI PURWANINGSIH NY 1973-05-09 50 Th PLOSOREJO RT 6 RW 2, KUTO, 00107605. M79.1 Myalgia POLI UMUM
801 2023-07-24 3313164107100004 ERIKA INDRIANI SDRI 2010-07-01 13 Th KEPOH RT 1 RW 5, GANTEN, 002362.8 H66 Suppurative and unspecified POLI UMUM
802 2023-07-24 3313160202510004 DUKI SPD TN 1951-02-02 72 Th DERSO RT 3 RW 4, SUMBEREJO, 008829.3 I15 Secondary hypertension POLI UMUM
803 2023-07-24 3313160703190001 AL FAZA HAFID RAAYHAN AN 2019-03-07 4 Th NGLOROG RT 1 RW 11, 004509.10 K04.0 Pulpitis POLI GIGI
804 2023-07-24 3313160301080001 TORI CANDRA ATMOJO AN 2008-01-03 15 Th PLOSOREJO RT 2 RW 2, KUTO, 000297.1 Z47 Other orthopaedic follow-up care POLI UMUM
805 2023-07-24 3313165304950001 NIKMAH TRI SUSILOWATI NY 1995-04-13 28 Th KARANGGANDU RT 2 RW 2, 008792.1 J00 Acute nasopharyngitis [common POLI UMUM
806 2023-07-24 3313164911820003 DWI ISTANTI NY 1982-11-09 40 Th PANTI RT 1 RW 3, TAWANGSARI, 006793.2 M79.1 Myalgia POLI UMUM
807 2023-07-24 3313165304550002 SANIYEM NY 1955-04-13 68 Th PANTI RT 01 RW 03, 006792.1 R05 Cough POLI UMUM
808 2023-07-24 3313162304990001 ZUSRON HASAN AMIEN SDR 1999-04-23 24 Th BOTOK RT 03 RW 01, BOTOK, 008463.15 POLI UMUM
809 2023-07-24 3374074112790003 ENDANG MARYATI NY 1979-12-01 43 Th BAKALAN RT 4 RW 2, BOTOK, 008260.16 K05.3 Chronic periodontitis POLI GIGI
810 2023-07-24 3313165909670001 MARIYEM NY 1967-09-19 55 Th BANARAN RT 2 RW 4, 007331.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
811 2023-07-24 3313165403890001 UPIK YUNITA NY 1989-03-14 34 Th KESONGO RT2 RW4, GEMPOLAN, 107286.7 Z30 Contraceptive management KB
812 2023-07-24 3313164612600001 TUTIK BARYATI NY 1960-12-06 62 Th PRAYAN RT 02 RW 06, 004130.5 M54.3 Sciatica POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
813 2023-07-24 3313161201830001 AGUS BUDIYONO 1983-01-12 40 Th RANDUBENER RT 02 RW 03, 000542.5 POLI UMUM
814 2023-07-24 3273177112840003 NAFIAH NY 1984-12-31 38 Th KERJO RT 2 RW 1, SUMBEREJO, 006094.15 R05 Cough POLI UMUM
815 2023-07-24 3313164805730002 MARSIH NY 1973-05-08 50 Th PANTI RT 2 RW 3, TAWANGSARI, 006864.16 B20.8 HIV disease resulting in other POLI UMUM
816 2023-07-24 3313156209890001 SITI NURTI WIJAYANTI NY 1989-09-22 33 Th DUWET RT 01 RW 11, 004329.12 Z30 Contraceptive management KB
817 2023-07-24 - TITIS ARINAWATI NY 1986-01-11 37 Th DUMPUL 1/6 , SUMBEREJO, 900462.5 Z02.2 Encounter for examination for POLI UMUM
818 2023-07-24 3313166704780002 ARY MUSLIKHAH 1978-04-27 45 Th DERSO 04/04, SUMBEREJO, 006093.20 Z02.2 Encounter for examination for POLI UMUM
819 2023-07-24 3372056903950008 SHINDU ANGGRAINI PUTRI 1995-03-29 28 Th SUMBEREJO RT 1 RW 3, BOTOK, 007867.9 O21.1 Hyperemesis gravidarum with KIA
820 2023-07-24 3313167112620008 SUDARSI NY 1962-12-31 60 Th BRANGKAL 2/1, KARANGREJO, 004011.5 I50.0 Congestive heart failure POLI UMUM
821 2023-07-24 3313162906180001 FAIZ KENZIE HAMIZAN AN 2018-06-29 5 Th SUDAN RT 1 RW 9, TAWANGSARI, 006929.7 R05 Cough POLI UMUM
822 2023-07-24 3313165810110002 VALLENCIA PUTRI OCTAVIANI 2011-10-18 11 Th SUDAN RT 01 RW 09, 006929.4 R05 Cough POLI UMUM
823 2023-07-24 3313164305800003 ANIK SUGIYATNI NY 1980-05-03 43 Th TROMOYO RT 1 RW 1, 006996.6 E11.4 Non-insulin-dependent diabetes POLI UMUM
824 2023-07-24 3313094101000002 SEKARINGTYAS 2000-01-01 23 Th JENGGLONG 2/2 BEJEN , -, 9009070.1 Z02.2 Encounter for examination for POLI UMUM
825 2023-07-24 3313165008650001 GIYANTI 1965-08-10 57 Th GONDANG RT 03 RW 11, GANTEN, 002703.3 S90 Superficial injury of ankle and UGD & R INAP
826 2023-07-24 3313160202180001 ALDEBARAN SAMUDRA 2018-02-02 5 Th DELEG RT 006 RW 001, 005755.12 R05 Cough POLI UMUM
827 2023-07-24 3313164109880001 INDRI MARIA DIAH AYU 1988-09-01 34 Th DELEG 6/1, KWADUNGAN, KERJO, 005755.1 M79.1 Myalgia POLI UMUM
828 2023-07-24 3313161507610001 ROHMADI TN 1961-07-15 62 Th KLIWONAN RT 3 RW 2, 004989.15 Z48 Other surgical follow-up care UGD & R INAP
829 2023-07-24 3313161005220001 ARKHA FAUZAN FADILLAH AN 2022-05-10 1 Th PLOSOREJO RT 05 RW 02, KUTO, 000426.16 R50 Fever of other and unknown UGD & R INAP
830 2023-07-24 3313166007000004 RISTIAN DEA ARTA ANANDA 2000-07-20 23 Th SEMANG RT 2 RW 10 , 004704.6 Z34 Supervision of normal pregnancy KIA
831 2023-07-24 3313160809220001 ILYASA ZAFI DEVANDRA AN 2022-09-08 10 Bl TUKOREJO RT 7 RW 1, BOTOK, 008572.11 G40.9 Epilepsy, unspecified KIA
832 2023-07-24 3313173112690015 SUPARDIYANTO TN 1969-12-31 53 Th NERANG RT 03 RW 05, 009323.5 M79.1 Myalgia UGD & R INAP
833 2023-07-24 3313165008810004 YAMTINAH NY 1981-08-10 41 Th BANARAN RT 03 RW 01, 003319.6 K30 Functional dyspepsia UGD & R INAP
834 2023-07-24 3313164507050003 JULIANA SAFITRI SDRI 2003-07-12 20 Th GANTEN RT 1 RW 1, GANTEN, 002136.22 Z39 Postpartum care and UGD R
835 2023-07-24 3313160705130001 AZRIEL DENDIANTAMA AN 2013-05-07 10 Th GIREN RT 02 RW 03, TAMANSARI, 009714A.1 J02.9 Acute pharyngitis, unspecified UGD & R INAP
836 2023-07-24 3313164706150002 SHAKILLA FADHILA 2015-06-07 8 Th SUMBEREJO RT 1 RW 11, 006651.12 J02.9 Acute pharyngitis, unspecified UGD & R INAP
837 2023-07-24 3313161601110001 AHMAT FARRAS AN 2011-01-16 12 Th BOTOK RT 3 RW 1, BOTOK, 008463.14 A09 Other gastroenteritis and colitis UGD & R INAP
838 2023-07-24 3313165206810005 PURWANINGSIH NY 1981-06-12 42 Th JETIS RT 6 RW 1, KUTO, KERJO, 000194.5 M79.1 Myalgia UGD & R INAP
839 2023-07-24 3313161207030001 RISNANDA PRASETYO SDR 2003-07-12 20 Th GANTEN RT 3 RW 2, GANTEN, 002213.3 J02.9 Acute pharyngitis, unspecified UGD & R INAP
840 2023-07-24 3313161307060001 FERDY ILHAM PERMANA AN 2006-07-13 17 Th SEKADI 3/6, TAWANGSARI, 007793.4 K30 Functional dyspepsia UGD & R INAP
841 2023-07-24 3372045711060005 TIARA NOVITA PUTRI AN 2006-11-17 16 Th KESONGO RT 03 RW 05, 002831.5 J02.9 Acute pharyngitis, unspecified UGD & R INAP
842 2023-07-24 3313167008840001 SRI LESTARI NY 1984-08-30 38 Th BRANGKAL RT 01 RW 01, 003965.5 J06.9 Acute upper respiratory UGD & R INAP
843 2023-07-24 3313162209220002 GEMAH NAZRIEL SOLIHIN AN 2022-09-22 10 Bl BLORAN RT 01 RW 01, 002780.14 D21.1 Benign neoplasm, connective KIA
844 2023-07-25 3313166812980001 NUR HALIMAH NY 1998-12-28 24 Th SEMANG 1/10, GEMPOLAN, 003241.1 Z34 Supervision of normal pregnancy KIA
845 2023-07-25 3313166208520001 ENDANG HARNI LARASATI NY 1952-08-22 70 Th PRAYAN RT 2 RW 6, 004142.1 E11 Non-insulin-dependent diabetes POLI UMUM
846 2023-07-25 3313164404550001 SRIYANI NY 1955-04-04 68 Th KURAHAN RT 2 RW 7, 003838.2 E11 Non-insulin-dependent diabetes POLI UMUM
847 2023-07-25 3313166707620001 SULARTI NY 1962-07-27 60 Th DERSO RT 02 RW 03, 008806.2 I11 Hypertensive heart disease POLI UMUM
848 2023-07-25 3313165907590002 RUMIYANI NY 1959-07-19 64 Th PRAYAN RT 1 RW 6, 004119.2 R03 Abnormal blood-pressure POLI UMUM
849 2023-07-25 3313160107580003 ARIYADI TN 1958-07-01 65 Th DUKUHREJO RT 4 RW 4, 004777.6 R73.9 Hyperglycaemia, unspecified POLI UMUM
850 2023-07-25 - TUMIYEM NY 1949-12-31 73 Th KEPOH RT 2/5, GANTEN, KERJO, - 002387.5 POLI UMUM
851 2023-07-25 3313165703530001 SUDARMI NY 1953-03-17 70 Th KERJO RT 2 RW 1, SUMBEREJO, 006099.10 R03 Abnormal blood-pressure POLI UMUM
852 2023-07-25 3313165808620001 SRI DARYANTI NY 1962-08-18 60 Th DERSO RT 02 RW 04, 006396.2 E11 Non-insulin-dependent diabetes POLI UMUM
853 2023-07-25 3313054406610001 LESTARI NY 1961-06-04 62 Th TAMAN RT 2 RW 2, TAMANSARI, 002008.5 Z47 Other orthopaedic follow-up care POLI UMUM
854 2023-07-25 3313166601710001 SRI REJEKI NY 1971-01-26 52 Th DERSO RT 03 RW 04, 006320.1 R03 Abnormal blood-pressure POLI UMUM
855 2023-07-25 3313161811610002 SETIYO BUDI TN 1961-11-18 61 Th KUTO RT 03 RW 01, KUTO, KERJO, 000074.5 I25.9 Chronic ischaemic heart disease, POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
856 2023-07-25 3313160909640001 SUWARTO TN 1964-09-09 58 Th KESONGO RT 1 RW 4, 002813.9 N40 Hyperplasia of prostate POLI UMUM
857 2023-07-25 3313167010190001 ALMEERA NAZEEFAH 2019-10-30 3 Th KWADUNGAN RT 1 RW 3, 005248.4 A01 Typhoid and paratyphoid fevers POLI UMUM
858 2023-07-25 3313164705560004 SUPARNI NY 1956-05-07 67 Th DUMPUL RT 1 RW 6, SUMBEREJO, 006004.3 POLI UMUM
859 2023-07-25 3313155910850001 SUPRIYANTI NY 1985-10-19 37 Th SUMBEREJO 4/3 , SEWUREJO, 005968.6 POLI UMUM
860 2023-07-25 0 ELVANO AGUNG WIDODO 2021-10-22 1 Th DUMPUL 2/6, SUMBEREJO, 005968.8 H00 Hordeolum and chalazion KIA
861 2023-07-25 3313160301640001 SUPARMAN TN 1964-01-03 59 Th GLAGAH RT 1 RW 7, TAMANSARI, 001470.4 K05.2 Acute periodontitis POLI GIGI
862 2023-07-25 3313160406540001 CITRO WIYONO LOSO TN 1954-06-04 69 Th SIDOMULYO 1/6, GEMPOLAN, 002988.8 M54.5 Low back pain POLI UMUM
863 2023-07-25 3313165704680001 SURANI NY 1968-04-17 55 Th NGESAM RT 03 RW 04, KUTO, 000849.3 M54 Dorsalgia POLI UMUM
864 2023-07-25 3313166006900004 ARMA SETYANINGRUM NY 1990-06-20 33 Th GROBOGAN RT 1 RW 4, KUTO, 000043.14 I20 Angina pectoris POLI UMUM
865 2023-07-25 3313165211670001 FATIMAH NY 1967-11-12 55 Th GLAGAH RT 02 RW 07, 001472.1 R05 Cough POLI UMUM
866 2023-07-25 3313161505450001 PADMOWIYONO SUKIMAN 1945-05-15 78 Th NGASEM 02/09, KARANGREJO, 009653.2 I25.9 Chronic ischaemic heart disease, POLI UMUM
867 2023-07-25 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 S90 Superficial injury of ankle and UGD & R INAP
868 2023-07-25 3313160104520001 SAM SUHARTO TN 1952-04-01 71 Th GONDANG RT 02 RW 10, GANTEN, 002686.1 M79.1 Myalgia POLI UMUM
869 2023-07-25 3313166904560002 SUTIKEM NY 1956-04-29 67 Th GONDANG RT 2 RW 10, GANTEN, 002695.1 M54 Dorsalgia POLI UMUM
870 2023-07-25 3313165011730001 TUMIYEM NY 1973-11-10 49 Th DERSO RT 005 RW 004, 006448.3 R03 Abnormal blood-pressure POLI UMUM
871 2023-07-25 3313161202680002 PAIJO TN 1968-02-12 55 Th NERANG RT 02 RW 05, 003707.2 K05.2 Acute periodontitis POLI GIGI
872 2023-07-25 3313167001660002 NGADINEM NY 1966-01-30 57 Th GENENG RT 2 RW 3, GANTEN, 002266.2 E11 Non-insulin-dependent diabetes POLI UMUM
873 2023-07-25 3313166305870001 SUGIYATMI NY 1986-05-23 37 Th WATES RT 04 RW 02, 003333.5 Z34 Supervision of normal pregnancy KIA
874 2023-07-25 3313163112600042 SUKARDI TN 1960-12-31 62 Th TAWANGREJO RT 2 RW 2, 007210.1 M54.3 Sciatica POLI UMUM
875 2023-07-25 3313166004920002 TITIK SURYANTI NY 1992-04-20 31 Th BANGKLE RT 03 RW 04, 004818.2 Z34 Supervision of normal pregnancy KIA
876 2023-07-25 3313165004760003 sri maryati 1976-04-10 47 Th BLORAN , GEMPOLAN, KERJO, 003970.23 Z12.3 Encounter for screening for IVA & IMS
877 2023-07-25 3313164205500002 WIJI NY 1950-05-02 73 Th GONDANG RT 02 RW 10, GANTEN, 002686.2 M79.1 Myalgia POLI UMUM
878 2023-07-25 3172046711831001 SAPARIYANTI NY 1983-11-27 39 Th RANDUGUNTING 1/10 , 006521.11 Z12.4 Encounter for screening for IVA & IMS
879 2023-07-25 3313161207030001 RISNANDA PRASETYO SDR 2003-07-12 20 Th GANTEN RT 3 RW 2, GANTEN, 002213.3 R05 Cough POLI UMUM
880 2023-07-25 3313166009820003 SARTINI NY 1982-08-01 40 Th KARANGWULUH RT 06 RW 09, 003037.5 Z12.3 Encounter for screening for IVA & IMS
881 2023-07-25 3313167112480019 SUTI NY 1948-12-31 74 Th NERANG 2/5, PLOSOREJO, 003713.5 I47.9 Paroxysmal tachycardia, POLI UMUM
882 2023-07-25 3313166412620001 SUMARDINI NY 1962-12-24 60 Th KASIHAN RT 02 RW 07, KUTO, 001272.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
883 2023-07-25 3314044904980003 KRISWANTI NY 1998-04-09 25 Th GEMPOLAN RT 6 RW 9, 003064.5 Z12.3 Encounter for screening for IVA & IMS
884 2023-07-25 3313167008840001 SRI LESTARI NY 1984-08-30 38 Th BRANGKAL RT 01 RW 01, 003965.5 R05 Cough POLI UMUM
885 2023-07-25 0 WARTINI 1994-02-02 29 Th KARANGGANDU,GEMPOLAN, 107817.1 Z12.3 Encounter for screening for IVA & IMS
886 2023-07-25 3314045404000002 DYAH AYU ISTIQOMAH NY 2000-04-14 23 Th DUMPUL RT 1 RW 6, SUMBEREJO, 005994.10 Z12.3 Encounter for screening for IVA & IMS
887 2023-07-25 3313160107560001 SUWANTO TN 1956-07-01 67 Th SUMBEREJO RT 04 RW 03, 007964.1 J44 Other chronic obstructive POLI UMUM
888 2023-07-25 3313165405980002 MELISA RENY HASTUTI 1998-05-14 25 Th SEMANG RT 03 RW 11, 003195.7 Z12.3 Encounter for screening for IVA & IMS
889 2023-07-25 3313165212560001 SITI NY 1956-12-12 66 Th SUMBEREJO RT 4 RW 3, BOTOK, 007927.10 H52.5 Disorders of accommodation POLI UMUM
890 2023-07-25 3313165611550001 KASINI NY 1955-11-16 67 Th GENENG RT 4 RW 4, GANTEN, 002407.5 M79.1 Myalgia POLI UMUM
891 2023-07-25 3313176004000002 BEKTI RISTANTI NY 2000-04-20 23 Th SEMANG 3/11, GEMPOLAN, 003201.11 Z12.3 Encounter for screening for IVA & IMS
892 2023-07-25 3313164703940001 NANIK SAFITRI NY 1994-03-07 29 Th SEMANG RT 3 RW 11, GEMPOLAN, 107869.2 Z12.3 Encounter for screening for IVA & IMS
893 2023-07-25 3313166906980002 ARWI LASIH NY 1998-06-29 25 Th SEMANG RT 03 RW 11, 003137.15 Z12.3 Encounter for screening for IVA & IMS
894 2023-07-25 3313164403640001 JUMIATI NY 1964-03-04 59 Th RANDUBENER RT 03 RW 03, 000556.5 S90 Superficial injury of ankle and UGD & R INAP
895 2023-07-25 3313163112540016 SAMAN TN 1954-12-31 68 Th SUMBEREJO RT 01 RW 11, 006639.3 R05 Cough POLI UMUM
896 2023-07-25 0 SRI SUPATMI NY 1983-06-07 40 Th DERSO 2/3, SUMBEREJO, KERJO, 008796.9 Z12.4 Encounter for screening for IVA & IMS
897 2023-07-25 3313162903800003 SUPARMAN TN 1980-03-29 43 Th DUKUHREJO RT 3 RW 4, 004858.1 R05 Cough POLI UMUM
898 2023-07-25 3314057110920001 DEWI RATNASARI NY 1992-10-31 30 Th KERJO RT 2 RW 2, SUMBEREJO, 006170.9 Z12.3 Encounter for screening for IVA & IMS
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
899 2023-07-25 3313160508170001 MUHAMMAD RIZQI MAULANA 2017-08-05 5 Th KACANGAN RT 03 RW 08, 007555.13 J45 Asthma POLI UMUM
900 2023-07-25 3313155506920002 SRI LESTARI NY 1992-06-15 31 Th DUMPUL RT 2 RW 6, 004368.13 Z12.3 Encounter for screening for IVA & IMS
901 2023-07-25 3313165008010001 RIFA ROHIMAH NY 2001-08-10 21 Th NGASEM RT 1 RW 9, 004368.2 Z12.3 Encounter for screening for IVA & IMS
902 2023-07-25 0 WARSINI NY 1985-07-06 38 Th SEMANG RT 3 RW 11, GEMPOLAN, 003232.13 Z12.3 Encounter for screening for IVA & IMS
903 2023-07-25 - GAVINIA ARDIAN AN 2018-06-18 5 Th SEMANG RT 02 RW 10, 107872.4 R05 Cough POLI UMUM
904 2023-07-25 3313165409790001 SINEM NY 1979-09-14 43 Th SEMANG RT 3 RW 11, GEMPOLAN, 009283.1 Z12.3 Encounter for screening for IVA & IMS
905 2023-07-25 3313165501810003 SUGIYEM NY 1961-01-15 62 Th PENTUK 1/9, SUMBEREJO, KERJO, 006464.6 R05 Cough POLI UMUM
906 2023-07-25 3313166807940001 EKA WULANDARI NY 1994-07-28 28 Th GEMPOLAN RT 2 RW 7, 003082.2 Z12.3 Encounter for screening for IVA & IMS
907 2023-07-25 3313165401940001 VIKARIA INDRIAWATI NY 1994-01-14 29 Th GROBOGAN RT 001 RW 004, 000781.12 J02 Acute pharyngitis POLI UMUM
908 2023-07-25 0 PURNIATI NY 1985-07-21 38 Th KESONGO RT 1 RW 4, 002957.3 Z12.3 Encounter for screening for IVA & IMS
909 2023-07-25 3313166104840001 IKA NUR DAHLIA NY 1984-04-21 39 Th KACANGAN RT03 RW 08, 007555.4 KIA
910 2023-07-25 3313164410710001 SITI ROBANI NY 1971-10-04 51 Th KERJO RT 2 RW 1, SUMBEREJO, 006136.4 Z12.3 Encounter for screening for IVA & IMS
911 2023-07-25 3313162604070002 PANDU SRI HARTONO SDR 2007-04-26 16 Th MAJAN RT 2 RW 4, KWADUNGAN, 005431.11 J00 Acute nasopharyngitis [common POLI UMUM
912 2023-07-25 3313164608840002 KRISTIANI NY 1984-08-06 38 Th GANTEN RT 01 RW 01, GANTEN, 002128.5 R51 Headache POLI UMUM
913 2023-07-25 3313166302820002 WARSINI NY 1982-02-23 41 Th SUMBEREJO RT 3 RW 12, 006735.5 Z12.3 Encounter for screening for IVA & IMS
914 2023-07-25 3313164905830002 DARWATI NY 1983-05-09 40 Th SUMBEREJO RT 01 RW 11, 006647.3 Z12.3 Encounter for screening for IVA & IMS
915 2023-07-25 3313160503530002 HARSO SUGIMIN TN 1953-03-05 70 Th SENTONO RT 01 RW 07, 007709.5 M54 Dorsalgia POLI UMUM
916 2023-07-25 0 DWI HARWENI NY 1985-08-31 37 Th SUMBEREJO 1/12, SUMBEREJO, 006710.4 Z12.3 Encounter for screening for IVA & IMS
917 2023-07-25 3313165103020007 DANISA SINDI IRAWATI SDRI 2002-03-11 21 Th GROBOGAN RT 4 RW 4, KUTO, 000885.2 D56 Thalassaemia POLI UMUM
918 2023-07-25 3313164705050003 CITRA SETIANINGRUM SDRI 2005-05-07 18 Th GROBOGAN RT 04 RW 04, KUTO, 000885.6 D56 Thalassaemia POLI UMUM
919 2023-07-25 3313165308830001 MURYANTI NY 1971-04-02 52 Th SUMBERJO RT 1 RW 11, 006643.6 Z12.3 Encounter for screening for IVA & IMS
920 2023-07-25 3313167112120001 FITRI CANDRA KIRANA AN 2012-12-31 10 Th KUTO RT 4 RW 1, KUTO, KERJO, 000121.3 K00.6 Disturbances in tooth eruption POLI GIGI
921 2023-07-25 3313161608660001 TRI WINARNO TN 1966-08-16 56 Th BULAK RT 2 RW 1, KWADUNGAN, 005661.5 I64 Stroke, not specified as POLI UMUM
922 2023-07-25 3313166303650001 YARSI NY 1965-03-23 58 Th MAJAN RT 2 RW 4, KWADUNGAN, 005431.1 K30 Functional dyspepsia POLI UMUM
923 2023-07-25 3313160603930002 NANANG RIYADI TN 1993-03-06 30 Th BULAK RT 7 RW 1, KWADUNGAN, 005758.12 J06 Acute upper respiratory POLI UMUM
924 2023-07-25 3313164605760001 SUMINI NY 1976-05-06 47 Th NGASEM RT 2 RW 9, 004479.3 R05 Cough POLI UMUM
925 2023-07-25 3313161605600001 SUWARNO TN 1960-05-16 63 Th RANDUBENER RT 2 RW 2, KUTO, 000512.5 K08.3 Retained dental root POLI GIGI
926 2023-07-25 3313164501580002 DWI KUSTINAH NY 1958-01-05 65 Th KERJO RT 02 RW 01, SUMBEREJO, 006089.3 I25.9 Chronic ischaemic heart disease, POLI UMUM
927 2023-07-25 3313165105780001 KIMI SULISTYANI NY 1978-05-11 45 Th BABADAN 2/5, TAMANSARI, 001814.3 I84 Haemorrhoids POLI UMUM
928 2023-07-25 3313167005010002 PRITASARI NAWANGSIH SDRI 2001-05-30 22 Th KEPOH RT 02 RW 05, GANTEN, 002389.3 K30 Functional dyspepsia POLI UMUM
929 2023-07-25 3313164909540001 MARIYEM NY 1954-09-09 68 Th KERJO RT 1 RW 1, SUMBEREJO, 006077.4 R73.9 Hyperglycaemia, unspecified POLI UMUM
930 2023-07-25 3313161307060001 FERDY ILHAM PERMANA AN 2006-07-13 17 Th SEKADI 3/6, TAWANGSARI, 007793.4 K30 Functional dyspepsia POLI UMUM
931 2023-07-25 3313154105910001 NURYATI NY 1991-05-01 32 Th TAWANGREJO RT 01 RW 02, 007102.7 K05.2 Acute periodontitis POLI GIGI
932 2023-07-25 3313164604950000 AZKA PRADITYA ELVANDRI 2022-03-07 1 Th NGASEM RT 2 RW 9, 004444.15 J00 Acute nasopharyngitis [common KIA
933 2023-07-25 3313166809900001 RIRIN SETYOWATI NY 1990-09-28 32 Th NGASEM RT 01 RW 09, 004357.5 Z34 Supervision of normal pregnancy KIA
934 2023-07-25 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 M54.5 Low back pain POLI UMUM
935 2023-07-25 3313164604950002 NUR SAVITRI NY 1995-04-06 28 Th NGASEM RT 2 RW 9, 004444.3 R10.3 Pain localised to other parts of POLI UMUM
936 2023-07-25 - ANISA RISKI SOFIA SDRI 2006-11-11 16 Th KASIHAN RT 2 RW 7, KUTO, 001286.4 K03.6 Deposits [accretions] on teeth POLI GIGI
937 2023-07-25 3313165509950002 IKA SETYOWATI SDRI 1995-09-15 27 Th KARANG RT 1 RW 2 , TAMANSARI, 001953.4 J02 Acute pharyngitis POLI UMUM
938 2023-07-25 3313165912980001 WAHYUSRI NY 1998-12-19 24 Th PANTI RT 02 RW 03, 00107929. O34.2 Maternal care due to uterine scar KIA
939 2023-07-25 3313160106500002 MARIYO TN 1950-06-01 73 Th BITIS RT 02 RW 11, TAWANGSARI, 007607.2 R03 Abnormal blood-pressure POLI UMUM
940 2023-07-25 3313165408650001 SULASTRI NY 1965-08-14 57 Th GROBOGAN RT 2 RW 4, KUTO, 000794.2 M79.1 Myalgia POLI UMUM
941 2023-07-25 3313160808520002 SUTOMO TN 1952-08-08 70 Th JETIS RT 05 RW 01, KUTO, KERJO, 000139.3 R03 Abnormal blood-pressure POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
942 2023-07-25 3313165403220001 ALMAHYRA YUMNA ADIBA AN 2022-03-14 1 Th JETIS RT 005 RW 001, KUTO, 000142.13 Z00 General examination and KIA
943 2023-07-25 3313162302650001 BIYONO TN 1965-02-23 58 Th GROBOGAN RT 02 RW 04, KUTO, 000794.6 R05 Cough POLI UMUM
944 2023-07-25 3313165401500002 SUMIYEM NY 1950-01-14 73 Th SENTONO RT 2 RW 7, 007763.3 M79.1 Myalgia POLI UMUM
945 2023-07-25 3313162011510001 DASIYONO TN 1951-11-20 71 Th TAWANGREJO 3/2, TAWANGSARI, 007274.3 M79.1 Myalgia POLI UMUM
946 2023-07-25 3313160501560001 SARIJO TN 1956-01-05 67 Th SENTONO RT 4 RW 6, 007823.2 K04.0 Pulpitis POLI GIGI
947 2023-07-25 3313160502660001 YUNI PARYANTO TN 1966-02-05 57 Th PRAYAN RT 001 RW 003, 006782.5 E11.4 Non-insulin-dependent diabetes POLI UMUM
948 2023-07-25 3313164411650001 PANI NY 1965-11-04 57 Th MLOKOLEGI RT 3 RW 1, 007075.1 R03 Abnormal blood-pressure POLI UMUM
949 2023-07-25 3313164609930001 MURNI HANDAYANI NY 1993-09-06 29 Th DOMAS RT 01 RW 02, 005146.6 I84 Haemorrhoids POLI UMUM
950 2023-07-25 3313164905140001 BILQIS AQILAH ZAHRA AN 2014-05-09 9 Th KESONGO RT 1 RW 4, 002946.18 R05 Cough POLI UMUM
951 2023-07-25 3313165002070001 SYARIFAH HASNA SDRI 2007-02-10 16 Th JAMUS RT 6 RW 3, KUTO, KERJO, 000712.4 G40 Epilepsy POLI UMUM
952 2023-07-25 3313164911710001 HENDANG SIYAMSI NY 1971-11-09 51 Th JAMUS 6/3, KUTO, KERJO, 000712.3 E11.4 Non-insulin-dependent diabetes POLI UMUM
953 2023-07-25 3215055202130004 SABRINA MALIKA BALQIS 2013-02-12 10 Th TAMAN RT 02 RW 02, 001994.11 POLI UMUM
954 2023-07-25 3313162104040001 IBNU SABBIL SDR 2004-04-21 19 Th GESANGAN 3/6, KWADUNGAN, 005617.3 H00.1 Chalazion POLI UMUM
955 2023-07-25 3313164707610001 LASIYEM NY 1961-07-07 62 Th PLOSOREJO RT 5 RW 4, 003649.1 J00 Acute nasopharyngitis [common POLI UMUM
956 2023-07-25 3313075705900002 TRI IRAWATI NY 1990-05-17 33 Th SUMBERGEDE RT 3 RW 1, 003649.8 O34.2 Maternal care due to uterine scar KIA
957 2023-07-25 3313165405830003 SARWANTI NY 1983-05-14 40 Th PANTI RT 03 RW 02, 006839.1 K04.1 Necrosis of pulp POLI GIGI
958 2023-07-25 3313163112600046 CIPTO SUWARSO TN 1960-12-31 62 Th SIDOMULYO RT 01 RW 06, 009299.7 M79.1 Myalgia POLI UMUM
959 2023-07-25 3313165204620004 SARIYEM NY 1962-04-12 61 Th GLAGAH RT 04 RW 07, 001537.2 M13 Other arthritis POLI UMUM
960 2023-07-25 3313166306560001 GIYANTI NY 1956-06-23 67 Th TAWANGREJO RT 02 RW 02, 007205.1 M79.1 Myalgia POLI UMUM
961 2023-07-25 3671130505720016 ANTO MARYOTO 1972-05-05 51 Th JL LAPANGAN BOLA 8/1, -, 001892.6 R73.9 Hyperglycaemia, unspecified POLI UMUM
962 2023-07-25 3313167112570042 SUMINI NY 1957-12-31 65 Th BONO RT 1 RW 3, PLOSOREJO, 003546.1 Z47 Other orthopaedic follow-up care POLI UMUM
963 2023-07-25 3313161503650001 SUGIMAN TN 1965-03-15 58 Th JAMUS RT 04 RW 03, KUTO, 000639.4 K80 Cholelithiasis POLI UMUM
964 2023-07-25 3313165104690001 PARNI NY 1969-04-11 54 Th KARANGNONGKO RT 2 RW 5, 004723.3 I20 Angina pectoris POLI UMUM
965 2023-07-25 3313161101600001 PARJO TN 1960-01-11 63 Th KARANGNONGKO RT 2 RW 5, 004723.2 R51 Headache POLI UMUM
966 2023-07-25 3313164202910001 YESI AMNESTI NY 1991-02-02 32 Th DOMAS 1/2, KWADUNGAN, KERJO, 005460.5 Z34 Supervision of normal pregnancy KIA
967 2023-07-25 3313162501920001 SUGINO TN 1992-01-25 31 Th MLOKOLEGI RT 03 RW 01, 007066.5 K30 Functional dyspepsia POLI UMUM
968 2023-07-25 3313161312490002 YOSO WANDI TN 1949-12-13 73 Th PENGIN 2/5, KUTO, KERJO, 000983.2 E11.9 Non-insulin-dependent diabetes POLI UMUM
969 2023-07-25 3313166112160001 AQILLA FARIZA 2016-12-21 6 Th KLIWONAN RT 3 RW 2, 004989.9 K08.3 Retained dental root POLI GIGI
970 2023-07-25 3313165012650001 PARNI NY 1965-12-10 57 Th TROMOYO 4/1, TAWANGSARI, 003280.2 POLI UMUM
971 2023-07-25 3313164804160002 KHAYLA ANINDITYA AZ 2016-04-08 7 Th SINGGET RT 03 RW 011, 007466.3 Z01 Other special examinations and POLI GIGI
972 2023-07-25 3314154412970007 DIAN KUSWANTI NY 1997-12-04 25 Th BULUREJO 2/6, KARANGREJO, 004137.9 Z12.3 Encounter for screening for IVA & IMS
973 2023-07-25 3314046307950004 WENI JULIYANTI NY 1995-07-23 28 Th MOJOREJO 5/3, BOTOK, KERJO, 008176.12 O34.2 Maternal care due to uterine scar KIA
974 2023-07-25 0 IMAM HILAL MAKARIM AN 2014-08-10 8 Th BULAK RT 4 RW 1, KWADUNGAN, 005706.9 R05 Cough POLI UMUM
975 2023-07-25 3313165404470001 SUTINI NY 1947-04-14 76 Th BULAK RT 04 RW 01, 005706.1 K30 Functional dyspepsia POLI UMUM
976 2023-07-25 3313166803160001 NAFISA AQILA 2015-03-28 8 Th RANDUBENER RT 3 RW 2, KUTO, 000540.14 Z01 Other special examinations and POLI GIGI
977 2023-07-25 3313164311600002 NGATIYEM NY 1960-11-03 62 Th GENENG RT 02 RW 03, GANTEN, 002256.11 Z47 Other orthopaedic follow-up care POLI UMUM
978 2023-07-25 3313164507870005 UMMU FIKRIAH NY 1987-07-05 36 Th BLORAN RT 02 RW 01, 002759.6 K30 Functional dyspepsia POLI UMUM
979 2023-07-25 3313165610960002 PUTRI RAHAYU NY 1996-10-16 26 Th KAUMAN RT 3 RW 5, 002709.9 O34.2 Maternal care due to uterine scar KIA
980 2023-07-25 3313167112450039 SADINEM NY 1945-12-31 77 Th NGASEM RT 01 RW 09, 004358.4 S90 Superficial injury of ankle and UGD & R INAP
981 2023-07-25 3313166502030003 FARHANA ZULFA AZZAHRO 2003-02-25 20 Th BRANGKAL RT 02 RW 01, 004074.3 L28.0 Lichen simplex chronicus POLI UMUM
982 2023-07-25 3310052112010001 ATSIL AL BASSAM TN 2001-12-21 21 Th KAUMAN RT 4 RW 5, 005866.4 Z02.2 Encounter for examination for POLI UMUM
983 2023-07-25 3313162707760001 KENCIS EKO PRASETYO TN 1976-07-27 46 Th PENGEN RT 05/05, KUTO, KERJO, 001017.17 UGD & R INAP
984 2023-07-25 3313166012140003 ANAYYA EVELLYN AN 2014-12-20 8 Th SENTONO 1/6, TAWANGSARI, 007682.6 K29 Gastritis and duodenitis UGD & R INAP
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
985 2023-07-25 3313164206740001 BINI WULANDARI NY 1974-06-02 49 Th SENTONO RT 1 RW 6, 007682.2 K29 Gastritis and duodenitis UGD & R INAP
986 2023-07-25 3307091206830003 WAWAN SUPRIYADI TN 1983-06-12 40 Th KURAHAN RT 2 RW 7, 003913.4 J00 Acute nasopharyngitis [common UGD & R INAP
987 2023-07-25 3313135604190001 AYUDIA NAURA MAHESWARI 2019-04-16 4 Th DELOK RT 2 RW 1, BOTOK, 008421.7 Z48 Other surgical follow-up care UGD & R INAP
988 2023-07-25 3313166512640001 SUNARMI NY 1964-12-25 58 Th KWADUNGAN RT 03 RW 03, 005281.1 J00 Acute nasopharyngitis [common UGD & R INAP
989 2023-07-25 3313087001190001 AYUMNA PUTRI AN 2019-01-31 4 Th BLORAN RT 2 RW 1, GEMPOLAN, 107757.12 J06.9 Acute upper respiratory UGD & R INAP
990 2023-07-25 3313160406140001 RIKO AHMAD SAPUTRO AN 2014-05-04 9 Th SIDOMULYO RT 01 RW 06, 10556.8 J06.9 Acute upper respiratory UGD & R INAP
991 2023-07-25 3313167006840002 EKA SRI HASTUTI NY 1984-06-30 39 Th SIDOMULYO RT 1 RW 6, 10556.9 J00 Acute nasopharyngitis [common UGD & R INAP
992 2023-07-25 3313161103630005 SUPADI TN 1963-03-11 60 Th GANTEN 1/1, GANTEN, KERJO, 002138.1 K30 Functional dyspepsia UGD & R INAP
993 2023-07-25 3313166104700003 RUMINI NY 1970-04-21 53 Th GANTEN RT 1 RW 1, GANTEN, 002138.3 A09 Other gastroenteritis and colitis UGD & R INAP
994 2023-07-25 3313164108810001 TATIK NURYANI NY 1981-08-01 41 Th PLOSOREJO RT 5 RW 2, KUTO, 000426.4 K30 Functional dyspepsia UGD & R INAP
995 2023-07-25 3313160109930003 RONI DWI ARIYANTO TN 1993-09-01 29 Th KUTO RT 03 RW 01, KUTO, KERJO, 000083.1 K29 Gastritis and duodenitis UGD & R INAP
996 2023-07-25 3313161009910001 HARJANTO TN 1991-09-10 31 Th PLANDAAN RT 04 RW 10, 006629.1 UGD & R INAP
997 2023-07-25 3271055903920008 DARNI NY 1992-03-19 31 Th PLANDAAN RT 04 RW 10, 006629.11 J00 Acute nasopharyngitis [common UGD & R INAP
998 2023-07-25 3313161911020001 RAMDANI FIKO NUGROHO 2002-11-19 20 Th DELOK RT 2 RW 1, BOTOK, 008403.1 K02.1 Caries of dentine POLI GIGI
999 2023-07-25 3313105707980001 RURI YULIASTUTI 1998-07-17 25 Th PENDEM KULO 001/001, SURUH, 005774.19 Z48 Other surgical follow-up care UGD & R INAP
1000 2023-07-25 3313164604650002 YATMI NY 1965-04-06 58 Th KESONGO RT 03 RW 05, 002978.5 R03 Abnormal blood-pressure UGD & R INAP
1001 2023-07-26 3313165509990002 NOVITA DIAH ASTUTI NY 1999-09-15 23 Th DUKUHREJO RT 1 RW 4, 004726.3 Z36.8 Other antenatal screening KIA
1002 2023-07-26 3313166609630001 MULYANI NY 1963-09-26 59 Th TUKOREJO RT 06 RW 01, BOTOK, 008536.2 K04.0 Pulpitis POLI GIGI
1003 2023-07-26 3313166903210002 AIDA BADRA GHANIA AN 2021-03-29 2 Th DUKUHREJO 1/4, KARANGREJO, 004751.19 A09 Other gastroenteritis and colitis KIA
1004 2023-07-26 3313160301080001 TORI CANDRA ATMOJO AN 2008-01-03 15 Th PLOSOREJO RT 2 RW 2, KUTO, 000297.1 S82.30 Fracture of lower end of tibia, POLI UMUM
1005 2023-07-26 3313164903500001 PANEM NY 1950-03-09 73 Th KESONGO RT 03 RW 05, 002931.1 J00 Acute nasopharyngitis [common POLI UMUM
1006 2023-07-26 3313165609440001 SURATI NY 1944-09-16 78 Th KARANGREJO RT 01 RW 03, 005050.2 M79.1 Myalgia POLI UMUM
1007 2023-07-26 3313161208570001 SUNARNO TN 1957-08-12 65 Th GANTEN RT 1 RW 1, GANTEN, 002141.1 G20 Parkinsons disease POLI UMUM
1008 2023-07-26 3313166104700003 RUMINI NY 1970-04-21 53 Th GANTEN RT 1 RW 1, GANTEN, 002138.3 A09 Other gastroenteritis and colitis POLI UMUM
1009 2023-07-26 3313161103630005 SUPADI TN 1963-03-11 60 Th GANTEN 1/1, GANTEN, KERJO, 002138.1 K30 Functional dyspepsia POLI UMUM
1010 2023-07-26 3313164601890004 TITIK ROHAYATI NY 1989-01-06 34 Th NGASEM RT 03 RW 09, 004371.3 R51 Headache POLI UMUM
1011 2023-07-26 3313165106680001 WINARSI NY 1968-06-11 55 Th KUDUR RT 04 RW 05, KUTO, 001122.2 I11.9 Hypertensive heart disease POLI UMUM
1012 2023-07-26 3313161601110001 AHMAT FARRAS AN 2011-01-16 12 Th BOTOK RT 3 RW 1, BOTOK, 008463.14 A09 Other gastroenteritis and colitis POLI UMUM
1013 2023-07-26 3313155909930001 SITAWARDANI NY 1993-09-19 29 Th GANTEN RT 03 RW 02, GANTEN, 002172.11 O34.2 Maternal care due to uterine scar KIA
1014 2023-07-26 3313165607860003 PUJIATI NY 1986-07-16 37 Th GONDANGREJO 2/8, 004599.4 Z34 Supervision of normal pregnancy KIA
1015 2023-07-26 3313167112610027 MARSI NY 1961-12-31 61 Th GONDANGREJO RT 2 RW 8, 004605.5 M79.1 Myalgia POLI UMUM
1016 2023-07-26 3313161311750001 ANDREAS INDRIANTO TN 1975-11-13 47 Th DOMAS RT 02 RW 02, 005697.10 G40.9 Epilepsy, unspecified POLI UMUM
1017 2023-07-26 3313164909880002 SUMINI NY 1988-09-09 34 Th KURAHAN RT 02 RW 07, 003895.7 K04.1 Necrosis of pulp POLI GIGI
1018 2023-07-26 3313165206780003 MARINA NY 1978-06-12 45 Th BULAK RT02 RW 01, 005663.5 R05 Cough POLI UMUM
1019 2023-07-26 3313164301180002 DAISHA ZAKIA SYAFRINA AN 2018-01-03 5 Th PUNTUKREJO RT 02 RW 03, 002254.9 K04.7 Periapical abscess without sinus POLI GIGI
1020 2023-07-26 3313166612820003 DARSITI WIDARWATI NY 1982-12-26 40 Th KACANGAN RT 1 RW 8, 007492.5 K02.2 Caries of cementum POLI GIGI
1021 2023-07-26 3313164810710003 SULASMI NY 1971-10-08 51 Th GONDANGREJO RT 01 RW 08, 009652.2 J45 Asthma POLI UMUM
1022 2023-07-26 3313164109620001 SAMI NY 1962-09-01 60 Th NGASEM RT 3 RW 9, 004423.7 B35.4 Tinea corporis POLI UMUM
1023 2023-07-26 3313160207590001 SUKADI TN 1959-07-02 64 Th RANDUBENER RT 03 RW 03, 000549.6 E11 Non-insulin-dependent diabetes POLI UMUM
1024 2023-07-26 3314025405960004 SUCI WULANDARI NY 1996-05-14 27 Th NGASEM RT 3 RW 9, 004423.15 Z34 Supervision of normal pregnancy KIA
1025 2023-07-26 - WIYONO TN 1967-09-09 55 Th RANDUBENER RT 02 RW 03, 000544.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1026 2023-07-26 3313161503520001 RAMELAN TN 1952-03-15 71 Th JETIS RT 06 RW 01, KUTO, KERJO, 106080.8 R73.9 Hyperglycaemia, unspecified POLI UMUM
1027 2023-07-26 - ERNI NY 1976-08-31 46 Th PRAYAN RT 1 RW 6, 004123.3 R73.9 Hyperglycaemia, unspecified POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1028 2023-07-26 3313165401540001 SUDARSI NY 1954-01-14 69 Th KARANGNONGKO RT 01 RW 05, 004619.2 E11 Non-insulin-dependent diabetes POLI UMUM
1029 2023-07-26 3313167112560001 SUDARSI NY 1956-12-31 66 Th KAUMAN 1/5, KWADUNGAN, 005782.2 M79.1 Myalgia POLI UMUM
1030 2023-07-26 3372055709530001 SRI LUGIYARTI NY 1953-09-17 69 Th KUDUR RT 05 RW 05, KUTO, 001068.1 R03 Abnormal blood-pressure POLI UMUM
1031 2023-07-26 3313164203740001 SUWANTI NY 1974-03-02 49 Th KAUMAN RT 01 RW 05, 005782.13 M79.1 Myalgia POLI UMUM
1032 2023-07-26 3313164402520003 SUKASNI NY 1952-02-04 71 Th DOMAS RT 02 RW 02, 005193.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1033 2023-07-26 3313166505890002 ICUK SRI LESTARI NY 1989-05-25 34 Th SUMBEREJO RT 02 RW 11, 006683.4 M79.1 Myalgia POLI UMUM
1034 2023-07-26 3313164904880003 DARTI HERNAWATI NY 1988-04-09 35 Th BANDUNGAN RT 4 RW 6, KUTO, 001360.4 Z34 Supervision of normal pregnancy KIA
1035 2023-07-26 3313165712670002 SUWARTI NY 1967-12-17 55 Th WATES RT 1 RW 2, PLOSOREJO, 003372.6 R73.9 Hyperglycaemia, unspecified POLI UMUM
1036 2023-07-26 3313165911000001 EKA NOPAWATI NY 2000-11-19 22 Th KASIHAN RT 1 RW 7, KUTO, 000196.1 H66 Suppurative and unspecified POLI UMUM
1037 2023-07-26 3313164304520001 WAGIYEM NY 1952-04-03 71 Th PLOSOREJO RT 2 RW 5, 003715.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1038 2023-07-26 3313165204990002 APRILAN DYAH VITALOKA 1999-04-12 24 Th KARANGNONGKO RT 02 RW 05, 004772.6 O03.4 Spontaneous abortion, KIA
1039 2023-07-26 3313161604100001 ZIDHAN A TAMI SDR 2010-04-16 13 Th KURAHAN RT 02 RW 07, 003954.7 B86 Scabies POLI UMUM
1040 2023-07-26 3313167011150001 FATIMAH AZZAHRA AN 2015-11-30 7 Th MOJOREJO RT 3 RW 2, BOTOK, 008172.3 K04.0 Pulpitis POLI GIGI
1041 2023-07-26 3313164107310009 SINEM NY 1931-07-01 92 Th GONDANGREJO RT 2 RW 3, 004603.3 R03 Abnormal blood-pressure POLI UMUM
1042 2023-07-26 3313162702580002 PUTUT SUROTO TN 1958-02-27 65 Th KERJO RT 02 RW 01, SUMBEREJO, 006113.7 R73.9 Hyperglycaemia, unspecified POLI UMUM
1043 2023-07-26 3313166011680001 SITI SOLIKAH NY 1968-11-20 54 Th GOMBELAN 2/5, TAWANGSARI, 007376.2 E11 Non-insulin-dependent diabetes POLI UMUM
1044 2023-07-26 3313166509680002 SUMINI NY 1968-09-25 54 Th SEMANG RT 3 RW 11, GEMPOLAN, 003215.5 K02.2 Caries of cementum POLI GIGI
1045 2023-07-26 3313164309990002 SAFITA AMBARWATI NY 1999-09-03 23 Th BOTOK RT 3 RW 1, BOTOK, 007300.2 R03 Abnormal blood-pressure POLI UMUM
1046 2023-07-26 3313165907670002 PAINAH NY 1967-07-19 56 Th MAJAN RT 03 RW 04, 005429.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
1047 2023-07-26 3313161601110001 AHMAT FARRAS AN 2011-01-16 12 Th BOTOK RT 3 RW 1, BOTOK, 008463.14 UGD & R INAP
1048 2023-07-26 3313165809570001 UMININGSIH NY 1957-09-18 65 Th GENENG RT 5 RW 4, GANTEN, 002341.3 M79.1 Myalgia POLI UMUM
1049 2023-07-26 3313165106690002 DARSINI NY 1969-06-11 54 Th GONDANG RT 04 RW 11, GANTEN, 002720.4 E11 Non-insulin-dependent diabetes POLI UMUM
1050 2023-07-26 3313165601650001 PUNIYEM NY 1965-01-16 58 Th DUKUHREJO RT 01 RW 04, 004750.1 E11 Non-insulin-dependent diabetes POLI UMUM
1051 2023-07-26 3313166506690001 MARYANTI NY 1969-06-25 54 Th GOMBELAN RT 02 RW 05, 007391.2 J02 Acute pharyngitis POLI UMUM
1052 2023-07-26 3313162711690002 TARNO TN 1969-11-27 53 Th BLIGO RT 05 RW 04, KUTO, 000930.2 A01 Typhoid and paratyphoid fevers POLI UMUM
1053 2023-07-26 3313164502730001 WATI NY 1973-02-05 50 Th KARANGNONGKO RT 01 RW 05, 004659.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
1054 2023-07-26 3313160206700002 HANDOKO ASMORO TN 1970-06-02 53 Th BOTOK RT 3 RW 1, BOTOK, 008433.11 POLI UMUM
1055 2023-07-26 3313165708630001 SUHARTI NY 1963-08-17 59 Th KLEWONAN RT 02 RW 02, 004976.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1056 2023-07-26 3313160402010002 YUDA FEBRIANSYAH 2001-02-04 22 Th RANDUBENER 2/3, KUTO, KERJO, 000531.9 L03 Cellulitis POLI UMUM
1057 2023-07-26 3313167112540015 PATMI NY 1954-12-31 68 Th KARANGNONGKO RT 2 RW 5, 004716.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
1058 2023-07-26 3313160306510001 SASTRO WIYONO AL GIMAN 1951-06-01 72 Th GENENG 3/4, GANTEN, KERJO, - 002289.1 POLI UMUM
1059 2023-07-26 3313164108810001 TATIK NURYANI NY 1981-08-01 41 Th PLOSOREJO RT 5 RW 2, KUTO, 000426.4 A01 Typhoid and paratyphoid fevers POLI UMUM
1060 2023-07-26 3314172504790001 FATAH DANANG WAHYU 1979-04-25 44 Th DERSO RT 02 RW 04, 006407.6 C92 Myeloid leukaemia POLI UMUM
1061 2023-07-26 3313164901890003 SRI LESTARI NY 1989-01-09 34 Th MAJAN RT 04 RW 04, 005434.2 Z30 Contraceptive management KB
1062 2023-07-26 3313165607990002 FAINUR SETYANINGSIH SDRI 1999-07-16 24 Th KAWIT RT 28 , BENDUNGAN, 004865.7 Z00 General examination and KIA
1063 2023-07-26 3313162304670001 SUYARJO TN 1967-04-23 56 Th GONDANGREJO RT 01 RW 08, 004494.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
1064 2023-07-26 3313164506000003 DINDA AYU PERMATASARI NY 2000-06-05 23 Th KAUMAN RT 04 RW 05, 005866.1 Z30 Contraceptive management KB
1065 2023-07-26 3313165008540001 SUKINEM NY 1954-08-10 68 Th TUKOREJO RT 6 RW 1, BOTOK, 008524.5 E11.9 Non-insulin-dependent diabetes POLI UMUM
1066 2023-07-26 3313160212180001 RAFARDHAN ALFARIZQI AN 2018-12-02 4 Th KARANGREJO RT 1 RW 3, 005064.10 J00 Acute nasopharyngitis [common KIA
1067 2023-07-26 3313164912020001 IRA KUSUMA SDRI 2002-12-09 20 Th KEPOH RT 1 RW 5, GANTEN, 002367.2 Z02.0 Encounter for examination for POLI UMUM
1068 2023-07-26 3313161508150001 ARSEN BIMA IBRAHIM 2015-08-15 7 Th DOMAS RT 3 RW 2, KWADUNGAN, 005220.8 POLI UMUM
1069 2023-07-26 3313161606510001 MANTO MIARSO TN 1951-06-16 72 Th MOJOREJO RT 5 RW 3, BOTOK, 009865.1 N30 Cystitis POLI UMUM
1070 2023-07-26 3313071202200002 ARVANDA RAYYANKA 2023-06-08 1 Bl BLORAN RT 1 RW 1, GEMPOLAN, 009251.18 Z00 General examination and KIA
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1071 2023-07-26 3313160712590002 PONIDIYANTO TN 1959-12-07 63 Th BANGUNSARI RT 07 RW 01, KUTO, 106120.21 H25 Senile cataract POLI UMUM
1072 2023-07-26 3313162407870001 DAPIT KURNIAWAN TN 1987-07-24 36 Th GESANGAN RT01 RW06, 005364.4 R05 Cough POLI UMUM
1073 2023-07-26 3313160611730001 SUROTO TN 1973-11-06 49 Th BANDUNGAN RT 01 RW 06, KUTO, 001148.4 K30 Functional dyspepsia POLI UMUM
1074 2023-07-26 3276024109850010 MARWATI ROHMAH NY 1985-09-01 37 Th PLSOSOREJO 1/2, KUTO, KERJO, 009959.6 Z34 Supervision of normal pregnancy KIA
1075 2023-07-26 3313164910600002 SADIYEM NY 1960-10-09 62 Th GANTEN RT 02 RW 01, GANTEN, 002223.1 POLI UMUM
1076 2023-07-26 3313164104860002 SRI HARTINI NY 1986-04-01 37 Th GANTEN RT 2 RW 01, GANTEN, 002217.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1077 2023-07-26 3313166610680001 SITI PURWANTI NY 1968-10-26 54 Th KUTO 2/1, KUTO, KERJO, 000033.3 M79.1 Myalgia POLI UMUM
1078 2023-07-26 3313163011160002 MUHAMMAD ALVINO KENZI 2016-09-30 6 Th KERJO RT 02 RW 02, SUMBEREJO, 006161.10 J00 Acute nasopharyngitis [common POLI UMUM
1079 2023-07-26 3313156402950001 VIVI FAHMAWATI NY 1995-02-24 28 Th PLOSOREJO RT 05 RW 02, KUTO, 000427.17 Z39 Postpartum care and RUANG
1080 2023-07-26 3313165904160003 HANA AQILATUNISA AN 2016-04-19 7 Th KADIPESO RT 01 RW 07, 006232.6 K00.6 Disturbances in tooth eruption POLI GIGI
1081 2023-07-26 3311097112600365 PARTI NY 1960-12-31 62 Th MAJAN RT 2 RW 3, KWADUNGAN, 005445.13 L20.9 Atopic dermatitis, unspecified POLI UMUM
1082 2023-07-26 3313166802950001 SYARILA NURJANAH NY 1995-02-28 28 Th RANDUBENER 2/3, KUTO, KERJO, 000540.9 I50 Heart failure POLI UMUM
1083 2023-07-26 3313162903160001 ROBBY DWI SAPUTRA AN 2016-03-29 7 Th KEDUNGSENGON RT 5 RW 2, 008344.13 J00 Acute nasopharyngitis [common POLI UMUM
1084 2023-07-26 3313166009710001 SURATI NY 1971-09-20 51 Th DELOK RT 02 RW 01, BOTOK, 008421.5 K02.2 Caries of cementum POLI GIGI
1085 2023-07-26 3313166009170003 SALSABILA NAURA AZ 2017-09-20 5 Th PLANDAKAN RT 1 RW 9, 006469.6 K00.6 Disturbances in tooth eruption POLI GIGI
1086 2023-07-26 3313166611840003 DWI SULASTRI NY 1984-11-26 38 Th DUWET 1/11, KARANGREJO, 004269.16 A01 Typhoid and paratyphoid fevers POLI UMUM
1087 2023-07-26 3313166204540001 SUMINEM NY 1954-04-22 69 Th GLAGAH RT 01 RW 07, 001429.1 B35.4 Tinea corporis POLI UMUM
1088 2023-07-26 3313164102670001 HARYANTI NY 1967-02-01 56 Th GLAGAH RT 01 RW 07, 001427.2 K03.1 Abrasion of teeth POLI GIGI
1089 2023-07-26 3313165306870001 JAMILAH NY 1987-06-13 36 Th SINGGET RT 3 RW 11, 007458.19 J00 Acute nasopharyngitis [common POLI UMUM
1090 2023-07-26 3312112903050002 DESTA ARYA PRASETYA SDR 2005-03-29 18 Th KERJO RT 02 RW 01, SUMBEREJO, 006119.7 M79.1 Myalgia POLI UMUM
1091 2023-07-26 3313166304210002 APRILIA NUR RAMADHANI AN 2021-04-23 2 Th KURAHAN 1/7, KARANGREJO, 003892.21 J00 Acute nasopharyngitis [common KIA
1092 2023-07-26 3313160402000001 CAHYA ADIMAS SDR 2000-02-04 23 Th TUKOREJO RT 07 RW 01, BOTOK, 008565.3 J02 Acute pharyngitis POLI UMUM
1093 2023-07-26 3313164706860004 TRI HARTINI NY 1986-06-07 37 Th GONDANGREJO RT 02 RW 08, 004588.2 R51 Headache POLI UMUM
1094 2023-07-26 3326086410840062 MARDIYAH NY 1984-10-24 38 Th GANTEN RT 02 RW 01, GANTEN, 002217.19 K04.0 Pulpitis POLI GIGI
1095 2023-07-26 - IPUNG LINA SARI NY 2000-10-06 22 Th GONDANGREJO RT 2 RW 8, 004613.8 RUANG
1096 2023-07-26 3313163107720001 WASIS TN 1972-07-31 50 Th SUMBEREJO RT 2 RW 3, BOTOK, 007906.15 I64 Stroke, not specified as POLI UMUM
1097 2023-07-26 3313161212030001 FERNANDO AZIZ SAPUTRO 2003-12-12 19 Th SUMBEREJO RT 02 RW 03, 007906.3 R22.1 Localised swelling, mass and POLI UMUM
1098 2023-07-26 3313164202230002 AKIRA LITUHAYU AN 2023-02-02 5 Bl SEMANG RT 2 RW 10, GEMPOLAN, 003180.20 J00 Acute nasopharyngitis [common KIA
1099 2023-07-26 3313161108840002 NURUL AGUS IRAWAN TN 1984-08-11 38 Th SUMBEREJO RT 04 RW 03, 007966.9 J00 Acute nasopharyngitis [common POLI UMUM
1100 2023-07-26 3313166507550001 SEMI NY 1955-07-25 68 Th KESONGO RT 01 RW 04, 002983.1 M79.1 Myalgia POLI UMUM
1101 2023-07-26 3313164202050001 TASYA FEBRIANI SDRI 2004-02-02 19 Th GONDANGREJO RT 02 RW 08, 004601.1 Z02.2 Encounter for examination for POLI UMUM
1102 2023-07-26 3312015010660001 RINI RAHAYU NY 1966-10-10 56 Th TULANGAN 2/16 PRACIMANTORO 900.40 UGD & R INAP
1103 2023-07-26 3313164911820003 DWI ISTANTI NY 1982-11-09 40 Th PANTI RT 1 RW 3, TAWANGSARI, 006793.2 K30 Functional dyspepsia POLI UMUM
1104 2023-07-26 7371086908880002 HANDRIYANI NY 1988-08-29 34 Th GESANGAN RT 1 RW 6, 005549.4 Z02.2 Encounter for examination for POLI UMUM
1105 2023-07-26 3313165009860002 SURATI NY 1986-09-10 36 Th KASIHAN 2/7, KUTO, KERJO, 001279.1 K02.1 Caries of dentine POLI GIGI
1106 2023-07-26 3313165310070001 ALIFFA FITRI OCTAVIA AN 2007-10-13 15 Th BANGKLE RT 3 RW 4, 004830.3 H60.9 Otitis externa, unspecified POLI UMUM
1107 2023-07-26 3313161010740003 SOLAHUDIN TN 1974-10-10 48 Th SUMBER RT 02 RW 02, 0010792.2 R03 Abnormal blood-pressure POLI UMUM
1108 2023-07-26 3313160308220001 NADEO ARZYAN AN 2022-08-03 11 Bl NGASEM RT 2 RW 9 , 004470.18 J00 Acute nasopharyngitis [common KIA
1109 2023-07-26 - SURIP NY 1950-07-01 73 Th NGLEBAK RT 06 RW 09, 900248.42 E11.8 Non-insulin-dependent diabetes POLI UMUM
1110 2023-07-26 3313164508810002 SUTARNI NY 1981-08-05 41 Th NGASEM RT 02 RW 09, 004486.2 Z48 Other surgical follow-up care UGD & R INAP
1111 2023-07-26 3313160410960001 BHIMA PUTERA DEWANGGA 1996-10-04 26 Th JAMUS RT 4 RW 3, KUTO, KERJO, 000607.10 POLI UMUM
1112 2023-07-26 3316094610920002 LIA RIZKI PUSPARANI NY 1992-10-06 30 Th JL.MAJAPAHIT NO 404 1/1 9004958.1 POLI GIGI
1113 2023-07-26 3313166407030001 NADILA ARIZKA PUTRI NY 2003-07-24 20 Th BABADAN 4/5, TAMANSARI, 001779.8 H81.1 Benign paroxysmal vertigo UGD & R INAP
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1114 2023-07-26 3313164506960003 YENI RUSTANTI 1996-06-05 27 Th TAWANGREJO RT 3/2, 007253.15 Z48 Other surgical follow-up care UGD & R INAP
1115 2023-07-26 3173061707720014 SUMADI TN 1972-06-17 51 Th KARANGREJO RT 1 RW 3, 005080.33 R50 Fever of other and unknown UGD & R INAP
1116 2023-07-26 3313164404720001 SUPARMI NY 1972-04-04 51 Th GLAGAH RT 01 RW 07, 009738.3 R51 Headache UGD & R INAP
1117 2023-07-26 3313162405830001 DWI PURNOMO 1983-05-24 40 Th SIDOMULYO 02/06, GEMPOLAN, 002998.4 Z48 Other surgical follow-up care UGD & R INAP
1118 2023-07-26 3313165304950001 NIKMAH TRI SUSILOWATI NY 1995-04-13 28 Th KARANGGANDU RT 2 RW 2, 008792.1 L23 Allergic contact dermatitis UGD & R INAP
1119 2023-07-26 3313161707860002 YADI TN 1986-07-17 37 Th KARANGGANDU RT 03 RW 03, 002857.10 S60 Superficial injury of wrist and UGD & R INAP
1120 2023-07-26 3313165307940001 YULIA DWI SAPUTRI NY 1994-07-13 29 Th JAMUS RT 08 RW 03, KUTO, 106120.4 K29 Gastritis and duodenitis UGD & R INAP
1121 2023-07-26 1310016507550003 SUKIYEM NY 1955-07-25 68 Th SEMANG RT 3 RW 11, GEMPOLAN, 107950.1 J00 Acute nasopharyngitis [common UGD & R INAP
1122 2023-07-26 3313161905050002 MEIRDANA YOGI ANANDA AN 2005-05-19 18 Th KOTTO RT 02 RW 10, 004205.5 R50 Fever of other and unknown UGD & R INAP
1123 2023-07-27 3313167112900004 SRI SUYATMI NY 1990-12-31 32 Th KADIPESO RT 02 RW 08, 006639.4 UGD & R INAP
1124 2023-07-27 1806036007060007 YULIA KRISTIANA AN 2006-07-20 17 Th GEMPOLAN RT 1 RW 7, 107893.4 S90 Superficial injury of ankle and UGD & R INAP
1125 2023-07-27 3313163112550015 MUJIMAN TN 1955-12-31 67 Th KURAHAN 2/7, KARANGREJO, 003849.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
1126 2023-07-27 3313166907750001 SULASTRI NY 1975-07-29 47 Th KAUMAN RT 2 RW 5, 005810.2 R73.9 Hyperglycaemia, unspecified POLI UMUM
1127 2023-07-27 - TITIK MUSLIHAH HANDAYANI 1975-12-15 47 Th TEPUS RT 01 RW 05, TAMANSARI, 001970.1 H54.2 Moderate visual impairment, POLI UMUM
1128 2023-07-27 0 YAHYA HARIS AZKA 2011-06-02 12 Th TAMANSARI RT 01 RW 05, 001970.6 H54.2 Moderate visual impairment, POLI UMUM
1129 2023-07-27 3313165902700001 NUR FAJARIAH NY 1970-02-19 53 Th KERJO RT 01 RW 02, SUMBEREJO, 006132.2 E11.4 Non-insulin-dependent diabetes POLI UMUM
1130 2023-07-27 3313166206540001 TARSI NY 1954-06-22 69 Th KARANGNONGKO RT 1 RW 5, 004664.1 E11.4 Non-insulin-dependent diabetes POLI UMUM
1131 2023-07-27 3313160606630001 SAMINO TN 1963-06-06 60 Th BULUREJO RT 2 RW 4, BOTOK, 008045.2 M79.1 Myalgia POLI UMUM
1132 2023-07-27 3313165008580003 RIYEM NY 1958-08-10 64 Th KEREP RT 3 RW 4, BOTOK, 008072.1 I10 Essential (primary) hypertension POLI UMUM
1133 2023-07-27 3313166610610001 HARWENI NY 1961-10-26 61 Th BOTOK 3/1, BOTOK, KERJO, 008437.2 I10 Essential (primary) hypertension POLI UMUM
1134 2023-07-27 3313160212900001 MUHAMMAD MAKRUF TN 1990-12-02 32 Th BOTOK 3/1, BOTOK, KERJO, 008437.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
1135 2023-07-27 3313165909710002 SUMINI NY 1971-09-19 51 Th PLOSOREJO RT 2 RW 2, KUTO, 000299.2 K30 Functional dyspepsia POLI UMUM
1136 2023-07-27 3313166102980001 NIKY ANDHIKA WARDANI NY 1998-02-21 25 Th JAMUS RT 6 RW 3, KUTO, KERJO, 000605.6 Z30.5 Surveillance of (intrauterine) KB
1137 2023-07-27 3313166207710001 PARSI NY 1971-07-22 52 Th SUMBEREJO RT 03 RW 12, 006742.2 E11.9 Non-insulin-dependent diabetes POLI UMUM
1138 2023-07-27 3313165506550002 SUMINEM NY 1955-06-15 68 Th KAWORAN RT 02 RW 03, 005087.10 POLI UMUM
1139 2023-07-27 3313111008710006 SISWO HARIYONO DR 1971-08-10 51 Th PRAYAN RT 01 RW 03, 008784.1 B35.3 Tinea pedis POLI UMUM
1140 2023-07-27 3313166901930003 DEWI MARSELLA NY 1993-01-29 30 Th DUMPUL 1/6, SUMBEREJO, 005999.3 Z48 Other surgical follow-up care IVA & IMS
1141 2023-07-27 3313164508490001 ASLI WIJI NY 1949-08-05 73 Th DERSO RT 3 RW 4, SUMBEREJO, 006301.1 I10 Essential (primary) hypertension POLI UMUM
1142 2023-07-27 3313165308530001 NGADINEM NY 1953-08-13 69 Th BELUKAN RT 5 RW 6, KUTO, 001404.3 J06.9 Acute upper respiratory POLI UMUM
1143 2023-07-27 3313165902770001 SULASTRI NY 1977-02-19 46 Th BELUKAN RT 5 RW 6, KUTO, 001404.6 R03 Abnormal blood-pressure POLI UMUM
1144 2023-07-27 3313160112670002 MELKIOR DULLY TN 1967-12-01 55 Th KARANGGANDU RT 2 RW 2, 002815.3 K04.1 Necrosis of pulp POLI GIGI
1145 2023-07-27 3313167112420005 PAINEM NY 1942-12-31 80 Th SENTONO RT 01 RW 06, 007700.5 POLI UMUM
1146 2023-07-27 3313160106140001 FITROH SYAHRUL FALAH AN 2014-06-01 9 Th BANARAN RT 4 RW 1, 003279.7 A01.0 Typhoid fever POLI UMUM
1147 2023-07-27 3313162806570001 SUDJONO TN 1957-06-28 66 Th KERJO RT 02 RW 02, SUMBEREJO, 006161.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
1148 2023-07-27 3313165612030003 ARLINDA DESTRIANA NY 2003-12-16 19 Th TEGALREJO RT 3 RW 2, KUTO, 106190.4 Z34 Supervision of normal pregnancy KIA
1149 2023-07-27 3313165508550001 PARINEM NY 1955-08-15 67 Th KURAHAN RT 01 RW 07, 003961.2 J06.9 Acute upper respiratory POLI UMUM
1150 2023-07-27 - MARIMAN TN 1959-01-01 64 Th KARANGREJO RT 01 RW 03, 005064.3 A16.0 Tuberculosis of lung, POLI UMUM
1151 2023-07-27 3313163112560025 JARI NY 1956-12-31 66 Th NGASEM RT 02 RW 09, 004440.2 R03.0 Elevated blood-pressure reading, POLI UMUM
1152 2023-07-27 3313164103040002 CLARISTA AYU RAHMAWATI 2004-03-01 19 Th SEKADI 2/6, TAWANGSARI, 007809.9 A90 Dengue fever [classical dengue] POLI UMUM
1153 2023-07-27 3313161905050002 MEIRDANA YOGI ANANDA AN 2005-05-19 18 Th KOTTO RT 02 RW 10, 004205.5 A01.0 Typhoid fever POLI UMUM
1154 2023-07-27 3313161005630001 SAIMIN TN 1963-05-10 60 Th KOTTO RT 1 RW 10, 004205.4 S90 Superficial injury of ankle and POLI UMUM
1155 2023-07-27 0 BAHAN MEDIS HABIS PAKAI 1968-05-08 55 Th PUSKESMAS KERJO, bhp001 POLI UMUM
1156 2023-07-27 3313161207030001 RISNANDA PRASETYO SDR 2003-07-12 20 Th GANTEN RT 3 RW 2, GANTEN, 002213.3 J06.9 Acute upper respiratory POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1157 2023-07-27 3313162511070003 WIDIYANSYAH ABDUL AZIZ 2007-11-25 15 Th TEPUS RT 1 RW 5, TAMANSARI, 001793.6 R06.0 Dyspnoea POLI UMUM
1158 2023-07-27 3313166603940001 ANA SAFITRI NY 1994-03-26 29 Th DUMPUL RT 01 RW 06, 005987.4 Z34 Supervision of normal pregnancy KIA
1159 2023-07-27 3313167112660035 WARTINI NY 1966-12-31 56 Th BLORAN 1/1, GEMPOLAN, KERJO, 002772.1 N30.0 Acute cystitis POLI UMUM
1160 2023-07-27 3313084207940001 RITA PURWATI NY 1994-07-02 29 Th PRINGAPUS RT 02 RW 06, 001671.7 K05.3 Chronic periodontitis POLI GIGI
1161 2023-07-27 3313165707020001 LAILI IKA NAJLA SDRI 2002-07-17 21 Th SIDI RT 1 RW 1, TAMANSARI, 002100.5 J06.9 Acute upper respiratory POLI UMUM
1162 2023-07-27 3313076108890001 ETIK WAHYUNI NY 1989-08-21 33 Th MOJOREJO RT 2 RW 2, BOTOK, 008186.5 Z39 Postpartum care and RUANG
1163 2023-07-27 3313161012080001 ILHAM BUDI LAKSONO AN 2008-12-10 14 Th KAUMAN RT 1 RW 5, 005778.7 J06.9 Acute upper respiratory POLI UMUM
1164 2023-07-27 3313164409940001 RINA NY 1994-09-04 28 Th RANDUBENER RT 3 RW 3, KUTO, 000556.8 Z00 General examination and KIA
1165 2023-07-27 3313164406580004 SAMINI NY 1958-06-04 65 Th BETIS RT 2 RW 7, TAWANGSARI, 007609.2 E11.9 Non-insulin-dependent diabetes POLI UMUM
1166 2023-07-27 3313160501560001 SARIJO TN 1956-01-05 67 Th SENTONO RT 4 RW 6, 007823.2 J30.0 Vasomotor rhinitis POLI UMUM
1167 2023-07-27 3313167112640018 SUYANTI NY 1964-12-31 58 Th PLOSOREJO RT 02 RW 04, 003584.11 M10 Gout POLI UMUM
1168 2023-07-27 3313166506140002 TIARA KIKY UTAMI AN 2014-06-25 9 Th SINGGET RT 03 RW 11, 007479.5 J11 Influenza, virus not identified POLI UMUM
1169 2023-07-27 3313164405030001 MAYDINA FITRI ABILLA SDRI 2003-05-04 20 Th JATIMALANG RT 1 RW 7, 00107063. J00 Acute nasopharyngitis [common POLI UMUM
1170 2023-07-27 0 SYAFA FIBRIA ANINDITA AN 2009-02-04 14 Th KADIPESO RT 1 RW 8, 000354.10 POLI UMUM
1171 2023-07-27 0 ATIVA FIBRIA KHOIRUNISA AN 2018-02-23 5 Th KADIPESO RT 1 RW 8 , 000354.11 POLI UMUM
1172 2023-07-27 3313164811780002 INDARTINI NY 1978-11-08 44 Th KAUMAN 3/5, KWADUNGAN, 005781.18 Z30 Contraceptive management KB
1173 2023-07-27 3313166005700004 LARNI NY 1970-05-20 53 Th GESANGAN RT 002 RW 006, 005580.3 B36.0 Pityriasis versicolor POLI UMUM
1174 2023-07-27 3313160311140001 RIDHWAN SHOLEH HABIBI AN 2014-11-03 8 Th DUKUHREJO RT 01 RW 04, 004761.12 S00 Superficial injury of head POLI UMUM
1175 2023-07-27 3313166208010002 ANINDYA RIZKA AULIANTONO 2001-08-22 21 Th KARANG RT 1 RW 2, TAMANSARI, 001971.1 Z02.0 Encounter for examination for POLI UMUM
1176 2023-07-27 3313160210740001 SUPARNO TN 1974-10-02 48 Th KARANGREJO 2/3, KARANGREJO, 005088.6 R51 Headache POLI UMUM
1177 2023-07-27 3313164907020001 SHOVIA NUR ROSYIDAH NY 2002-07-09 21 Th BANARAN RT 2 RW 1, SELOROMO, 010485.1 Z34 Supervision of normal pregnancy KIA
1178 2023-07-27 3313164109990002 NABATAN FAUZIAH SDRI 1999-09-01 23 Th BRANGKAL RT 1 RW 1, 003967.17 R05 Cough POLI UMUM
1179 2023-07-27 3313162511670001 SUGINO TN 1967-11-25 55 Th BLORAN RT 2 RW 1, GEMPOLAN, 002806.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
1180 2023-07-27 3313163112620031 TUGIMAN TN 1962-12-31 60 Th DUKUHREJO RT 4 RW 4, 004778.1 R05 Cough POLI UMUM
1181 2023-07-27 3313165908220001 ADZKIYA NAILA TALEETHA 2022-08-19 11 Bl KLEBREKAN RT 4 RW 1, 009789.10 J06.9 Acute upper respiratory KIA
1182 2023-07-27 3313165910670002 SUWARNI NY 1967-10-19 55 Th KLEBREKAN RT 004 RW 001, 009789.2 R03 Abnormal blood-pressure POLI UMUM
1183 2023-07-27 3313164105710001 SUWARNI NY 1971-05-01 52 Th NERANG RT 3 RW 4, PLOSOREJO, 003728.2 S93 Dislocation, sprain and strain of POLI UMUM
1184 2023-07-27 3313166811590003 SRI SUYATI NY 1959-11-28 63 Th PRAYAN 1/6, KARANGREJO, 004124.3 R03.0 Elevated blood-pressure reading, POLI UMUM
1185 2023-07-27 3525082704710002 SUTARNA TN 1971-04-27 52 Th DERSO RT 2 RW 4, SUMBEREJO, 006239.7 R73.9 Hyperglycaemia, unspecified POLI UMUM
1186 2023-07-27 3313162203980001 MUKHLIS SUJARWANTO SDR 1998-03-22 25 Th MOJOREJO RT 3 RW 2, BOTOK, 008238.1 M13 Other arthritis POLI UMUM
1187 2023-07-27 3313167004950001 DYTA PURWANINGSIH NY 1995-04-30 28 Th JL.MAWAR 1 NO 11 A RT 1 RW 9, 001553.17 Z34 Supervision of normal pregnancy KIA
1188 2023-07-27 3313160406140001 RIKO AHMAD SAPUTRO AN 2014-05-04 9 Th SIDOMULYO RT 01 RW 06, 10556.8 J00 Acute nasopharyngitis [common POLI UMUM
1189 2023-07-27 3313165709660001 KASIH BUDI NY 1966-09-17 56 Th KURAHAN RT 1 RW 7, 003896.10 M54.5 Low back pain POLI UMUM
1190 2023-07-27 3313164109080001 ALSA DINAR RAMADHANI 2008-09-01 14 Th TEGALREJO 6/2, KUTO, KERJO, 000389.5 L02.9 Cutaneous abscess, furuncle POLI UMUM
1191 2023-07-27 3313164504730001 SRI MULYANI NY 1973-04-05 50 Th KLEWONAN RT 2 RW 2, 004975.2 R03 Abnormal blood-pressure POLI UMUM
1192 2023-07-27 3313165309210002 FELYSIA JOVANKA PUTRI 2021-09-13 1 Th DOMAS RT 1 RW 2, KWADUNGAN, 005171a.6 K06.8 Other specified disorders of POLI GIGI
1193 2023-07-27 3313166303830003 PARTI NY 1983-03-23 40 Th GEMPOLAN RT 06 RW 09, 003115.12 R51 Headache POLI UMUM
1194 2023-07-27 3313165108220001 CALLISTA KIRANIA MUTIARA 2022-08-11 11 Bl BANARAN RT 03 RW 01, 003319.12 L20 Atopic dermatitis KIA
1195 2023-07-27 331316530604001 ANTIKA DWI HAPSARI SDRI 2004-09-13 18 Th GEMPOLAN RT 03 RW 08, 003169.4 Z00 General examination and KIA
1196 2023-07-27 3313161508490001 SUPADI A TN 1949-08-15 73 Th KERJO RT 02 RW 01, SUMBEREJO, 006109.6 POLI UMUM
1197 2023-07-27 3313165012550004 MUJILAH NY 1955-12-10 67 Th KERJO 2/1, SUMBEREJO, KERJO, 006109.2 J02.9 Acute pharyngitis, unspecified POLI UMUM
1198 2023-07-27 3313165705110001 MAYZALEA CINTA SAKINA AN 2011-05-17 12 Th GLAGAH RT 3 RW 7, TAMANSARI, 001487.8 L20 Atopic dermatitis POLI UMUM
1199 2023-07-27 3314091001840005 SUWARDI TN 1984-01-10 39 Th KARANGGANDU 5/3, GEMPOLAN, 003301.13 Z02.2 Encounter for examination for POLI UMUM
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1200 2023-07-27 3313162609180001 FAHREZA AULIAN NAZRIL AN 2018-09-26 4 Th SETEMBOK RT 3 RW 2, 004996.11 J00 Acute nasopharyngitis [common KIA
1201 2023-07-27 3208096202840001 ROHAELIS NY 1984-02-22 39 Th KLEWONAN T 001 RW 002, 009060.9 L23 Allergic contact dermatitis POLI UMUM
1202 2023-07-27 3313166102690001 VISCAERNESTIENE MANOI NY 1969-02-21 54 Th DERSO 2/4, SUMBEREJO, KERJO, 006391.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
1203 2023-07-27 3313154601900001 TITIK LESTARI NY 1990-01-06 33 Th KARANGGANDU RT 3 RW 2, 002850.8 Z34 Supervision of normal pregnancy KIA
1204 2023-07-27 3313166301210002 HANANIA HANIN ARDIANA AN 2021-01-23 2 Th KUDUR RT 5 RW 5, KUTO, KERJO, 001064.7 L20 Atopic dermatitis KIA
1205 2023-07-27 3313160610710002 SULIMIN TN 1971-10-06 51 Th NERANG RT 02 RW 05, 003700.3 K30 Functional dyspepsia POLI UMUM
1206 2023-07-27 3313164312980001 NINDA DWI PURWASIH NY 1998-12-03 24 Th KARANGREJO RT 1 RW 3, 005658.3 Z34 Supervision of normal pregnancy KIA
1207 2023-07-27 0 FATIH AKBAR HARYONO 2009-04-16 14 Th KUTO, KUTO, KERJO, 008784.3 POLI UMUM
1208 2023-07-27 3313166203020001 YUNI KUSTINAWATI SDRI 2002-03-22 21 Th KASIHAN RT 001 RW 007, KUTO, 001255.6 Z39 Postpartum care and RUANG
1209 2023-07-27 3313165207690002 SUWARNI NY 1969-07-12 54 Th DOMAS RT 03 RW 02, 005203.5 I25.9 Chronic ischaemic heart disease, POLI UMUM
1210 2023-07-27 - HARGIA CANDRA JULISTA NY 2000-07-12 23 Th BANDUNGAN 2/6, KUTO, KERJO, - 106155.6 Z00 General examination and KIA
1211 2023-07-27 3313161210110000 ARSEL PUTRA JUSLITA AN 2023-07-15 12 Hr BANDUNGAN 2/6, KUTO, KERJO, 106155.7 Z00 General examination and KIA
1212 2023-07-27 3313164912570003 SUTINAH NY 1957-12-09 65 Th BETIS RT 02 RW 10, 007618.4 M13 Other arthritis POLI UMUM
1213 2023-07-27 3313162011510001 DASIYONO TN 1951-11-20 71 Th TAWANGREJO 3/2, TAWANGSARI, 007274.3 M17.9 Gonarthrosis, unspecified POLI UMUM
1214 2023-07-27 3313161602650003 WARDI TN 1965-02-16 58 Th RANDUGUNTINGRT 01 RW 10, 006539.4 I64 Stroke, not specified as POLI UMUM
1215 2023-07-27 3313164108540001 SUKINEM NY 1954-08-01 68 Th KASIHAN 1/7, KUTO, KERJO, 001257.3 I48 Atrial fibrillation and flutter POLI UMUM
1216 2023-07-27 3313164106890001 WARSI NY 1989-06-01 34 Th KASIHAN RT 01 RW 07, KUTO, 001257.6 Z34 Supervision of normal pregnancy KIA
1217 2023-07-27 0 YUNITA DWI CHELSEA SDRI 2010-06-16 13 Th SMP 2 KERJO, SUMBEREJO, 008742.90 K30 Functional dyspepsia POLI UMUM
1218 2023-07-27 3313162411160002 RAFI MUSTOFA AN 2016-11-24 6 Th KARANGREJO RT 1 RW 3, 007376.5 K00.6 Disturbances in tooth eruption POLI GIGI
1219 2023-07-27 3313162703040001 TEGGHAR RIO SAPUTRO SDR 2004-03-27 19 Th KARANGNONGKO RT 2 RW 5, 004642.2 Z00 General examination and POLI UMUM
1220 2023-07-27 3313165204630001 MULYATI NY 1963-04-12 60 Th GENENG RT 01 RW 03, GANTEN, 002239.2 R03.0 Elevated blood-pressure reading, POLI UMUM
1221 2023-07-27 3313160111110001 ABDUL GHOFUR AN 2011-11-01 11 Th PRAYAN RT 2 RW 6, 004130.9 K04.0 Pulpitis POLI GIGI
1222 2023-07-27 3313164807190001 MALIKA ARSHIYA FARHANA 2019-07-08 4 Th KURAHAN RT 01 RW 07, 003945.8 A09.9 Gastroenteritis and colitis of KIA
1223 2023-07-27 0 BY NY NUR MUTMAINAH 2023-07-23 4 Hr BEJI JIRAK , GANTEN, KERJO, 004003.7 Z00 General examination and RUANG
1224 2023-07-27 0 BY NY ETIK WAHYUNI 2023-07-19 8 Hr MOJOREJO, BOTOK, KERJO, 008186.10 RUANG
1225 2023-07-27 3313166012970001 SITI NUR MUTMAINAH NY 1996-11-14 26 Th BRANGKAL RT 01 RW 01, 004003.5 Z39 Postpartum care and RUANG
1226 2023-07-27 3313165008650001 GIYANTI 1965-08-10 57 Th GONDANG RT 03 RW 11, GANTEN, 002703.3 Z48 Other surgical follow-up care UGD & R INAP
1227 2023-07-27 3313164206740001 BINI WULANDARI NY 1974-06-02 49 Th SENTONO RT 1 RW 6, 007682.2 G44 Other headache syndromes UGD & R INAP
1228 2023-07-27 3313161507610001 ROHMADI TN 1961-07-15 62 Th KLIWONAN RT 3 RW 2, 004989.15 Z48 Other surgical follow-up care UGD & R INAP
1229 2023-07-27 3313135604190001 AYUDIA NAURA MAHESWARI 2019-04-16 4 Th DELOK RT 2 RW 1, BOTOK, 008421.7 Z48 Other surgical follow-up care UGD & R INAP
1230 2023-07-27 3507246211850004 LIA DAMAYANTI NY 1985-11-22 37 Th KEPOH 1/5, GANTEN, KERJO, 108212.5 Z48 Other surgical follow-up care UGD & R INAP
1231 2023-07-27 3313167112470006 PARIYEM 1947-06-01 76 Th SENTONO, TAWANGSARI, KERJO, 007735.1 Z00.0 General medical examination UGD & R INAP
1232 2023-07-27 3313166904090001 FATIHAH KHAIRUN NISA AN 2009-04-29 14 Th KARANGGANDU RT 01 RW 02, 003265.13 S90.0 Contusion of ankle UGD & R INAP
1233 2023-07-28 3313163112610020 SASTRO SUTARNO TN 1961-12-31 61 Th TAWANGREJO RT 03 RW 02, 007249.2 R50.0 Fever with chills UGD & R INAP
1234 2023-07-28 3313166708180002 DEVIANDRA INARA BRYNA AN 2018-08-27 4 Th KAWORAN RT 02 RW 03, 005130.22 S60 Superficial injury of wrist and UGD & R INAP
1235 2023-07-28 3313166007000004 RISTIAN DEA ARTA ANANDA 2000-07-20 23 Th SEMANG RT 2 RW 10 , 004704.6 POLI UMUM
1236 2023-07-28 3313167112470045 PAINEM NY 1947-12-31 75 Th SUMBEREJO 3/11, SUMBEREJO, 006701.1 I10 Essential (primary) hypertension POLI UMUM
1237 2023-07-28 3313165707500001 SULIYATI NY 1950-07-17 73 Th DERSO RT 01 RW 04, 006369.4 K30 Functional dyspepsia POLI UMUM
1238 2023-07-28 3313163112840008 PARNO TN 1983-12-31 39 Th MOJOREJO RT 02 RW 02, BOTOK, 008207.5 H81.9 Disorder of vestibular function, POLI UMUM
1239 2023-07-28 3313166303660001 SULIYEM NY 1966-03-23 57 Th GENENG RT 01 RW 03, GANTEN, 002247.3 I10 Essential (primary) hypertension POLI UMUM
1240 2023-07-28 3313165611590001 PATINI NY 1959-11-16 63 Th GANTEN RT 01 RW 01, GANTEN, 002218.2 M79.1 Myalgia POLI UMUM
1241 2023-07-28 3313162302780002 SAPIN KISHANDOYO TN 1978-02-23 45 Th NGASEM RT 02 RW 09, 004431.11 K01.1 Impacted teeth POLI GIGI
1242 2023-07-28 3313162412110001 HASAN BUKHORI AN 2019-07-30 3 Th JAMUS RT 4 RW 3, KUTO, KERJO, 000589.20 A09 Other gastroenteritis and colitis KIA
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1243 2023-07-28 3313166504780003 SRI HARSINI NY 1978-04-25 45 Th BRANGKAL RT 1 RW 1, 003976.3 K30 Functional dyspepsia POLI UMUM
1244 2023-07-28 3313167112490013 KUSIYEM NY 1949-12-31 73 Th KLIWONAN RT 01 RW 02, 004944.3 K30 Functional dyspepsia POLI UMUM
1245 2023-07-28 3313162103860002 RONI HARDIYANTO SDR 1986-03-21 37 Th KARANGNONGKO RT 1 RW 5, 009053.3 J06.9 Acute upper respiratory POLI UMUM
1246 2023-07-28 3313160203750002 SUNARTO TN 1975-03-02 48 Th SUMBEREJO 3/3, BOTOK, KERJO, 007924.1 J06.9 Acute upper respiratory POLI UMUM
1247 2023-07-28 3313166007030001 NONI NUR KHAROMAH 2003-07-20 20 Th DERSO 2/4, SUMBEREJO, KERJO, 006394.3 Z02.0 Encounter for examination for POLI UMUM
1248 2023-07-28 3313166912740001 TINAH SARI NY 1974-12-29 48 Th KWADUNGAN RT 03 RW 03, 009242.3 N92.6 Irregular menstruation, KIA
1249 2023-07-28 3313161508020001 AGITA KRISTIANTO SDR 2002-08-15 20 Th BLIGO RT 005 RW 004, KUTO, 000923.5 Z02.0 Encounter for examination for POLI UMUM
1250 2023-07-28 3313162003120002 MUHAMMAD ILHAM 2012-03-20 11 Th GONDANG RT 1 RW 10, GANTEN, 002657.4 A09 Other gastroenteritis and colitis POLI UMUM
1251 2023-07-28 3313124907180002 RUMAISHA AZMYA AN 2018-07-09 5 Th MALANGJIWAN RT 3 RW 2, 006357.12 K04.0 Pulpitis POLI GIGI
1252 2023-07-28 3313166109550001 SUMIYEM NY 1955-09-21 67 Th KOTTO RT 02 RW 10, 004186.3 J06.9 Acute upper respiratory POLI UMUM
1253 2023-07-28 3313160102860001 EKA DARIS LAKSANA TN 1986-02-01 37 Th GANTEN 1/1, GANTEN, KERJO, - 002120.3 J00 Acute nasopharyngitis [common POLI UMUM
1254 2023-07-28 3313161808080001 CANDRA WINATA AN 2008-08-18 14 Th WATES RT 2 RW 2, PLOSOREJO, 003413.6 J02 Acute pharyngitis POLI UMUM
1255 2023-07-28 3313166306590001 SRI MARKONAH NY 1959-06-23 64 Th DOMAS 3/2, KWADUNGAN, KERJO, 005218.1 M79.2 Neuralgia and neuritis, POLI UMUM
1256 2023-07-28 3313163112540005 SUPARMAN TN 1954-12-31 68 Th KADIPESO RT 01 RW 08, 006261.5 K30 Functional dyspepsia POLI UMUM
1257 2023-07-28 3313166406980001 SHOFIYYAH NY 1998-06-24 25 Th KERJO 1/2, SUMBEREJO, KERJO, 006150.11 Z34 Supervision of normal pregnancy KIA
1258 2023-07-28 3313166712910001 SITI ROCHMAH NY 1991-12-27 31 Th KERJO RT 1 RW 2, SUMBEREJO, 006150.7 Z34 Supervision of normal pregnancy KIA
1259 2023-07-28 3313163112580015 DARTOSUWITO TN 1958-12-31 64 Th GESANGAN RT 2 RW 6, 005567.11 E11.8 Non-insulin-dependent diabetes POLI UMUM
1260 2023-07-28 3313164509650001 NGUSTI HARSITI NY 1965-09-05 57 Th JIRAK RT 2 RW 6, GANTEN, 002436.6 R03.0 Elevated blood-pressure reading, POLI UMUM
1261 2023-07-28 3313157101160002 KAYANA RIANG AWAHITA AN 2016-01-31 7 Th MUNGGUR 1/3, -, MOJOGEDANG, 9004509.2 K04.1 Necrosis of pulp POLI GIGI
1262 2023-07-28 3313164909960001 RIKA SEPTIANA NY 1996-09-09 26 Th BANARAN 3/1, PLOSOREJO, 003304.6 Z34 Supervision of normal pregnancy KIA
1263 2023-07-28 3313164707570001 SUTINI NY 1957-07-07 66 Th JAMUS RT 06 RW 03, KUTO, 000733.1 R03 Abnormal blood-pressure POLI UMUM
1264 2023-07-28 3313164906570001 SUTIYEM NY 1957-06-09 66 Th SUMBEREJO RT 1 RW 3, BOTOK, 007856.1 R03 Abnormal blood-pressure POLI UMUM
1265 2023-07-28 3313145302860002 SRI RAHAYU NY 1986-02-13 37 Th DOMAS RT 01 RW 02, 005146.24 R42 Dizziness and giddiness POLI UMUM
1266 2023-07-28 3313164603580002 SUKINAH NY 1958-03-06 65 Th BABADAN RT 2 RW 5, TAMANSARI, 001807.2 R05 Cough POLI UMUM
1267 2023-07-28 3313160804700001 MIFTAKUL HUDA TN 1970-04-08 53 Th PRAYAN 1/6, KARANGREJO, 004094.5 M54.5 Low back pain POLI UMUM
1268 2023-07-28 3313164304590001 PARIYEM NY 1959-04-03 64 Th KESONGO RT 03 RW 05, 00107347. R51 Headache POLI UMUM
1269 2023-07-28 3313164411820005 TUTI WULANDARI NY 1982-11-04 40 Th KESONGO RT 3 RW 5, 10558GP. Z01 Other special examinations and POLI GIGI
1270 2023-07-28 3313164301180001 KHANAYA CAHYA PUTRI AN 2018-01-03 5 Th BLORAN RT 1 RW 1, 003966.26 R05 Cough POLI UMUM
1271 2023-07-28 3313166007000004 RISTIAN DEA ARTA ANANDA 2000-07-20 23 Th SEMANG RT 2 RW 10 , 004704.6 O48 Prolonged pregnancy KIA
1272 2023-07-28 3313075910150001 SYAFIRA OKTAVIANI SUROSO 2015-10-19 7 Th KARANGREJO RT 2 RW 6, 9009180.1 K00.6 Disturbances in tooth eruption POLI GIGI
1273 2023-07-28 3313175904870001 SULARSIH NY 1987-04-19 36 Th DOMAS RT 01 RW 02, 005162.10 N31.8 Other neuromuscular dysfunction POLI UMUM
1274 2023-07-28 3313164505750005 PARYANTI NY 1975-05-05 48 Th SENTONO RT 004 RW 06, 007843.1 E11.9 Non-insulin-dependent diabetes POLI UMUM
1275 2023-07-28 3313165503530001 SUMINAH NY 1953-03-15 70 Th GENENG RT 1 RW 3, GANTEN, 002238.3 E11.9 Non-insulin-dependent diabetes POLI UMUM
1276 2023-07-28 3313165206910001 SITI QOMARIYAH NY 1991-06-12 32 Th SUDAN RT 1 RW 9, TAWANGSARI, 006910.5 Z30 Contraceptive management KB
1277 2023-07-28 3313166709600001 SUMIYATI NY 1960-09-27 62 Th SUDAN RT 01 RW 09, 006910.1 M17.9 Gonarthrosis, unspecified POLI UMUM
1278 2023-07-28 3313162806160001 MUHAMMAD RIDWAN DWIKI 2016-06-28 7 Th GONDANGREJO RT01/08, 004512.13 K04.0 Pulpitis POLI GIGI
1279 2023-07-28 3313164102860004 WINDI SAFITRI NY 1986-02-01 37 Th SABRANG RT 01 RW 02, BOTOK, 008131.7 Z02.2 Encounter for examination for POLI UMUM
1280 2023-07-28 3313164412660001 SUKIYANTI NY 1966-12-04 56 Th GENENG RT 01 RW 03, GANTEN, 002253.2 M10 Gout POLI UMUM
1281 2023-07-28 3313166609990001 SINDI ALFIA AYU SAPUTRI 1999-09-26 23 Th GENENG RT 1 RW 3, GANTEN, 002152.21 L50 Urticaria POLI UMUM
1282 2023-07-28 3313163112530046 PAIMAN TN 1953-12-31 69 Th KURAHAN RT 01 RW 07, 003857.1 R73.9 Hyperglycaemia, unspecified POLI UMUM
1283 2023-07-28 3313166207990002 SENJA CITRA ERVINA SDRI 1999-07-22 24 Th KUTO RT 4 RW 1, KUTO, KERJO, 000087.4 J00 Acute nasopharyngitis [common POLI UMUM
1284 2023-07-28 3313161610220001 HYUNO FIRLI ISMAWAN AN 2022-10-16 9 Bl SEMANG RT 2 RW 10, GEMPOLAN, 003237.18 Z00 General examination and KIA
1285 2023-07-28 3313164112210001 NIKEISYA NUHA AZZAHRA AN 2021-12-01 1 Th BABADAN 4/5, TAMANSARI, 001779.16 A09 Other gastroenteritis and colitis KIA
TGL Umur Kunjungan
No NIK Nama Tgl Lahir Alamat ICD X Diagnosa Poliklinik
PERIKSA L P Lama Baru
1286 2023-07-28 3313164302520001 HARTINI NY 1952-02-03 71 Th BLIGO RT 03 RW 04, KUTO, 000841.5 UGD & R INAP
1287 2023-07-28 0 IMMUNISASI 2020-08-07 2 Th PUSKESMAS KERJO, IMMUNIS POLI
1288 2023-07-28 - HARGIA CANDRA JULISTA NY 2000-07-12 23 Th BANDUNGAN 2/6, KUTO, KERJO, - 106155.6 Z39 Postpartum care and RUANG
1289 2023-07-28 3314046710680004 NANIK NY 1968-10-27 54 Th BLORAN RT 02 RW 01, 107757.5 L02.9 Cutaneous abscess, furuncle POLI UMUM
1290 2023-07-28 3314055906000007 DEA AGNES NUR AZIZAH NY 2000-06-19 23 Th BLORAN RT 2 RW 1, GEMPOLAN, 107783.6 J00 Acute nasopharyngitis [common UGD & R INAP
1291 2023-07-28 0 BY NY HARGIA CANDRA 2023-07-15 13 Hr BANDUNGAN RT.02/06, KUTO, 106155.8 Z00 General examination and RUANG
1292 2023-07-28 3313160309190001 IKHROM ALDI WINATA AN 2019-09-03 3 Th SUMBEREJO RT 1 RW 12 , 004171.10 J00 Acute nasopharyngitis [common UGD & R INAP
1293 2023-07-28 3313164107480038 SUKARMI NY 1948-07-01 75 Th MAJAN RT 04 RW 04, 005533.1 R42 Dizziness and giddiness UGD & R INAP
1294 2023-07-28 3313160312810001 IKE IRAWANTO TN 1981-12-03 41 Th SUMBEREJO RT 02 RW 03, 007880.17 J00 Acute nasopharyngitis [common UGD & R INAP
1295 2023-07-28 3313166003790005 SUPARTI NY 1979-03-20 44 Th KADIPESO RT 2 RW 8 , 006302.3 UGD & R INAP
1296 2023-07-28 - KEIZYA LIVERANI SDRI 2007-08-07 15 Th TEGALREJO RT 3 RW 2, BOTOK, 000337.16 N94.6 Dysmenorrhoea, unspecified UGD & R INAP
1297 2023-07-28 3271046007810024 SRI SUPARNI NY 1982-09-21 40 Th KOTTO RT 2 RW 10 , 004192.25 UGD & R INAP
1298 2023-07-28 3313167107830001 SRI LESTARI NY 1983-07-31 39 Th KOTTO RT 02 RW 10, 004204.4 G44 Other headache syndromes UGD & R INAP
1299 2023-07-28 3313161112770004 SUMARNO TN 1977-12-11 45 Th GEMPOLAN RT 06 RW 09, 003115.7 K30 Functional dyspepsia UGD & R INAP
1300 2023-07-28 3313162203980001 MUKHLIS SUJARWANTO SDR 1998-03-22 25 Th MOJOREJO RT 3 RW 2, BOTOK, 008238.1 S90 Superficial injury of ankle and UGD & R INAP
1301 2023-07-28 3313162405830001 DWI PURNOMO 1983-05-24 40 Th SIDOMULYO 02/06, GEMPOLAN, 002998.4 S64 Injury of nerves at wrist and UGD & R INAP
1302 2023-07-28 3313105707980001 RURI YULIASTUTI 1998-07-17 25 Th PENDEM KULO 001/001, SURUH, 005774.19 UGD & R INAP
1303 2023-07-28 3313166304810001 WAGIYEM NY 1981-04-23 42 Th SIDOMULYO RT 3 RW 8, 001616.2 H81.1 Benign paroxysmal vertigo UGD & R INAP
1304 2023-07-28 3313163112420012 CIPTO WIYONO TN 1942-12-31 80 Th KAUMAN RT 1 RW 5 , 005778.3 R42 Dizziness and giddiness UGD & R INAP
1305 2023-07-28 3313162112960001 RAHMAT PRABOWO BAGUS 1996-12-21 27 Th DELEG RT 06 RW 01, 005755.10 K03.6 Deposits [accretions] on teeth POLI GIGI

Mengetahui, Karanganyar,28/07/2023
KEPALA UPT PUSKESMAS KERJO Pelapor

NIP. NIP.

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