Kantor Cabang : JAKARTA SELATAN - 0902

FKTP : Klinik Restu Ibu - 0112B022

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

1 0112B0220923P00 09-03-2023 03-09-2023 0000016814946 DASNIMAR P

0202 11:20

2 09-03-2023 0000036138508 MARYANIH P

0112B0220923P00 03-09-2023
0243 19:02

3 0112B0220923P00 09-03-2023 03-09-2023 0000041992547 NY.DRA THERESIA WAHYU P

0182 08:39 S.W

4 0112B0220923P00 09-03-2023 03-09-2023 0000042755139 ALFRED NAPITUPULU, SH L

0233 18:21
5 0112B0220923P00 09-03-2023 03-09-2023 0000045223007 MUHAMAD HADASESARWAN L
0255 20:27
6 0112B0220923P00 09-03-2023 03-09-2023 0000544872363 INKA AMALIA P
0245 20:21

7 0112B0220923P00 09-03-2023 03-09-2023 0000977732638 HAFIDZA WIBI EFFENDHI P

0227 18:16
8 0112B0220923P00 09-03-2023 03-09-2023 0001128459868 RETNO WAHYUNI P
0247 20:23

9 0112B0220923P00 09-03-2023 03-09-2023 0001128785488 RIDWAN L

0181 01:17
10 0112B0220923P00 09-03-2023 03-09-2023 0001136660624 INA RISTIANA P
0201 11:12

11 0112B0220923P00 09-03-2023 03-09-2023 0001151741608 SUHERMAN L

0237 18:31
12 0112B0220923P00 09-03-2023 03-09-2023 0001152313615 NOVA TRIJAYANTI P
0218 14:36

0112B0220923P00 03-09-2023
13 0203 09-03-2023 11:23 0001171904782 AHMAD SYAMSURI L

14 0112B0220923P00 09-03-2023 03-09-2023 0001189771975 RYAN REYNALDI HADI L

0259 20:29 RAHARDJO
15 0112B0220923P00 09-03-2023 03-09-2023 0001206943312 GIYUR PURNOMO L
0231 18:18

16 0112B0220923P00 09-03-2023 03-09-2023 0001210366967 DARMA L

0248 20:24
17 0112B0220923P00 09-03-2023 03-09-2023 0001211180275 FARIDA ASTUTI P
0254 20:27
 STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS

- Essential (primary) hypertension Berobat Jalan

- General examination and Berobat Jalan

investigation of persons without
complaint and reported diagnosis

PENERIMA PENSIUN Stroke, not specified as Rujuk Vertikal

PNS haemorrhage or infarction

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified
- Benign paroxysmal vertigo Berobat Jalan

- Pyoderma Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan Hipertensi

unspecified

PBI (APBN) Dyspepsia Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
PEGAWAI SWASTA Cervicocranial syndrome Rujuk Vertikal

Unspecified haemorrhoids without

- complication Berobat Jalan

- Dyspepsia Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Dyspepsia Berobat Jalan
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
18 0112B0220923P00 09-03-2023 03-09-2023 0001211181513 AHMAD YASIR LUBIS L
0180 00:23
19 0112B0220923P00 09-03-2023 03-09-2023 0001212893728 JURIAH P
0250 20:24
20 0112B0220923P00 09-03-2023 03-09-2023 0001217273657 MARSAID L
0179 00:23
21 0112B0220923P00 09-03-2023 03-09-2023 0001228424962 ASHILLA ZAHRA P
0225 18:00
22 0112B0220923P00 09-03-2023 03-09-2023 0001228591495 AHMAD HUSAINI L
0223 18:00
23 0112B0220923P00 09-03-2023 03-09-2023 0001261863123 H.DAFNIL SE L
0190 10:51

24 0112B0220923P00 09-03-2023 03-09-2023 0001306625624 PUTRI ALIMAH P

0224 18:00

0112B0220923P00 03-09-2023
25 0219 09-03-2023 15:52 0001309404295 DRS.EGGIE ASMARA S L

26 0112B0220923P00 09-03-2023 03-09-2023 0001326166626 PRATAMA WAHYU SAPUTRO L

0263 20:40

27 0112B0220923P00 09-03-2023 03-09-2023 0001378488688 MUHAMMAD BAGAS ALI L

0221 17:54 FAISAL
28 0112B0220923P00 09-03-2023 03-09-2023 0001387537233 LARAS MAHARANI ZANELLA P
0232 18:21

29 0112B0220923P00 09-03-2023 03-09-2023 0001455891412 MISNI ARIANI P

0207 11:38
30 09-03-2023 0001476257308 L
0112B0220923P00 03-09-2023
MUHAMMAD RASYA SAPUTRA
0191 10:52

31 0112B0220923P00 09-03-2023 03-09-2023 0001480237119 AFFAN GHIFARI L

0197 10:59
32 0112B0220923P00 09-03-2023 03-09-2023 0001622191972 RAHMA AZIZA P
0272 23:07

33 0112B0220923P00 09-03-2023 03-09-2023 0001628235011 MUHAMMAD HAFIIDZ L

0270 23:05

34 0112B0220923P00 09-03-2023 03-09-2023 0001648831961 WIDYASTUTI P

0213 13:45

35 0112B0220923P00 09-03-2023 03-09-2023 0001648831983 FARHAN FEBRIAN RIZKI L

0214 13:46 WIBISONO
- Urinary tract infection, site not Berobat Jalan
specified
- Urinary tract infection, site not Berobat Jalan
specified
PEGAWAI SWASTA Myalgia Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Dermatitis, unspecified Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory infection, Berobat Jalan

unspecified

- Cluster headache syndrome Berobat Jalan

Unspecified diabetes mellitus

- without complications Rujuk Vertikal

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified

PEKERJA MANDIRI Low back pain Rujuk Vertikal

Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin
PEGAWAI SWASTA

- Caries of dentine Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Tinea pedis Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
36 0112B0220923P00 09-03-2023 03-09-2023 0001650083207 TAPIAN MANULLANG L
0188 10:41
37 09-03-2023 0001653456611 ICHWAN TEJA SENTANA L
0112B0220923P00 03-09-2023
0230 18:18

38 0112B0220923P00 09-03-2023 03-09-2023 0001655548479 TRI ANDRININGSIH P

0183 09:04
39 0112B0220923P00 09-03-2023 03-09-2023 0001719903914 SUHENDAR L
0193 10:56
40 0112B0220923P00 09-03-2023 03-09-2023 0001733614953 MARYATI P
0241 19:02
41 0112B0220923P00 09-03-2023 03-09-2023 0001736946628 REVI DARA NOVA S P
0222 17:55

42 0112B0220923P00 09-03-2023 03-09-2023 0001737380586 FRISCHA BUNGA LESTARI P

0208 11:53

0112B0220923P00 03-09-2023 CAHYONO BUDI SANTOSO

43 0205 09-03-2023 11:32 0001741383639 L

44 0112B0220923P00 09-03-2023 03-09-2023 0001744625654 FAUZAN A UMSOHI L

0244 19:40

45 09-03-2023 0001786932167 SASKIA AFRIANTINI P

0112B0220923P00 03-09-2023
0229 18:17

46 0112B0220923P00 09-03-2023 03-09-2023 0001794588006 LISDIANTI P

0217 14:16

47 0112B0220923P00 09-03-2023 03-09-2023 0001794985367 M.ROZAT L

0199 11:08
48 0112B0220923P00 09-03-2023 03-09-2023 0001804177596 SOLEH RINTO PURNAMA L
0186 10:38

49 0112B0220923P00 09-03-2023 03-09-2023 0001825378885 GUNAWAN TRIATMOKO L

0265 20:42
50 0112B0220923P00 09-03-2023 03-09-2023 0001828631439 AULIA SYAFIRA P
0252 20:25

51 09-03-2023 0001857859233 SUHERMAN L

0112B0220923P00 03-09-2023
0228 18:17

52 0112B0220923P00 09-03-2023 03-09-2023 0001871557569 SRI AYU RATNANINGSIH P

0195 10:58
- Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus
mellitus
- General examination and Berobat Jalan
investigation of persons without
complaint and reported diagnosis

PEGAWAI SWASTA Secondary hypertension, Rujuk Vertikal

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

- Acute upper respiratory infection, Berobat Jalan

unspecified

Cutaneous abscess, furuncle and

- carbuncle, unspecified Berobat Jalan

- Low back pain Rujuk Vertikal

- General examination and Berobat Jalan

investigation of persons without
complaint and reported diagnosis

- Antenatal screening Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Dermatitis, unspecified Berobat Jalan

- Hypertensive heart disease Berobat Jalan

- Herpesviral infection, unspecified Berobat Jalan

- General examination and Berobat Jalan

investigation of persons without
complaint and reported diagnosis

- Acute upper respiratory infection, Berobat Jalan

unspecified
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
53 0112B0220923P00 09-03-2023 03-09-2023 0001871563329 TIMOTHIUS ABEDNEGO L
0196 10:58 LEMUEL P.M
54 0112B0220923P00 09-03-2023 03-09-2023 0001876179339 togu catur windu L
0240 18:38
0112B0220923P00 03-09-2023 ANTON HABIB PRAYITNO SAG
55 0266 09-03-2023 20:47 0002042604191 L

56 09-03-2023 0002055094806 L
0112B0220923P00 03-09-2023
ZLATAN DIMITRI EFFRIANo
0204 11:26

0112B0220923P00 03-09-2023 MOSES NEHEMIAH

57 0189 09-03-2023 10:45 0002056978337 MARANATHA MANULLANG L

58 0112B0220923P00 09-03-2023 03-09-2023 0002068254292 MUHAMMAD KHOIRUL UMAM L

0273 23:07
0112B0220923P00 03-09-2023
59 0198 09-03-2023 11:05 0002087165305 M. ZAINUDDIN L

60 0112B0220923P00 09-03-2023 03-09-2023 0002088725837 EVA FAUZIAH P

0261 20:39

61 0112B0220923P00 09-03-2023 03-09-2023 0002094788169 AYU SETIANING TYAS P

0234 18:22

62 0112B0220923P00 09-03-2023 03-09-2023 0002097379236 ABID FADHIL ABYAN L

0264 20:41

63 0112B0220923P00 09-03-2023 03-09-2023 0002198260168 JEREMY JOEL SIBURIAN L

0262 20:40
64 09-03-2023 0002203003146 L
0112B0220923P00 03-09-2023 ATAYA ZAID ASYAM
0249 20:24 TABARAK

65 0112B0220923P00 09-03-2023 03-09-2023 0002210365978 SURIAH P

0235 18:24
66 0112B0220923P00 09-03-2023 03-09-2023 0002211719488 KAYLA AQILLA ZAHRA P
0269 22:13

67 09-03-2023 0002218990577 SALSABILA LIDIANI P

0112B0220923P00 03-09-2023
0184 10:35

0112B0220923P00 03-09-2023
68 0216 09-03-2023 13:55 0002230894596 YENNI WIJAYA P
- Acute upper respiratory infection, Berobat Jalan
unspecified
- End-stage renal disease Rujuk Vertikal

Sequelae of stroke, not specified as

- haemorrhage or infarction Rujuk Vertikal Hipertensi

- Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin

Acute upper respiratory infection,

- unspecified Berobat Jalan

- Injury, unspecified Berobat Jalan

PEKERJA MANDIRI Unspecified diabetes mellitus

without complications Rujuk Vertikal

- Dyspepsia Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Diarrhoea and gastroenteritis of Berobat Jalan
presumed infectious origin

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Examination of eyes and vision Rujuk Vertikal

- Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin

PEKERJA MANDIRI Chronic obstructive pulmonary

disease, unspecified Rujuk Vertikal Hipertensi
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
69 0112B0220923P00 09-03-2023 03-09-2023 0002238991569 FITRI RUDHY P
0215 13:50
70 0112B0220923P00 09-03-2023 03-09-2023 0002292277533 MUHAMAD ALVIN AGUSTIAR L
0257 20:28
71 0112B0220923P00 09-03-2023 03-09-2023 0002305504091 ONAH BT SUBIA P
0256 20:28
0112B0220923P00 03-09-2023
72 0267 09-03-2023 21:01 0002308215756 SUHARTI P

73 0112B0220923P00 09-03-2023 03-09-2023 0002337528216 AGUNG FIRMANSYAH L

0211 13:35
74 0112B0220923P00 09-03-2023 03-09-2023 0002338821044 MUHAMAD VERO ILAL HAQ L
0209 11:56
75 09-03-2023 0002338893279 EKO PRASETYO L
0112B0220923P00 03-09-2023
0194 10:57

76 0112B0220923P00 09-03-2023 03-09-2023 0002339136472 NURLIANTI P

0268 21:13
77 0112B0220923P00 09-03-2023 03-09-2023 0002451862089 AFIFA RAHMAH NAFISAH P
0187 10:39

78 0112B0220923P00 09-03-2023 03-09-2023 0002465478011 SHIREEN AURELIA RAMADANI P

0271 23:06
79 0112B0220923P00 09-03-2023 03-09-2023 0002469472852 META ADELINA P
0212 13:41

80 0112B0220923P00 09-03-2023 03-09-2023 0002510855932 SYAHIRA HAURA AL-FAZZA P

0239 18:36
81 0112B0220923P00 09-03-2023 03-09-2023 0002511278436 FAIZAH SAYYIDAH RAYYA P
0242 19:02

82 0112B0220923P00 09-03-2023 03-09-2023 0002615853756 FADLAN MUHAMMAD L

0226 18:16
83 0112B0220923P00 09-03-2023 03-09-2023 0002696489717 SALWA HUSEIN P
0220 17:52

84 0112B0220923P00 09-03-2023 03-09-2023 0002752279492 RADEYA KENZIE L

0206 11:36 HARDYANSAH

85 0112B0220923P00 09-03-2023 03-09-2023 0002899800472 GALANG ALGHAISAN L

0238 18:36
- Tinnitus Rujuk Vertikal

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified
Hypertensive heart disease without
- (congestive) heart failure Rujuk Vertikal

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Asthma, unspecified Berobat Jalan

- Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin

- Spondylosis Rujuk Vertikal

- Dermatitis, unspecified Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Urinary tract infection, site not Berobat Jalan
specified

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified

- Nausea and vomiting Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
Kantor Cabang : JAKARTA SELATAN - 0902
FKTP : Klinik Restu Ibu - 0112B022
86 0112B0220923P00 09-03-2023 03-09-2023 0002919102581 SHAQUEENA HUMAIRA MALIK P
0260 20:29

87 0112B0220923P00 09-03-2023 03-09-2023 0002931342412 REVIN ALFARIZKI L

0246 20:21
88 0112B0220923P00 09-03-2023 03-09-2023 0002937954666 MUHAMMAD GAMAL L
0258 20:28 EFFENDHI
89 0112B0220923P00 09-03-2023 03-09-2023 0003001973984 MUHAMAD LUTHFI L
0210 13:27
90 0112B0220923P00 09-03-2023 03-09-2023 0003063734741 CLARISSA OVIE DESNITY P
0192 10:55
91 0112B0220923P00 09-03-2023 03-09-2023 0003121847458 Abdul Haaziq santoso L
0253 20:26

92 0112B0220923P00 09-03-2023 03-09-2023 0003132111701 AZKA CHAIRUL HADI L

0251 20:25

93 0112B0220923P00 09-03-2023 03-09-2023 0003162308343 ISKANDAR L

0185 10:36

94 0112B0220923P00 09-03-2023 03-09-2023 0003287157671 SOFIA NAURA AGUSTINE P

0200 11:10

95 0112B0220923P00 09-03-2023 03-09-2023 0003527674582 YARI YANTHO TASLIM L

0236 18:24
- General examination and Berobat Jalan
investigation of persons without
complaint and reported diagnosis

- Fever, unspecified Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Fever, unspecified Berobat Jalan

- Acute upper respiratory infection, Berobat Jalan

unspecified
- Acute upper respiratory infection, Berobat Jalan
unspecified

- Acute upper respiratory infection, Berobat Jalan

unspecified

PBI (APBN) Cellulitis Berobat Jalan

- Fever, unspecified Berobat Jalan

- Myalgia Berobat Jalan