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No Kunjungan Tanggal Pelayanan Tanggal Entri No.

Kartu Nama Peserta


101506020723P004047 7/31/2023 31-07-2023 08:49 475684626 BU******

101506020723P004201 7/31/2023 31-07-2023 20:04 475729852 WA***

101506020723P004208 7/31/2023 31-07-2023 20:12 475736523 SU*** S.

101506020723P004049 7/31/2023 31-07-2023 09:14 475759304 RO*****


101506020723P004144 7/31/2023 31-07-2023 19:09 475768967 RA***

101506020723P004126 7/31/2023 31-07-2023 18:52 475778024 AI****

101506020723P004265 7/31/2023 31-07-2023 21:34 475804754 NE****


101506020723P004067 7/31/2023 31-07-2023 14:52 475807577 DA** DA*****
101506020723P004276 7/31/2023 31-07-2023 21:50 475823755 KA***
101506020723P004272 7/31/2023 31-07-2023 21:45 475824115 UT**

101506020723P004092 7/31/2023 31-07-2023 15:22 475827939 LI* RA*** DE**


101506020723P004240 7/31/2023 31-07-2023 20:59 475842666 AN*******
101506020723P004219 7/31/2023 31-07-2023 20:29 475861072 NU** R
101506020723P004079 7/31/2023 31-07-2023 15:12 475916782 DE** JU****
101506020723P004160 7/31/2023 31-07-2023 19:33 476008727 EU**
101506020723P004041 7/31/2023 31-07-2023 08:15 476015321 SA***
101506020723P004285 7/31/2023 31-07-2023 22:00 476067069 NO** IN******

101506020723P004294 7/31/2023 31-07-2023 22:13 476068904 MU***** LA***

101506020723P004084 7/31/2023 31-07-2023 15:17 476071751 PU*** SI**


NU*******
101506020723P004244 7/31/2023 31-07-2023 21:05 476071841 CI***
Jenis Kelamin Diagnosa Dirujuk Action
L Unspecified diabetes mellitus YA

P Dyspepsia TIDAK

L Myalgia TIDAK

P Asthma, unspecified YA
L Essential (primary) hypertension TIDAK

P Fever of other and unknown origin TIDAK

P Rheumatism, unspecified TIDAK


L Dyspepsia TIDAK
L Low back pain TIDAK
P Disorders of lipoprotein TIDA
metabolism and other lipidaemias

P Gastritis, unspecified TIDAK


L Headache TIDAK
L Gastritis, unspecified TIDAK
L Gout TIDAK
P Myalgia TIDAK
P Hypertensive heart disease YA
P Other specified noninflammatory TIDAK
disorders of vagina

L Diarrhoea and gastroenteritis of TIDAK


presumed infectious origin
P Gastritis, unspecified TIDAK

P Migraine TIDAK

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