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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

TANGGAL TANGGAL JENIS STATUS


NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG

0227U0320222P00 03-02-2022 Acute pharyngitis,


1 02-03-2022 0000142504029 MADE RADHEYA WIBAWA L PNS PUSAT Berobat Jalan
0648 15:57 unspecified
0227U0320222P00 03-02-2022 Surveillance of
2 02-03-2022 0000741454312 SRI MULYANI P - Berobat Jalan
0626 14:58 contraceptive drugs
0227U0320222P00 03-02-2022 PEGAWAI Acute tonsillitis,
3 02-03-2022 0000823456585 NI KETUT SUCIASIH P Berobat Jalan
0583 12:13 SWASTA unspecified
0227U0320222P00 04-02-2022 PEGAWAI
4 02-03-2022 0000827662419 LUH PUTU ARIDEWI P Necrosis of pulp Berobat Jalan
0818 10:25 SWASTA
0227U0320222P00 03-02-2022 I GUSTI MADE YOGA PEGAWAI Acute upper respiratory
5 02-03-2022 0001130282504 L Berobat Jalan
0679 17:40 ANTARA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
6 02-03-2022 0001130292257 PUTU WIRASEDANA L Berobat Jalan
0667 16:50 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
7 02-03-2022 0001130354728 I NYOMAN SUKAADI L Berobat Jalan
0699 18:26 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
8 02-03-2022 0001130410383 I KADEK ARTHA L Other peripheral vertigo Berobat Jalan
0702 18:29 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
9 02-03-2022 0001131817037 MUSLIMIN L Berobat Jalan
0676 17:23 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
10 02-03-2022 0001132620985 NI PUTU JUNI ARINI P - Berobat Jalan
0492 08:47 unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
11 02-03-2022 0001137540587 DAFIT HOTMAN L Berobat Jalan
0744 20:28 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
12 02-03-2022 0001138617538 PUTU INDRAYANI P Berobat Jalan
0716 19:20 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
13 02-03-2022 0001145386945 NI NENGAH ARTINI P after other treatment for Rujuk Vertikal
0546 11:02 SWASTA
other conditions
0227U0320222P00 03-02-2022 PEGAWAI
14 02-03-2022 0001150281562 NINIK SURYANI P Tension-type headache Berobat Jalan
0487 08:33 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI
15 02-03-2022 0001154533904 RUDIONO L Tension-type headache Berobat Jalan
0488 08:36 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
16 02-03-2022 0001155581717 WIWIN AYU LESTARI P Berobat Jalan
0675 17:19 SWASTA infection, unspecified

0227U0320222P00 03-02-2022 SANG AYU KETUT Allergic contact dermatitis,


17 02-03-2022 0001162707625 P PBI (APBN) Berobat Jalan
0730 19:44 NURATNI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 I KADEK RYO KHARISMA Surgical follow-up care,


18 02-03-2022 0001162809257 L PBI (APBD) Berobat Jalan
0738 20:08 PERMANA unspecified
0227U0320222P00 03-02-2022 PUTU DESSY Acute upper respiratory
19 02-03-2022 0001162902677 P - Berobat Jalan
0724 19:30 SUWIDARIYANTI infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
20 02-03-2022 0001162909304 NI LUH MAYUNI P Berobat Jalan
0697 18:24 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
21 02-03-2022 0001162977186 NI KETUT WANGIASIH P after other treatment for Rujuk Vertikal
0637 15:25 SWASTA
other conditions

Diarrhoea and
0227U0320222P00 03-02-2022 NI PUTU AYU MEGA PEGAWAI
22 02-03-2022 0001162987503 P gastroenteritis of Berobat Jalan
0673 17:10 LISTIANI SWASTA
presumed infectious origin

General examination and


0227U0320222P00 03-02-2022 NI LUH KADEK DWI PEGAWAI investigation of persons
23 02-03-2022 0001162998369 P Berobat Jalan
0712 19:16 SUTARINI SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022
24 02-03-2022 0001162999754 NI KADEK DWI MULIANTI P - Fever, unspecified Berobat Jalan
0643 15:43
0227U0320222P00 03-02-2022 I GUSTI BAGUS KOMANG PEGAWAI Essential (primary)
25 02-03-2022 0001163003308 L Berobat Jalan
0565 11:43 WARDIANA SWASTA hypertension
0227U0320222P00 03-02-2022 Acute upper respiratory
26 02-03-2022 0001163049726 SULIANI P - Berobat Jalan
0709 19:14 infection, unspecified
0227U0320222P00 03-02-2022 RAJENDRA SAKHI PEGAWAI Acute upper respiratory
27 02-03-2022 0001163049737 L Berobat Jalan
0710 19:15 RAHMAT PUTRA SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
28 02-03-2022 0001167177104 NI MADE SUKASIH P after other treatment for Rujuk Vertikal
0661 16:32 SWASTA
other conditions
0227U0320222P00 03-02-2022 I PUTU KRISNA Acute upper respiratory
29 02-03-2022 0001167425684 L PBI (APBD) Berobat Jalan
0682 17:45 MAHARDITA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
30 02-03-2022 0001168608813 KADEK DIAN NOVITASARI P Other peripheral vertigo Berobat Jalan
0741 20:16 SWASTA
0227U0320222P00 03-02-2022 NAILA ANINDYA RAHMAT PEGAWAI Acute upper respiratory
31 02-03-2022 0001170218834 P Berobat Jalan
0711 19:15 PUTRI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 NI KOMANG ARYA PEGAWAI Fever of other and
32 02-03-2022 0001170502918 P Berobat Jalan
0571 11:52 MAHARANI SWASTA unknown origin
0227U0320222P00 03-02-2022 Acute upper respiratory
33 02-03-2022 0001171584832 NI KETUT SUWITI P - Berobat Jalan
0723 19:29 infection, unspecified
0227U0320222P00 03-02-2022
34 02-03-2022 0001178534891 DIMAS ALIMAN L - Fever, unspecified Berobat Jalan
0527 10:30
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 NI KADEK SERUPTI PEGAWAI Acute upper respiratory


35 02-03-2022 0001179215785 P Berobat Jalan
0666 16:47 APSARI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 I MADE SUARTAMA Fever of other and
36 02-03-2022 0001181681199 L - Berobat Jalan
0502 09:07 DEVANDA PUTRA unknown origin
0227U0320222P00 03-02-2022 PEGAWAI
37 02-03-2022 0001181908034 NI KOMANG MERTE P Myalgia Berobat Jalan
0582 12:10 SWASTA
Disorder of skin and
0227U0320222P00 03-02-2022 PEGAWAI
38 02-03-2022 0001189490319 NI KOMANG WARTINI P subcutaneous tissue, Rujuk Vertikal
0569 11:49 SWASTA
unspecified
0227U0320222P00 03-02-2022 PEGAWAI Other contraceptive
39 02-03-2022 0001189490319 NI KOMANG WARTINI P Berobat Jalan
0541 10:52 SWASTA management
0227U0320222P00 03-02-2022 KOMANG SALSA PEGAWAI Acute upper respiratory
40 02-03-2022 0001196348242 P Berobat Jalan
0722 19:28 PRAYATNASWA PUTRI SWASTA infection, unspecified
0227U0320222P00 03-02-2022
41 02-03-2022 0001202803132 NI MADE PONIASIH P - Other peripheral vertigo Berobat Jalan
0616 14:37
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
42 02-03-2022 0001202803143 NI LUH IKA APRILIA P Berobat Jalan
0615 14:36 SWASTA [common cold]
0227U0320222P00 03-02-2022 Acute upper respiratory
43 02-03-2022 0001277773986 SYABIL GHALIBI ABDILAH L PRAJURIT AD Berobat Jalan
0750 20:39 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
44 02-03-2022 0001295626037 FATMA WANDI P Otitis media, unspecified Berobat Jalan
0657 16:20 SWASTA
General examination and
0227U0320222P00 03-02-2022 investigation of persons
45 02-03-2022 0001304615441 I NYOMAN SUARDANA L - Berobat Jalan
0745 20:31 without complaint and
reported diagnosis

Diarrhoea and
0227U0320222P00 03-02-2022 PEGAWAI
46 02-03-2022 0001322422031 I KETUT WIDIARTA L gastroenteritis of Berobat Jalan
0581 12:09 SWASTA
presumed infectious origin

0227U0320222P00 03-02-2022 Diabetes Diabetes


47 02-03-2022 0001324353521 I KETUT SUWADI L PBI (APBD) Malaise and fatigue Berobat Jalan
0574 12:01 Mellitus Mellitus
0227U0320222P00 03-02-2022 LUH PUTRI OKA Acute pharyngitis,
48 02-03-2022 0001325045439 P PBI (APBD) Berobat Jalan
0489 08:38 MANDAYANI unspecified
0227U0320222P00 03-02-2022 PEKERJA
49 02-03-2022 0001325945575 ryan aditya orlin L Other disorders of lens Rujuk Vertikal
0522 10:23 MANDIRI
0227U0320222P00 03-02-2022 Supervision of high-risk
50 02-03-2022 0001326530924 NI WAYAN SAPTA RINI P - Rujuk Vertikal
0514 10:14 pregnancy, unspecified

0227U0320222P00 03-02-2022 PEKERJA Allergic contact dermatitis,


51 02-03-2022 0001328402992 DEWITA PUTRI SUYANTI P Berobat Jalan
0647 15:56 MANDIRI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022
52 02-03-2022 0001380159797 NI KETUT SUKANI P PBI (APBD) after other treatment for Berobat Jalan
0542 10:55
other conditions
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
53 02-03-2022 0001381972285 MARNINGSIH P Berobat Jalan
0742 20:24 MANDIRI infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
54 02-03-2022 0001390195585 I WAYAN KADI L after other treatment for Rujuk Vertikal
0748 20:35 MANDIRI
other conditions
0227U0320222P00 03-02-2022 MARIO QOIDIL KHOIRY Acute nasopharyngitis
55 02-03-2022 0001400836072 L - Berobat Jalan
0503 09:15 JA'FARIS [common cold]
0227U0320222P00 03-02-2022
56 02-03-2022 0001402984304 I NYOMAN MIADA L PBI (APBD) Other peripheral vertigo Berobat Jalan
0642 15:41
0227U0320222P00 03-02-2022 Christiano Carlos Vincentius Acute upper respiratory
57 02-03-2022 0001403047618 L - Berobat Jalan
0688 18:13 We'e infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Other contraceptive
58 02-03-2022 0001406424352 Ika Indah Winarti P Berobat Jalan
0504 09:16 SWASTA management
0227U0320222P00 03-02-2022 Essential (primary)
59 02-03-2022 0001421696237 NI WAYAN SURIADI P PBI (APBD) Berobat Jalan Hipertensi
0674 17:16 hypertension
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
60 02-03-2022 0001430927616 I PUTU EKA ARI SAPUTRA L Berobat Jalan
0733 19:46 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Surgical follow-up care,
61 02-03-2022 0001433181172 NI MADE MANIK P PBI (APBD) Berobat Jalan
0704 18:33 unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
62 02-03-2022 0001435278284 MUSLIKAH P PBI (APBD) Berobat Jalan
0753 20:45 infection, unspecified
General examination and
0227U0320222P00 03-02-2022 investigation of persons
63 02-03-2022 0001437256585 YUDHIAR P PBI (APBD) Berobat Jalan
0714 19:18 without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI
64 02-03-2022 0001437382809 ALIM TINEKE PRATIWI P Impacted teeth Berobat Jalan
0557 11:20 SWASTA
General examination and
0227U0320222P00 03-02-2022 PEGAWAI investigation of persons
65 02-03-2022 0001437382809 ALIM TINEKE PRATIWI P Berobat Jalan
0603 12:57 SWASTA without complaint and
reported diagnosis
Follow-up examination
0227U0320222P00 03-02-2022
66 02-03-2022 0001438244447 FAJAR HERMAWAN L - after other treatment for Rujuk Vertikal
0638 15:28
other conditions
0227U0320222P00 03-02-2022 LUH PUTU DESWINTA PEKERJA
67 02-03-2022 0001440309161 P Fever, unspecified Berobat Jalan
0701 18:28 DHARMARIANI MANDIRI
0227U0320222P00 03-02-2022 GST.AYU KETUT SUKMA
68 02-03-2022 0001441665821 P PBI (APBD) Asthma Berobat Jalan
0703 18:32 ANTARI
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 GST.AYU KETUT SUKMA


69 02-03-2022 0001441665821 P PBI (APBD) Pulpitis Berobat Jalan
0807 10:13 ANTARI
0227U0320222P00 03-02-2022 PEKERJA Peptic ulcer, site
70 02-03-2022 0001447390899 ABIDIN L Rujuk Vertikal
0538 10:45 MANDIRI unspecified
0227U0320222P00 03-02-2022 PEKERJA
71 02-03-2022 0001451727966 TEDDIE HOYT L Headache Berobat Jalan Hipertensi
0736 19:53 MANDIRI
Follow-up examination
0227U0320222P00 03-02-2022
72 02-03-2022 0001457204534 I KETUT ARDANA L PBI (APBD) after other treatment for Rujuk Vertikal
0608 13:28
other conditions
0227U0320222P00 03-02-2022 PEKERJA
73 02-03-2022 0001457589655 MARYAM P Fever, unspecified Berobat Jalan
0629 15:07 MANDIRI
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
74 02-03-2022 0001458682604 MEIDY ANGGRENI P Berobat Jalan
0720 19:26 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEKERJA
75 02-03-2022 0001463704389 NUR HASANAH P Other peripheral vertigo Berobat Jalan
0751 20:40 MANDIRI
0227U0320222P00 03-02-2022 I GUSTI NENGAH PUTU
76 02-03-2022 0001465391272 P PBI (APBD) Tension-type headache Berobat Jalan
0747 20:33 WARNA
0227U0320222P00 03-02-2022 Acute upper respiratory
77 02-03-2022 0001465391283 NI GUSTI MADE SUDARMI P PBI (APBD) Berobat Jalan
0746 20:32 infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
78 02-03-2022 0001472239203 SITI BASTIAH P PBI (APBD) Berobat Jalan
0585 12:22 unspecified
0227U0320222P00 03-02-2022 PEKERJA
79 02-03-2022 0001478427952 AGUS SUPRIADI L Arthritis, unspecified Berobat Jalan Hipertensi Hipertensi
0491 08:42 MANDIRI
0227U0320222P00 03-02-2022 PEKERJA Essential (primary)
80 02-03-2022 0001478464604 PURYADI L Berobat Jalan Hipertensi
0639 15:32 MANDIRI hypertension
0227U0320222P00 03-02-2022 PEKERJA
81 02-03-2022 0001478465987 RUSMINI P Myalgia Berobat Jalan
0640 15:33 MANDIRI
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
82 02-03-2022 0001482888958 NI WAYAN WIRATI P Berobat Jalan
0692 18:18 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEKERJA
83 02-03-2022 0001538393692 IMAM MUZAKI L Necrosis of pulp Berobat Jalan
0552 11:13 MANDIRI
0227U0320222P00 03-02-2022 Disorder of lens,
84 02-03-2022 0001574780905 MARINI P PBI (APBD) Rujuk Vertikal
0539 10:46 unspecified
0227U0320222P00 03-02-2022 Disorder of lens,
85 02-03-2022 0001574781039 PUTRI RIANI P - Rujuk Vertikal
0540 10:47 unspecified
0227U0320222P00 03-02-2022 PEGAWAI
86 02-03-2022 0001574800233 NI KMG YUNI SURIADI P Epidemic vertigo Rujuk Vertikal
0511 10:00 SWASTA
0227U0320222P00 03-02-2022 Acute upper respiratory
87 02-03-2022 0001575190912 KETUT SETIAWATI P - Berobat Jalan
0672 17:06 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 Acute upper respiratory


88 02-03-2022 0001575193983 I NYOMAN SABTU L - Berobat Jalan
0680 17:40 infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
89 02-03-2022 0001575575673 NI WAYAN EKAWATI P PBI (APBD) Berobat Jalan
0686 18:11 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Essential (primary)
90 02-03-2022 0001575592222 I WAYAN SUDANA L Berobat Jalan Hipertensi
0727 19:35 SWASTA hypertension
Follow-up examination
0227U0320222P00 03-02-2022
91 02-03-2022 0001575651431 I WAYAN KORNA L PBI (APBD) after other treatment for Rujuk Vertikal
0513 10:12
other conditions
0227U0320222P00 03-02-2022 NI WAYAN DEWI PEGAWAI
92 02-03-2022 0001575657854 P Fever, unspecified Berobat Jalan
0660 16:32 PARMIASIH SWASTA
0227U0320222P00 03-02-2022 Acute upper respiratory
93 02-03-2022 0001575679116 ni nyoman dariani P PBI (APBD) Berobat Jalan
0632 15:18 infection, unspecified
0227U0320222P00 03-02-2022 I MADE BUDI SATRIA PEGAWAI Gingivitis and periodontal
94 02-03-2022 0001575679421 L Rujuk Vertikal
0685 18:08 DWIPAYANA SWASTA diseases
General examination and
0227U0320222P00 03-02-2022 I MADE BUDI SATRIA PEGAWAI investigation of persons
95 02-03-2022 0001575679421 L Berobat Jalan
0698 18:25 DWIPAYANA SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 DEWI PEGAWAI Acute nasopharyngitis
96 02-03-2022 0001575718964 P Berobat Jalan
0592 12:34 PUSPITOSARI.A.MD.KEB SWASTA [common cold]
0227U0320222P00 03-02-2022 Acute pharyngitis,
97 02-03-2022 0001575722226 I MADE TIRTA YASA L PBI (APBD) Berobat Jalan
0493 08:49 unspecified
Non-insulin-dependent
0227U0320222P00 03-02-2022 PEKERJA Diabetes
98 02-03-2022 0001575727277 HASANUDDIN L diabetes mellitus without Berobat Jalan
0708 19:12 MANDIRI Mellitus
complications
Unspecified diabetes
0227U0320222P00 03-02-2022 PEGAWAI
99 02-03-2022 0001575762952 I KETUT REDANA L mellitus without Berobat Jalan
0558 11:21 SWASTA
complications
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
100 02-03-2022 0001575968444 NI MADE DANI P Berobat Jalan
0568 11:47 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
101 02-03-2022 0001576130826 I MADE NAMA L Berobat Jalan
0652 16:07 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
102 02-03-2022 0001576182857 I KETUT MERTA L Berobat Jalan
0621 14:51 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
103 02-03-2022 0001576537525 FITRIAH P Berobat Jalan
0619 14:46 SWASTA [common cold]
0227U0320222P00 03-02-2022 I PUTU IVAN ARTAMA PEGAWAI Acute tonsillitis,
104 02-03-2022 0001576539279 L Berobat Jalan
0556 11:19 PUTRA SWASTA unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
105 02-03-2022 0001576675271 I KETUT SANA L after other treatment for Rujuk Vertikal
0659 16:24 SWASTA
other conditions
0227U0320222P00 03-02-2022 PEGAWAI Essential (primary)
106 02-03-2022 0001576858634 NI KETUT SURINI P Berobat Jalan Hipertensi
0610 13:35 SWASTA hypertension
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
107 02-03-2022 0001577037352 I KADEK DIRGAYUSA L Berobat Jalan
0577 12:05 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
108 02-03-2022 0001577088549 EDI HARYANTO L Berobat Jalan
0645 15:50 MANDIRI infection, unspecified
0227U0320222P00 03-02-2022 GUSTI AYU KOMANG Acute pharyngitis,
109 02-03-2022 0001577204921 P PBI (APBD) Berobat Jalan
0530 10:33 MEGAWATI unspecified
0227U0320222P00 03-02-2022 PEGAWAI
110 02-03-2022 0001577544221 CHRISTIN SETYORINI P Fever, unspecified Berobat Jalan
0596 12:43 SWASTA
0227U0320222P00 03-02-2022 I PUTU SUARIAWAN BUDI PEGAWAI
111 02-03-2022 0001577571963 L Cough Berobat Jalan
0590 12:32 UTAMA SWASTA
0227U0320222P00 03-02-2022 I GUSTI PUTU GEDE PEGAWAI Essential (primary)
112 02-03-2022 0001577582829 L Berobat Jalan
0606 13:10 PUTRA WIJAYA SWASTA hypertension
0227U0320222P00 03-02-2022 I NYOMAN JUSTIN RANDI PEGAWAI Acute upper respiratory
113 02-03-2022 0001577601437 L Berobat Jalan
0482 08:15 PRADITYA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 NI MADE JESSICA PEGAWAI Acute upper respiratory
114 02-03-2022 0001577601448 P Berobat Jalan
0481 08:05 VANNYADEALOVA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
115 02-03-2022 0001577670636 AHMAD NASRUL HABIBI L Other peripheral vertigo Berobat Jalan
0597 12:44 SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
116 02-03-2022 0001577922794 ERWIN EKA YUDHA P Berobat Jalan
0715 19:19 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
117 02-03-2022 0001578009431 DIDIK HARIYANTO L after other treatment for Berobat Jalan
0537 10:44 SWASTA
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
118 02-03-2022 0001578010116 I NYOMAN TAWA L - Berobat Jalan
0656 16:17 infection, unspecified
0227U0320222P00 03-02-2022 NI GUSTI MADE SRI Acute pharyngitis,
119 02-03-2022 0001578063519 P - Berobat Jalan
0611 14:32 LESTARI unspecified
General examination and
0227U0320222P00 03-02-2022 JENICE ANGGRAINI investigation of persons
120 02-03-2022 0001578566709 P PBI (APBD) Berobat Jalan
0718 19:23 SEMBEL without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PUTU FERY ANGGARA PEGAWAI Acute upper respiratory
121 02-03-2022 0001578595678 L Berobat Jalan
0664 16:42 LESMANA PUTRA SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
122 02-03-2022 0001578634468 I MADE ADI HARIAWAN L Berobat Jalan
0721 19:27 SWASTA infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,


123 02-03-2022 0001578718629 SUSANTI P Berobat Jalan
0495 08:52 SWASTA unspecified
0227U0320222P00 03-02-2022 Acute nasopharyngitis
124 02-03-2022 0001578759726 SITI AMANAH P PBI (APBD) Berobat Jalan
0548 11:08 [common cold]
0227U0320222P00 03-02-2022 Acute upper respiratory
125 02-03-2022 0001579014347 MADE SUKADANA L - Berobat Jalan
0612 14:33 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
126 02-03-2022 0001579122167 NI MADE SURTINI P Other peripheral vertigo Berobat Jalan
0655 16:15 SWASTA
0227U0320222P00 03-02-2022 I MADE ABHY CAHYA PEGAWAI Disturbances in tooth
127 02-03-2022 0001579143868 L Berobat Jalan
0551 11:12 PUTRA PERMANA SWASTA eruption
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
128 02-03-2022 0001579314712 NI WAYAN SETIAWATI P Berobat Jalan
0547 11:06 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
129 02-03-2022 0001579430024 NI NENGAH MIRAYONI P Berobat Jalan
0641 15:40 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
130 02-03-2022 0001579493147 Ni Nyoman Sariasih P Berobat Jalan
0694 18:21 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI
131 02-03-2022 0001579702588 BENI RAPIKO L Impacted cerumen Berobat Jalan
0535 10:38 SWASTA
0227U0320222P00 03-02-2022 Essential (primary)
132 02-03-2022 0001579780192 IRINE JUT P PBI (APBD) Berobat Jalan
0618 14:41 hypertension
0227U0320222P00 03-02-2022 PEGAWAI
133 02-03-2022 0001579937771 SUYUDI L Necrosis of pulp Berobat Jalan
0554 11:14 SWASTA
0227U0320222P00 03-02-2022 PEKERJA Fever of other and
134 02-03-2022 0001580339496 FANNY OKTAVIANTI P Berobat Jalan
0545 11:00 MANDIRI unknown origin
0227U0320222P00 03-02-2022 KOMANG PASEK
135 02-03-2022 0001580461176 L - Necrosis of pulp Berobat Jalan
0550 11:09 ARIAWAN
0227U0320222P00 03-02-2022 Acute upper respiratory
136 02-03-2022 0001581299087 NUR HAYATI P PBI (APBD) Berobat Jalan
0740 20:14 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
137 02-03-2022 0001581337618 SADI L Berobat Jalan
0646 15:53 SWASTA infection, unspecified
Follow-up examination
0227U0320222P00 03-02-2022 Diabetes
138 02-03-2022 0001581388334 LILIK NURHASANAH P PBI (APBD) after other treatment for Rujuk Vertikal
0507 09:20 Mellitus
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
139 02-03-2022 0001581388558 RUKAIYA P PBI (APBD) Berobat Jalan
0625 14:55 infection, unspecified
0227U0320222P00 03-02-2022 Essential (primary)
140 02-03-2022 0001581407469 MOCH MUCHLISIN MZ L - Berobat Jalan
0496 08:53 hypertension

0227U0320222P00 03-02-2022 I GUSTI AGUNG ISTRI Allergic contact dermatitis,


141 02-03-2022 0001581434897 P PBI (APBD) Berobat Jalan
0668 16:52 WULANDARI WIRAWAN unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 Acute upper respiratory


142 02-03-2022 0001581445089 RISA ANISA P PBI (APBD) Berobat Jalan
0695 18:21 infection, unspecified
0227U0320222P00 04-02-2022
143 02-03-2022 0001581467861 KUTSI L PBI (APBD) Pulpitis Berobat Jalan
0815 10:20
0227U0320222P00 03-02-2022
144 02-03-2022 0001581480516 NUR IMALA P - Impacted cerumen Berobat Jalan
0743 20:25
0227U0320222P00 03-02-2022
145 02-03-2022 0001581482812 HUSIN L PBI (APBD) Migraine Berobat Jalan
0634 15:20
Observation for other
0227U0320222P00 03-02-2022
146 02-03-2022 0001581489966 KADEK YUDI L PBI (APBD) suspected diseases and Berobat Jalan
0498 08:57
conditions
0227U0320222P00 03-02-2022 I DEWA GEDE PUTRA Acute nasopharyngitis
147 02-03-2022 0001581530589 L PBI (APBD) Berobat Jalan
0576 12:04 NEGARA,S.SI,M.SC [common cold]
PEGAWAI
PEMERINTAH
0227U0320222P00 03-02-2022 Acute pharyngitis,
148 02-03-2022 0001581883918 JULIESTY ZINTYA DEWI P DENGAN Berobat Jalan
0562 11:39 unspecified
PERJANJIAN
KERJA
Other complications
0227U0320222P00 03-02-2022
149 02-03-2022 0001581911728 A.A.KARTIKA P - following immunization, Berobat Jalan
0543 10:56
not elsewhere classified
0227U0320222P00 03-02-2022 Essential (primary)
150 02-03-2022 0001581948494 I WAYAN SUTAPA L PBI (APBD) Berobat Jalan
0563 11:41 hypertension

0227U0320222P00 03-02-2022 PENERIMA Acute nasopharyngitis


151 02-03-2022 0001582025174 I MADE LENA L Berobat Jalan
0595 12:42 PENSIUN SWASTA [common cold]

0227U0320222P00 03-02-2022 PENERIMA Essential (primary)


152 02-03-2022 0001582032429 NI MADE JAGIASIH P Berobat Jalan Hipertensi
0739 20:09 PENSIUN SWASTA hypertension

0227U0320222P00 03-02-2022
153 02-03-2022 0001582330904 NI KOMANG VERAWATI P PBI (APBD) Fever, unspecified Berobat Jalan
0627 15:01
0227U0320222P00 03-02-2022 Essential (primary)
154 02-03-2022 0001582571362 I NYOMAN JIWA L PBI (APBD) Berobat Jalan
0531 10:34 hypertension
0227U0320222P00 03-02-2022 I KETUT LINGGA Acute nasopharyngitis
155 02-03-2022 0001582574106 L PBI (APBD) Berobat Jalan
0526 10:28 BINANGKIT [common cold]

0227U0320222P00 03-02-2022 PENERIMA Acute pharyngitis,


156 02-03-2022 0001582579978 I WAYAN WARA L Berobat Jalan
0559 11:23 PENSIUN SWASTA unspecified

0227U0320222P00 03-02-2022 Acute upper respiratory


157 02-03-2022 0001583315201 NI LUH DEWI RATNAWATI P - Berobat Jalan
0735 19:51 infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 ANGEL YULIA CAROLINE Disturbances in tooth


158 02-03-2022 0001583315223 P PBI (APBD) Berobat Jalan
0824 10:34 SELAMET MAENGKOM eruption

0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,


159 02-03-2022 0001612403302 MALA HAYATI P Berobat Jalan
0512 10:05 SWASTA unspecified
0227U0320222P00 03-02-2022 RENNY ANDRIANI PEGAWAI
160 02-03-2022 0001621891631 P Haemorrhoids Berobat Jalan
0586 12:24 SURENTU SWASTA
0227U0320222P00 03-02-2022 PEGAWAI Contraceptive
161 02-03-2022 0001627789972 NI WY DEWI BUNGA P Berobat Jalan
0681 17:42 SWASTA management, unspecified

0227U0320222P00 03-02-2022 PEGAWAI Allergic contact dermatitis,


162 02-03-2022 0001627789972 NI WY DEWI BUNGA P Berobat Jalan
0707 19:07 SWASTA unspecified cause

0227U0320222P00 03-02-2022 PENERIMA Acute nasopharyngitis


163 02-03-2022 0001631345534 NI MADE SUARTI LESTARI P Berobat Jalan
0614 14:35 PENSIUN SWASTA [common cold]

0227U0320222P00 03-02-2022 PENERIMA


164 02-03-2022 0001632382029 I KETUT DARMAYASA L Dyspepsia Berobat Jalan
0566 11:45 PENSIUN SWASTA

Follow-up examination
0227U0320222P00 03-02-2022 NI NYOMAN ARTIKAWATI PEGAWAI
165 02-03-2022 0001642271927 P after other treatment for Rujuk Vertikal
0479 07:41 SANGGING SWASTA
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
166 02-03-2022 0001717527868 NURAISAH P PBI (APBD) Berobat Jalan
0483 08:18 infection, unspecified

0227U0320222P00 03-02-2022 PEKERJA Allergic contact dermatitis,


167 02-03-2022 0001734161769 ESTIQOMAH P Berobat Jalan
0662 16:39 MANDIRI unspecified cause

0227U0320222P00 03-02-2022 Acute upper respiratory


168 02-03-2022 0001734161782 MITA ISTINAWATI P - Berobat Jalan
0663 16:40 infection, unspecified
0227U0320222P00 03-02-2022 IDA BAGUS KADE SIWA Acute pharyngitis,
169 02-03-2022 0001744140093 L PBI (APBD) Berobat Jalan
0497 08:54 PRAMA YOGA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
170 02-03-2022 0001770270849 RADEN ARIF PRANAJAYA L Berobat Jalan
0706 19:06 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
171 02-03-2022 0001773158106 DINI HASANAH P Berobat Jalan
0573 11:59 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
172 02-03-2022 0001786479647 SUCI NAZALA PUTRI P PBI (APBD) Berobat Jalan
0658 16:21 infection, unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
173 02-03-2022 0001786584183 NI MADE REJI P - Berobat Jalan
0670 16:59 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
174 02-03-2022 0001788165167 NI PUTU MAIRI SANTHI P Berobat Jalan
0486 08:29 SWASTA [common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

Follow-up examination
0227U0320222P00 03-02-2022 MUHAMAD UMAM
175 02-03-2022 0001792588915 L - after other treatment for Berobat Jalan
0580 12:08 SAPUTRA
other conditions
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
176 02-03-2022 0001794554897 M.MARY FERNANDES P after other treatment for Rujuk Vertikal
0650 15:59 MANDIRI
other conditions
0227U0320222P00 03-02-2022 Other contraceptive
177 02-03-2022 0001797054096 endang purdiningrum P PBI (APBD) Berobat Jalan
0501 09:05 management
0227U0320222P00 03-02-2022 NI GUSTI KETUT RAKA PEKERJA Acute upper respiratory
178 02-03-2022 0001806118749 P Berobat Jalan
0754 20:51 SUDARMI MANDIRI infection, unspecified
0227U0320222P00 04-02-2022 PEKERJA
179 02-03-2022 0001812948131 NI KETUT SUKMAWATI P Pulpitis Berobat Jalan
0838 10:53 MANDIRI
General examination and
0227U0320222P00 03-02-2022 PEKERJA investigation of persons
180 02-03-2022 0001812948131 NI KETUT SUKMAWATI P Berobat Jalan
0731 19:44 MANDIRI without complaint and
reported diagnosis

0227U0320222P00 03-02-2022 PEGAWAI Allergic contact dermatitis,


181 02-03-2022 0001812957546 KADEK FEBRI PUTRAWAN L Berobat Jalan
0687 18:12 SWASTA unspecified cause

0227U0320222P00 03-02-2022
182 02-03-2022 0001816518609 NI KETUT SUKERTI P PBI (APBD) Cough Berobat Jalan
0561 11:27
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
183 02-03-2022 0001820952011 MARIATI P after other treatment for Rujuk Vertikal
0617 14:40 MANDIRI
other conditions
0227U0320222P00 03-02-2022 PEKERJA Surgical follow-up care,
184 02-03-2022 0001830597265 SABARUDIN L Berobat Jalan
0705 18:39 MANDIRI unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
185 02-03-2022 0001831539396 I MADE BERATA YASA L PBI (APBD) Berobat Jalan
0651 16:04 infection, unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
186 02-03-2022 0001836289451 I MADE ARYA L - Berobat Jalan
0623 14:53 unspecified
0227U0320222P00 03-02-2022 Acute pharyngitis,
187 02-03-2022 0001836290136 NI LUH PUTU PRAMINI,SH P PBI (APBD) Berobat Jalan
0624 14:54 unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
188 02-03-2022 0001840612836 KOMARUDIN L Berobat Jalan
0564 11:42 SWASTA [common cold]
0227U0320222P00 03-02-2022
189 02-03-2022 0001841825507 jasmine paramita P PBI (APBD) Abdominal and pelvic pain Berobat Jalan
0609 13:33
0227U0320222P00 03-02-2022 PEKERJA Essential (primary)
190 02-03-2022 0001842588505 NI NENGAH RAMI P Berobat Jalan
0613 14:34 MANDIRI hypertension

0227U0320222P00 03-02-2022 PUTU MELI SUCI Allergic contact dermatitis,


191 02-03-2022 0001849697109 P PBI (APBD) Berobat Jalan
0690 18:16 DHARMAYANI unspecified cause
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 NI KETUT FITRIANI Surgical follow-up care,


192 02-03-2022 0001853555602 P - Berobat Jalan
0628 15:03 CINTYA DEVI unspecified
0227U0320222P00 03-02-2022 MADE BAGUS ARYA PEGAWAI Acute pharyngitis,
193 02-03-2022 0001863737526 L Berobat Jalan
0480 08:04 SANTANA PUTRA SWASTA unspecified
0227U0320222P00 03-02-2022
194 02-03-2022 0001865523947 NI WAYAN JONI P PBI (APBD) Conjunctivitis Berobat Jalan
0693 18:19
0227U0320222P00 03-02-2022 Acute upper respiratory
195 02-03-2022 0001867289859 I WAYAN TALIB L PBI (APBD) Berobat Jalan Hipertensi
0633 15:19 infection, unspecified
0227U0320222P00 03-02-2022 Supervision of high-risk
196 02-03-2022 0001867940177 WANIDA P - Rujuk Vertikal
0500 09:01 pregnancy, unspecified

0227U0320222P00 03-02-2022 Allergic contact dermatitis,


197 02-03-2022 0001873024356 I MADE SENA L PBI (APBD) Berobat Jalan
0689 18:15 unspecified cause

0227U0320222P00 03-02-2022
198 02-03-2022 0001873050502 gerry zanuar caesar L - Sleep disorders Berobat Jalan
0518 10:19
Follow-up examination
0227U0320222P00 03-02-2022
199 02-03-2022 0001880327665 Ni Nyoman Padmini P PBI (APBD) after other treatment for Rujuk Vertikal
0490 08:42
other conditions
0227U0320222P00 03-02-2022 Acute upper respiratory
200 02-03-2022 0001886989127 I GEDE ARI PRAMANA L PBI (APBD) Berobat Jalan
0494 08:50 infection, unspecified
0227U0320222P00 03-02-2022
201 02-03-2022 0001889183441 Ni Kadek Putri Melani P PNS PUSAT Nausea and vomiting Berobat Jalan
0567 11:46
0227U0320222P00 03-02-2022 Essential (primary)
202 02-03-2022 0001895295598 NI NYOMAN WATI P PBI (APBD) Berobat Jalan
0669 16:54 hypertension
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
203 02-03-2022 0001895911367 NI LUH PUTU DARMIATI P Berobat Jalan
0635 15:23 MANDIRI infection, unspecified
0227U0320222P00 03-02-2022
204 02-03-2022 0001896250059 SONI L - Other peripheral vertigo Berobat Jalan
0696 18:23
0227U0320222P00 03-02-2022 NI KOMANG PUSPA PEGAWAI Acute upper respiratory
205 02-03-2022 0001897694886 P Berobat Jalan
0684 17:48 PURNAMA SANTI SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Essential (primary)
206 02-03-2022 0001899434654 NI WAYAN SUKASIH P PBI (APBD) Berobat Jalan Hipertensi
0578 12:06 hypertension
0227U0320222P00 03-02-2022 Acute tonsillitis,
207 02-03-2022 0001899435622 I MADE LIADI PUTRA L PBI (APBD) Berobat Jalan
0579 12:07 unspecified
Follow-up examination
0227U0320222P00 03-02-2022
208 02-03-2022 0001900914794 NI NYOMAN SARASWATI P - after other treatment for Rujuk Vertikal
0587 12:24
other conditions
0227U0320222P00 03-02-2022
209 02-03-2022 0001907104735 AMANIYAH P PBI (APBD) Other arthritis Berobat Jalan
0584 12:14
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022
210 02-03-2022 0001965434927 ni made ratna ningsih P - Fever, unspecified Berobat Jalan
0630 15:12
0227U0320222P00 03-02-2022 PEKERJA Surgical follow-up care,
211 02-03-2022 0001967698664 KABIT L Berobat Jalan
0677 17:29 MANDIRI unspecified
0227U0320222P00 03-02-2022 I PUTU AGUNG PUTRA Acute upper respiratory
212 02-03-2022 0002058396131 L PBI (APBD) Berobat Jalan
0631 15:17 WAISNAWA infection, unspecified
0227U0320222P00 04-02-2022 KOMANG ARJUN Disturbances in tooth
213 02-03-2022 0002077874526 L - Berobat Jalan
0820 10:27 PRADNYA MAHENDRA eruption
0227U0320222P00 03-02-2022 PEGAWAI Acute nasopharyngitis
214 02-03-2022 0002079427959 PURNAMA DEAN P Berobat Jalan
0560 11:24 SWASTA [common cold]
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
215 02-03-2022 0002081786973 RINA PARLINA P Berobat Jalan
0604 12:59 SWASTA unspecified
0227U0320222P00 03-02-2022 KADEK CANDRIASIH Fever of other and
216 02-03-2022 0002106095591 P PBI (APBD) Berobat Jalan
0528 10:31 MAHESWARI PUTRI unknown origin

0227U0320222P00 03-02-2022 PENERIMA Acute upper respiratory


217 02-03-2022 0002106103871 NI NYOMAN SUDIATI P Berobat Jalan
0505 09:16 PENSIUN SWASTA infection, unspecified

0227U0320222P00 03-02-2022 PENERIMA Acute upper respiratory


218 02-03-2022 0002106103882 I WAYAN DIWARSA L Berobat Jalan
0506 09:18 PENSIUN SWASTA infection, unspecified

0227U0320222P00 03-02-2022 I KADEK ADITYA CAHAYA


219 02-03-2022 0002106628018 L PBI (APBD) Hordeolum and chalazion Berobat Jalan
0671 17:01 SILVER
0227U0320222P00 03-02-2022 KETUT ALIT MANIK PEGAWAI Acute pharyngitis,
220 02-03-2022 0002109153486 L Berobat Jalan
0636 15:24 SAPUTRAYASA SWASTA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
221 02-03-2022 0002109157806 RIDHO PAHLEVI AFFANDI L Berobat Jalan
0752 20:44 SWASTA unspecified
General examination and
0227U0320222P00 03-02-2022 PEGAWAI investigation of persons
222 02-03-2022 0002113826861 FURQAN L Berobat Jalan
0713 19:17 SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEKERJA Brain stem stroke
223 02-03-2022 0002196317046 MEGAEL SIREGAR L Rujuk Vertikal
0607 13:18 MANDIRI syndrome
0227U0320222P00 03-02-2022 ANAK AGUNG SALIT OKA Essential (primary) Diabetes
224 02-03-2022 0002197500941 L PBI (APBD) Berobat Jalan
0678 17:34 DIRA hypertension Mellitus
0227U0320222P00 03-02-2022 PEGAWAI
225 02-03-2022 0002222361775 I MADE DODIK MARDIKA L Fever, unspecified Berobat Jalan
0622 14:52 SWASTA
0227U0320222P00 03-02-2022 Fever of other and
226 02-03-2022 0002228549174 GABRIEL leonaldo tan L - Berobat Jalan
0509 09:36 unknown origin
0227U0320222P00 03-02-2022 PEKERJA Acute upper respiratory
227 02-03-2022 0002231529579 NI WAYAN TARWENI P Berobat Jalan
0719 19:24 MANDIRI infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 04-02-2022 NI KADEK DYAH AYU PEKERJA


228 02-03-2022 0002231530716 P Impacted teeth Berobat Jalan
0812 10:17 AIRA PUTRI MANDIRI
Follow-up examination
0227U0320222P00 03-02-2022 PEKERJA
229 02-03-2022 0002254659208 AMILIYA P after other treatment for Rujuk Vertikal
0589 12:29 MANDIRI
other conditions
0227U0320222P00 03-02-2022 NI PUTU RIKA LAURINA
230 02-03-2022 0002261077312 P PBI (APBD) Dyspepsia Berobat Jalan
0683 17:47 JULIANTI
0227U0320222P00 03-02-2022 Surgical follow-up care,
231 02-03-2022 0002273052609 DESIDERIUS ISHAK ROTA L PNS PUSAT Berobat Jalan
0691 18:17 unspecified
0227U0320222P00 03-02-2022 I GEDE VIKRAMA PEKERJA Acute pharyngitis,
232 02-03-2022 0002290413251 L Berobat Jalan
0521 10:23 DHARMA ARINANDA MANDIRI unspecified
0227U0320222P00 03-02-2022 NI MADE RATIH HANA PEGAWAI Acute pharyngitis,
233 02-03-2022 0002292661653 P Berobat Jalan
0572 11:57 ARISANTI SWASTA unspecified
0227U0320222P00 03-02-2022 I MADE ARYANATHA PEGAWAI
234 02-03-2022 0002320114274 L Asthma Berobat Jalan
0749 20:38 SKYANA SWASTA
0227U0320222P00 03-02-2022 NI PUTU AZICKA ODELIA PEGAWAI Acute pharyngitis,
235 02-03-2022 0002356003473 P Berobat Jalan
0605 13:00 CAHYA PUTRI SWASTA unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute pharyngitis,
236 02-03-2022 0002356076597 UGIH SUGRIWA L Berobat Jalan
0536 10:40 SWASTA unspecified
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
237 02-03-2022 0002356265193 I NYOMAN SUDARMIKA L after other treatment for Rujuk Vertikal
0594 12:36 SWASTA
other conditions
0227U0320222P00 03-02-2022 DIAN BAGUS Acute pharyngitis,
238 02-03-2022 0002407290041 L - Berobat Jalan
0593 12:35 WICAKSONO unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
239 02-03-2022 0002408182345 I KETUT SUWARDANA L - Berobat Jalan
0570 11:49 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
240 02-03-2022 0002412236654 GALIH PERMANA L Berobat Jalan
0644 15:47 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 I MADE NAYAKA Acute pharyngitis,
241 02-03-2022 0002436087161 L PBI (APBD) Berobat Jalan
0653 16:13 MAHENDRA PUTRA unspecified
0227U0320222P00 03-02-2022 Acute upper respiratory
242 02-03-2022 0002436087442 I GEDE SUKERTAYASA L PBI (APBD) Berobat Jalan
0654 16:14 infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Fever of other and
243 02-03-2022 0002451208151 I MADE DAVIN BRAMASTA L Berobat Jalan
0485 08:21 SWASTA unknown origin
0227U0320222P00 03-02-2022 Acute upper respiratory
244 02-03-2022 0002452560726 MOH.EFFENDI L PBI (APBD) Berobat Jalan
0725 19:32 infection, unspecified
0227U0320222P00 03-02-2022 ANDRE DELLA VENDA Acute upper respiratory
245 02-03-2022 0002452561424 L PBI (APBD) Berobat Jalan
0729 19:39 MARTHA infection, unspecified
0227U0320222P00 03-02-2022 BELLINDA DELLAVENDA Acute upper respiratory
246 02-03-2022 0002452562638 P - Berobat Jalan
0726 19:33 PUTRI infection, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 ALVIAN PUTRA


247 02-03-2022 0002455505458 L - Necrosis of pulp Berobat Jalan
0555 11:16 ARDIANTO
Follow-up examination
0227U0320222P00 03-02-2022 ANDRA GEVARIEL
248 02-03-2022 0002461386532 L PBI (APBD) after other treatment for Rujuk Vertikal
0510 09:37 MATTHEW
other conditions
0227U0320222P00 03-02-2022 PEKERJA
249 02-03-2022 0002464291372 MIFTAKHUR ROHMAN L Other peripheral vertigo Berobat Jalan
0602 12:57 MANDIRI
General examination and
0227U0320222P00 03-02-2022 NI KADEK LIDYA SANTIKA PEGAWAI investigation of persons
250 02-03-2022 0002470836137 L Berobat Jalan
0728 19:37 DEWI SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 I PUTU DIANDRA MAHA PEGAWAI
251 02-03-2022 0002472618374 L Nausea and vomiting Berobat Jalan
0588 12:28 PUTRA SWASTA
0227U0320222P00 03-02-2022 NI PUTU ANGGRENI PEKERJA Acute upper respiratory
252 02-03-2022 0002620109665 P Berobat Jalan
0732 19:45 SUARHENI MANDIRI infection, unspecified
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
253 02-03-2022 0002663089694 NI KADEK EPRAWATI P Berobat Jalan
0700 18:27 SWASTA infection, unspecified
0227U0320222P00 03-02-2022 Contraceptive
254 02-03-2022 0002741449779 PETRONELA SAIJAO P PBI (APBD) Berobat Jalan
0620 14:47 management, unspecified
0227U0320222P00 04-02-2022 LUH PUTU TATA CANTIKA Disturbances in tooth
255 02-03-2022 0002759247281 P PBI (APBD) Berobat Jalan
0810 10:15 ANJANI eruption
0227U0320222P00 03-02-2022 PEKERJA Acute nasopharyngitis
256 02-03-2022 0002765458282 SUPRIADI L Berobat Jalan
0575 12:03 MANDIRI [common cold]
0227U0320222P00 03-02-2022
257 02-03-2022 0002774370879 NI NYOMAN SARIASIH P PBI (APBD) Tension-type headache Berobat Jalan
0524 10:26
Follow-up examination
0227U0320222P00 03-02-2022 PEGAWAI
258 02-03-2022 0002810736652 SALIG L after other treatment for Berobat Jalan
0553 11:13 SWASTA
other conditions
General examination and
0227U0320222P00 03-02-2022 investigation of persons
259 02-03-2022 0002897306921 PUTU ANANDHITA BERYL P PBI (APBD) Berobat Jalan
0598 12:45 without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI Internal haemorrhoids with
260 02-03-2022 0002899053022 LIA MARYANI P Berobat Jalan
0515 10:15 SWASTA other complications
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
261 02-03-2022 0002899848227 KUSRIANINGSIH P Berobat Jalan
0734 19:48 SWASTA infection, unspecified
Other complications
0227U0320222P00 03-02-2022 AHMAD KELVIN PEGAWAI
262 02-03-2022 0002912372537 L following immunization, Berobat Jalan
0519 10:21 HARIYANTO SWASTA
not elsewhere classified
0227U0320222P00 04-02-2022 PEGAWAI
263 02-03-2022 0002923099863 NURJANAH P Necrosis of pulp Berobat Jalan
0821 10:29 SWASTA
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : DENPASAR - 2201

FKTP : Klinik Tiara Husada - 0227U032

0227U0320222P00 03-02-2022 KADEK DIVYA WISMITHA


264 02-03-2022 0002944138252 P PNS PUSAT Diaper [napkin] dermatitis Berobat Jalan
0508 09:34 ISWARI
0227U0320222P00 03-02-2022 PEKERJA
265 02-03-2022 0002944586913 NURPENI PUJI LESTARI P Fever, unspecified Berobat Jalan
0484 08:20 MANDIRI
0227U0320222P00 03-02-2022 I MADE PRADITA Acute upper respiratory
266 02-03-2022 0003044830691 L PBI (APBD) Berobat Jalan
0499 08:59 AGASTYA JAYANTAKA infection, unspecified
0227U0320222P00 03-02-2022 QUINNISA ARSYLA PEGAWAI Fever of other and
267 02-03-2022 0003049160218 P Berobat Jalan
0533 10:36 AGATHA SWASTA unknown origin
Follow-up examination
0227U0320222P00 03-02-2022 NI PUTU INDIRA PEKERJA
268 02-03-2022 0003055582225 P after other treatment for Rujuk Vertikal
0549 11:08 MAHESWARI MANDIRI
other conditions
0227U0320222P00 03-02-2022 PEGAWAI Acute upper respiratory
269 02-03-2022 0003069840306 RADEN ADAM NAMORA L Berobat Jalan
0717 19:21 SWASTA infection, unspecified
Observation for other
0227U0320222P00 03-02-2022 NI KOMANG
270 02-03-2022 0003079329592 L PBI (APBD) suspected diseases and Berobat Jalan
0591 12:33 ARSYANENDRA GAURI
conditions
0227U0320222P00 03-02-2022 PEKERJA
271 02-03-2022 0003086004655 Made Aditya Dwi pradipta L Constipation Berobat Jalan
0665 16:47 MANDIRI
0227U0320222P00 03-02-2022 KADEK ANDHIRA Fever of other and
272 02-03-2022 0003086360133 L PBI (APBD) Berobat Jalan
0544 10:58 LAVANYA unknown origin
General examination and
0227U0320222P00 03-02-2022 AGATHA AMARISSA PEGAWAI investigation of persons
273 02-03-2022 0003100737609 P Berobat Jalan
0649 15:58 LANTU SWASTA without complaint and
reported diagnosis
0227U0320222P00 03-02-2022 PEGAWAI
274 02-03-2022 0003105036257 NINGSIH P Fever, unspecified Berobat Jalan
0737 20:07 SWASTA
0227U0320222P00 03-02-2022 I NYOMAN REYNAND Acute upper respiratory
275 02-03-2022 0003132105737 L PBI (APBD) Berobat Jalan
0516 10:17 PARTHA WIJAYA infection, unspecified

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