Kantor Cabang : JAKARTA SELATAN - 0902

FKTP : Klinik Restu Ibu - 0112B022

 TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN

0112B0220923P00 05-09-2023
1 0425 09-05-2023 11:36 0000037405271 ZURAIDA ARBI P

2 0112B0220923P00 09-05-2023 05-09-2023 0000037816986 KHAERUMAN AKHMAD,SE.MM L

0399 06:57

3 0112B0220923P00 09-05-2023 05-09-2023 0000037909811 LIVIA FITRIANTI A. P. P

0470 20:09
4 0112B0220923P00 09-05-2023 05-09-2023 0000038297575 RIDHA WAHYUNI P
0462 19:52

5 0112B0220923P00 09-05-2023 05-09-2023 0000041417482 NUHARMEN L

0460 19:01
6 0112B0220923P00 09-05-2023 05-09-2023 0000041849019 KRISNA HASTUTI P
0442 14:59

7 0112B0220923P00 09-05-2023 05-09-2023 0000041992547 NY.DRA THERESIA WAHYU P

0430 12:16 S.W
8 0112B0220923P00 09-05-2023 05-09-2023 0000367105509 ABDUL KADIR L
0441 14:59

9 0112B0220923P00 09-05-2023 05-09-2023 0000566042005 SUNANDAR L

0487 23:40
10 0112B0220923P00 09-05-2023 05-09-2023 0000977732638 HAFIDZA WIBI EFFENDHI P
0415 09:46

11 0112B0220923P00 09-05-2023 05-09-2023 0001082030477 BUDI SETIAWAN L

0466 20:02

12 0112B0220923P00 09-05-2023 05-09-2023 0001111164928 ELFIDA P

0451 17:13

13 0112B0220923P00 09-05-2023 05-09-2023 0001138885817 MUHAMAD NURMAN L

0475 20:36

14 0112B0220923P00 09-05-2023 05-09-2023 0001149833395 WAHYUDI L

0434 12:40
15 0112B0220923P00 09-05-2023 05-09-2023 0001154092127 ZAKARIA L
0402 09:14

16 0112B0220923P00 09-05-2023 05-09-2023 0001170387202 MUHAMMAD AZKA L

0488 23:40 RAIHANDRA
0112B0220923P00 05-09-2023
17 0446 09-05-2023 16:23 0001210508335 PARIYEM P
 STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS

PENERIMA PENSIUN Examination of eyes and vision Diabetes Mellitus

PNS Rujuk Vertikal Hipertensi Hipertensi

- Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Fever, unspecified Berobat Jalan

PNS PUSAT Acute upper respiratory infection, Berobat Jalan

unspecified

- Lichen planus, unspecified Rujuk Vertikal Hipertensi Hipertensi

- Acute pharyngitis, unspecified Berobat Jalan

- Hypertensive heart disease Rujuk Vertikal

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified
PNS PUSAT Dyspepsia Berobat Jalan

PNS PUSAT Acute upper respiratory infection, Berobat Jalan

unspecified

PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan

PEKERJA MANDIRI Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus Diabetes Mellitus
mellitus

PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan

PEGAWAI SWASTA Urinary tract infection, site not Berobat Jalan

specified

PEGAWAI SWASTA Fever, unspecified Berobat Jalan

PEGAWAI SWASTA Unspecified diabetes mellitus

without complications Rujuk Vertikal
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
18 0112B0220923P00 09-05-2023 05-09-2023 0001210597176 SUMINI P
0405 09:28
19 0112B0220923P00 09-05-2023 06-09-2023 0001211180275 FARIDA ASTUTI P
0494 06:29
20 0112B0220923P00 09-05-2023 05-09-2023 0001212453549 FATHIA RUSTANIA P
0414 09:46
21 0112B0220923P00 09-05-2023 05-09-2023 0001212849516 NUGI PAMBUDI L
0418 10:08
22 0112B0220923P00 09-05-2023 05-09-2023 0001228647712 PARSITI P
0481 23:34
23 0112B0220923P00 09-05-2023 05-09-2023 0001228754586 ABDIEL REZKY MAHERZA L
0486 23:39

24 0112B0220923P00 09-05-2023 05-09-2023 0001229096553 ALIF SEPTRITAMA ZHIKHRI L

0450 17:04

25 0112B0220923P00 09-05-2023 05-09-2023 0001229212394 SOLEH KRISCAHYONO L

0436 12:42

26 0112B0220923P00 09-05-2023 05-09-2023 0001229374495 ANIMAR P

0479 22:17

27 0112B0220923P00 09-05-2023 05-09-2023 0001229410181 RIDHO DWI PRAYOGO L

0443 15:00
28 0112B0220923P00 09-05-2023 05-09-2023 0001256642943 BUTET TIURMA P
0429 12:14

0112B0220923P00 05-09-2023
0444 15:36
29 09-05-2023 0001269568078 THONY DANUARTA L

30 0112B0220923P00 09-05-2023 05-09-2023 0001289895647 MOHAMMAD REZA L

0419 10:09 FACHRUROZI

31 0112B0220923P00 09-05-2023 05-09-2023 0001318473527 NY RR ASTUTI AYU WIDAYATI P

0401 08:33
32 0112B0220923P00 09-05-2023 05-09-2023 0001321583938 FELICIA MONIKA P
0412 09:43

33 0112B0220923P00 09-05-2023 05-09-2023 0001338175348 SRI HASTUTI P

0448 16:54

0112B0220923P00 05-09-2023 CESILIA LISBETH THIOVANI

34 0445 09-05-2023 16:11 0001374927816 BORU MANALU P

35 0112B0220923P00 09-05-2023 05-09-2023 0001378509309 DESTI ZUFRIANI P

0458 18:22
PEKERJA MANDIRI Dyspepsia Berobat Jalan

- Pulpitis Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified
- Acute nasopharyngitis [common Berobat Jalan
cold]
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

- Hypertensive heart disease Rujuk Vertikal

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Examination of eyes and vision Rujuk Vertikal

PEGAWAI Acute upper respiratory infection,

PEMERINTAH unspecified
DENGAN PERJANJIAN Berobat Jalan
KERJA

- Dyspepsia Berobat Jalan

- Senile cataract Rujuk Vertikal

- Acute nasopharyngitis [common Berobat Jalan

cold]

PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

PEGAWAI SWASTA
Fever, unspecified Berobat Jalan

PEGAWAI SWASTA Dermatitis, unspecified Berobat Jalan

Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
36 0112B0220923P00 09-05-2023 05-09-2023 0001430839124 H.MAT TOHIR L
0439 13:32
37 0112B0220923P00 09-05-2023 05-09-2023 0001435998295 LUKMAN HAKIM NASUTION L
0468 20:06
38 0112B0220923P00 09-05-2023 05-09-2023 0001440937135 RHADITYA SYAHPUTRA L
0453 17:35 SISWANTOYO
0112B0220923P00 05-09-2023
0472 20:31
39 09-05-2023 0001450446906 IRNA DWI FARDIANA P

40 0112B0220923P00 09-05-2023 05-09-2023 0001456432738 IR LINAWATI W.SILALAHI P

0428 12:06
41 0112B0220923P00 09-05-2023 05-09-2023 0001461497005 MUHAMMAD IBRAHIM L
0403 09:15
42 0112B0220923P00 09-05-2023 05-09-2023 0001584962381 KABUL AGUS BUDIMAN L
0435 12:41

43 0112B0220923P00 09-05-2023 05-09-2023 0001621820676 MUSTIKAMAWATI P

0461 19:51
44 0112B0220923P00 09-05-2023 05-09-2023 0001622995143 HUDLI LAZWARDINUR L
0408 09:32

45 0112B0220923P00 09-05-2023 05-09-2023 0001622995165 RUQOYAH NAJWA KHALILA P

0409 09:33
46 0112B0220923P00 09-05-2023 05-09-2023 0001624800532 MARIA ESTRI MURNIATI P
0482 23:35

47 0112B0220923P00 09-05-2023 06-09-2023 0001625977484 RANI CAHAYA L

0493 06:29
48 0112B0220923P00 09-05-2023 05-09-2023 0001629248758 GENTZA BARATAZENO L
0406 09:28 RALIBY

49 0112B0220923P00 09-05-2023 05-09-2023 0001635544113 IBNU RAJIB L

0480 23:33
0112B0220923P00 05-09-2023
50 0438 09-05-2023 12:43 0001636022711 SITI YUSMIATI P

51 0112B0220923P00 09-05-2023 05-09-2023 0001642176865 AISHA INTAN RIVANA P

0467 20:06

52 0112B0220923P00 09-05-2023 05-09-2023 0001652035162 KEYLA SAFIHATUNNAJAT P

0420 10:12
PEKERJA MANDIRI Acute renal failure, unspecified Rujuk Vertikal

PEKERJA MANDIRI Dermatitis, unspecified Berobat Jalan

PEGAWAI SWASTA Injury, unspecified Berobat Jalan

PEGAWAI
PEMERINTAH
DENGAN PERJANJIAN Myalgia Berobat Jalan
KERJA

- Necrosis of pulp Rujuk Vertikal

PEKERJA MANDIRI Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI BUMD Acute pharyngitis, unspecified Berobat Jalan

PEGAWAI SWASTA Acute tonsillitis, unspecified Berobat Jalan

PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]

- Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified

- Necrosis of pulp Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
PENERIMA PENSIUN Acute pharyngitis, unspecified
SWASTA Berobat Jalan

PBI (APBN) Fever, unspecified Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
53 0112B0220923P00 09-05-2023 05-09-2023 0001722719439 NURUL AZIZAH JUMARI P
0489 23:41

54 0112B0220923P00 09-05-2023 05-09-2023 0001736941015 NAVIAE MAULANA HS L

0431 12:31
0112B0220923P00 05-09-2023 CAHYONO BUDI SANTOSO
55 0474 09-05-2023 20:35 0001741383639 L

56 0112B0220923P00 09-05-2023 05-09-2023 0001766116091 UTTI YULIANI LESTARI P

0433 12:36

57 0112B0220923P00 09-05-2023 05-09-2023 0001786350791 ISMAWATI P

0413 09:43
58 0112B0220923P00 09-05-2023 05-09-2023 0001815510486 RINI ENGELIA P
0410 09:34
59 0112B0220923P00 09-05-2023 05-09-2023 0001828631439 AULIA SYAFIRA P
0400 07:00

60 0112B0220923P00 09-05-2023 05-09-2023 0001876179339 togu catur windu L

0427 11:56
61 0112B0220923P00 09-05-2023 05-09-2023 0001876209895 DHEA SAFIRA PERMANA P
0449 17:03

62 0112B0220923P00 09-05-2023 05-09-2023 0001877559063 nurhayati P

0454 17:49
63 0112B0220923P00 09-05-2023 05-09-2023 0001893844326 CHRISTINE AVANTI P
0416 10:02

64 0112B0220923P00 09-05-2023 06-09-2023 0001897143107 IRFAN HAFIDZ L

0492 06:28
65 0112B0220923P00 09-05-2023 05-09-2023 0001898702651 kaniraras ayaka wibowo P
0447 16:48

0112B0220923P00 05-09-2023
66 0459 09-05-2023 18:59 0001902833504 LO MOEK SIAN P

67 0112B0220923P00 09-05-2023 05-09-2023 0001906091561 HAMDANI L

0411 09:35
68 0112B0220923P00 09-05-2023 05-09-2023 0002033651349 RAFIUDDIN PUTRA PRATAMA L
0483 23:35

69 0112B0220923P00 09-05-2023 05-09-2023 0002038273661 AHMAD DAIROBI L

0440 14:10
PEKERJA MANDIRI Diarrhoea and gastroenteritis of Berobat Jalan
presumed infectious origin

PEGAWAI SWASTA Low back pain Berobat Jalan

PEGAWAI SWASTA Cutaneous abscess, furuncle and

carbuncle, unspecified Berobat Jalan

PEKERJA MANDIRI Myalgia Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified
- Zoster [herpes zoster] Berobat Jalan

- Chronic kidney disease, stage 5 Rujuk Vertikal

PBI (APBD) Fever, unspecified Berobat Jalan

PEKERJA MANDIRI Gout Berobat Jalan

PEGAWAI SWASTA Dyspepsia Berobat Jalan

- Acute gingivitis Berobat Jalan

PNS PUSAT Fever, unspecified Berobat Jalan

Unspecified diabetes mellitus

- without complications Rujuk Vertikal

PEKERJA MANDIRI Injury, unspecified Berobat Jalan

- Fever, unspecified Berobat Jalan

- Observation for suspected Rujuk Vertikal

tuberculosis
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
 0112B0220923P00 05-09-2023
70 0426 09-05-2023 11:38 0002047847321 MASITAH ARBI P

71 0112B0220923P00 09-05-2023 05-09-2023 0002061386943 MEIDINA AZZAHARA PUTRI P

0432 12:32

72 0112B0220923P00 09-05-2023 05-09-2023 0002080962189 KEYSHA RAMADHANI P

0471 20:30 HARIYANTI

73 0112B0220923P00 09-05-2023 05-09-2023 0002143052335 KHAIRU SABIL AL-FATIH L

0424 11:24

74 0112B0220923P00 09-05-2023 05-09-2023 0002198100251 DONI HADI KUSUMA L

0469 20:07
75 0112B0220923P00 09-05-2023 05-09-2023 0002202431073 ARIANDARA KHAIRA P
0421 11:21 RAFANDA
76 0112B0220923P00 09-05-2023 05-09-2023 0002212851262 HALIMATUSSA'DIYAH P
0465 20:01

77 0112B0220923P00 09-05-2023 06-09-2023 0002237309155 QIANA ALTHAFUNNISA P

0495 06:30 AZKAYRA
78 0112B0220923P00 09-05-2023 05-09-2023 0002251761761 IBRAHIM AZKA RAFISQY L
0407 09:31

79 0112B0220923P00 09-05-2023 05-09-2023 0002273876166 SYAHIRA ASTAGINA P

0490 23:42
80 0112B0220923P00 09-05-2023 05-09-2023 0002275374172 MUHAMMAD ARKHAN L
0452 17:14 FAHREZI

81 0112B0220923P00 09-05-2023 05-09-2023 0002337341084 ADE NOVIA ARMA P

0464 20:00
82 0112B0220923P00 09-05-2023 05-09-2023 0002337341117 NURAZKA PRASETYO L
0485 23:38

83 0112B0220923P00 09-05-2023 05-09-2023 0002338878058 HASNA NABILAH RINDRA P

0456 17:53
84 0112B0220923P00 09-05-2023 05-09-2023 0002466079929 SEPTI HANDAYANI P
0484 23:36

85 0112B0220923P00 09-05-2023 05-09-2023 0002473834408 MUHAMMAD RIDWAN L

0422 11:22

86 0112B0220923P00 09-05-2023 05-09-2023 0002748751852 NICOLE LETISHA LEE P

0477 20:49

0112B0220923P00 05-09-2023 GIANDA MAYSARAZKADINA

87 0473 09-05-2023 20:32 0002760267791 FAHRI P

88 0112B0220923P00 09-05-2023 05-09-2023 0002889197976 NAYYIRA FALISHA ASHADIYA P

0478 21:59
PEKERJA MANDIRI Examination of eyes and vision Diabetes Mellitus
Rujuk Vertikal Hipertensi Hipertensi

PEGAWAI SWASTA Fever, unspecified Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan

cold]
- Acute upper respiratory infection, Berobat Jalan
unspecified
PEGAWAI SWASTA Acute tonsillitis, unspecified Berobat Jalan

- Necrosis of pulp Berobat Jalan

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Fever, unspecified Berobat Jalan

PEKERJA MANDIRI Other specified special Rujuk Vertikal

examinations
- Tinea pedis Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified

PBI (APBN) Acute pharyngitis, unspecified Berobat Jalan

- Observation for suspected Rujuk Vertikal

tuberculosis

PEGAWAI SWASTA
Fever, unspecified Berobat Jalan

PEGAWAI SWASTA Other specified special Rujuk Vertikal

examinations
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
89 0112B0220923P00 09-05-2023 05-09-2023 0002905659156 HASDA AFSHIN GHALYA P
0463 20:00
90 09-05-2023 0002928930794 ZAINUL ARIFIN L
0112B0220923P00 05-09-2023
0491 23:42

91 0112B0220923P00 09-05-2023 05-09-2023 0002930698708 QIANA QUEENSHA ZALIKA P

0457 18:18
92 0112B0220923P00 09-05-2023 05-09-2023 0002938131404 KHAIRA NADHIFA SHANUM P
0455 17:50
93 0112B0220923P00 09-05-2023 05-09-2023 0002940338518 MUHAMMAD SYAFIQ AL- L
0437 12:42 HAKAM
94 0112B0220923P00 09-05-2023 05-09-2023 0002940340847 AISYAH SILMI AFIQA P
0423 11:22

95 0112B0220923P00 09-05-2023 05-09-2023 0003104682671 GENDIS AFSHEEN BAHIRA P

0417 10:03

96 0112B0220923P00 09-05-2023 05-09-2023 0003500524686 ALESHA NADHIRA P

0404 09:16

97 0112B0220923P00 09-05-2023 05-09-2023 0003504277067 noel shankara lie L

0476 20:48
PEGAWAI SWASTA Fever, unspecified Berobat Jalan

General examination and Berobat Jalan

investigation of persons without
PEGAWAI SWASTA complaint and reported diagnosis

PEGAWAI SWASTA Acute tonsillitis, unspecified Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified
PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan
unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified

PEGAWAI SWASTA Acute upper respiratory infection, Berobat Jalan

unspecified

- Observation for suspected Rujuk Vertikal

tuberculosis