REKAP

TANGGAL TANGGAL JENIS KELAMIN STATUS PULANG
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
1 132304010523P000 05-02-2023 02-05-2023 0000111171407 RUBI'ANI P - Synovitis and tenosynovitis Rujuk Vertikal
046 11:44 ORTHOPEDI RS PANTI NIRMALA
132304010523P000 02-05-2023 Non-insulin-dependent
051 12:22 diabetes mellitus with
2 05-02-2023 0000111245253 ADY SUWITO L - unspecified complications Rujuk Vertikal
PENYAKIT DALAM RSI AISYIYAH MALANG

3 132304010523P000 05-02-2023 02-05-2023 0000111704286 Rr SRI RAHAYU P PENERIMA Scoliosis, unspecified Rujuk Vertikal
024 10:31 WIDAYATI PENSIUN PNS SARAF RSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0000111707447 R.R. HANDRI P PENERIMA Primary angle-closure Rujuk Vertikal
4 035 10:58 ERMANI PENSIUN PNS glaucoma MATA Klinik Utama Malang Eye Center
5 132304010523P000 05-02-2023 02-05-2023 0000111711475 LESTARI RAHAYU P PENERIMA Heart failure, unspecified Rujuk Vertikal
003 08:52 PENSIUN PNS JANTUNG DAN PEMBULUH DARARSU HERMINA TANGKUBANPRAHU
132304010523P000 05-02-2023 02-05-2023 0000111842741 SITI PATONAH P - Keratitis Rujuk Vertikal
6 016 09:52 MATA KLINIK MATA SMEC MALANG
7 132304010523P000 05-02-2023 02-05-2023 0000681279254 NILAM CAHYA P - Premature rupture of Rujuk Vertikal
020 10:20 DEWANTI membranes, unspecified
OBGYN RS MELATI HUSADA
132304010523P000 05-02-2023 02-05-2023 0000783288235 SITI AISYAH P PEGAWAI Chalazion Rujuk Vertikal
8 038 11:06 SWASTA MATA RSI AISYIYAH MALANG
9 132304010523P000 05-02-2023 02-05-2023 0000783611482 RINI SUSANTI P - Antepartum haemorrhage, Rujuk Vertikal
023 10:27 unspecified
OBGYN RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-02-2023 02-05-2023 0000783959646 SUNARTI P - Other cataract Rujuk Vertikal
10 011 09:30 MATA RSI AISYIYAH MALANG
11 132304010523P000 02-05-2023 Maternal care due to
033 10:49 VRIST VLANIN uterine scar from previous Rujuk Vertikal
05-02-2023 0000784011352 P -
VALARANI surgery
OBGYN RSI AISYIYAH MALANG
132304010523P000 02-05-2023 Abnormal uterine and
12 045 05-02-2023 11:34 0000784095502 ARI SUCIYANTI P PBI (APBN) vaginal bleeding, Rujuk Vertikal
unspecified
13 132304010523P000 05-02-2023 02-05-2023 0000784095647 SUSWANTI P - Necrosis of pulp Rujuk Vertikal
042 11:22 GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
14 05-02-2023 0000784382308 SULIATI P PBI (APBN) unspecified complications Rujuk Vertikal

15 132304010523P000 05-02-2023 02-05-2023 0000784419445 YUYUN HARTATIK P - Caries of dentine Rujuk Vertikal
132304010523P000 02-05-2023 Sequelae of stroke, not
010 09:13 specified as haemorrhage
16 05-02-2023 0000785165455 HARI SUDJARWO L PBI (APBN) or infarction Rujuk Vertikal
SARAF RSU HERMINA TANGKUBANPRAHU

17 132304010523P000 05-02-2023 02-05-2023 0000785166276 IRWAN SUGIONO L - Acute and transient Rujuk Vertikal
014 09:40 psychotic disorders JIWA RS SOEPRAOEN
132304010523P000 05-02-2023 02-05-2023 0000785437841 ANIS KUNTARTI P - Necrosis of pulp Rujuk Vertikal
18 040 11:14 GIGI ENDODONSI RSI AISYIYAH MALANG
19 132304010523P000 05-02-2023 02-05-2023 0001049538082 SRI WINARSIH P PBI (APBD) Heart failure, unspecified Rujuk Vertikal
006 08:58 JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0001049552504 NAILAH FAZA P PBI (APBD) Thyrotoxicosis, unspecified Rujuk Vertikal
20 029 10:45 TSABITAH
THUFAILAH
ANAK RS MELATI HUSADA
21 132304010523P000 05-02-2023 02-05-2023 0001081900462 ASMOROWATI P PENERIMA Chronic kidney disease, Rujuk Vertikal
036 11:00 PENSIUN TNI stage 5 Ginjal-Hipertensi RS PANTI WALUYA
132304010523P000 05-02-2023 02-05-2023 0001287821283 KATMIN L PEKERJA Malignant neoplasm of Rujuk Vertikal
22 027 10:40 MANDIRI nasopharynx THT-KL RS ISLAM MALANG UNISMA
23 132304010523P000 05-02-2023 02-05-2023 0001320756309 SUHARTINI P PBI (APBD) Other intervertebral disc Rujuk Vertikal
028 10:43 disorders SARAF RSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0001381171296 SULASMI P PEKERJA Malignant neoplasm of Rujuk Vertikal
24 001 08:29 HARTININGSIH MANDIRI breast, unspecified BEDAH RSI AISYIYAH MALANG
25 132304010523P000 05-02-2023 02-05-2023 0001403180381 JUNI PATMONO L - Pulpitis Rujuk Vertikal
037 11:01 GIGI BEDAH MULUT RS SOEPRAOEN
05-02-2023 0001403222859 ARI ATMARANI P PBI (APBD) Non-insulin-dependent Rujuk Vertikal
132304010523P000 02-05-2023 diabetes mellitus with other
26 specified complications
031 10:47
BEDAH RSU HERMINA TANGKUBANPRAHU
27 132304010523P000 02-05-2023 Human immunodeficiency
018 10:07 virus [HIV] disease
resulting in infectious and
05-02-2023 0001423511471 MARIA ULFA P PBI (APBN) parasitic diseases Rujuk Vertikal
B20 RSUD DR. SAIFUL ANWAR

132304010523P000 05-02-2023 02-05-2023 0001437299234 AGUS PRIYANTO L PBI (APBN) Hebephrenic schizophrenia Rujuk Vertikal
28 002 08:51 JIWA RSI AISYIYAH MALANG
29 132304010523P000 02-05-2023 Organic delusional
009 05-02-2023 09:06 0001438116805 INDRA SURYONO L PBI (APBN) [schizophrenia-like] Rujuk Vertikal
disorder
JIWA RS. JIWA LAWANG
132304010523P000 05-02-2023 02-05-2023 0001438653431 LARIMBA MU`IS L PBI (APBD) Other disorders of lens Rujuk Vertikal
31 132304010523P000 05-02-2023 02-05-2023 0001538199213 SUKINI P PBI (APBN) Cerebral infarction, Rujuk Vertikal
025 10:36 unspecified SARAF RSI AISYIYAH MALANG
132304010523P000 02-05-2023 Human immunodeficiency
019 10:08 virus [HIV] disease
32 05-02-2023 0001636902033 SUBCHAN JAIDAH L PBI (APBN) parasitic diseases Rujuk Vertikal

33 132304010523P000 05-02-2023 02-05-2023 0001703514306 INDRA KHARIS L PEKERJA Eczema herpeticum Rujuk Vertikal
013 09:34 MANDIRI PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-02-2023 02-05-2023 0001722346323 MUAWANAH P PEKERJA Hypertensive heart disease Rujuk Vertikal
34 022 10:26 MANDIRI PENYAKIT DALAM RSI AISYIYAH MALANG
35 132304010523P000 05-02-2023 02-05-2023 0001795584609 BAMBANG L PEKERJA Hyperplasia of prostate Rujuk Vertikal
005 08:57 SUCIPTO MANDIRI UROLOGI RSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0001833765041 NASIFATIN P PEKERJA Chronic kidney disease Rujuk Vertikal
36 004 08:54 MANDIRI Ginjal-Hipertensi RS PANTI WALUYA
37 132304010523P000 02-05-2023 Malignant neoplasm of
026 05-02-2023 10:39 0001894468072 HARIYANTI P PBI (APBD) upper-inner quadrant of Rujuk Vertikal
breast
Hematologi - Onkologi Medik RSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0002065607166 DEBBY PRIMA L PNS PUSAT Fracture of clavicle Rujuk Vertikal
38 008 09:01 ANDRIWAN ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
39 132304010523P000 05-02-2023 02-05-2023 0002155667218 MARIANAH P PBI (APBN) Appendicular concretions Rujuk Vertikal
044 11:33 BEDAH RS SOEPRAOEN
132304010523P000 05-02-2023 02-05-2023 0002161038712 RINA DIAHWATI P PEKERJA Viral hepatitis complicating Rujuk Vertikal
012 09:32 MANDIRI pregnancy, childbirth and
40 the puerperium
Gastroenterologi-Hepatologi RUMAH SAKIT LAVALETTE
41 132304010523P000 05-02-2023 02-05-2023 0002244972767 MAULIDA YURI P - Caries of dentine Rujuk Vertikal
041 11:19 LESTARI GIGI BEDAH MULUT RS SOEPRAOEN
132304010523P000 02-05-2023 ARFAN KHALIF Other and unspecified
42 049 05-02-2023 11:54 0002428388267 ARJUN SHALEH L - adrenocortical insufficiency Rujuk Vertikal
ANAK RSU HERMINA TANGKUBANPRAHU
43 132304010523P000 05-02-2023 02-05-2023 0002437516552 MUHAMMAD P PBI (APBD) Haemoptysis Rujuk Vertikal
021 10:25 FARCHAN
HARDIANSYAH
PARU RS PANTI WALUYA
132304010523P000 05-02-2023 02-05-2023 0002627108109 DEVA MAISAROH P - Other and unspecified Rujuk Vertikal
44 048 11:48 ovarian cysts OBGYN RS MELATI HUSADA
45 132304010523P000 05-02-2023 02-05-2023 0002628186895 LINDA ULFIANA P - Maternal care for Rujuk Vertikal
050 11:58 intrauterine death OBGYN RS MELATI HUSADA
132304010523P000 05-02-2023 02-05-2023 0002680710783 DJUMIATI P PBI (APBN) Cerebral infarction, Rujuk Vertikal
46 043 11:27 unspecified SARAF RSI AISYIYAH MALANG
47 132304010523P000 05-02-2023 02-05-2023 0002766875422 WIWIK YULIANTI P PBI (APBD) Other spondylosis with Rujuk Vertikal
015 09:43 radiculopathy SARAF RSI AISYIYAH MALANG
132304010523P000 05-02-2023 02-05-2023 0002814525044 RUDI HARTONO L PBI (APBN) Cellulitis Rujuk Vertikal
48 034 10:50 BEDAH RSUD Kota Malang
49 132304010523P000 05-02-2023 02-05-2023 0002845960007 SUGIATI P PBI (APBN) Senile cataract, unspecified Rujuk Vertikal
007 09:00 MATA KLINIK MATA SMEC MALANG
132304010523P000 05-02-2023 02-05-2023 0002845964395 DIDIK NURCAHYO L - Other cataract Rujuk Vertikal
51 132304010523P000 02-05-2023 MUHAMMAD Other disorders of
030 05-02-2023 10:46 0003063959043 RAYYAN AL L PBI (APBD) psychological development Rujuk Vertikal
GHOZALI
Installasi Rehabilitasi Medik KLINIK HUSADA ASIH
132304010523P000 05-03-2023 03-05-2023 0000110437571 RIANA P PNS DAERAH Disorder of trigeminal Rujuk Vertikal
52 088 09:40 HUTAGALUNG nerve, unspecified SARAF RSI AISYIYAH MALANG
53 132304010523P000 05-03-2023 03-05-2023 0000111057401 ANDRIYANI P PENERIMA Chronic renal failure, Rujuk Vertikal
096 10:17 PENSIUN PNS unspecified Ginjal-Hipertensi RS PANTI NIRMALA
132304010523P000 05-03-2023 03-05-2023 0000111448372 MARSANAH P PENERIMA Cellulitis Rujuk Vertikal
54 077 08:52 PENSIUN TNI BEDAH RSI AISYIYAH MALANG
55 132304010523P000 05-03-2023 03-05-2023 0000111470051 KASIJATI P PENERIMA Other cataract Rujuk Vertikal
081 09:03 PENSIUN TNI SARAF RSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0000111724806 DJAMINI P PENERIMA Cholelithiasis Rujuk Vertikal
56 082 09:08 PENSIUN PNS PENYAKIT DALAM RSI AISYIYAH MALANG
57 132304010523P000 05-03-2023 03-05-2023 0000141030887 SHOFIA KAMAL P - Cardiac arrhythmia, Rujuk Vertikal
079 08:59 unspecified JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0000172595351 RADENG P PENERIMA Heart failure, unspecified Rujuk Vertikal
58 103 11:01 PENSIUN TNI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
59 132304010523P000 05-03-2023 03-05-2023 0000783959128 RUSMANTO L PBI (APBN) Chronic renal failure, Rujuk Vertikal
095 10:15 unspecified Ginjal-Hipertensi RS PANTI WALUYA
132304010523P000 05-03-2023 03-05-2023 0000784461216 SUCI NURIYATI P PBI (APBD) Keratitis Rujuk Vertikal
61 132304010523P000 03-05-2023 Dislocation, sprain and
100 10:47 BAMBANG strain of joints and
05-03-2023 0000785072834 L PBI (APBN) Rujuk Vertikal
SUTOMO ligaments of knee
ORTHOPEDI RSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0000785138736 HAMSIATI P - Ankylosing spondylitis, Rujuk Vertikal
62 102 10:53 thoracolumbar region
63 132304010523P000 05-03-2023 03-05-2023 0001049531027 M SUWARNO L PBI (APBN) Inguinal hernia Rujuk Vertikal
075 08:41 BEDAH RSI AISYIYAH MALANG
132304010523P000 03-05-2023 PEGAWAI Iodine-deficiency-related
084 09:17 FEFY SWASTA thyroid disorders and allied
64 05-03-2023 0001187096466 P conditions Rujuk Vertikal
MUSTAQIMAH
PENYAKIT DALAM RS PANTI WALUYA
65 132304010523P000 05-03-2023 03-05-2023 0001316707367 AMELINDA IVANA P - Scoliosis Rujuk Vertikal
108 11:29 SALSABILA SARAF RS PERSADA HOSPITAL
132304010523P000 05-03-2023 03-05-2023 0001328398198 LISAN HANDAYANI P PEGAWAI Other chronic obstructive Rujuk Vertikal
66 101 10:50 SWASTA pulmonary disease
PARU RSI AISYIYAH MALANG
67 132304010523P000 05-03-2023 03-05-2023 0001402416347 YURIZA P - Endometriosis, unspecified Rujuk Vertikal
110 13:07 RAMADHANI OBGYN RSIA MUHAMMADIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0001403205974 Sukari L PBI (APBD) Stroke, not specified as Rujuk Vertikal
68 072 08:33 haemorrhage or infarction
SARAF RSI AISYIYAH MALANG
69 132304010523P000 05-03-2023 03-05-2023 0001403206323 AGUS PRAYITNO L PBI (APBN) Keratitis Rujuk Vertikal
132304010523P000 05-03-2023 03-05-2023 0001422930036 DETA CITRA SONA L PEKERJA Schizophrenia Rujuk Vertikal
70 087 09:34 MANDIRI JIWA RS. JIWA LAWANG
71 132304010523P000 03-05-2023 Acquired clawhand,
111 05-03-2023 13:42 0001791467886 M. ALI TAUFIK L - clubhand, clawfoot and Rujuk Vertikal
clubfoot
132304010523P000 05-03-2023 03-05-2023 0001828907021 ELISABET P PEGAWAI Disorder of conjunctiva, Rujuk Vertikal
72 098 10:38 SULASTRI SWASTA unspecified
MATA Klinik Utama Malang Eye Center
73 132304010523P000 03-05-2023 Maternal care due to
093 05-03-2023 10:07 0001844297357 RIRIN SETIAWATI P - uterine scar from previous Rujuk Vertikal
surgery
132304010523P000 05-03-2023 03-05-2023 0001846882596 ANIE SUKARNI P PEKERJA Sequelae of cerebral Rujuk Vertikal
74 073 08:38 MANDIRI infarction SARAF RSI AISYIYAH MALANG
75 132304010523P000 05-03-2023 03-05-2023 0001860120876 EKO DARMAWAN L PEKERJA Heart failure, unspecified Rujuk Vertikal
105 11:04 MANDIRI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0001867710734 MAI ISROFAH P PEKERJA Necrosis of pulp Rujuk Vertikal
76 104 11:02 MANDIRI GIGI BEDAH MULUT RSI AISYIYAH MALANG
77 132304010523P000 03-05-2023 Benign neoplasm of other
080 09:02 R A SRIWULAN and unspecified endocrine
05-03-2023 0001881959027 P - Rujuk Vertikal
BIBIT P glands
Bedah Onkologi RS PERSADA HOSPITAL
132304010523P000 05-03-2023 03-05-2023 0002072235431 SUDJI NAPIYAH P PBI (APBD) Stroke, not specified as Rujuk Vertikal
79 132304010523P000 03-05-2023 Non-insulin-dependent
070 08:29 BAMBANG diabetes mellitus with
05-03-2023 0002158339994 L PBI (APBN) unspecified complications Rujuk Vertikal
HERMAWAN
132304010523P000 05-03-2023 03-05-2023 0002158733226 MUJIATI P PBI (APBD) Anisometropia and Rujuk Vertikal
80 092 10:06 aniseikonia MATA RSI AISYIYAH MALANG
81 132304010523P000 05-03-2023 03-05-2023 0002159261853 MARDININGTYAS P PBI (APBD) Melaena Rujuk Vertikal
076 08:49 PENYAKIT DALAM RSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0002241314572 RACHMAD L PBI (APBN) Epilepsy Rujuk Vertikal
82 069 08:23 PRASETYO SARAF RSI AISYIYAH MALANG
83 05-03-2023 0002294449018 DAINI P - Non-insulin-dependent Rujuk Vertikal
132304010523P000 03-05-2023 diabetes mellitus with other
091 09:55 specified complications
132304010523P000 03-05-2023 Abnormal uterine and
84 107 05-03-2023 11:21 0002601990033 ANA INDRAWATI P - vaginal bleeding, Rujuk Vertikal
unspecified
85 132304010523P000 05-03-2023 03-05-2023 0002608007049 SHINTA AMELIA P - Impacted teeth Rujuk Vertikal
071 08:33 GIGI PEDODONTIS RSUD Kota Malang
132304010523P000 05-03-2023 03-05-2023 0002728052177 KHOIRUL L PBI (APBD) Anisometropia and Rujuk Vertikal
86 094 10:12 MUSTOFA aniseikonia MATA RSU HERMINA TANGKUBANPRAHU
87 132304010523P000 03-05-2023 Chronic obstructive
074 08:39 SRI DEWI pulmonary disease,
05-03-2023 0002730363603 P PBI (APBD) Rujuk Vertikal
ASMARANI unspecified
132304010523P000 05-03-2023 03-05-2023 0003219136593 BAYU L PBI (APBD) Focal brain injury Rujuk Vertikal
88 090 09:53 PRASETYAWAN BEDAH SARAF RSU HERMINA TANGKUBANPRAHU
89 132304010523P000 05-03-2023 03-05-2023 0003280029996 nABILA PUTRI P - Pain, not elsewhere Rujuk Vertikal
106 11:21 PATRESIA classified BEDAH RSI AISYIYAH MALANG
132304010523P000 05-03-2023 03-05-2023 0003294845932 AWANG PURNOMO L PBI (APBD) Other cataract Rujuk Vertikal
91 132304010523P000 04-05-2023 PENERIMA Intra-abdominal and pelvic
147 05-04-2023 11:19 0000011825548 GIJONO L PENSIUN PNS swelling, mass and lump Rujuk Vertikal
132304010523P000 05-04-2023 04-05-2023 0000111110365 TRIASTUTI P - Malignant neoplasm of Rujuk Vertikal
92 120 08:57 RAHAYATI cervix uteri, unspecified
onkologi ginekologi RUMAH SAKIT LAVALETTE
93 132304010523P000 05-04-2023 04-05-2023 0000111455695 GINI P VETERAN Sequelae of cerebral Rujuk Vertikal
136 09:57 infarction SARAF RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0000111469612 SITI RAMILAH P PENERIMA Senile cataract Rujuk Vertikal
94 128 09:30 PENSIUN TNI MATA RSI AISYIYAH MALANG
95 132304010523P000 05-04-2023 04-05-2023 0000111469937 SoePARMI P PENERIMA Nontoxic goitre, Rujuk Vertikal
122 09:04 PENSIUN TNI unspecified BEDAH RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0000111722409 WILSON SITINJAK L PENERIMA Spondylolisthesis, cervical Rujuk Vertikal
96 129 09:31 PROFESOR,SI PENSIUN PNS region SARAF RS PANTI WALUYA
97 132304010523P000 05-04-2023 04-05-2023 0000783836447 NGATINI P PBI (APBN) Psoriasis Rujuk Vertikal
116 08:45 KULIT KELAMIN RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-04-2023 04-05-2023 0000784053551 NINIK PUDJIATI P PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
98 117 08:47 disease, unspecified
JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
99 132304010523P000 05-04-2023 04-05-2023 0000784137903 DJUWARNO L PBI (APBD) Fracture of shaft of tibia Rujuk Vertikal
130 09:38 ORTHOPEDI RSU. UNIVERSITAS MUHAMMADIYAH
132304010523P000 05-04-2023 04-05-2023 0000784357029 SITI SUNARMI P PBI (APBN) Other cataract Rujuk Vertikal
101 132304010523P000 04-05-2023 Other specified abnormal
134 05-04-2023 09:46 0000784689568 PUTRI MAULIDIA P - uterine and vaginal Rujuk Vertikal
bleeding
132304010523P000 05-04-2023 04-05-2023 0001291288937 ANDI WIJAYA L PBI (APBD) Schizophrenia Rujuk Vertikal
102 121 08:58 JIWA RSI AISYIYAH MALANG
103 132304010523P000 05-04-2023 04-05-2023 0001310534864 HARDITA LESTARI P PEKERJA Endometriosis, unspecified Rujuk Vertikal
112 07:52 MANDIRI OBGYN RS MELATI HUSADA
132304010523P000 05-04-2023 04-05-2023 0001337783782 SITI HALIMAH P PEKERJA Other disorders of Rujuk Vertikal
104 131 09:39 MANDIRI Eustachian tube THT-KL RSI AISYIYAH MALANG
105 132304010523P000 05-04-2023 04-05-2023 0001407393325 PRIYAN AGUS L PEKERJA Injury of muscle and Rujuk Vertikal
146 10:55 SUSANTO MANDIRI tendon at lower leg level
132304010523P000 05-04-2023 04-05-2023 0001430935288 HARI SUCIPTO L PBI (APBN) Stroke, not specified as Rujuk Vertikal
107 132304010523P000 05-04-2023 04-05-2023 0001433714848 SUMARYANI P PBI (APBN) Other vitreous opacities Rujuk Vertikal
127 09:27 MATA RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0001436425209 SUGIYANTI P PEGAWAI Other chronic obstructive Rujuk Vertikal
108 133 09:42 SWASTA pulmonary disease
Pulmonologi RS SOEPRAOEN
109 132304010523P000 04-05-2023 PEGAWAI Cerebral infarction due to
141 05-04-2023 10:11 0001601303005 SUWARSI JULIUS L SWASTA thrombosis of cerebral Rujuk Vertikal
arteries
SARAF RS PANTI WALUYA
132304010523P000 04-05-2023 PEGAWAI Maternal care for known or
118 08:48 SWASTA suspected malpresentation
110 05-04-2023 0001704015988 ANIS CAHYATI P of fetus Rujuk Vertikal

111 132304010523P000 05-04-2023 04-05-2023 0001704999317 SURIPTO L PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
123 09:08 disease JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 04-05-2023 PEGAWAI Benign neoplasm of bone
112 119 05-04-2023 08:53 0001856908012 HARI UTOMO L SWASTA and articular cartilage Rujuk Vertikal
BEDAH RSI AISYIYAH MALANG
113 132304010523P000 05-04-2023 04-05-2023 0001856908157 SUSIANTI P - Pulp degeneration Rujuk Vertikal
115 08:39 GIGI ENDODONSI RUMAH SAKIT LAVALETTE
114 05-04-2023 0002159262628 UMIAH SRI UTAMI P PBI (APBN) unspecified complications Rujuk Vertikal
PENYAKIT DALAM Klinik Utama Bunga Melati

115 132304010523P000 05-04-2023 04-05-2023 0002162582673 SUWARDI L PBI (APBD) Chronic ischaemic heart Rujuk Vertikal
124 09:14 disease JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0002243680356 LESTARI P PBI (APBD) Cough Rujuk Vertikal
116 137 09:59 WAHYUNING
TRIMURTI
Gastroenterologi-Hepatologi RSI AISYIYAH MALANG
117 132304010523P000 05-04-2023 04-05-2023 0002317347685 PONIEM P PEKERJA Spondylosis Rujuk Vertikal
125 09:17 MANDIRI SARAF RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0002414064745 PRI HANDONO L PBI (APBD) Anisometropia and Rujuk Vertikal
118 144 10:28 HIDAYADI aniseikonia MATA RSI AISYIYAH MALANG
119 132304010523P000 05-04-2023 04-05-2023 0002472851676 SRIANI P PEKERJA Carpal tunnel syndrome Rujuk Vertikal
142 10:13 MANDIRI SARAF RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0002585367505 SUGIRI L PBI (APBN) Gonarthrosis, unspecified Rujuk Vertikal
120 140 10:09 ORTHOPEDI RSI AISYIYAH MALANG
121 132304010523P000 05-04-2023 04-05-2023 0002730308207 YASUMI P - Chronic maxillary sinusitis Rujuk Vertikal
132 09:41 THT-KL RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0002766875422 WIWIK YULIANTI P PBI (APBD) Retinopathy of prematurity Rujuk Vertikal
123 132304010523P000 05-04-2023 04-05-2023 0002814533627 BUDI SUPRIYANTO L PBI (APBN) Heart failure, unspecified Rujuk Vertikal
132304010523P000 04-05-2023 PEKERJA Insulin-dependent diabetes
135 09:55 MANDIRI mellitus with unspecified
124 05-04-2023 0003004603053 AHMADI L complications Rujuk Vertikal

125 132304010523P000 05-04-2023 04-05-2023 0003508285094 MUHAMMAD L PBI (APBD) Psoriasis, unspecified Rujuk Vertikal
126 09:17 GIBRAN ALFARIZI KULIT KELAMIN RSI AISYIYAH MALANG
132304010523P000 05-04-2023 04-05-2023 0003511402738 RAYNA SLAVINA P - Atrial septal defect Rujuk Vertikal
126 143 10:20 AZZAHRA Anak Kardiologi RUMAH SAKIT LAVALETTE
127 05-04-2023 04-05-2023 P - Rujuk Vertikal
132304010523P000 09:18 1835880985 HABIBAH SITI HA Acute serous otitis m THT-KL RSU HERMINA TANGKUBANPRAHU
05-04-2023 04-05-2023 P - Rujuk Vertikal
128
132304010523P000 10:21 2045424295 NURAIDA Cervical disc disord SARAF RSI AISYIYAH MALANG
129 05-04-2023 04-05-2023 P - Rujuk Vertikal
132304010523P000 09:19 2211720006 SRI WAHYUTI Cervical disc disord SARAF RSI AISYIYAH MALANG
132304010523P000 05-05-2023 05-05-2023 0000019060503 ADRIZAL, Drs L PENERIMA Hyperplasia of prostate Rujuk Vertikal
130 181 09:13 PENSIUN PNS UROLOGI RSU HERMINA TANGKUBANPRAHU
131 132304010523P000 05-05-2023 05-05-2023 0000110187494 HERU PRASETYO L - Heart failure, unspecified Rujuk Vertikal
187 10:28 JANTUNG DAN PEMBULUH DARARUMAH SAKIT LAVALETTE
132304010523P000 05-05-2023 05-05-2023 0000111171262 RIRIN P PNS DAERAH Disorders of Rujuk Vertikal
132 188 10:30 KRISTIANINGSIH accommodation MATA KLINIK MATA SMEC MALANG
133 132304010523P000 05-05-2023 05-05-2023 0000111447347 SUNA'YAH P VETERAN Heart failure, unspecified Rujuk Vertikal
183 09:17 JANTUNG DAN PEMBULUH DARARS SOEPRAOEN
132304010523P000 05-05-2023 05-05-2023 0000111454762 MASRIVILATI P PENERIMA Hypertensive heart disease Rujuk Vertikal
134 173 08:48 PENSIUN TNI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
135 132304010523P000 05-05-2023 05-05-2023 0000783956259 SUKADJI L - Chronic myeloid leukaemia Rujuk Vertikal
132304010523P000 05-05-2023 05-05-2023 0000784475976 BAYU YUDANTO L - Erythema multiforme Rujuk Vertikal
136 186 10:26 KULIT KELAMIN RSI AISYIYAH MALANG
137 132304010523P000 05-05-2023 05-05-2023 0001080463656 SRI SURIYANI P - Other disorders of thyroid Rujuk Vertikal
132304010523P000 05-05-2023 05-05-2023 0001081212783 SUTIQNO L PENERIMA Chronic kidney disease Rujuk Vertikal
138 166 08:26 PENSIUN TNI Ginjal-Hipertensi RS PANTI WALUYA
139 132304010523P000 05-05-2023 05-05-2023 0001319415164 ANNY FARIDA P PENERIMA Heart failure, unspecified Rujuk Vertikal
179 09:11 PENSIUN PNS JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-05-2023 05-05-2023 0001403200383 SUPRIYONO L - Pain, not elsewhere Rujuk Vertikal
140 185 10:18 classified BEDAH PLASTIK RSI AISYIYAH MALANG
141 132304010523P000 05-05-2023 05-05-2023 0001403205175 SUMARJI L PBI (APBD) Hypertensive heart disease Rujuk Vertikal
132304010523P000 05-05-2023 05-05-2023 0001438490777 HARI PAMUDJI L PEKERJA Angina pectoris Rujuk Vertikal
142 167 08:27 MANDIRI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
143 132304010523P000 05-05-2023 05-05-2023 0001601313085 LELI SANJAYA L PBI (APBD) Schizophrenia Rujuk Vertikal
175 09:03 JIWA RSI AISYIYAH MALANG
132304010523P000 05-05-2023 PEGAWAI Maternal care due to
177 09:07 FITRI SWASTA uterine scar from previous Rujuk Vertikal
144 05-05-2023 0001795684779 P
NURAPRIANTI surgery
145 132304010523P000 05-05-2023 05-05-2023 0001798128898 GHEA LARASATI P PEGAWAI Disorders of Rujuk Vertikal
189 10:31 SWASTA accommodation MATA KLINIK MATA SMEC MALANG
132304010523P000 05-05-2023 05-05-2023 0002052659845 SUGIHARTONO L PBI (APBN) Heart failure, unspecified Rujuk Vertikal
146 176 09:05 JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
147 132304010523P000 05-05-2023 05-05-2023 0002296376087 ENDANG KUSDIATI P PEKERJA Senile cataract, unspecified Rujuk Vertikal
168 08:30 MANDIRI MATA KLINIK MATA SMEC MALANG
132304010523P000 05-05-2023 PEGAWAI Developmental disorder of
180 09:12 MUHAMAD SWASTA speech and language,
148 05-05-2023 0002296721261 L unspecified Rujuk Vertikal
TOBIRAMA
Installasi Rehabilitasi Medik KLINIK HUSADA ASIH
149 132304010523P000 05-05-2023 05-05-2023 0002337187138 AMIRAH AISAH P PEKERJA Rheumatic heart disease, Rujuk Vertikal
169 08:32 MANDIRI unspecified JANTUNG DAN PEMBULUH DARARSU. UNIVERSITAS MUHAMMADIYAH
132304010523P000 05-05-2023 08-05-2023 0002377612866 EDDY HENNY P PEKERJA Disorders of Rujuk Vertikal
150 219 09:49 SETYOWATI MANDIRI accommodation MATA KLINIK MATA SMEC MALANG
151 132304010523P000 05-05-2023 BINTANG DWI Visual impairment
174 08:50 PUTRA including blindness
05-05-2023 0002609869285 DIRGANTARA L PBI (APBN) (binocular or monocular) Rujuk Vertikal
MATA KLINIK MATA SMEC MALANG

132304010523P000 05-05-2023 05-05-2023 0002614347617 MASRUCHAH P PEKERJA Calculus of kidney and Rujuk Vertikal
152 172 08:46 MANDIRI ureter UROLOGI RSI AISYIYAH MALANG
153 132304010523P000 05-05-2023 ISYALAISHA Anxiety disorder,
170 05-05-2023 08:37 0002729061549 AHMADINEJAD L PBI (APBD) unspecified Rujuk Vertikal
RAHMAAN
JIWA RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-05-2023 05-05-2023 0002730225925 SRI RAHAYU P PBI (APBN) Fracture of lumbar spine Rujuk Vertikal
154 178 09:10 and pelvis ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
155 132304010523P000 05-06-2023 06-05-2023 0000003741142 SUTONI L - Pulpitis Rujuk Vertikal
200 09:43 GIGI ENDODONSI RS PANTI NIRMALA
156 05-06-2023 0000110187494 HERU PRASETYO L - unspecified complications Rujuk Vertikal
PENYAKIT DALAM RUMAH SAKIT LAVALETTE

157 132304010523P000 05-06-2023 06-05-2023 0000111286427 SUHARTINAH P VETERAN Lumbago with sciatica Rujuk Vertikal
197 09:28 ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
132304010523P000 06-05-2023 PENERIMA
158 05-06-2023 0000111476362 HARSIWI P Cholelithiasis Rujuk Vertikal
199 09:31 PENSIUN TNI PENYAKIT DALAM RSI AISYIYAH MALANG
159 132304010523P000 05-06-2023 06-05-2023 0001049539522 RANIPAH P PBI (APBN) Senile cataract, unspecified Rujuk Vertikal
132304010523P000 05-06-2023 06-05-2023 0001382309864 MARTINUS SUGITO L PEKERJA Hyperplasia of prostate Rujuk Vertikal
160 194 08:53 MANDIRI UROLOGI RSI AISYIYAH MALANG
161 132304010523P000 05-06-2023 06-05-2023 0001407317973 VALENTINA DWI P PEKERJA Gastroduodenitis, Rujuk Vertikal
198 09:29 WIDARSIH MANDIRI unspecified PENYAKIT DALAM RS PANTI WALUYA
132304010523P000 05-06-2023 06-05-2023 0001440929351 SARNI P PEKERJA Other intervertebral disc Rujuk Vertikal
162 196 09:05 MANDIRI disorders SARAF RSU HERMINA TANGKUBANPRAHU
163 05-06-2023 0001816089761 MENIK P Peptic ulcer, unspecified as Rujuk Vertikal
NURWIDIANA acute or chronic, without
132304010523P000 06-05-2023 PEKERJA haemorrhage or perforation
201 10:01 MANDIRI
Gastroenterologi-Hepatologi RUMAH SAKIT LAVALETTE

132304010523P000 06-05-2023 MOHAMMAD Mild mental retardation,
202 10:21 REYHAN other impairments of
164 05-06-2023 0002317725955 MIFTAHURROSIDIN L PBI (APBD) behaviour Rujuk Vertikal

165 05-06-2023 0002429719683 YURINDA SARI P PBI (APBN) Other benign neoplasm of Rujuk Vertikal
connective and other soft
132304010523P000 06-05-2023 tissue of head, face and
190 08:23 neck
PARU RSU HERMINA TANGKUBANPRAHU

132304010523P000 05-06-2023 06-05-2023 0002616006183 NADINE AGISTA P - Necrosis of pulp Rujuk Vertikal
166 195 09:03 PUTRI ARDIANTI GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
167 132304010523P000 05-06-2023 06-05-2023 0002730321516 WARTIJEM P PBI (APBN) After-cataract Rujuk Vertikal
132304010523P000 05-06-2023 06-05-2023 0002874167976 SUPRIYADI L PEKERJA Pain in throat and chest Rujuk Vertikal
169 132304010523P000 05-08-2023 08-05-2023 0000111707447 R.R. HANDRI P - Malignant neoplasm of Rujuk Vertikal
206 08:25 ERMANI breast, unspecified Bedah Onkologi RS PANTI NIRMALA
132304010523P000 05-08-2023 08-05-2023 0000112359317 RINI WULANDARI P PNS DAERAH Disorders of Rujuk Vertikal
170 238 11:45 accommodation MATA Klinik Utama Malang Eye Center
171 132304010523P000 05-08-2023 08-05-2023 0000167891624 DINA TRISNAWATI P - Unspecified appendicitis Rujuk Vertikal
239 13:40 BEDAH RS SOEPRAOEN
132304010523P000 05-08-2023 08-05-2023 0000682850801 WIWIK P PBI (APBD) Pre-eclampsia, unspecified Rujuk Vertikal
172 225 10:02 OBGYN RSI AISYIYAH MALANG
173 132304010523P000 05-08-2023 08-05-2023 0000783910462 MUHAMMAD L PBI (APBN) Necrosis of pulp Rujuk Vertikal
205 08:21 SYAIFUDDIN GIGI ENDODONSI RSUD Kota Malang
132304010523P000 08-05-2023 Lumbar and other
223 09:59 intervertebral disc disorders
174 05-08-2023 0000784785216 RIYO EKO UTOMO L PBI (APBD) with myelopathy Rujuk Vertikal

175 132304010523P000 05-08-2023 08-05-2023 0000784842535 KADIYO L PBI (APBN) Malignant neoplasm of Rujuk Vertikal
204 08:14 colon BEDAH RSI AISYIYAH MALANG
132304010523P000 05-08-2023 08-05-2023 0000785092149 DJUPRI SUGIYONO L PBI (APBN) Dilated cardiomyopathy Rujuk Vertikal
177 132304010523P000 05-08-2023 08-05-2023 0000785207283 ENIK PRAYITNO P PBI (APBN) Other chronic obstructive Rujuk Vertikal
208 08:40 pulmonary disease
PARU RSU. UNIVERSITAS MUHAMMADIYAH
132304010523P000 05-08-2023 08-05-2023 0001049533277 HARIYANTO L PBI (APBD) Other chronic obstructive Rujuk Vertikal
178 218 09:42 pulmonary disease
179 132304010523P000 05-08-2023 08-05-2023 0001133922723 HERI MULYONO L PBI (APBN) Heart failure, unspecified Rujuk Vertikal
132304010523P000 05-08-2023 08-05-2023 0001271073025 ASMANTUTI P - Other cataract Rujuk Vertikal
180 212 09:11 MATA Klinik Utama Malang Eye Center
181 132304010523P000 05-08-2023 08-05-2023 0001383952858 SUSILOWATI P PEGAWAI Heart failure, unspecified Rujuk Vertikal
228 10:11 SWASTA JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-08-2023 08-05-2023 0001403200269 ELAN SUNARTO L PBI (APBN) Glaucoma Rujuk Vertikal
183 132304010523P000 05-08-2023 08-05-2023 0001403229126 ALFIATI P PBI (APBD) Other cataract Rujuk Vertikal
132304010523P000 05-08-2023 08-05-2023 0001601549728 AQILA LAKSMI P - Necrosis of pulp Rujuk Vertikal
184 227 10:08 DYAH PITALOKA GIGI ENDODONSI RS ISLAM MALANG UNISMA
185 132304010523P000 05-08-2023 08-05-2023 0001785021636 DIDIK PRANOWO L PEKERJA Atrial fibrillation and Rujuk Vertikal
224 10:01 MANDIRI flutter JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-08-2023 08-05-2023 0001799311094 EKA WAHYUNING P PBI (APBD) Fracture of tooth Rujuk Vertikal
186 221 09:52 PUJI LESTARI GIGI ENDODONSI RS BHIRAWA BHAKTI
187 132304010523P000 05-08-2023 08-05-2023 0001883281882 NUR MAULIDDYAH P PBI (APBD) Heart failure, unspecified Rujuk Vertikal
132304010523P000 05-08-2023 08-05-2023 0001884487645 SOFIANA P PEKERJA Other cataract Rujuk Vertikal
188 210 09:04 MANDIRI MATA RSI AISYIYAH MALANG
189 132304010523P000 08-05-2023 MUHAMMAD RAFA Developmental disorder of
215 09:31 AZKA PUTRA speech and language,
05-08-2023 0001900578295 SEPTIAN L PBI (APBD) unspecified Rujuk Vertikal

132304010523P000 08-05-2023 Iodine-deficiency-related
236 11:40 SIH YUNI thyroid disorders and allied
190 05-08-2023 0002063747891 P PBI (APBD) conditions Rujuk Vertikal
SUJARWATI
PENYAKIT DALAM RS. BAPTIS BATU
191 132304010523P000 05-08-2023 08-05-2023 0002309334489 MUHAMMAD L PEKERJA Epilepsy Rujuk Vertikal
211 09:09 BASRIE WIJAYA MANDIRI SARAF RSI AISYIYAH MALANG
132304010523P000 08-05-2023 Maternal care for
232 10:38 DIANA AFFIA disproportion due to
192 05-08-2023 0002433385607 P - Rujuk Vertikal
LISTYARINI unusually large fetus
193 132304010523P000 05-08-2023 09-05-2023 0002729053721 LAILATUL IZZAH P PBI (APBD) Pain, not elsewhere Rujuk Vertikal
295 08:37 classified BEDAH RSI AISYIYAH MALANG
132304010523P000 05-08-2023 08-05-2023 0002729067963 SITI NADIROH P PBI (APBD) Thyrotoxicosis Rujuk Vertikal
194 217 09:40 [hyperthyroidism] Bedah Onkologi RS SOEPRAOEN
195 132304010523P000 05-08-2023 08-05-2023 0002730224788 AGUS SANTOSO L PBI (APBD) Hereditary retinal Rujuk Vertikal
233 10:41 dystrophy MATA KLINIK MATA SMEC MALANG
132304010523P000 05-08-2023 08-05-2023 0002730248019 HERMIN DYAH P PBI (APBD) Pterygium Rujuk Vertikal
196 230 10:26 WURININGATI MATA RSI AISYIYAH MALANG
197 132304010523P000 05-08-2023 08-05-2023 0002730364806 SUKIDJAN L - Glaucoma Rujuk Vertikal
198 05-08-2023 0002814525044 RUDI HARTONO L PBI (APBN) unspecified complications Rujuk Vertikal

199 132304010523P000 05-08-2023 08-05-2023 0002845956723 SUWARTI P PBI (APBN) Presence of intraocular lens Rujuk Vertikal
132304010523P000 05-08-2023 08-05-2023 0003048036772 BENDJAMIN L PEKERJA Ventricular septal defect Rujuk Vertikal
200 235 11:23 ABRAHAM MANDIRI
PRATAMA
Anak Kardiologi RUMAH SAKIT LAVALETTE
201 132304010523P000 05-08-2023 08-05-2023 0003054218567 ARZANKA RAFFA L - Congenital malformation of Rujuk Vertikal
207 08:34 KRISWANTO heart, unspecified
Anak Kardiologi RUMAH SAKIT LAVALETTE
132304010523P000 05-08-2023 08-05-2023 0003107875228 MOCHAMMAD L - Acute bronchiolitis, Rujuk Vertikal
202 231 10:28 ZAYN MALIK unspecified
IBRAHIM IRAWAN
ANAK RSI AISYIYAH MALANG
203 132304010523P000 05-08-2023 08-05-2023 0003280792162 SOEKI PRAJITNO L PBI (APBD) Clonic hemifacial spasm Rujuk Vertikal
234 11:18 SARAF RS PANTI WALUYA
132304010523P000 05-08-2023 08-05-2023 0003292749459 ANISA P PBI (APBD) Other chronic obstructive Rujuk Vertikal
205 132304010523P000 05-09-2023 09-05-2023 0000102365831 BOIRAN L PENERIMA Heart failure, unspecified Rujuk Vertikal
348 10:11 PENSIUN PNS JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P000 05-09-2023 09-05-2023 0000110387079 SAMUEL BAYU L PBI (APBD) Other deforming Rujuk Vertikal
206 297 08:53 WICAKSONO dorsopathies SARAF RS SOEPRAOEN
207 132304010523P000 05-09-2023 09-05-2023 0000110600559 SUNARI L PNS DAERAH Other cataract Rujuk Vertikal
132304010523P000 05-09-2023 09-05-2023 0000111713815 SAFIATUN P PENERIMA Stroke, not specified as Rujuk Vertikal
208 328 09:44 PENSIUN PNS haemorrhage or infarction
SARAF RSUD Kota Malang
209 132304010523P000 05-09-2023 09-05-2023 0000111747284 NENY DWI P - Disorders of Rujuk Vertikal
365 10:45 WIDYATNI accommodation MATA Klinik Utama Malang Eye Center
132304010523P000 05-09-2023 09-05-2023 0000111992938 ELRY GILROY L PEKERJA Fracture of forearm Rujuk Vertikal
210 341 10:05 EVALDO MANDIRI ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
05-09-2023 0000726510227 FATONI L PBI (APBD) unspecified complications Rujuk Vertikal

132304010523P000 05-09-2023 09-05-2023 0000783975058 HERI BASUKI L - Benign neoplasm of orbit, Rujuk Vertikal
212 375 11:09 unspecified MATA Klinik Utama Malang Eye Center
213 132304010523P000 05-09-2023 09-05-2023 0000784309522 SUMINAH P PBI (APBN) Other cataract Rujuk Vertikal
132304010523P000 05-09-2023 09-05-2023 0000784404033 SETIYARTI P PEGAWAI Chronic kidney disease Rujuk Vertikal
214 300 08:59 SWASTA PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
215 132304010523P000 05-09-2023 09-05-2023 0000784701685 LISA PUJI ASTUTIK P PBI (APBN) Schizophrenia Rujuk Vertikal
302 09:08 JIWA RSI AISYIYAH MALANG
132304010523P000 05-09-2023 09-05-2023 0001049550772 DJADID L PBI (APBN) Fracture of other Rujuk Vertikal
216 293 08:27 metacarpal bone ORTHOPEDI RSI AISYIYAH MALANG
217 05-09-2023 0001407349765 ENDANG PUJI P - Viral hepatitis complicating Rujuk Vertikal
132304010523P000 09-05-2023 RAHAYU pregnancy, childbirth and
377 11:14 the puerperium
132304010523P000 05-09-2023 09-05-2023 0001421190562 SITI MUNAWAROH P PBI (APBD) Necrosis of pulp Rujuk Vertikal
218 306 09:18 GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
219 132304010523P000 05-09-2023 09-05-2023 0001470128984 DWI SUSANTI P - Endometriosis, unspecified Rujuk Vertikal
372 10:50 OBGYN RSI AISYIYAH MALANG
132304010523P000 05-09-2023 09-05-2023 0001792488442 khusnul khotimah P PEKERJA Low back pain Rujuk Vertikal
220 299 08:57 MANDIRI SARAF RSI AISYIYAH MALANG
221 132304010523P000 05-09-2023 09-05-2023 0001974579579 SUPRIATI P - Other rheumatoid arthritis Rujuk Vertikal
132304010523P000 09-05-2023 Zoster with other nervous
222 307 05-09-2023 09:18 0002158339937 TARIMAN L PBI (APBD) system involvement Rujuk Vertikal
KULIT KELAMIN RSI AISYIYAH MALANG
223 132304010523P000 05-09-2023 09-05-2023 0002244023144 SYAKILA NOURA P PEGAWAI Necrosis of pulp Rujuk Vertikal
292 08:23 ADZKIYA SWASTA GIGI PEDODONTIS RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-09-2023 09-05-2023 0002285138417 SUGIATI P PEKERJA Pleural effusion, not Rujuk Vertikal
224 339 10:05 MANDIRI elsewhere classified Pulmonologi RS SOEPRAOEN
329 05-09-2023 09:50 0002295774516 SRIYATUN P PBI (APBD) diabetes mellitus with Rujuk Vertikal
multiple complications
Endokrin-Metabolik-Diabetes RS PERSADA HOSPITAL
132304010523P000 05-09-2023 09-05-2023 0002626860881 UMAR L PEKERJA Other cataract Rujuk Vertikal
226 296 08:45 MANDIRI MATA KLINIK MATA SMEC MALANG
227 132304010523P000 05-09-2023 09-05-2023 0002728994231 SEVIA DWI P - Antepartum haemorrhage, Rujuk Vertikal
376 11:10 JAYANTI unspecified
132304010523P000 05-09-2023 09-05-2023 0002730249808 DANIEL L - Other chronic obstructive Rujuk Vertikal
228 313 09:28 ADISURJANTO pulmonary disease
229 132304010523P000 05-09-2023 09-05-2023 0002814522928 AMIK AMINUDIN L PBI (APBN) Necrosis of pulp Rujuk Vertikal
366 10:47 GIGI BEDAH MULUT RS BHIRAWA BHAKTI
132304010523P000 05-09-2023 09-05-2023 0003090173128 MUHAMMAD L PBI (APBN) Other epilepsy Rujuk Vertikal
230 301 09:08 TEGAR BILLAL
ATHAILAH
231 132304010523P000 05-09-2023 09-05-2023 0003515715202 BAYI NYONYA P - Other low birth weight Rujuk Vertikal
305 09:17 ANIK HARIYATI ANAK RSI AISYIYAH MALANG
132304010523P000 05-09-2023 09-05-2023 0003516790779 BAYI NYONYA P PBI (APBN) Hydrocephalus, unspecified Rujuk Vertikal
232 326 09:37 RIZA FIRNANDA ANAK RSIA PURI BUNDA
233 132304010523P000 05-10-2023 10-05-2023 0000100462522 ASRI P PENERIMA Apraxia Rujuk Vertikal
593 09:16 PENSIUN PNS SARAF RSI AISYIYAH MALANG
132304010523P000 10-05-2023 NADYA REVI PEGAWAI Dislocation, sprain and
234 589 05-10-2023 08:53 0000111167155 PERMATASARI P SWASTA strain of joints and Rujuk Vertikal
ligaments of knee
ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
235 132304010523P000 05-10-2023 10-05-2023 0000111175402 INDRA NIRMALA P PNS DAERAH Anisometropia and Rujuk Vertikal
611 11:10 aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P000 10-05-2023 Excessive and frequent
236 605 05-10-2023 10:30 0000783201418 DWI CHOIRIYAH P PBI (APBN) menstruation with regular Rujuk Vertikal
cycle
237 132304010523P000 05-10-2023 10-05-2023 0000783273802 NGADIMAN L PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
612 11:13 disease, unspecified
132304010523P000 10-05-2023 Diseases of the respiratory
616 11:28 system complicating
RINA pregnancy, childbirth and
238 05-10-2023 0000783996546 P - the puerperium Rujuk Vertikal
SULISTYOWATI

239 132304010523P000 05-10-2023 10-05-2023 0000784057454 SITI FATONAH P - Caries of dentine Rujuk Vertikal
132304010523P000 05-10-2023 10-05-2023 0000784240198 SRI PUDJI ASTUTIK P PBI (APBN) Presence of intraocular lens Rujuk Vertikal
241 132304010523P000 05-10-2023 10-05-2023 0000784381263 WULAN MARIA P - Acute pancreatitis, Rujuk Vertikal
619 11:54 unspecified Gastroenterologi-Hepatologi RSI AISYIYAH MALANG
132304010523P000 05-10-2023 10-05-2023 0000784808651 SALAMAH P PBI (APBN) Thyrotoxicosis Rujuk Vertikal
242 596 09:40 [hyperthyroidism] Endokrin-Metabolik-Diabetes RS PANTI WALUYA
243 132304010523P000 05-10-2023 10-05-2023 0000785190352 LASUWI L PBI (APBN) Fracture of foot, except Rujuk Vertikal
586 08:44 ankle ORTHOPEDI RS PANTI WALUYA
132304010523P000 05-10-2023 10-05-2023 0001049550401 MAT BAHAR L - Stroke, not specified as Rujuk Vertikal
245 132304010523P000 05-10-2023 10-05-2023 0001189532373 NATASHA P PEKERJA Spinal stenosis Rujuk Vertikal
600 10:13 ANGELINE MANDIRI SARAF RSI AISYIYAH MALANG
132304010523P000 10-05-2023 PEKERJA Visual impairment
601 10:15 MANDIRI including blindness
246 05-10-2023 0001274279861 ERNAWATI P (binocular or monocular) Rujuk Vertikal

247 132304010523P000 05-10-2023 10-05-2023 0001379557416 JOKO SUBEKTI, SH L - Chronic kidney disease Rujuk Vertikal
595 09:34 PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-10-2023 10-05-2023 0001425449395 miselin P - Stroke, not specified as Rujuk Vertikal
SARAF RS PANTI NIRMALA
249 132304010523P000 05-10-2023 10-05-2023 0001432077039 ASSY SYIFAH L PEKERJA Necrosis of pulp Rujuk Vertikal
597 09:48 AISYAH PUTRI MANDIRI GIGI ENDODONSI RSUD Kota Malang
132304010523P000 05-10-2023 10-05-2023 0001432777331 MULYADI L PBI (APBN) Low back pain Rujuk Vertikal
250 588 08:52 SARAF RSI AISYIYAH MALANG
251 132304010523P000 05-10-2023 10-05-2023 0001482776752 SITI FATIMAH P - Retained dental root Rujuk Vertikal
585 08:42 GIGI BEDAH MULUT RSI AISYIYAH MALANG
132304010523P000 05-10-2023 10-05-2023 0001544205014 PUGUH HANDOYO L PNS DAERAH Other cataract Rujuk Vertikal
253 132304010523P000 10-05-2023 muhammad fillio Other developmental
607 05-10-2023 10:40 0001791421964 atharis azka L - disorders of scholastic Rujuk Vertikal
skills
132304010523P000 05-10-2023 10-05-2023 0001819276571 KRIS TRININGSIH P PEKERJA Anisometropia and Rujuk Vertikal
254 602 10:17 MANDIRI aniseikonia MATA RSI AISYIYAH MALANG
255 132304010523P000 05-10-2023 10-05-2023 0001832036387 MOCHAMAD L - Nasal polyp, unspecified Rujuk Vertikal
603 10:19 SYAFII THT-KL RSI AISYIYAH MALANG
132304010523P000 05-10-2023 10-05-2023 0001903613218 nur elina P PEKERJA Heart failure, unspecified Rujuk Vertikal
257 132304010523P000 05-10-2023 10-05-2023 0001963911047 ABIYE P - Necrosis of pulp Rujuk Vertikal
132304010523P000 05-10-2023 10-05-2023 0002038169946 suliha P PEKERJA Chronic ischaemic heart Rujuk Vertikal
258 599 10:11 MANDIRI disease, unspecified
259 132304010523P000 05-10-2023 10-05-2023 0002248491519 MUHAMMAD L PNS DAERAH Other and unspecified Rujuk Vertikal
594 09:29 IRFAN ADITYA hydronephrosis Anak Nefrologi RUMAH SAKIT LAVALETTE
132304010523P000 05-10-2023 10-05-2023 0002471848244 GATOT PRIBADI L - Other chronic obstructive Rujuk Vertikal
PARU RS PANTI NIRMALA
261 132304010523P000 05-10-2023 10-05-2023 0002620568957 ALISHA KARINA P - Ebstein's anomaly Rujuk Vertikal
615 11:24 ANAK RSIA MUTIARA BUNDA
132304010523P000 10-05-2023 Maternal care due to
262 637 05-10-2023 13:31 0002682111936 DINA LISTINA P PBI (APBD) uterine scar from previous Rujuk Vertikal
surgery
OBGYN RSIA MUHAMMADIYAH MALANG
263 132304010523P000 05-10-2023 10-05-2023 0002730219895 ZALFA AYRA P PBI (APBD) Acute upper respiratory Rujuk Vertikal
613 11:16 MEILIA infection, unspecified
132304010523P000 05-10-2023 10-05-2023 0002730318917 MAMIK P - Retained dental root Rujuk Vertikal
264 609 10:54 HANDAYANI GIGI BEDAH MULUT RS PANTI WALUYA
265 132304010523P000 05-10-2023 10-05-2023 0002730358091 MINING P PENERIMA Malignant neoplasm of Rujuk Vertikal
587 08:50 MARDIASTUTI PENSIUN PNS breast, unspecified Bedah Onkologi RUMAH SAKIT LAVALETTE
132304010523P000 10-05-2023 RANIA MIKHAYLA PEGAWAI Developmental disorder of
604 10:27 MOCHTAR SWASTA speech and language,
266 05-10-2023 0002770768539 P unspecified Rujuk Vertikal

267 132304010523P000 05-10-2023 10-05-2023 0002814522873 ELVI LAILI P PBI (APBN) Other spondylosis Rujuk Vertikal
610 10:56 SARAF RSU HERMINA TANGKUBANPRAHU
05-10-2023 0002917960659 LI'ANA P PBI (APBD) Viral hepatitis complicating Rujuk Vertikal
132304010523P000 10-05-2023 pregnancy, childbirth and
268 the puerperium
608 10:41
269 132304010523P000 05-11-2023 11-05-2023 0000111171363 ROMADIYAH P - Chronic periodontitis Rujuk Vertikal
810 10:41 ZULFA GIGI BEDAH MULUT RUMAH SAKIT LAVALETTE
132304010523P000 05-11-2023 11-05-2023 0000111707019 SITI NURIYATIN P PENERIMA Congestive heart failure Rujuk Vertikal
270 778 09:29 PENSIUN PNS JANTUNG DAN PEMBULUH DARARS PANTI WALUYA
271 132304010523P000 11-05-2023 ENDANG PEKERJA Hypertensive heart disease
05-11-2023 0000112043057 P Rujuk Vertikal
772 09:24 SUSILOWATI MANDIRI JANTUNG DAN PEMBULUH DARARSU HERMINA TANGKUBANPRAHU
132304010523P000 05-11-2023 11-05-2023 0000783558933 SARIMAN L PBI (APBN) Heart failure, unspecified Rujuk Vertikal
273 132304010523P000 11-05-2023 Iodine-deficiency-related
817 10:57 thyroid disorders and allied
05-11-2023 0000784522754 NINIK SUKESI P PBI (APBN) conditions Rujuk Vertikal
Endokrin-Metabolik-Diabetes RUMAH SAKIT LAVALETTE

132304010523P000 05-11-2023 11-05-2023 0000785161236 WAGIMAH P PBI (APBD) Heart failure, unspecified Rujuk Vertikal
275 132304010523P000 05-11-2023 11-05-2023 0001049540117 NGATIMUN L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
719 08:48 UROLOGI RSI AISYIYAH MALANG
132304010523P000 05-11-2023 11-05-2023 0001410038908 MAHARDIKA L PEGAWAI Anisometropia and Rujuk Vertikal
276 816 10:55 SEPTYO AJI PUTRA SWASTA aniseikonia
GARINI
277 132304010523P000 05-11-2023 11-05-2023 0001451955734 EQYC AGUS L PBI (APBD) Pain, not elsewhere Rujuk Vertikal
701 08:24 SETIAWAN classified MATA RSI AISYIYAH MALANG
132304010523P000 05-11-2023 11-05-2023 0001705001275 BA'ITAH P PBI (APBD) Residual schizophrenia Rujuk Vertikal
278 733 08:55 JIWA RS. JIWA LAWANG
279 132304010523P000 05-11-2023 11-05-2023 0001705539429 SUYITNO L PEGAWAI Senile cataract Rujuk Vertikal
706 08:41 SWASTA MATA RSI AISYIYAH MALANG
132304010523P000 05-11-2023 11-05-2023 0001832332307 JOKO MULYONO L PNS DAERAH Chronic ischaemic heart Rujuk Vertikal
280 783 09:32 disease, unspecified
281 132304010523P000 05-11-2023 11-05-2023 0001860828783 VIENCENSIA P PEGAWAI Bipolar affective disorder, Rujuk Vertikal
771 09:22 DEPAULA SWASTA unspecified
NGATIMAH
JIWA RSI AISYIYAH MALANG
132304010523P000 05-11-2023 11-05-2023 0002053488609 SULIADI L PBI (APBD) Anisometropia and Rujuk Vertikal
282 699 08:16 aniseikonia MATA RSI AISYIYAH MALANG
283 132304010523P000 05-11-2023 11-05-2023 0002218403845 SUMAJI L PEGAWAI Fever of other and Rujuk Vertikal
755 09:12 SWASTA unknown origin PENYAKIT DALAM RSI AISYIYAH MALANG
132304010523P000 05-11-2023 11-05-2023 0002427270107 ASTRIA NOVITA P PEGAWAI Anisometropia and Rujuk Vertikal
284 840 12:27 SARI SWASTA aniseikonia MATA KLINIK MATA SMEC MALANG
285 132304010523P000 05-11-2023 11-05-2023 0002728995366 baykaba khaizan L - Fracture of tooth Rujuk Vertikal
807 09:51 muhammad radyssi
GIGI ENDODONSI RSUD Kota Malang
132304010523P000 05-11-2023 11-05-2023 0002728995412 YESSI P - Impacted teeth Rujuk Vertikal
286 808 10:07 AFRIANINGSIH GIGI BEDAH MULUT RS BHIRAWA BHAKTI
287 132304010523P000 11-05-2023 betari embun Developmental disorder of
841 12:31 adinungrum speech and language,
05-11-2023 0003090701507 GIANRASTRA P - unspecified Rujuk Vertikal

132304010523P000 11-05-2023 LUCKY Developmental disorder of
809 10:36 ARKANANTA speech and language,
288 05-11-2023 0003104627905 ABISEKA RISKI L - unspecified Rujuk Vertikal

289 132304010523P000 05-11-2023 11-05-2023 0003280784793 EKA SEPTIANA P - Sensorineural hearing loss, Rujuk Vertikal
818 10:57 bilateral ANAK RSU HERMINA TANGKUBANPRAHU
132304010523P000 05-12-2023 12-05-2023 0000111244285 DONNY SANDITO L PNS DAERAH Thyrotoxicosis Rujuk Vertikal
290 842 07:56 WIDOYOKO [hyperthyroidism] PENYAKIT DALAM RSUD Kota Malang
291 132304010523P000 05-12-2023 12-05-2023 0000111777401 MOH ROGHIBIN L - Stroke, not specified as Rujuk Vertikal
855 09:40 haemorrhage or infarction
SARAF RS PERSADA HOSPITAL
132304010523P000 05-12-2023 12-05-2023 0000251043704 OTTO FERIANSYAH L - Necrosis of pulp Rujuk Vertikal
292 852 09:24 GIGI BEDAH MULUT RS SOEPRAOEN
293 132304010523P000 12-05-2023 Female pelvic
851 05-12-2023 09:16 0000784092688 SRIANI P - inflammatory disease, Rujuk Vertikal
unspecified
294 05-12-2023 0000784254148 ASRUL ZAM ZAM L PBI (APBN) unspecified complications Rujuk Vertikal

295 132304010523P000 05-12-2023 12-05-2023 0000785162687 SUPONO L - Keratitis Rujuk Vertikal
849 08:47 MATA Klinik Utama Malang Eye Center
132304010523P000 05-12-2023 12-05-2023 0001380368092 SRI SUSANTI P PEGAWAI Chronic sinusitis Rujuk Vertikal
296 853 09:27 SWASTA THT-KL RSI AISYIYAH MALANG
297 132304010523P000 05-12-2023 12-05-2023 0001403221239 SRI UTAMI P PBI (APBN) Cellulitis Rujuk Vertikal
132304010523P000 05-12-2023 12-05-2023 0001864659497 EKO YULIANTO L PEKERJA Anisometropia and Rujuk Vertikal
298 847 08:30 MANDIRI aniseikonia MATA KLINIK MATA SMEC MALANG
299 132304010523P000 05-12-2023 12-05-2023 0002626156451 JUMI'ATI P PEKERJA Other cataract Rujuk Vertikal
844 08:19 MANDIRI MATA RSI AISYIYAH MALANG
132304010523P000 12-05-2023
300 05-12-2023 0002681954019 SITI MAISAROH P PBI (APBD) Chronic kidney disease Rujuk Vertikal
301 132304010523P000 05-12-2023 12-05-2023 0002728953911 DAVE NICHOLAS L - Necrosis of pulp Rujuk Vertikal
845 08:22 LILANANDA GIGI PEDODONTIS RSI AISYIYAH MALANG
132304010523P000 05-12-2023 12-05-2023 0002730255399 ARI ARDIANSYA L - Necrosis of pulp Rujuk Vertikal
302 856 10:03 GIGI BEDAH MULUT RS SOEPRAOEN
303 132304010523P000 05-12-2023 12-05-2023 0002740847668 RICHA SELFI P PEGAWAI Anisometropia and Rujuk Vertikal
854 09:29 ANDRIANA SWASTA aniseikonia MATA RSI AISYIYAH MALANG
132304010523P000 05-12-2023 12-05-2023 0002845955643 MARIZA DINDA P - Malignant neoplasm of Rujuk Vertikal
304 857 10:14 RIZKYNA ovary OBGYN RSIA PURI BUNDA
305 132304010523P000 05-12-2023 12-05-2023 0003072447505 febriano putra widihari L - Hirschsprung's disease Rujuk Vertikal
850 08:49 ANAK RSI AISYIYAH MALANG
132304010523P000 13-05-2023 13-05-2023 Sequelae of other and
921 00:00 09:40 unspecified cerebrovascular
306 0000783214874 MUSAROFAH P - diseases Rujuk Vertikal

307 132304010523P000 13-05-2023 13-05-2023 0000783882156 SIONO L PBI (APBN) Other cataract Rujuk Vertikal
887 00:00 09:04 MATA RSI AISYIYAH MALANG
132304010523P000 13-05-2023 13-05-2023 0000784115133 MUDJI SANTOSO L - Pain, not elsewhere Rujuk Vertikal BEDAH
308 943 00:00 09:56 classified RSUD Kota Malang
309 132304010523P000 13-05-2023 13-05-2023 0000785460047 FARAJIHAN P PBI (APBN) Anisometropia and Rujuk Vertikal
891 00:00 09:09 REVALINA aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P000 13-05-2023 13-05-2023 0001265799767 SASONGKO L PEKERJA Hebephrenic schizophrenia Rujuk Vertikal
310 860 00:00 08:26 MANDIRI JIWA RS. JIWA LAWANG
311 132304010523P000 13-05-2023 13-05-2023 0001409226322 ROBY SUPENO L PEGAWAI Anisometropia and Rujuk Vertikal
867 00:00 08:36 SWASTA aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P000 13-05-2023 13-05-2023 0001439729458 MOH HADI L PEKERJA Chronic kidney disease Rujuk Vertikal
312 859 00:00 08:25 MANDIRI Hemodialisa RS SOEPRAOEN
313 132304010523P000 13-05-2023 13-05-2023 0001812629676 MAY SAROH P - Necrosis of pulp Rujuk Vertikal
868 00:00 08:42 GIGI ENDODONSI RSU HERMINA TANGKUBANPRAHU
132304010523P001 13-05-2023 13-05-2023 0002488982152 ALEXSA LIDYA P - Cellulitis of finger and toe Rujuk Vertikal
314 030 00:00 11:00 PUTRI BEDAH RSI AISYIYAH MALANG
315 132304010523P000 13-05-2023 13-05-2023 0002729006605 CITRA ANGGRAINI P PBI (APBD) Leiomyoma of uterus, Rujuk Vertikal
920 00:00 09:39 unspecified OBGYN RS MELATI HUSADA
0002730250743 ASMAWAN L PBI (APBD) Respiratory tuberculosis, Rujuk Vertikal
not confirmed
132304010523P000 13-05-2023 13-05-2023 bacteriologically or
316 histologically
858 00:00 08:23

317 132304010523P000 13-05-2023 13-05-2023 0002814521073 FAIZAH NUR P PEGAWAI Leiomyoma of uterus, Rujuk Vertikal
927 00:00 09:45 ASYFAH SWASTA unspecified OBGYN RSI AISYIYAH MALANG
132304010523P001 15-05-2023 15-05-2023 0000102365842 MAMIK P PENERIMA Senile cataract, unspecified Rujuk Vertikal
318 075 00:00 11:09 SUKARTININGSIH PENSIUN PNS MATA KLINIK MATA SMEC MALANG
319 132304010523P001 15-05-2023 15-05-2023 0000111134024 NAFISAH HELSA P PNS DAERAH Pulpitis Rujuk Vertikal
072 00:00 10:55 DIVANDA GIGI ENDODONSI RSIA MUHAMMADIYAH MALANG
132304010523P001 15-05-2023 15-05-2023 0000111249235 GEMBONG L PENERIMA Angina pectoris Rujuk Vertikal
320 058 00:00 09:29 SUNARDI PENSIUN PNS JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
321 132304010523P001 15-05-2023 15-05-2023 0000111462614 SURYO UTOMO L PEGAWAI Umbilical hernia Rujuk Vertikal
066 00:00 10:26 SWASTA BEDAH RSU HERMINA TANGKUBANPRAHU
132304010523P001 15-05-2023 15-05-2023 0000111485632 WUSPINTO L PENERIMA Hyperplasia of prostate Rujuk Vertikal
322 061 00:00 09:38 PENSIUN PNS UROLOGI RS PANTI WALUYA
323 132304010523P001 15-05-2023 15-05-2023 0000784363498 SUMINI P - Other cataract Rujuk Vertikal
132304010523P001 15-05-2023 15-05-2023 Human immunodeficiency
056 00:00 09:19 virus [HIV] disease
324 0000784420187 SLAMET WIJOYO L PBI (APBN) parasitic diseases Rujuk Vertikal
B20 RS SOEPRAOEN
325 132304010523P001 15-05-2023 15-05-2023 Human immunodeficiency
0000784420323 HARTINI P PBI (APBN) parasitic diseases Rujuk Vertikal
B20 RS SOEPRAOEN
326 0000784420874 ANGGI WIJAYA P PBI (APBN) parasitic diseases Rujuk Vertikal
B20 RS SOEPRAOEN
327 132304010523P001 15-05-2023 15-05-2023 0000785163431 SITI NGAISAH P - Shoulder lesions Rujuk Vertikal
047 00:00 08:41 SARAF RSU HERMINA TANGKUBANPRAHU
132304010523P001 15-05-2023 15-05-2023 0001175682137 SOFI LAILATUL P PBI (APBD) Necrosis of pulp Rujuk Vertikal
328 063 00:00 10:15 ANIFTASARI GIGI ENDODONSI RS Universitas Brawijaya
329 132304010523P001 15-05-2023 15-05-2023 Unspecified viral hepatitis
067 00:00 10:41 0001403209822 ZERRY SETIAWAN L PBI (APBN) without hepatic coma Rujuk Vertikal
132304010523P001 15-05-2023 15-05-2023 0001421190562 SITI MUNAWAROH P - Necrosis of pulp Rujuk Vertikal
330 062 00:00 10:01 GIGI ENDODONSI RSU HERMINA TANGKUBANPRAHU
331 132304010523P001 15-05-2023 15-05-2023 0001452383908 IFAN SAFALAS L PEKERJA Schizophrenia Rujuk Vertikal
048 00:00 08:43 SADEWA MANDIRI JIWA RSI AISYIYAH MALANG
132304010523P001 15-05-2023 15-05-2023 0001478331461 DULWACHID L PBI (APBN) Disorders of Rujuk Vertikal
332 078 00:00 11:14 accommodation MATA RSI AISYIYAH MALANG
333 132304010523P001 15-05-2023 15-05-2023 0001601315469 DWI ANDIKA L - Glaucoma Rujuk Vertikal
132304010523P001 15-05-2023 15-05-2023 0001787388118 YULIANTO L - Stroke, not specified as Rujuk Vertikal
334 079 00:00 11:55 haemorrhage or infarction
335 132304010523P001 15-05-2023 15-05-2023 Maternal care due to
049 00:00 08:44 RIZKY uterine scar from previous Rujuk Vertikal
0001844458042 P PBI (APBD)
RAHMAWATI surgery
132304010523P001 15-05-2023 15-05-2023 0001866143013 LITA ERAWATI P PNS DAERAH Anisometropia and Rujuk Vertikal
336 054 00:00 09:14 aniseikonia MATA RSI AISYIYAH MALANG
337 132304010523P001 15-05-2023 15-05-2023 0002060887241 MUJIANTO L PEKERJA Chronic ischaemic heart Rujuk Vertikal
064 00:00 10:15 MANDIRI disease, unspecified
JANTUNG DAN PEMBULUH DARARSU HERMINA TANGKUBANPRAHU
132304010523P001 15-05-2023 15-05-2023 0002070289787 ZAENAL ARIFIN L PBI (APBD) Anisometropia and Rujuk Vertikal
338 053 00:00 09:11 aniseikonia MATA KLINIK MATA SMEC MALANG
339 132304010523P001 15-05-2023 15-05-2023 0002160976116 RAHMATUN NISA' P PBI (APBN) Diabetes mellitus in Rujuk Vertikal
076 00:00 11:11 pregnancy OBGYN RS MELATI HUSADA
132304010523P001 15-05-2023 15-05-2023 LILIS DWI Other specified diseases
059 00:00 09:30 OKTAVIANA PUTRI and conditions
complicating pregnancy,
340 0002248429926 P PNS DAERAH childbirth and the Rujuk Vertikal
puerperium

341 132304010523P001 15-05-2023 15-05-2023 0002276998727 rochmatul azizah P PEKERJA Atrial fibrillation and Rujuk Vertikal
073 00:00 10:57 MANDIRI flutter JANTUNG DAN PEMBULUH DARARS PERSADA HOSPITAL
132304010523P001 15-05-2023 15-05-2023 0002613546718 NUGROHO, L PEKERJA Heart failure, unspecified Rujuk Vertikal
342 074 00:00 11:08 NATANAEL MANDIRI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
343 0002730225622 SITI NUR AINI P PBI (APBD) Viral hepatitis complicating Rujuk Vertikal
132304010523P001 15-05-2023 15-05-2023 pregnancy, childbirth and
052 00:00 09:10 the puerperium
132304010523P001 15-05-2023 15-05-2023 0002730257572 M.J. ENDANG P PBI (APBD) Chronic ischaemic heart Rujuk Vertikal
344 050 00:00 08:45 SRIKANTI RAHAYU disease, unspecified
345 132304010523P001 15-05-2023 15-05-2023 0002730258977 UMI P - Necrosis of pulp Rujuk Vertikal
051 00:00 08:56 GIGI ENDODONSI RSUD Kota Malang
132304010523P001 15-05-2023 15-05-2023 0002845958984 SUMIATI P PBI (APBN) Heart failure, unspecified Rujuk Vertikal
346 060 00:00 09:31 JANTUNG DAN PEMBULUH DARARSU HERMINA TANGKUBANPRAHU
347 132304010523P001 16-05-2023 16-05-2023 0000099757091 SHEILA AULIA L PBI (APBD) Pain, not elsewhere Rujuk Vertikal
196 00:00 09:10 PRASASTI classified BEDAH RSI AISYIYAH MALANG
132304010523P001 16-05-2023 16-05-2023 0000111456415 NGATIN P PENERIMA Disorders of Rujuk Vertikal
348 194 00:00 09:03 PENSIUN TNI accommodation MATA KLINIK MATA SMEC MALANG
349 132304010523P001 16-05-2023 16-05-2023 0000193436908 FEMMY DIANITA P PNS DAERAH Prolonged pregnancy Rujuk Vertikal
213 00:00 09:26 OKTORA OBGYN RS MELATI HUSADA
132304010523P001 16-05-2023 16-05-2023 0000784033053 ANIK P - Cerebral infarction, Rujuk Vertikal
350 169 00:00 08:23 unspecified SARAF RS PANTI NIRMALA
351 0000784060492 ATIM WAHYUDI L PBI (APBN) Respiratory tuberculosis, Rujuk Vertikal
not confirmed
191 00:00 09:00 histologically

132304010523P001 16-05-2023 16-05-2023 0000784400207 MURJIONO L - Hypertensive heart disease Rujuk Vertikal
352 253 00:00 09:59 JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
353 132304010523P001 16-05-2023 16-05-2023 0000785166344 TRISNO SETIOHADI L - Necrosis of pulp Rujuk Vertikal
195 00:00 09:10 GIGI BEDAH MULUT RS SOEPRAOEN
132304010523P001 16-05-2023 16-05-2023 Maternal care for
354 245 00:00 09:43 0001049536091 RISKA P PBI (APBN) malpresentation of fetus, Rujuk Vertikal
unspecified
355 132304010523P001 16-05-2023 16-05-2023 0001049538442 SURIYONO L PEGAWAI Hypertensive heart disease Rujuk Vertikal
260 00:00 11:12 SWASTA PENYAKIT DALAM RSI AISYIYAH MALANG
132304010523P001 16-05-2023 16-05-2023 0001295456319 LINDA KARTINI P PEKERJA Other rheumatoid arthritis Rujuk Vertikal
356 261 00:00 11:21 MANDIRI Reumatologi RS PERSADA HOSPITAL
357 132304010523P001 16-05-2023 16-05-2023 0001704999363 IMAM AMRIZAL L PBI (APBD) Fracture of lower leg, Rujuk Vertikal
249 00:00 09:45 ULUM including ankle ORTHOPEDI RSUD Kota Malang
132304010523P001 16-05-2023 16-05-2023 0001972740554 MISTIANAH P PBI (APBN) Spondylosis, unspecified Rujuk Vertikal
358 150 00:00 08:19 ORTHOPEDI RSI AISYIYAH MALANG
359 132304010523P001 16-05-2023 16-05-2023 0002050805968 WAGIRAH P PBI (APBD) Cerebral infarction Rujuk Vertikal
226 00:00 09:31 SARAF RS PANTI WALUYA
132304010523P001 16-05-2023 16-05-2023 0002227516424 HANY WIJAYANTI P PEGAWAI Necrosis of pulp Rujuk Vertikal
360 256 00:00 10:17 SWASTA GIGI ENDODONSI RS BHIRAWA BHAKTI
361 132304010523P001 16-05-2023 16-05-2023 0002281950922 AHMAD ZULFAN L PEGAWAI Hirschsprung's disease Rujuk Vertikal
251 00:00 09:51 ULUL AZMI SWASTA ANAK RSI AISYIYAH MALANG
132304010523P001 16-05-2023 16-05-2023 0002284198604 SITI KHOTIJAH P PEKERJA Heart failure, unspecified Rujuk Vertikal
362 252 00:00 09:57 MANDIRI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
363 132304010523P001 16-05-2023 16-05-2023 PEKERJA Malignant neoplasm
254 00:00 10:05 MANDIRI overlapping rectum, anus
0002492779184 EKO DHARMONO L and anal canal sites Rujuk Vertikal
Bedah Digestif RS PANTI WALUYA

132304010523P001 16-05-2023 16-05-2023 0002595297418 MOCH L PBI (APBN) Anisometropia and Rujuk Vertikal
364 250 00:00 09:45 SHOLEHUDIN aniseikonia MATA KLINIK MATA SMEC MALANG
365 132304010523P001 16-05-2023 16-05-2023 0002613546999 JOYCE LIANDIANA P PEKERJA Disorders of Rujuk Vertikal
258 00:00 10:46 ABEDNEGO MANDIRI accommodation
132304010523P001 16-05-2023 16-05-2023 0002730250438 SITI DJUWARIYAH P - Dislocation of toe(s) Rujuk Vertikal
366 212 00:00 09:21 ORTHOPEDI RS SOEPRAOEN
367 132304010523P001 16-05-2023 16-05-2023 0002730306047 DJUANIK P PBI (APBD) Other and unspecified Rujuk Vertikal
255 00:00 10:06 ovarian cysts OBGYN RS Universitas Brawijaya
132304010523P001 16-05-2023 16-05-2023 0002772093464 YANTI P PEKERJA Trigeminal neuralgia Rujuk Vertikal
368 167 00:00 08:23 MANDIRI SARAF RS PANTI NIRMALA
369 132304010523P001 16-05-2023 16-05-2023 Specific developmental
259 00:00 10:58 RASYA PUTRA disorders of speech and
0003303710897 L - language Rujuk Vertikal
PRADANA
132304010523P001 17-05-2023 17-05-2023 0000110549496 TATIK P PNS DAERAH Superficial injury of wrist Rujuk Vertikal
370 434 00:00 09:53 SUNARIYATI and hand ORTHOPEDI RSI AISYIYAH MALANG
371 132304010523P001 17-05-2023 17-05-2023 0000307599445 UTAMI P PBI (APBN) Gingival enlargement Rujuk Vertikal
454 00:00 10:49 GIGI BEDAH MULUT RS SOEPRAOEN
132304010523P001 17-05-2023 17-05-2023 0000783890695 JUMAIN L PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
372 439 00:00 10:10 disease, unspecified
373 132304010523P001 17-05-2023 17-05-2023 0000784769826 SUSANA P PBI (APBD) Wheezing Rujuk Vertikal
436 00:00 10:02 PENYAKIT DALAM RS ISLAM MALANG UNISMA
132304010523P001 17-05-2023 17-05-2023 0000784853897 DEVINA LUTFIANTI P PBI (APBD) Other chronic obstructive Rujuk Vertikal
374 440 00:00 10:12 pulmonary disease
375 132304010523P001 17-05-2023 17-05-2023 0000784854404 YUANITA LEVIANI L PBI (APBD) Other chronic obstructive Rujuk Vertikal
437 00:00 10:06 pulmonary disease
132304010523P001 17-05-2023 17-05-2023 0000785016628 ARSIYAH P PBI (APBN) Pain, not elsewhere Rujuk Vertikal
376 455 00:00 11:02 classified PENYAKIT DALAM RSI AISYIYAH MALANG
377 132304010523P001 17-05-2023 17-05-2023 0001337783782 SITI HALIMAH P - Chronic atticoantral Rujuk Vertikal
441 00:00 10:14 suppurative otitis media
THT-KL RSI AISYIYAH MALANG
132304010523P001 17-05-2023 17-05-2023 Non-insulin-dependent
426 00:00 09:11 diabetes mellitus with
378 0001372532343 GATOT PURNOMO L PBI (APBD) unspecified complications Rujuk Vertikal
PENYAKIT DALAM RSUD Kota Malang

379 132304010523P001 17-05-2023 17-05-2023 0001403221432 PUSPANINGSIH P PBI (APBN) Adhesive capsulitis of Rujuk Vertikal
447 00:00 10:43 shoulder SARAF RSUD Kota Malang
132304010523P001 17-05-2023 17-05-2023 0001407418615 MUHAMMAD IVAN L - Varicose veins of other Rujuk Vertikal
380 418 00:00 08:30 SYARUDIN sites UROLOGI RS SOEPRAOEN
381 132304010523P001 17-05-2023 17-05-2023 0001428786685 KARTINAH P PEKERJA Fracture of lower end of Rujuk Vertikal
432 00:00 09:43 MANDIRI tibia ORTHOPEDI RSI AISYIYAH MALANG
132304010523P001 17-05-2023 17-05-2023 0001816087386 HARDI ASTONO L PEKERJA Schizophrenia Rujuk Vertikal
382 438 00:00 10:08 MANDIRI JIWA RS. JIWA LAWANG
383 132304010523P001 17-05-2023 17-05-2023 0001844449007 SULASTRI P PBI (APBD) Presence of intraocular lens Rujuk Vertikal
132304010523P001 17-05-2023 17-05-2023 0001867712321 NAUFAL MEDHA L PEKERJA Down's syndrome, Rujuk Vertikal
384 433 00:00 09:49 PRATAMA MANDIRI unspecified ANAK RSU HERMINA TANGKUBANPRAHU
385 132304010523P001 17-05-2023 17-05-2023 0002034984418 CHOIRIYAH P PBI (APBN) Foreign body in alimentary Rujuk Vertikal
431 00:00 09:36 tract BEDAH RSI AISYIYAH MALANG
132304010523P001 17-05-2023 17-05-2023 0002264418551 SUHARTATI P PEGAWAI Chronic ischaemic heart Rujuk Vertikal
386 427 00:00 09:19 SWASTA disease, unspecified
387 132304010523P001 17-05-2023 17-05-2023 0002434549994 SAYFUL L PBI (APBD) Schizophrenia Rujuk Vertikal
428 00:00 09:20 JIWA RSI AISYIYAH MALANG
132304010523P001 17-05-2023 17-05-2023 0002728975667 DEWI P PBI (APBD) Anisometropia and Rujuk Vertikal
388 442 00:00 10:16 KUMALASARI aniseikonia MATA RSI AISYIYAH MALANG
389 132304010523P001 17-05-2023 17-05-2023 VALLENTINA Chronic atticoantral
424 00:00 08:58 0002814537374 MELGIANZA P PBI (APBN) suppurative otitis media Rujuk Vertikal
ANANDA PUTRI
132304010523P001 17-05-2023 17-05-2023 0003219143613 AISYAH YAHYA P PBI (APBD) Dislocation of patella Rujuk Vertikal
390 425 00:00 09:08 MUHAMAD ORTHOPEDI RSU HERMINA TANGKUBANPRAHU
391 132304010523P001 19-05-2023 19-05-2023 0000784569071 SOEMARTIN P PBI (APBN) Other chronic obstructive Rujuk Vertikal
132304010523P001 19-05-2023 19-05-2023 0000784776903 LINA P PBI (APBD) Calculus of gallbladder Rujuk Vertikal
392 665 00:00 10:36 PUJININGTYAS with other cholecystitis
PENYAKIT DALAM RS SOEPRAOEN
393 132304010523P001 19-05-2023 19-05-2023 0001423533892 mesran L PEKERJA Other cataract Rujuk Vertikal
644 00:00 09:45 MANDIRI MATA RSI AISYIYAH MALANG
132304010523P001 19-05-2023 19-05-2023 PRAPTININGTYAS Insulin-dependent diabetes
650 00:00 10:03 RINUKTI mellitus with unspecified
394 0001430323751 P PBI (APBD) complications Rujuk Vertikal

395 132304010523P001 19-05-2023 19-05-2023 0001853689419 said moch alamudi L - Fracture of femur Rujuk Vertikal
637 00:00 08:55 ORTHOPEDI RSI AISYIYAH MALANG
132304010523P001 19-05-2023 19-05-2023 0001857290038 TUTIK P PBI (APBD) Other anxiety disorders Rujuk Vertikal
396 641 00:00 09:23 HANDAYANI JIWA RSI AISYIYAH MALANG
397 132304010523P001 19-05-2023 19-05-2023 0002090054957 SINDI ALVINA SARI P PBI (APBD) Anisometropia and Rujuk Vertikal
643 00:00 09:30 aniseikonia MATA RSI AISYIYAH MALANG
132304010523P001 19-05-2023 19-05-2023 PEGAWAI Pain, not elsewhere
664 00:00 10:29 PEMERINTAH classified
DENGAN
398 0002521070548 RINDI ANDIKA L PERJANJIAN Rujuk Vertikal
KERJA
PENYAKIT DALAM RS SOEPRAOEN
399 132304010523P001 19-05-2023 19-05-2023 0002730229852 LAILA NUR P PBI (APBD) Disruption of caesarean Rujuk Vertikal
666 00:00 10:53 HANIFAH section wound
OBGYN RSIA MUHAMMADIYAH MALANG
132304010523P001 19-05-2023 19-05-2023 0002730362815 RETNA NINGSIH P PBI (APBN) Calculus of kidney and Rujuk Vertikal
400 642 00:00 09:24 ureter UROLOGI RS SOEPRAOEN
401 132304010523P001 20-05-2023 20-05-2023 0000147934708 ANISA MILA P - Supervision of high-risk Rujuk Vertikal
684 00:00 08:35 PRASETYA pregnancy OBGYN RSIA PURI
132304010523P001 20-05-2023 20-05-2023 0000784028507 SUTIK P PBI (APBN) Other cataract Rujuk Vertikal
402 679 00:00 08:28 MATA RSI AISYIYAH MALANG
403 132304010523P001 20-05-2023 20-05-2023 0000784861211 DIAN FITRI ANA P PBI (APBN) Other chronic obstructive Rujuk Vertikal
132304010523P001 20-05-2023 20-05-2023 0000785357381 KASIANI P - Malignant neoplasm of Rujuk Vertikal
404 715 00:00 09:03 thyroid gland Bedah Onkologi RS SOEPRAOEN
405 132304010523P001 20-05-2023 20-05-2023 PEGAWAI Insulin-dependent diabetes
700 00:00 08:45 WAHYU SWASTA mellitus with unspecified
0001134984712 L complications Rujuk Vertikal
KRISTIANTO
132304010523P001 20-05-2023 20-05-2023 0001403207943 SITIN P PBI (APBN) Other cataract Rujuk Vertikal
407 132304010523P001 20-05-2023 20-05-2023 0001436394306 m. toha L - Other chronic obstructive Rujuk Vertikal
132304010523P001 20-05-2023 20-05-2023 0001818676372 MOCHAMAD L PEGAWAI Pain, not elsewhere Rujuk Vertikal
408 695 00:00 08:41 ANTON IFANDI SWASTA classified KULIT KELAMIN RSI AISYIYAH MALANG
409 132304010523P001 20-05-2023 20-05-2023 0001831286845 PRASETYAWAN L - Chronic apical periodontitis Rujuk Vertikal
673 00:00 08:25 HERSUDORO GIGI BEDAH MULUT RS BHIRAWA BHAKTI
132304010523P001 20-05-2023 20-05-2023 0002227746205 HANNAN L - Pain, not elsewhere Rujuk Vertikal
410 776 00:00 10:09 classified THT-K RSU HERMINA TANGKUBANPRAHU
411 132304010523P001 20-05-2023 20-05-2023 0002730308916 KHIKMA P PBI (APBD) Benign neoplasm of eye Rujuk Vertikal
697 00:00 08:43 and adnexa MATA KLINIK MATA SMEC MALANG
132304010523P001 20-05-2023 20-05-2023 0003281345008 RENDI L - Other chronic obstructive Rujuk Vertikal
412 735 00:00 09:30 KURNIAWAN pulmonary disease
413 132304010523P001 20-05-2023 20-05-2023 0003281483316 AYANA NOOR P - Melaena Rujuk Vertikal
680 00:00 08:30 SHAZNA
CHAMIDIYAH
ANAK RS MELATI HUSADA
132304010523P001 20-05-2023 20-05-2023 0003506481145 SALSABILA P - Status asthmaticus Rujuk Vertikal
414 716 00:00 09:11 ZAKIRA ZAHRA ANAK RSU HERMINA TANGKUBANPRAHU
415 132304010523P002 22-05-2023 22-05-2023 0000111349901 ENDANG ARUM P PENERIMA Calculus of kidney and Rujuk Vertikal
DIATI UROLOGI RS SOEPRAOEN
020 00:00 11:41 PENSIUN TNI ureter
011 00:00 10:23 SUDJADMIKO P , diabetes mellitus with
416 0000112038737 L PNS DAERAH unspecified complications Rujuk Vertikal
S.TP
417 132304010523P002 22-05-2023 22-05-2023 0000147934708 ANISA MILA P - Disorder of visual Rujuk Vertikal
021 00:00 12:22 PRASETYA pathways, unspecified
418 0000783756821 GONO L - unspecified complications Rujuk Vertikal

419 132304010523P002 22-05-2023 22-05-2023 0000784008876 SETIYONO L PBI (APBD) Sequelae of cerebral Rujuk Vertikal
010 00:00 10:20 infarction SARAF RSI AISYIYAH MALANG
132304010523P002 22-05-2023 22-05-2023 0000784012116 SULASTRI P - Presence of intraocular lens Rujuk Vertikal
421 132304010523P001 22-05-2023 22-05-2023 0000784099912 INDAH SARI P PBI (APBN) Prolonged pregnancy Rujuk Vertikal
974 00:00 09:15 OBGYN RSIA MUHAMMADIYAH MALANG
132304010523P001 22-05-2023 22-05-2023 0000785108147 MAULIA AYU P PEGAWAI Pain, not elsewhere Rujuk Vertikal
422 986 00:00 09:44 PERTIWI SWASTA classified BEDAH RSU. UNIVERSITAS MUHAMMADIYAH
423 132304010523P001 22-05-2023 22-05-2023 0000785410582 SITI AMINAH P PBI (APBN) Systemic lupus Rujuk Vertikal
965 00:00 08:25 erythematosus PENYAKIT DALAM RSI AISYIYAH MALANG
132304010523P002 22-05-2023 22-05-2023 0000788472178 DENY EKO L - Keratitis Rujuk Vertikal
424 137 00:00 15:01 WINTORO, SE MATA KLINIK MATA SMEC MALANG
425 132304010523P001 22-05-2023 22-05-2023 0001078636331 TRIPATMIARTI P PENERIMA Disorders of Rujuk Vertikal
976 00:00 09:23 PENSIUN PNS accommodation MATA RSI AISYIYAH MALANG
132304010523P001 22-05-2023 22-05-2023 0001286201878 MISKAN L PEGAWAI Other cataract Rujuk Vertikal
426 973 00:00 09:13 SWASTA MATA KLINIK MATA SMEC MALANG
427 132304010523P002 22-05-2023 22-05-2023 0001317948838 kasmanto L PEKERJA Inguinal hernia Rujuk Vertikal
014 00:00 10:30 MANDIRI Gastroenterologi-Hepatologi RUMAH SAKIT LAVALETTE
132304010523P001 22-05-2023 22-05-2023 0001388409344 moch rochani L PEKERJA Presence of intraocular lens Rujuk Vertikal
428 999 00:00 09:59 MANDIRI MATA KLINIK MATA SMEC MALANG
429 132304010523P002 22-05-2023 22-05-2023 0001402417179 SUHARIYANTO L PEGAWAI Atherosclerotic heart Rujuk Vertikal
008 00:00 10:17 SWASTA disease JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P002 22-05-2023 23-05-2023 0001403226652 FERDY SETYO L PBI (APBN) Schizophrenia Rujuk Vertikal
430 222 00:00 09:46 ASMORO JIWA RSI AISYIYAH MALANG
431 132304010523P001 22-05-2023 22-05-2023 0001430935288 HARI SUCIPTO L PBI (APBN) Other cataract Rujuk Vertikal
968 00:00 08:45 MATA RS SOEPRAOEN
132304010523P002 22-05-2023 22-05-2023 0001438790512 LAY LIONG KUWI L - Glaucoma Rujuk Vertikal
433 132304010523P002 22-05-2023 22-05-2023 0001452384279 JINGGA P - Necrosis of pulp Rujuk Vertikal
019 00:00 10:53 PERMATASARI GIGI ENDODONSI RS Universitas Brawijaya
132304010523P001 22-05-2023 22-05-2023 0001476268918 NIA FAHRIZA RIZKI P PBI (APBN) Congenital malformations Rujuk Vertikal
434 972 00:00 09:11 of cardiac septa
435 132304010523P001 22-05-2023 22-05-2023 0001478548506 RIYANTO L PEKERJA Other cardiac arrhythmias Rujuk Vertikal
984 00:00 09:42 MANDIRI JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P002 22-05-2023 22-05-2023 0001785775026 PANDEGA RAFIF L - Disorders of Rujuk Vertikal
436 140 00:00 15:03 YUDHISTIRA accommodation MATA KLINIK MATA SMEC MALANG
437 132304010523P001 22-05-2023 22-05-2023 M. FATHAN PEGAWAI Other benign neoplasm of
966 00:00 08:36 FATHULLOH SWASTA connective and other soft
CHOLID tissue of thorax Axilla
0001817416146 L Rujuk Vertikal
Bedah Onkologi RS PERSADA HOSPITAL

132304010523P001 22-05-2023 22-05-2023 0001838256276 TRIS AMBARWATI P PBI (APBD) Benign neoplasm of breast Rujuk Vertikal
438 970 00:00 08:58 BEDAH RSU HERMINA TANGKUBANPRAHU
439 132304010523P001 22-05-2023 22-05-2023 0001885752101 WINDA DESINTA N. P PEGAWAI Necrosis of pulp Rujuk Vertikal
985 00:00 09:44 N SWASTA GIGI BEDAH MULUT RS SOEPRAOEN
132304010523P001 22-05-2023 22-05-2023 0002080986221 MUHAMMAD L PEGAWAI Disorders of Rujuk Vertikal
440 969 00:00 08:54 HIZAM REYCHAN SWASTA accommodation
KURNIAWAN
441 132304010523P002 22-05-2023 22-05-2023 0002211264191 RENI FATRISNA P PNS DAERAH Anisometropia and Rujuk Vertikal
018 00:00 10:52 SALSABILA aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P002 22-05-2023 22-05-2023 0002224886354 GAVRA RIDZIE AL L PNS DAERAH Fracture of lower end of Rujuk Vertikal
442 006 00:00 10:07 SYAZANI humerus ORTHOPEDI RSI AISYIYAH MALANG
443 132304010523P002 22-05-2023 22-05-2023 0002262204189 SUGIANTO L PEKERJA Other retinal disorders Rujuk Vertikal
017 00:00 10:42 MANDIRI MATA RS ISLAM MALANG UNISMA
132304010523P001 22-05-2023 22-05-2023 0002376729764 SUKARSIH P PEKERJA Presence of intraocular lens Rujuk Vertikal
444 967 00:00 08:38 MANDIRI MATA KLINIK MATA SMEC MALANG
445 132304010523P001 22-05-2023 22-05-2023 Other disorders of
989 00:00 09:49 0002442954058 INDRA PERMANA L PBI (APBD) psychological development Rujuk Vertikal
132304010523P001 22-05-2023 22-05-2023 0002466863335 JUMA'YAH P PEKERJA Fracture of lower leg, Rujuk Vertikal
446 971 00:00 09:07 MANDIRI including ankle ORTHOPEDI RSI AISYIYAH MALANG
447 132304010523P002 22-05-2023 22-05-2023 0002489321349 RIZA ELLYSA P PEGAWAI Other anxiety disorders Rujuk Vertikal
007 00:00 10:11 HIKMAH SWASTA JIWA RSI AISYIYAH MALANG
448 0002629422764 RAHMAWATI P PBI (APBN) parasitic diseases Rujuk Vertikal

449 132304010523P001 22-05-2023 22-05-2023 0002730251799 TITIK P PBI (APBD) Disorders of Rujuk Vertikal
987 00:00 09:45 WAHYUNINGSIH accommodation MATA KLINIK MATA SMEC MALANG
132304010523P002 22-05-2023 22-05-2023 0002730359529 SUDIONO L PBI (APBD) Respiratory tuberculosis, Rujuk Vertikal
009 00:00 10:18 not confirmed
bacteriologically or
450 histologically

451 132304010523P001 22-05-2023 22-05-2023 0002814533515 ROSITA P PBI (APBN) Other and unspecified Rujuk Vertikal
992 00:00 09:54 KUSUMAWATI ovarian cysts OBGYN RS MELATI HUSADA
132304010523P002 22-05-2023 22-05-2023 0002814534088 DEDY KURNIAWAN L - Pulp degeneration Rujuk Vertikal
452 015 00:00 10:39 GIGI ENDODONSI RUMAH SAKIT LAVALETTE
453 132304010523P002 22-05-2023 22-05-2023 0002845959131 SUMARTI P PBI (APBN) Heart failure, unspecified Rujuk Vertikal
002 00:00 10:01 JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P001 22-05-2023 22-05-2023 0002903600294 OKTAVIAN AZMI L PBI (APBN) Malignant neoplasm of Rujuk Vertikal
454 988 00:00 09:46 WIDYA PUTRA brain stem ANAK RSI AISYIYAH MALANG
455 132304010523P001 22-05-2023 22-05-2023 0003000852101 MURYATI P PBI (APBD) Malignant neoplasm of Rujuk Vertikal
975 00:00 09:22 cervix uteri SARANA KEMOTERAPI RUMAH SAKIT LAVALETTE
456 132304010523P002 23-05-2023 23-05-2023 0000111472514 SOEMARTI P - Atherosclerotic heart Rujuk Vertikal JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
196 00:00 09:16 disease
457 132304010523P002 23-05-2023 23-05-2023 0000111713951 MOCHAMMAD L PENERIMA Other cataract Rujuk Vertikal MATA KLINIK MATA SMEC MALANG
RIFAI
185 00:00 08:45 PENSIUN PNS
132304010523P002 23-05-2023 23-05-2023 PENERIMA Chronic obstructive
458 194 00:00 09:14 0000111986796 BUDIONO SARAGI L PENSIUN PNS pulmonary disease, Rujuk Vertikal
unspecified
459 132304010523P002 23-05-2023 23-05-2023 0000783291789 MARIYAM P PBI (APBN) Other acute sinusitis Rujuk Vertikal
225 00:00 10:55 THT-KL RSI AISYIYAH MALANG
132304010523P002 23-05-2023 23-05-2023 0000784480792 MEGA P PEGAWAI Disruption of perineal Rujuk Vertikal
460 213 00:00 09:31 PURNAMASARI SWASTA obstetric wound OBGYN RSI AISYIYAH MALANG
461 132304010523P002 23-05-2023 23-05-2023 0000784745752 EDI PUSPITO L PEGAWAI Other cataract Rujuk Vertikal
189 00:00 09:05 SWASTA MATA RS SOEPRAOEN
132304010523P002 23-05-2023 23-05-2023 0001049537553 MURAH P PBI (APBN) Malignant neoplasm of Rujuk Vertikal
462 224 00:00 10:35 tongue, unspecified Bedah Onkologi RS SOEPRAOEN
463 132304010523P002 23-05-2023 23-05-2023 0001049548331 MASNUNAH P PBI (APBN) Anisometropia and Rujuk Vertikal
192 00:00 09:06 aniseikonia MATA RS SOEPRAOEN
132304010523P002 23-05-2023 23-05-2023 0001192983581 LULUK WIDIYA P - Disorders of Rujuk Vertikal
464 226 00:00 11:16 accommodation MATA KLINIK MATA SMEC MALANG
465 132304010523P002 23-05-2023 23-05-2023 0001403198605 POETONO L PBI (APBD) Heart failure, unspecified Rujuk Vertikal
184 00:00 08:44 JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P002 23-05-2023 23-05-2023 0001407272231 SUPRIATIN P PBI (APBN) Benign neoplasm of breast Rujuk Vertikal
466 195 00:00 09:14 BEDAH RSI AISYIYAH MALANG
467 132304010523P002 23-05-2023 23-05-2023 0001787028592 ANNISA P PEKERJA Thyrotoxicosis Rujuk Vertikal
183 00:00 08:43 MAYDHITA MANDIRI [hyperthyroidism] PENYAKIT DALAM RSU HERMINA TANGKUBANPRAHU
132304010523P002 23-05-2023 23-05-2023 0001861689284 MISNAN L PBI (APBD) Other chronic obstructive Rujuk Vertikal
468 182 00:00 08:40 pulmonary disease
469 132304010523P002 23-05-2023 23-05-2023 NIKMATURROCHM Maternal care due to
210 00:00 09:28 0002263655632 A NOOR AZIZA P PBI (APBN) uterine scar from previous Rujuk Vertikal
surgery
132304010523P002 23-05-2023 23-05-2023 0002416059775 ABDUL ROCHIM L - Necrosis of pulp Rujuk Vertikal
470 186 00:00 08:50 GIGI ENDODONS RSUD Kota Malang
471 132304010523P002 23-05-2023 23-05-2023 0002685255467 SUSI WAHYURINI P PBI (APBD) Fracture of clavicle Rujuk Vertikal
203 00:00 09:22 ORTHOPEDI RSI AISYIYAH MALANG
132304010523P002 23-05-2023 23-05-2023 0002730318693 KRISTINA ELYS P PBI (APBD) Noninflammatory disorder Rujuk Vertikal
220 00:00 09:36 of ovary, fallopian tube and
broad ligament, unspecified
472
onkologi ginekologi RS MELATI HUSADA

473 132304010523P002 23-05-2023 23-05-2023 0002884062519 SUTAMI P PBI (APBD) Other cataract Rujuk Vertikal
132304010523P002 23-05-2023 23-05-2023 0002900879054 ZAENAL ARIFIN L PEKERJA Zoster with other Rujuk Vertikal
474 206 00:00 09:26 MANDIRI complications SARAF RSI AISYIYAH MALANG
475 132304010523P002 23-05-2023 23-05-2023 0002922437463 MUHAMMAD L - Hyperkinetic disorder, Rujuk Vertikal
181 00:00 08:31 IBRAHIM SALMAN unspecified
AL AYYUBI
132304010523P002 23-05-2023 23-05-2023 0003281016003 ADEK MEGA P - Chronic apical periodontitis Rujuk Vertikal
476 193 00:00 09:08 WAHYU
WULANDARI
GIGI BEDAH MULUT RUMAH SAKIT LAVALETTE
477 132304010523P002 24-05-2023 24-05-2023 PENERIMA Polyneuropathy in diseases
346 00:00 09:18 0000111711328 LASMI WIDJAYA P PENSIUN PNS classified elsewhere Rujuk Vertikal
132304010523P002 24-05-2023 24-05-2023 0000113767299 MARNU L PNS DAERAH Schizoaffective disorder, Rujuk Vertikal
478 364 00:00 10:02 unspecified JIWA RS. JIWA LAWANG
479 132304010523P002 24-05-2023 24-05-2023 0000149300548 ROHMAH FITRIA P PEKERJA Maternal care for breech Rujuk Vertikal
363 00:00 10:01 DEWI MANDIRI presentation OBGYN RSIA MUHAMMADIYAH MALANG
132304010523P002 24-05-2023 24-05-2023 0000679430632 ALFIA IKA P PBI (APBN) Rheumatic heart disease, Rujuk Vertikal
480 318 00:00 08:17 ROSYIDA unspecified JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
481 132304010523P002 24-05-2023 24-05-2023 0000783852232 TITIK SRI P PBI (APBN) Anisometropia and Rujuk Vertikal
343 00:00 08:55 WIDAYATI aniseikonia MATA RSI AISYIYAH MALANG
132304010523P002 24-05-2023 24-05-2023 0000784094747 SIYONO L - Low back pain Rujuk Vertikal
482 368 00:00 10:44 PENYAKIT DALAM RSI AISYIYAH MALANG
483 132304010523P002 24-05-2023 24-05-2023 0000784986636 ARIEF MULYONO L PBI (APBN) Chronic ischaemic heart Rujuk Vertikal
361 00:00 09:57 disease, unspecified
JANTUNG DAN PEMBULUH DARARS SOEPRAOEN
484 132304010523P002 24-05-2023 24-05-2023 0000976619474 MUHAMMAD L - Necrosis of pulp Rujuk Vertikal
357 00:00 09:39 ASSYAFI' KHAIRY
GIGI ENDODONSI RS Universitas Brawijaya
132304010523P002 24-05-2023 24-05-2023 0001138493046 SUPOMO L PBI (APBD) Sequelae of Rujuk Vertikal
485 358 00:00 09:43 cerebrovascular disease
486 132304010523P002 24-05-2023 24-05-2023 Maternal care due to
366 00:00 10:14 TAMPI HAJAR uterine scar from previous Rujuk Vertikal
0001162594552 P -
KINANTI surgery
OBGYN RSU. UNIVERSITAS MUHAMMADIYAH
132304010523P002 24-05-2023 24-05-2023 0001286215918 ENIK ISTIOWATI P PBI (APBD) Internal derangement of Rujuk Vertikal
487 321 00:00 08:23 knee, unspecified PENYAKIT DALAM RSI AISYIYAH MALANG
488 132304010523P002 24-05-2023 24-05-2023 0001317586184 MASRUKAH P PBI (APBD) Rheumatoid arthritis, Rujuk Vertikal
369 00:00 10:47 unspecified SARAF RSI AISYIYAH MALANG
132304010523P002 24-05-2023 24-05-2023 0001435701464 RITA HANDAYANI P PBI (APBD) Acute appendicitis with Rujuk Vertikal
489 345 00:00 09:11 generalized peritonitis
490 132304010523P002 24-05-2023 24-05-2023 0001439170086 KHOIRUL SAFI'I L - Impacted teeth Rujuk Vertikal
359 00:00 09:51 GIGI BEDAH MULUT RS BHIRAWA BHAKTI
132304010523P002 24-05-2023 24-05-2023 0001871256194 SARIAH P PBI (APBN) Shoulder lesions Rujuk Vertikal
491 317 00:00 08:15 SARAF RSI AISYIYAH MALANG
492 132304010523P002 24-05-2023 24-05-2023 0002157626801 PRAMAYANI P PBI (APBN) Schizophrenia Rujuk Vertikal
340 00:00 08:46 KUSUMANINGRUM
493 132304010523P002 24-05-2023 24-05-2023 Non-insulin-dependent
0002378419402 SUJONO L PBI (APBD) unspecified complications Rujuk Vertikal

132304010523P002 24-05-2023 24-05-2023 0002730248875 SUTRISNO EDI L PBI (APBD) Other cataract Rujuk Vertikal
494 341 00:00 08:51 PURNOMO MATA RS Universitas Brawijaya
495 132304010523P002 24-05-2023 24-05-2023 0002730359856 LISYANTO L PBI (APBD) Other cataract Rujuk Vertikal
333 00:00 08:39 MATA KLINIK MATA SMEC MALANG
132304010523P002 24-05-2023 24-05-2023 0002814540131 YAKOBUS L PBI (APBN) Necrosis of pulp Rujuk Vertikal
496 367 00:00 10:34 TRIYANTO
SETIYANDIK
GIGI BEDAH MULUT RS PANTI WALUYA
497 132304010523P002 24-05-2023 24-05-2023 0002933251367 SYYFA INDRA P PBI (APBD) Specific developmental Rujuk Vertikal
362 00:00 09:58 RAHMAHDANIA disorder of motor function

498 0003109384506 P - Respiratory tuberculosis, Rujuk Vertikal
not confirmed
ADIBA SHAKILA bacteriologically or
132304010523P002 24-05-2023 24-05-2023
AULIA histologically
342 00:00 08:53
IZZATUNNISA
0003298151698 L - Respiratory tuberculosis, Rujuk Vertikal
not confirmed
BAYI NYONYA bacteriologically or
132304010523P002 24-05-2023 24-05-2023
499 SUYANTI DWI histologically
339 00:00 08:45
MIMIN ARDIANA
500 132304010523P002 25-05-2023 25-05-2023 0000113689631 TRIAS P PEGAWAI Retained dental root Rujuk Vertikal
426 00:00 10:44 ALFILIATININGSIH SWASTA GIGI BEDAH MULUT RS PANTI WALUYA
132304010523P002 25-05-2023 25-05-2023 0000785136824 PURWINARSIH P - Disorders of Rujuk Vertikal
501 425 00:00 10:39 accommodation MATA KLINIK MATA SMEC MALANG
502 132304010523P002 25-05-2023 25-05-2023 0001446833485 RUME WINDA P PEKERJA Impacted teeth Rujuk Vertikal
424 00:00 10:31 NIRMALA MANDIRI GIGI BEDAH MULUT RS PANTI WALUYA
132304010523P002 25-05-2023 25-05-2023 0001450994229 TEGUH WIJAYA L PEKERJA Schizophrenia Rujuk Vertikal
503 415 00:00 09:02 BUDIARTO MANDIRI JIWA RSI AISYIYAH MALANG
504 132304010523P002 25-05-2023 25-05-2023 PEKERJA Disruption of operation
416 00:00 09:04 0001601301879 SISMIATI P MANDIRI wound, not elsewhere Rujuk Vertikal
classified
132304010523P002 25-05-2023 25-05-2023 0001613030714 SRI YAYUK P PEGAWAI Disorder of visual Rujuk Vertikal
505 417 00:00 09:50 RAHAYU SWASTA pathways, unspecified
506 132304010523P002 25-05-2023 25-05-2023 0001706227209 ELOK FAIZATUL P - Necrosis of pulp Rujuk Vertikal
420 00:00 10:13 LUTFIAH GIGI ENDODONSI RSI AISYIYAH MALANG
132304010523P002 25-05-2023 25-05-2023 0001821356594 sulastri P PEKERJA Aplastic anaemia, Rujuk Vertikal
507 419 00:00 10:04 MANDIRI unspecified Hematologi - Onkologi Medik RSI AISYIYAH MALANG
508 132304010523P002 25-05-2023 25-05-2023 0002497445076 M. ALI HUSNI L PEKERJA Emphysema, unspecified Rujuk Vertikal
414 00:00 08:37 MANDIRI PARU RS PANTI NIRMALA
132304010523P002 25-05-2023 25-05-2023 0002612129826 SLAMET SYAFI'I L PEKERJA Other cholelithiasis Rujuk Vertikal
509 428 00:00 11:19 MANDIRI PENYAKIT DALAM RS SOEPRAOEN
510 132304010523P002 25-05-2023 25-05-2023 Non-insulin-dependent
0002629423067 DJUMAINAH P PBI (APBN) unspecified complications Rujuk Vertikal

132304010523P002 25-05-2023 25-05-2023 0002734330601 HENDRA L - Malignant neoplasm of Rujuk Vertikal
511 422 00:00 10:21 GUNAWAN prostate
HALIMSETIAWAN
UROLOGI RS PANTI NIRMALA
512 132304010523P002 25-05-2023 25-05-2023 PEKERJA Malignant neoplasm of
413 00:00 08:34 0002779140982 SUPARTIWIN P MANDIRI heart, mediastinum and Rujuk Vertikal
pleura
BTKV (BEDAH THORAX KARDIOVARUMAH SAKIT LAVALETTE
132304010523P002 25-05-2023 25-05-2023 0002857937602 FEBRY L PEGAWAI Coronavirus infection, Rujuk Vertikal
513 427 00:00 10:57 ARDIANZAH SWASTA unspecified PENYAKIT DALAM RS WAVA HUSADA
514 132304010523P002 25-05-2023 25-05-2023 0003304186896 MOCHAMMAD L - Psoriasis Rujuk Vertikal
423 00:00 10:29 RONI KULIT KELAMIN RS PANTI NIRMALA
25-05-2023 25-05-2023 L - Rujuk Vertikal
515
132304010523P002 00:00 10:1 1791467886 M. ALI TAUFIK Gonarthrosis [arthro ORTHOPEDI RSI AISYIYAH MALANG
516 25-05-2023 25-05-2023 L - Rujuk Vertikal
132304010523P002 00:00 10:27 2920010826 TJHIN LADY Non-insulin-dependen JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
132304010523P002 26-05-2023 26-05-2023 0000783195287 IVANA TANZILA P - Other abnormal uterine and Rujuk Vertikal
517 491 00:00 09:34 vaginal bleeding
518 132304010523P002 26-05-2023 26-05-2023 0000784070976 NOVAN DWI L PBI (APBN) Cough Rujuk Vertikal
492 00:00 09:37 WICAKSONO PARU RSI AISYIYAH MALANG
132304010523P002 26-05-2023 26-05-2023 0001273371377 HENY P PBI (APBD) Other chronic obstructive Rujuk Vertikal
519 482 00:00 08:46 PURWATININGSIH pulmonary disease
520 132304010523P002 26-05-2023 26-05-2023 0001316706175 HENDRY ANTONI L PBI (APBD) Atrioventricular and left Rujuk Vertikal
502 00:00 10:04 CH PORSIANA bundle-branch block
132304010523P002 26-05-2023 26-05-2023 0001321394545 HARI KARTIKA P PEKERJA Thyrotoxicosis Rujuk Vertikal
521 463 00:00 08:23 WATI MANDIRI [hyperthyroidism] BEDAH RSI AISYIYAH MALANG
522 132304010523P002 26-05-2023 26-05-2023 0001387590737 AGUSTINA SRI P - Schizophrenia Rujuk Vertikal
461 00:00 08:17 REDATIN JIWA RSI AISYIYAH MALANG
132304010523P002 26-05-2023 26-05-2023 0001403210823 MOCH WAKIDI L PBI (APBD) Anisometropia and Rujuk Vertikal
523 487 00:00 09:08 aniseikonia MATA RSU HERMINA TANGKUBANPRAHU
524 132304010523P002 26-05-2023 26-05-2023 0001465954299 GERRARD HASAN L - Hypertrophic disorders of Rujuk Vertikal
462 00:00 08:21 SURYAWAN skin
132304010523P002 26-05-2023 26-05-2023 Excessive and frequent
490 00:00 09:31 SABRIA KAYLA menstruation with irregular Rujuk Vertikal
525 0001644925937 P -
SASMITO cycle
526 132304010523P002 26-05-2023 26-05-2023 0001870177048 CHARIS L PEKERJA Necrosis of pulp Rujuk Vertikal
473 00:00 08:35 SETYAWAN MANDIRI GIGI ENDODONSI RS BHIRAWA BHAKTI
132304010523P002 26-05-2023 26-05-2023 0002007513303 MARTINI MINAH P PBI (APBN) Other malignant neoplasms Rujuk Vertikal
527 489 00:00 09:22 of skin KULIT KELAMIN RSI AISYIYAH MALANG
528 132304010523P002 26-05-2023 26-05-2023 0002233021702 MUHAMMAD L PBI (APBD) Anisometropia and Rujuk Vertikal
464 00:00 08:24 ROFIQ aniseikonia MATA RSI AISYIYAH MALANG
132304010523P002 26-05-2023 26-05-2023 0002728991597 LUKIYATI NINGSIH P PBI (APBD) Fracture of clavicle Rujuk Vertikal
529 460 00:00 08:15 ORTHOPEDI RSI AISYIYAH MALANG
530 132304010523P002 26-05-2023 26-05-2023 0002730251463 WIKHE IRINE P PEGAWAI Anisometropia and Rujuk Vertikal
501 00:00 10:03 SWASTA aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P002 26-05-2023 26-05-2023 0002730317253 MUHAMMAD L - Pain, not elsewhere Rujuk Vertikal
531 488 00:00 09:20 RAVANDRIA classified
RAMADHAN
532 132304010523P002 26-05-2023 26-05-2023 0002730326883 SINTA PUSPITA P - Impacted teeth Rujuk Vertikal
486 00:00 08:55 SARI GIGI BEDAH MULUT RS PANTI NIRMALA
0002730328301 DESI ARIANTI P PBI (APBD) Respiratory tuberculosis, Rujuk Vertikal
not confirmed
533 histologically
481 00:00 08:43

534 132304010523P002 26-05-2023 26-05-2023 BAYI NYONYA Neonatal jaundice from
503 00:00 10:16 0003522294865 LAILA NUR L - other and unspecified Rujuk Vertikal
HANIFAH causes
ANAK RSIA MUHAMMADIYAH MALANG
132304010523P002 27-05-2023 27-05-2023 0000111202659 NURHAYATI P - Hypertensive heart disease Rujuk Vertikal
536 132304010523P002 27-05-2023 27-05-2023 0000111734357 UMIKUM P PENERIMA Heart failure, unspecified Rujuk Vertikal
524 00:00 08:42 PENSIUN PNS JANTUNG DAN PEMBULUH DARARSI AISYIYAH MALANG
537 0000784003454 SUWARTI P - unspecified complications Rujuk Vertikal

538 132304010523P002 27-05-2023 27-05-2023 0001049535628 DWI P - Missed abortion Rujuk Vertikal
519 00:00 07:54 PURNAMASARI OBGYN RSIA GALERI CANDRA
132304010523P002 27-05-2023 27-05-2023 0001403168815 LULUK P - Malignant neoplasm of Rujuk Vertikal
539 534 00:00 10:18 MAHMUDAH breast PENYAKIT DALAM RSI AISYIYAH MALANG
540 132304010523P002 27-05-2023 27-05-2023 0001821680392 sriati P PEGAWAI Other specified Rujuk Vertikal
520 00:00 08:16 SWASTA polyneuropathies SARAF RSI AISYIYAH MALANG
132304010523P002 27-05-2023 27-05-2023 0001822725088 RINI INDARAPI P PEGAWAI Glaucoma Rujuk Vertikal
541 530 00:00 09:44 SWASTA MATA RSI AISYIYAH MALANG
542 132304010523P002 27-05-2023 27-05-2023 0002155196079 MAIMUNAH P - Encephalopathy, Rujuk Vertikal
544 00:00 12:26 unspecified SARAF RS BHIRAWA BHAKTI
132304010523P002 27-05-2023 27-05-2023 0002730249696 SUKARDI L - Disorder of visual Rujuk Vertikal
543 529 00:00 09:26 pathways, unspecified
MATA RS SOEPRAOEN
544 132304010523P002 27-05-2023 27-05-2023 0002730258279 BAMBANG L - Calculus of kidney and Rujuk Vertikal
531 00:00 09:56 IRAWAN ureter UROLOGI RSI AISYIYAH MALANG
132304010523P002 27-05-2023 27-05-2023 0002730356414 RUSPADI L PBI (APBD) Stroke, not specified as Rujuk Vertikal
SARAF RS SOEPRAOEN
546 132304010523P002 27-05-2023 27-05-2023 0003265039776 BETTY MARIA P - Disorder of visual Rujuk Vertikal
528 00:00 09:22 pathways, unspecified
132304010523P002 27-05-2023 27-05-2023 0003265047246 Delysya Sheryl P - Disorder of visual Rujuk Vertikal
547 527 00:00 09:18 Hermanto pathways, unspecified
548 132304010523P002 29-05-2023 29-05-2023 0000100196133 KHORIATUN P - Chalazion Rujuk Vertikal
891 00:00 13:47 MATA KLINIK MATA SMEC MALANG
132304010523P002 29-05-2023 29-05-2023 0000100492672 SUPRAPTI P PENERIMA Other cataract Rujuk Vertikal
549 835 00:00 08:39 PENSIUN PNS MATA Klinik Utama Malang Eye Center
550 132304010523P002 29-05-2023 29-05-2023 0000111014673 MARTINUS DIAN L PEGAWAI Other anxiety disorders Rujuk Vertikal
888 00:00 11:14 VIOLETA SWASTA SARAF RSU HERMINA TANGKUBANPRAHU
132304010523P002 29-05-2023 29-05-2023 0000111449261 CHRISTINE P PENERIMA Haematemesis Rujuk Vertikal
551 834 00:00 08:38 HARSUTJI PENSIUN TNI PENYAKIT DALAM RSI AISYIYAH MALANG
552 132304010523P002 29-05-2023 29-05-2023 Hydronephrosis with renal
850 00:00 09:23 0000111817045 SULASTRI P PNS DAERAH and ureteral calculous Rujuk Vertikal
obstruction
Ginjal-Hipertensi RS PANTI WALUYA
132304010523P002 29-05-2023 29-05-2023 HERMINA Insulin-dependent diabetes
884 00:00 10:36 GEERTRUIDA mellitus with unspecified
553 0000111856004 REGINA P PNS DAERAH complications Rujuk Vertikal

554 132304010523P002 29-05-2023 29-05-2023 0000784064801 EKA P PBI (APBN) Excessive, frequent and Rujuk Vertikal
861 00:00 09:45 MARTININGSIH irregular menstruation
MATA RSI AISYIYAH MALANG
555 0000784279258 SULISTIANI P PBI (APBN) unspecified complications Rujuk Vertikal

556 132304010523P002 29-05-2023 29-05-2023 0000784854977 MISNANTI RIDIAH P PBI (APBN) Chronic viral hepatitis Rujuk Vertikal
864 00:00 09:47 NINGSIH OBGYN RSIA MUHAMMADIYAH MALANG
132304010523P002 29-05-2023 29-05-2023 0000785348908 NGATMINAH P PBI (APBN) Oesophagitis Rujuk Vertikal
557 846 00:00 09:14 Gastroenterologi-Hepatologi RS PANTI NIRMALA
558 132304010523P002 29-05-2023 29-05-2023 PEGAWAI Chronic obstructive
881 00:00 10:25 0001261631777 ANTI EKO RINI P SWASTA pulmonary disease, Rujuk Vertikal
unspecified
132304010523P002 29-05-2023 29-05-2023 0001303365058 PARTO L PBI (APBN) Stroke, not specified as Rujuk Vertikal
560 132304010523P002 29-05-2023 29-05-2023 0001339654487 HERU SUBAGYO, L PEKERJA Other chronic obstructive Rujuk Vertikal
873 00:00 10:07 ST MANDIRI pulmonary disease
132304010523P002 29-05-2023 29-05-2023 0001403143806 KRISTINA SETYA P PBI (APBD) Low back pain Rujuk Vertikal
561 859 00:00 09:42 RAHAYU SARAF RSI AISYIYAH MALANG
562 132304010523P002 29-05-2023 29-05-2023 0001403208011 HERY STEVANUS L PEKERJA Anisometropia and Rujuk Vertikal
843 00:00 09:10 MANDIRI aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P002 29-05-2023 29-05-2023 0001403210823 MOCH WAKIDI L PBI (APBD) Chronic kidney disease Rujuk Vertikal
563 845 00:00 09:11 Ginjal-Hipertensi RS PANTI WALUYA
564 132304010523P002 29-05-2023 29-05-2023 0001403224121 NURUL AIDA P - Anisometropia and Rujuk Vertikal
869 00:00 09:56 aniseikonia MATA KLINIK MATA SMEC MALANG
132304010523P002 29-05-2023 29-05-2023 0001441774629 RIZA FRIEDA P PBI (APBD) Epilepsy Rujuk Vertikal
565 865 00:00 09:50 RIFANI SARAF RSI AISYIYAH MALANG
566 132304010523P002 29-05-2023 29-05-2023 0001538521953 AHNAF RAIHAN L PBI (APBN) Pulp degeneration Rujuk Vertikal
867 00:00 09:52 MU' AFA GIGI PEDODONTIS RS BHIRAWA BHAKTI
132304010523P002 29-05-2023 29-05-2023 0001795270307 SULAMI P PBI (APBD) Other spondylopathies Rujuk Vertikal
567 841 00:00 09:07 SARAF RSI AISYIYAH MALANG
568 132304010523P002 29-05-2023 29-05-2023 0001852854254 SUKRIA LIKA AMI P PBI (APBN) Other cataract Rujuk Vertikal
132304010523P002 29-05-2023 29-05-2023 0001887902638 rujiyani P PBI (APBD) Anisometropia and Rujuk Vertikal
569 853 00:00 09:27 aniseikonia MATA KLINIK MATA SMEC MALANG
570 132304010523P002 29-05-2023 29-05-2023 0001896447756 SUMA'YAH P PBI (APBD) Disorders of vitreous body Rujuk Vertikal
132304010523P002 29-05-2023 29-05-2023 0002066811693 SUMARNI P PBI (APBD) Presence of intraocular lens Rujuk Vertikal
572 132304010523P002 29-05-2023 29-05-2023 0002217600922 QIRANA NASHA P PBI (APBD) Foreign body in ear Rujuk Vertikal
838 00:00 08:53 PUTRI THT-KL RSU HERMINA TANGKUBANPRAHU
132304010523P002 29-05-2023 29-05-2023 0002289659455 ANITA FATONAH P PEGAWAI Benign neoplasm of breast Rujuk Vertikal
573 854 00:00 09:28 SWASTA BEDAH RSU HERMINA TANGKUBANPRAHU
574 132304010523P002 29-05-2023 29-05-2023 0002311706575 RAHANG PRIBADI L PEGAWAI Necrosis of pulp Rujuk Vertikal
839 00:00 08:57 SWASTA GIGI BEDAH MULUT RS PANTI NIRMALA
132304010523P002 29-05-2023 29-05-2023 0002327473089 ABDUL RACHMAN L PBI (APBD) Inguinal hernia Rujuk Vertikal
575 832 00:00 08:35 BEDAH RSI AISYIYAH MALANG
576 132304010523P002 29-05-2023 29-05-2023 0002414064745 PRI HANDONO L PBI (APBD) Unspecified renal colic Rujuk Vertikal
883 00:00 10:33 HIDAYADI UROLOGI RSI AISYIYAH MALANG
132304010523P002 29-05-2023 29-05-2023 0002446269524 DEVINTA APRILLIA P - Chronic kidney disease Rujuk Vertikal
577 872 00:00 10:05 Hemodialisa RSUD DR. SAIFUL ANWAR
578 132304010523P002 29-05-2023 29-05-2023 0002459104391 SITI CHOTIMAH P PBI (APBD) Pain, not elsewhere Rujuk Vertikal
866 00:00 09:51 classified BEDAH RSI AISYIYAH MALANG
132304010523P002 29-05-2023 29-05-2023 0002470968426 MUHAMMAD L PBI (APBN) Childhood autism Rujuk Vertikal
579 889 00:00 11:22 RAKA FAHREZA THT-KL RSU HERMINA TANGKUBANPRAHU
580 132304010523P002 29-05-2023 29-05-2023 0002664598667 EDITHA YOVITA P PBI (APBN) Prolonged pregnancy Rujuk Vertikal
844 00:00 09:11 DAWO PUTRI OBGYN RS MELATI HUSADA
0002730244476 P PBI (APBD) Respiratory tuberculosis, Rujuk Vertikal
not confirmed
DEWI PERMANA bacteriologically or
132304010523P002 29-05-2023 29-05-2023
581 KUSUMANINGTYA histologically
848 00:00 09:18
S
PARU RS SOEPRAOEN
582 132304010523P002 29-05-2023 29-05-2023 Chronic obstructive
882 00:00 10:31 0002730312483 SULIK RELASITA P PBI (APBD) pulmonary disease, Rujuk Vertikal
unspecified
132304010523P002 29-05-2023 29-05-2023 0002730369014 BINURI L PBI (APBD) Heart failure, unspecified Rujuk Vertikal
584 132304010523P002 29-05-2023 29-05-2023 0002937403697 ERINA KHANSA P - Acute peritonitis Rujuk Vertikal
886 00:00 10:46 HUMAIRA BEDAH RSUD Kota Malang
132304010523P002 29-05-2023 29-05-2023 0003003170499 BETHARIA P PEGAWAI Retained dental root Rujuk Vertikal
585 842 00:00 09:09 WAHYUNING SWASTA
ARUM
GIGI BEDAH MULUT RS PANTI NIRMALA
586 132304010523P002 29-05-2023 29-05-2023 0003295064092 I MADE SUYANTA L PBI (APBD) Hyperplasia of prostate Rujuk Vertikal
849 00:00 09:21 UROLOGI RS PANTI WALUYA
132304010523P002 29-05-2023 29-05-2023 Delirium, not induced by
847 00:00 09:16 alcohol and other
587 0003295064676 KARTI P PBI (APBD) psychoactive substances Rujuk Vertikal

588 132304010523P002 29-05-2023 29-05-2023 0003518201542 SRIATUN P PBI (APBD) Unspecified injury of head Rujuk Vertikal
887 00:00 10:48 BEDAH SARAF RS SOEPRAOEN
132304010523P002 29-05-2023 29-05-2023 0003520223381 BAYI NYONYA L PBI (APBN) Other preterm infants Rujuk Vertikal
589 851 00:00 09:25 FERSIANA
NCARONG

REKAP

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TANGGAL TANGGAL JENIS KELAMIN STATUS PULANG

PENYAKIT DALAM RSI AISYIYAH MALANG

PENYAKIT DALAM RSI AISYIYAH MALANG

SARAF RSU HERMINA TANGKUBANPRAHU

B20 RSUD DR. SAIFUL ANWAR

B20 RSUD DR. SAIFUL ANWAR

OBGYN RS MELATI HUSADA

PENYAKIT DALAM Klinik Utama Bunga Melati

PENYAKIT DALAM RSI AISYIYAH MALANG

MATA KLINIK MATA SMEC MALANG

PENYAKIT DALAM RUMAH SAKIT LAVALETTE

Gastroenterologi-Hepatologi RUMAH SAKIT LAVALETTE

JIWA RS. JIWA LAWANG

PARU RSU HERMINA TANGKUBANPRAHU

SARAF RSU HERMINA TANGKUBANPRAHU

ANAK RSU HERMINA TANGKUBANPRAHU

PENYAKIT DALAM RSI AISYIYAH MALANG

PENYAKIT DALAM RSI AISYIYAH MALANG

OBGYN RS MELATI HUSADA

MATA KLINIK MATA SMEC MALANG

ANAK RSU HERMINA TANGKUBANPRAHU

Endokrin-Metabolik-Diabetes RUMAH SAKIT LAVALETTE

ANAK RSU HERMINA TANGKUBANPRAHU

ANAK RSU HERMINA TANGKUBANPRAHU

PENYAKIT DALAM RSI AISYIYAH MALANG

SARAF RSI AISYIYAH MALANG

PARU RSI AISYIYAH MALANG

OBGYN RS MELATI HUSADA

PARU RSI AISYIYAH MALANG

Bedah Digestif RS PANTI WALUYA

PENYAKIT DALAM RSUD Kota Malang

PENYAKIT DALAM RS PANTI WALUYA

PENYAKIT DALAM RSI AISYIYAH MALANG

Bedah Onkologi RS PERSADA HOSPITAL

B20 RSUD DR. SAIFUL ANWAR

PENYAKIT DALAM RSI AISYIYAH MALANG

onkologi ginekologi RS MELATI HUSADA

PENYAKIT DALAM RSI AISYIYAH MALANG

ANAK RSU HERMINA TANGKUBANPRAHU

PENYAKIT DALAM RSI AISYIYAH MALANG

PARU RS PANTI WALUYA

PENYAKIT DALAM RS PANTI WALUYA

PENYAKIT DALAM RSI AISYIYAH MALANG

PENYAKIT DALAM RSI AISYIYAH MALANG

JIWA RS. JIWA LAWANG

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