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BPJS Kesehatan Cab.

CURUP
FORMULIR PENGAJUAN KLAIM TINGKAT PERTAMA

Nomor FPK : P2311000040512

Provider : Laboratorium Lala Vino


Bulan Pelayanan : November 2023

Pelayanan : Promotif

Total Data : 1158

Total Tagihan : Rp. 59.365.000

NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000001 SUTRISNO 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000002 LEVI HERLINAH 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000003 IRWAN NOVIANTO 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000004 SAYUTI EFENDI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000005 PONIDI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000006 YULIYANTI oktafianus 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000007 SUROTO 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000008 SUTRISNO 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000009 LEVI HERLINAH 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000010 IRWAN NOVIANTO 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000011 SAYUTI EFENDI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000012 PONIDI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000013 YULIYANTI oktafianus 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000014 SUROTO 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000015 HABIBAH 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

123.00
0441L0011123P000015 HABIBAH 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0441L0011123P000015 HABIBAH 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000015 HABIBAH 02/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000015 HABIBAH 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000015 HABIBAH 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000015 HABIBAH 02/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000016 SAMSUNA 02/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

116.00
0441L0011123P000016 SAMSUNA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000016 SAMSUNA 02/11/2023 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0011123P000016 SAMSUNA 02/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0011123P000016 SAMSUNA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000016 SAMSUNA 02/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000016 SAMSUNA 02/11/2023 Ureum 27.00 mgr/dl Rp. 30.000

0441L0011123P000017 JAUHARA 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

112.00
0441L0011123P000017 JAUHARA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0011123P000017 JAUHARA 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000017 JAUHARA 02/11/2023 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

177.00
0441L0011123P000017 JAUHARA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000017 JAUHARA 02/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000017 JAUHARA 02/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 HbA1c 10.90 % Rp. 160.000

0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

141.00
0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Kreatinin 2.10 mgr/dl Rp. 30.000

0441L0011123P000018 MARIYATUL ASMANI 02/11/2023 Ureum 67.00 mgr/dl Rp. 30.000

0441L0011123P000019 EMI SURIATI 02/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000019 EMI SURIATI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0011123P000019 EMI SURIATI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000019 EMI SURIATI 02/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000019 EMI SURIATI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000019 EMI SURIATI 02/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000019 EMI SURIATI 02/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000020 NETI HERAWATI 02/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

132.00
0441L0011123P000020 NETI HERAWATI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0441L0011123P000020 NETI HERAWATI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000020 NETI HERAWATI 02/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

217.00
0441L0011123P000020 NETI HERAWATI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000020 NETI HERAWATI 02/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000020 NETI HERAWATI 02/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000021 TIA VERANIKA 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

116.00
0441L0011123P000021 TIA VERANIKA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0441L0011123P000021 TIA VERANIKA 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000021 TIA VERANIKA 02/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0011123P000021 TIA VERANIKA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000021 TIA VERANIKA 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000021 TIA VERANIKA 02/11/2023 Ureum 22.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000022 EMILIA 02/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

129.00
0441L0011123P000022 EMILIA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000022 EMILIA 02/11/2023 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0011123P000022 EMILIA 02/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0011123P000022 EMILIA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000022 EMILIA 02/11/2023 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0011123P000022 EMILIA 02/11/2023 Ureum 17.00 mgr/dl Rp. 30.000

0441L0011123P000023 LENSIANA 02/11/2023 HbA1c 11.10 % Rp. 160.000

0441L0011123P000023 LENSIANA 02/11/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

140.00
0441L0011123P000023 LENSIANA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0011123P000023 LENSIANA 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000023 LENSIANA 02/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0011123P000023 LENSIANA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000023 LENSIANA 02/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000023 LENSIANA 02/11/2023 Ureum 31.00 mgr/dl Rp. 30.000

0441L0011123P000024 ASMI 02/11/2023 HbA1c 10.80 % Rp. 160.000

0441L0011123P000024 ASMI 02/11/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000

134.00
0441L0011123P000024 ASMI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
161.00
0441L0011123P000024 ASMI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000024 ASMI 02/11/2023 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

221.00
0441L0011123P000024 ASMI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000024 ASMI 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000024 ASMI 02/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

131.00
0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000025 RUSTAM EFENDI 02/11/2023 Ureum 22.00 mgr/dl Rp. 30.000

0441L0011123P000026 YUHANA 02/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0011123P000026 YUHANA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
122.00
0441L0011123P000026 YUHANA 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000026 YUHANA 02/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000026 YUHANA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000026 YUHANA 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000026 YUHANA 02/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000027 RIKA NOPIYANTI 02/11/2023 Ureum 18.00 mgr/dl Rp. 30.000

0441L0011123P000028 LENI MARLINA 02/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0011123P000028 LENI MARLINA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000028 LENI MARLINA 02/11/2023 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0011123P000028 LENI MARLINA 02/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0011123P000028 LENI MARLINA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000028 LENI MARLINA 02/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000028 LENI MARLINA 02/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000029 NURHASANAH 02/11/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

115.00
0441L0011123P000029 NURHASANAH 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0011123P000029 NURHASANAH 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000029 NURHASANAH 02/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000029 NURHASANAH 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000029 NURHASANAH 02/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000029 NURHASANAH 02/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000030 ENTIN YUDIARTI 02/11/2023 Ureum 18.00 mgr/dl Rp. 30.000

0441L0011123P000031 SURYANI 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000031 SURYANI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000031 SURYANI 02/11/2023 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0011123P000031 SURYANI 02/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0011123P000031 SURYANI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000031 SURYANI 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000031 SURYANI 02/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000032 ANDI SUTRISNO 02/11/2023 Ureum 23.00 mgr/dl Rp. 30.000

0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

120.00
0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000033 DWI KARTIKA SARI 02/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000034 WINDI KARTIKA 02/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

131.00
0441L0011123P000034 WINDI KARTIKA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
132.00
0441L0011123P000034 WINDI KARTIKA 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000034 WINDI KARTIKA 02/11/2023 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

209.00
0441L0011123P000034 WINDI KARTIKA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000034 WINDI KARTIKA 02/11/2023 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0011123P000034 WINDI KARTIKA 02/11/2023 Ureum 18.00 mgr/dl Rp. 30.000

0441L0011123P000035 SALEHA 02/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

124.00
0441L0011123P000035 SALEHA 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000035 SALEHA 02/11/2023 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0011123P000035 SALEHA 02/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0011123P000035 SALEHA 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000035 SALEHA 02/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000035 SALEHA 02/11/2023 Ureum 25.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000036 ITA SUSANTI 02/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

114.00
0441L0011123P000036 ITA SUSANTI 02/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0011123P000036 ITA SUSANTI 02/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000036 ITA SUSANTI 02/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0011123P000036 ITA SUSANTI 02/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000036 ITA SUSANTI 02/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000036 ITA SUSANTI 02/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000037 ABI KUSNO 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

139.00
0441L0011123P000037 ABI KUSNO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
162.00
0441L0011123P000037 ABI KUSNO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000037 ABI KUSNO 13/11/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0011123P000037 ABI KUSNO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000037 ABI KUSNO 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000037 ABI KUSNO 13/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000038 NGARTI 13/11/2023 HbA1c 9.30 % Rp. 160.000

0441L0011123P000038 NGARTI 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

149.00
0441L0011123P000038 NGARTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0011123P000038 NGARTI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000038 NGARTI 13/11/2023 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0011123P000038 NGARTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000038 NGARTI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000038 NGARTI 13/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000039 ABDUL ROHIM 13/11/2023 HbA1c 9.60 % Rp. 160.000

0441L0011123P000039 ABDUL ROHIM 13/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

154.00
0441L0011123P000039 ABDUL ROHIM 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

112.00
0441L0011123P000039 ABDUL ROHIM 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000039 ABDUL ROHIM 13/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

234.00
0441L0011123P000039 ABDUL ROHIM 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000039 ABDUL ROHIM 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000039 ABDUL ROHIM 13/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000040 KARTINI 13/11/2023 HbA1c 10.70 % Rp. 160.000

0441L0011123P000040 KARTINI 13/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

151.00
0441L0011123P000040 KARTINI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0011123P000040 KARTINI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000040 KARTINI 13/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

233.00
0441L0011123P000040 KARTINI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000040 KARTINI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000040 KARTINI 13/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000041 YANTINI 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

154.00
0441L0011123P000041 YANTINI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0011123P000041 YANTINI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000041 YANTINI 13/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

238.00
0441L0011123P000041 YANTINI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000041 YANTINI 13/11/2023 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0011123P000041 YANTINI 13/11/2023 Ureum 16.00 mgr/dl Rp. 30.000

0441L0011123P000042 SULASTRI 13/11/2023 HbA1c 9.40 % Rp. 160.000

0441L0011123P000042 SULASTRI 13/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

132.00
0441L0011123P000042 SULASTRI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
187.00
0441L0011123P000042 SULASTRI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000042 SULASTRI 13/11/2023 Kolesterol HDL 56.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

225.00
0441L0011123P000042 SULASTRI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000042 SULASTRI 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000042 SULASTRI 13/11/2023 Ureum 31.00 mgr/dl Rp. 30.000

0441L0011123P000043 RUKISA 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0011123P000043 RUKISA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0011123P000043 RUKISA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000043 RUKISA 13/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0011123P000043 RUKISA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000043 RUKISA 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000043 RUKISA 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000044 SARMI 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

126.00
0441L0011123P000044 SARMI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0011123P000044 SARMI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000044 SARMI 13/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000044 SARMI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000044 SARMI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000044 SARMI 13/11/2023 Ureum 25.00 mgr/dl Rp. 30.000

0441L0011123P000045 MARYANI 13/11/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000

128.00
0441L0011123P000045 MARYANI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0011123P000045 MARYANI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000045 MARYANI 13/11/2023 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

211.00
0441L0011123P000045 MARYANI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000045 MARYANI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000045 MARYANI 13/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000046 WAGINA 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

144.00
0441L0011123P000046 WAGINA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
124.00
0441L0011123P000046 WAGINA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000046 WAGINA 13/11/2023 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

225.00
0441L0011123P000046 WAGINA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000046 WAGINA 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000046 WAGINA 13/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000047 NURIWATI 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

137.00
0441L0011123P000047 NURIWATI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
181.00
0441L0011123P000047 NURIWATI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000047 NURIWATI 13/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

231.00
0441L0011123P000047 NURIWATI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000047 NURIWATI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000047 NURIWATI 13/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000048 MUSRI 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

143.00
0441L0011123P000048 MUSRI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0441L0011123P000048 MUSRI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000048 MUSRI 13/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0011123P000048 MUSRI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000048 MUSRI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000048 MUSRI 13/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000049 RINAWATI 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0011123P000049 RINAWATI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
181.00
0441L0011123P000049 RINAWATI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000049 RINAWATI 13/11/2023 Kolesterol HDL 53.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

212.00
0441L0011123P000049 RINAWATI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000049 RINAWATI 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000049 RINAWATI 13/11/2023 Ureum 33.00 mgr/dl Rp. 30.000

0441L0011123P000050 LASYYEM 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

153.00
0441L0011123P000050 LASYYEM 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0011123P000050 LASYYEM 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000050 LASYYEM 13/11/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

230.00
0441L0011123P000050 LASYYEM 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000050 LASYYEM 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000050 LASYYEM 13/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000051 TITIN SULASTRI 13/11/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000051 TITIN SULASTRI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0441L0011123P000051 TITIN SULASTRI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000051 TITIN SULASTRI 13/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

196.00
0441L0011123P000051 TITIN SULASTRI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000051 TITIN SULASTRI 13/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000051 TITIN SULASTRI 13/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000052 SALIMIN 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

103.00
0441L0011123P000052 SALIMIN 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
173.00
0441L0011123P000052 SALIMIN 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000052 SALIMIN 13/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000052 SALIMIN 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000052 SALIMIN 13/11/2023 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0011123P000052 SALIMIN 13/11/2023 Ureum 41.00 mgr/dl Rp. 30.000

0441L0011123P000053 SUGIHARTI 13/11/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

111.00
0441L0011123P000053 SUGIHARTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
174.00
0441L0011123P000053 SUGIHARTI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000053 SUGIHARTI 13/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000053 SUGIHARTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000053 SUGIHARTI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000053 SUGIHARTI 13/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000054 SUSI YANTI 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

141.00
0441L0011123P000054 SUSI YANTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
183.00
0441L0011123P000054 SUSI YANTI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000054 SUSI YANTI 13/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

237.00
0441L0011123P000054 SUSI YANTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000054 SUSI YANTI 13/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000054 SUSI YANTI 13/11/2023 Ureum 36.00 mgr/dl Rp. 30.000

0441L0011123P000055 SITI ROHANA 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

138.00
0441L0011123P000055 SITI ROHANA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
170.00
0441L0011123P000055 SITI ROHANA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000055 SITI ROHANA 13/11/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

229.00
0441L0011123P000055 SITI ROHANA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000055 SITI ROHANA 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000055 SITI ROHANA 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000056 SARMUN 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

114.00
0441L0011123P000056 SARMUN 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0011123P000056 SARMUN 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000056 SARMUN 13/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

182.00
0441L0011123P000056 SARMUN 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000056 SARMUN 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000056 SARMUN 13/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000057 ROSMALA DEWI 13/11/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

144.00
0441L0011123P000057 ROSMALA DEWI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
174.00
0441L0011123P000057 ROSMALA DEWI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000057 ROSMALA DEWI 13/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

238.00
0441L0011123P000057 ROSMALA DEWI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000057 ROSMALA DEWI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000057 ROSMALA DEWI 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000058 ERNA HERMILIA 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

156.00
0441L0011123P000058 ERNA HERMILIA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
147.00
0441L0011123P000058 ERNA HERMILIA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000058 ERNA HERMILIA 13/11/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000

247.00
0441L0011123P000058 ERNA HERMILIA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000058 ERNA HERMILIA 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000058 ERNA HERMILIA 13/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000059 PARIA 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

136.00
0441L0011123P000059 PARIA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000059 PARIA 13/11/2023 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0011123P000059 PARIA 13/11/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0011123P000059 PARIA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000059 PARIA 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000059 PARIA 13/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000060 BETA SUSIANA 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

135.00
0441L0011123P000060 BETA SUSIANA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
161.00
0441L0011123P000060 BETA SUSIANA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000060 BETA SUSIANA 13/11/2023 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

222.00
0441L0011123P000060 BETA SUSIANA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000060 BETA SUSIANA 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000060 BETA SUSIANA 13/11/2023 Ureum 23.00 mgr/dl Rp. 30.000

0441L0011123P000061 SUHARTINI 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

162.00
0441L0011123P000061 SUHARTINI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
200.00
0441L0011123P000061 SUHARTINI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000061 SUHARTINI 13/11/2023 Kolesterol HDL 67.00 mgr/dl Rp. 45.000

269.00
0441L0011123P000061 SUHARTINI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000061 SUHARTINI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000061 SUHARTINI 13/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

152.00
0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
157.00
0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

244.00
0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000062 SYAHRUL PRATAMA 13/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000063 PUTRI PAJAR 13/11/2023 HbA1c 5.80 % Rp. 160.000

0441L0011123P000063 PUTRI PAJAR 13/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

122.00
0441L0011123P000063 PUTRI PAJAR 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000063 PUTRI PAJAR 13/11/2023 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0011123P000063 PUTRI PAJAR 13/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

185.00
0441L0011123P000063 PUTRI PAJAR 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000063 PUTRI PAJAR 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000063 PUTRI PAJAR 13/11/2023 Ureum 23.00 mgr/dl Rp. 30.000

0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

145.00
0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
184.00
0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

242.00
0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000064 DESMI ARMAYANTI 13/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000065 SUPRAPTI 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

121.00
0441L0011123P000065 SUPRAPTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000065 SUPRAPTI 13/11/2023 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0011123P000065 SUPRAPTI 13/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0011123P000065 SUPRAPTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000065 SUPRAPTI 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000065 SUPRAPTI 13/11/2023 Ureum 25.00 mgr/dl Rp. 30.000

0441L0011123P000066 TATANG BOBY 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

148.00
0441L0011123P000066 TATANG BOBY 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
155.00
0441L0011123P000066 TATANG BOBY 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000066 TATANG BOBY 13/11/2023 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0011123P000066 TATANG BOBY 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000066 TATANG BOBY 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000066 TATANG BOBY 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000067 SAKINTEN 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

112.00
0441L0011123P000067 SAKINTEN 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0011123P000067 SAKINTEN 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000067 SAKINTEN 13/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0011123P000067 SAKINTEN 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000067 SAKINTEN 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000067 SAKINTEN 13/11/2023 Ureum 31.00 mgr/dl Rp. 30.000

0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Microalbuminaria 9.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000068 ORTA HARDIYANTI 13/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000069 SUMINI 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0011123P000069 SUMINI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
164.00
0441L0011123P000069 SUMINI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000069 SUMINI 13/11/2023 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

207.00
0441L0011123P000069 SUMINI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000069 SUMINI 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000069 SUMINI 13/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000070 SANIA 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

133.00
0441L0011123P000070 SANIA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
131.00
0441L0011123P000070 SANIA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000070 SANIA 13/11/2023 Kolesterol HDL 53.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

212.00
0441L0011123P000070 SANIA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000070 SANIA 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000070 SANIA 13/11/2023 Ureum 36.00 mgr/dl Rp. 30.000

0441L0011123P000071 PIATNO 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

134.00
0441L0011123P000071 PIATNO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0011123P000071 PIATNO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000071 PIATNO 13/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

217.00
0441L0011123P000071 PIATNO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000071 PIATNO 13/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000071 PIATNO 13/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000

122.00
0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
162.00
0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

206.00
0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000072 WINGKI ENDROYOKO 13/11/2023 Ureum 34.00 mgr/dl Rp. 30.000

0441L0011123P000073 MUAYA 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

116.00
0441L0011123P000073 MUAYA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0011123P000073 MUAYA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000073 MUAYA 13/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000073 MUAYA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000073 MUAYA 13/11/2023 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0011123P000073 MUAYA 13/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000074 RUSI'A 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

122.00
0441L0011123P000074 RUSI'A 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000074 RUSI'A 13/11/2023 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0011123P000074 RUSI'A 13/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0011123P000074 RUSI'A 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000074 RUSI'A 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000074 RUSI'A 13/11/2023 Ureum 22.00 mgr/dl Rp. 30.000

0441L0011123P000075 SINA WANI 13/11/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

133.00
0441L0011123P000075 SINA WANI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0011123P000075 SINA WANI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000075 SINA WANI 13/11/2023 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0011123P000075 SINA WANI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000075 SINA WANI 13/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000075 SINA WANI 13/11/2023 Ureum 48.00 mgr/dl Rp. 30.000

0441L0011123P000076 DAHUNA 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

158.00
0441L0011123P000076 DAHUNA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
141.00
0441L0011123P000076 DAHUNA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000076 DAHUNA 13/11/2023 Kolesterol HDL 62.00 mgr/dl Rp. 45.000

248.00
0441L0011123P000076 DAHUNA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000076 DAHUNA 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000076 DAHUNA 13/11/2023 Ureum 33.00 mgr/dl Rp. 30.000

0441L0011123P000077 DUNA 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

133.00
0441L0011123P000077 DUNA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0011123P000077 DUNA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000077 DUNA 13/11/2023 Kolesterol HDL 52.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

209.00
0441L0011123P000077 DUNA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000077 DUNA 13/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000077 DUNA 13/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000078 SUGITO 13/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

126.00
0441L0011123P000078 SUGITO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
230.00
0441L0011123P000078 SUGITO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000078 SUGITO 13/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

230.00
0441L0011123P000078 SUGITO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000078 SUGITO 13/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000078 SUGITO 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000079 RUDIANTO 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

110.00
0441L0011123P000079 RUDIANTO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
158.00
0441L0011123P000079 RUDIANTO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000079 RUDIANTO 13/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0011123P000079 RUDIANTO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000079 RUDIANTO 13/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000079 RUDIANTO 13/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000080 HAIDA 13/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

113.00
0441L0011123P000080 HAIDA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
195.00
0441L0011123P000080 HAIDA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000080 HAIDA 13/11/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0011123P000080 HAIDA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000080 HAIDA 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000080 HAIDA 13/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000081 YATI ARA 13/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

116.00
0441L0011123P000081 YATI ARA 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0011123P000081 YATI ARA 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000081 YATI ARA 13/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0011123P000081 YATI ARA 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000081 YATI ARA 13/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000081 YATI ARA 13/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000082 JOYO 13/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

159.00
0441L0011123P000082 JOYO 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0011123P000082 JOYO 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000082 JOYO 13/11/2023 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

245.00
0441L0011123P000082 JOYO 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000082 JOYO 13/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000082 JOYO 13/11/2023 Ureum 26.00 mgr/dl Rp. 30.000

0441L0011123P000083 YURNAWATI 13/11/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

106.00
0441L0011123P000083 YURNAWATI 13/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0441L0011123P000083 YURNAWATI 13/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000083 YURNAWATI 13/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0011123P000083 YURNAWATI 13/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000083 YURNAWATI 13/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000083 YURNAWATI 13/11/2023 Ureum 41.00 mgr/dl Rp. 30.000

0441L0011123P000084 SUTRO WIJOYO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000085 halimah tusakdiah 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000086 SEPTA ERHANITA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000087 CIK ISA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000088 JOHARI.N 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000089 MEDI PUTRADO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000090 AIDI WIRA WIBOWO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000091 NILAWATI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000092 MEILIA SEPTA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000093 SUTRO WIJOYO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000094 halimah tusakdiah 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000095 SEPTA ERHANITA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000096 JOHARI.N 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000097 MEDI PUTRADO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000098 AIDI WIRA WIBOWO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000099 MEILIA SEPTA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000100 NILAWATI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000101 DWI HANDAYANI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000102 DERITA SAKTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000103 ELISA RIA WIJAYANTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000104 SAMSUDIN ASWAR 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000105 NANDA OKTARIZA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000106 RISKI NOPRIANSYAH 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000107 DIAN ELVI ALTARI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000108 ENY APRIYANTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000109 MARYAM 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000110 SYAFRIZAL 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000111 NARA WATI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000112 samson ansori 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000113 DWI HANDAYANI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000114 DERITA SAKTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000115 ELISA RIA WIJAYANTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000116 SAMSUDIN ASWAR 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000117 NANDA OKTARIZA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000118 RISKI NOPRIANSYAH 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000119 DIAN ELVI ALTARI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000120 ENY APRIYANTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000121 MARYAM 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000122 SYAFRIZAL 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000123 NARA WATI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000124 samson ansori 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000125 NANDA MARENDA 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000126 SAIPUL AZWAR 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000127 HELPIAN 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000128 MERSI SUGIANTO 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000129 YASNA.M 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000130 ZAINAB 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000131 LION YOBA PUTRA 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000132 DAHLIA 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000133 YOPI HARIANTO 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000134 ROSILA WATI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000135 SUHARTI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000136 NANDA MARENDA 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000137 SAIPUL AZWAR 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000138 HELPIAN 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000139 MERSI SUGIANTO 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000140 YASNA.M 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000141 ZAINAB 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000142 LION YOBA PUTRA 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000143 DAHLIA 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000144 YOPI HARIANTO 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000145 ROSILA WATI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000146 SUHARTI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000147 AGUS IRWANTO 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000148 AMANAH HADI FIRDAUS 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000149 MATHIAS SARI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000150 HERLANGGA ELVIYANTO 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000151 AGUS IRWANTO 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000152 AMANAH HADI FIRDAUS 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000153 MATHIAS SARI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000154 HERLANGGA ELVIYANTO 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000155 JUNAIDI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000156 WATINI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000157 ROSMAWATI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000158 ZELA ALFINANDO 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000159 WIWIK SALINDRI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000160 BUSTAMAM, S.SOS 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000161 EMA LENI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000162 CITRA MARYANI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000163 PEBI ANDREAN 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000164 HELVINA EVRIANI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000165 SUBHAN 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000166 JUNAIDI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000167 WATINI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000168 ROSMAWATI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000169 ZELA ALFINANDO 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000170 WIWIK SALINDRI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000171 BUSTAMAM, S.SOS 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000172 EMA LENI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000173 PEBI ANDREAN 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000174 CITRA MARYANI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000175 HELVINA EVRIANI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000176 SUBHAN 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000177 AMINUDIN 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000178 SRI RAHAYU 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000179 AMINUDIN 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000180 SRI RAHAYU 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000181 supiatni 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000182 M. IDRIS ARSA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000183 YUNI YANTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000184 IDA YANTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000185 DAVID SUDARSYAH 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000186 RIRIN WIDYASTUTY 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000187 SALIM 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000188 JONHAR 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000189 supiatni 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000190 M. IDRIS ARSA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000191 YUNI YANTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000192 IDA YANTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000193 DAVID SUDARSYAH 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000194 RIRIN WIDYASTUTY 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000195 SALIM 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000196 JONHAR 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000197 SUZANA DWI PURWATY 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000198 WELLGA BERLIANTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000199 INDAH PURNAMA SARI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000200 DESIANA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000201 SUTARTI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000202 MASNIAR 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000203 KHAIRIAS 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000204 DWI SEPTI FEBRIANI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000205 MAYA YULIS TIRA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000206 INDRA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000207 SUZANA DWI PURWATY 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000208 WELLGA BERLIANTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000209 INDAH PURNAMA SARI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000210 DESIANA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000211 SUTARTI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000212 MASNIAR 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000213 KHAIRIAS 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000214 DWI SEPTI FEBRIANI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000215 MAYA YULIS TIRA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000216 INDRA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000217 azu ratna 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000218 JUNARDI PRAMA PUTRA 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000219 ANI KUSNAWATI 01/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000220 azu ratna 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000221 JUNARDI PRAMA PUTRA 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000222 ANI KUSNAWATI 02/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000223 RUMINAH 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000224 MARLINA SUSILAWATI EKA SARI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000225 DENAWAN KOSIM 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000226 BUDI CHANDRA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000227 SUMARNI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000228 WARJITO 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000229 DODI SUHENDRA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000231 MARYATI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000232 SHERLY INDRIYANI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000233 SUZILMAN ARIS 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000234 HJ. MAYA RUSLINA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000235 RUMINAH 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000236 MARLINA SUSILAWATI EKA SARI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000237 DENAWAN KOSIM 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000238 BUDI CHANDRA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000239 SUMARNI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000240 WARJITO 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000241 DODI SUHENDRA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000242 MARYATI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000243 SHERLY INDRIYANI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000244 SUZILMAN ARIS 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000245 HJ. MAYA RUSLINA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000246 LELA AZIZAH 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000247 KASMAN 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000248 YUNALIS 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000249 HARTATI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000250 NIRWANA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000251 LIZA ANGGRAINI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000252 RUSLAINI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000253 KASIYAH 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000254 HANNI BHESTARI HAYUNINGTYAS 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000255 JEPRIYADI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000256 LELA AZIZAH 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000257 KASMAN 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000258 YUNALIS 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000259 HARTATI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000260 NIRWANA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000261 LIZA ANGGRAINI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000262 RUSLAINI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000263 KASIYAH 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000264 HANNI BHESTARI HAYUNINGTYAS 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000265 JEPRIYADI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000266 ASMARI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000268 IRWAN EFFENDI SIREGAR 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000269 ASMARI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000270 IRWAN EFFENDI SIREGAR 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000271 WIDIYA HANDAYANI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000272 syeswono 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000273 MIDARYATI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000274 IING. S 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000275 ROHANI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000276 LATIFAH 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000277 FITROHMAH WAHYUNINGSIH 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000278 FITRI MEIDIYANTI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000279 SUMIATI 03/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000280 WIDIYA HANDAYANI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000281 syeswono 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000282 MIDARYATI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000283 IING. S 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000284 ROHANI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000285 LATIFAH 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000286 FITROHMAH WAHYUNINGSIH 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000287 FITRI MEIDIYANTI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000288 SUMIATI 04/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000289 FITRIA SENAGUNG 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000290 RUKMI ANDARI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000291 MOHAMAD IQBAL 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000292 CHATARINA LILIS ERYANI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000293 V. SISWOYO 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000294 RAZMI GUMILANG FANJI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000295 EDWAR EDISON 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000296 IR. BAINAL ARIF 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000297 ZAILAN 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000298 MARYANI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000299 FITRIA SENAGUNG 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000300 RUKMI ANDARI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000301 MOHAMAD IQBAL 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000302 CHATARINA LILIS ERYANI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000303 V. SISWOYO 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000304 RAZMI GUMILANG FANJI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000305 EDWAR EDISON 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000306 IR. BAINAL ARIF 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000307 ZAILAN 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000308 MARYANI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000309 BAMBANG HARYONO 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000310 NURJANI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000311 KABATIAH 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000312 VAHLEVI KARNELLY EVIANTI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000313 DINI ANGGRAINI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000314 KATARINA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000315 HARVIAN 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000316 YENSI MAYASARI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000317 AZHARI YANTO 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000318 IDALIA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000319 HERLISNAWATI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000320 BAMBANG HARYONO 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000321 NURJANI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000322 KABATIAH 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000323 VAHLEVI KARNELLY EVIANTI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000324 DINI ANGGRAINI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000325 KATARINA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000326 HARVIAN 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000327 YENSI MAYASARI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000328 AZHARI YANTO 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000329 IDALIA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000330 HERLISNAWATI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000331 RIKO GUNAWAN 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000332 MUHAMMAD ZUBAIRI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000333 HERAWATI HARTATI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000334 YUHANA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000335 MUHAMMAD RIZQI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000336 DIONE CHI-CHILIA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000337 MEITI SUKESIH 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000338 PATIZA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000339 HENKY MARDIANSYAH 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000340 RIKO GUNAWAN 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000341 MUHAMMAD ZUBAIRI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000342 HERAWATI HARTATI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000343 YUHANA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000344 MUHAMMAD RIZQI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000345 DIONE CHI-CHILIA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000346 MEITI SUKESIH 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000347 PATIZA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000348 HENKY MARDIANSYAH 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000349 SYAMSIL MAJID 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000350 AMIR SISWANDI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000351 MARYADI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000352 NURHAYATI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000353 SURYONO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000354 SUGI YANTO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000355 DEPA SUSIANTI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000356 ERMA YUNITA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000357 JULIANA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000358 UJANG NASIRWAN 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000359 EGI JULIANSYAH 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000360 ARDIANSAH PUTRA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000361 SUCIATI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000362 armahoda 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000363 PONIRAH 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000364 RUSLAN 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000365 MISRA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000367 SYAMSIL MAJID 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000368 AMIR SISWANDI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000369 MARYADI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000370 NURHAYATI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000371 SURYONO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000372 SUGI YANTO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000373 DEPA SUSIANTI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000374 ERMA YUNITA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000375 JULIANA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000376 UJANG NASIRWAN 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000377 EGI JULIANSYAH 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000378 ARDIANSAH PUTRA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000379 SUCIATI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000380 armahoda 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000381 PONIRAH 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000382 RUSLAN 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000383 MISRA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000384 SUDIAH 23/11/2023 HbA1c 6.90 % Rp. 160.000

0441L0011123P000384 SUDIAH 23/11/2023 Microalbuminaria 23.00 mgr/dl Rp. 120.000

0441L0011123P000384 SUDIAH 23/11/2023 Kolesterol LDL 92.00 mgr/dl Rp. 60.000

343.00
0441L0011123P000384 SUDIAH 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000384 SUDIAH 23/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0011123P000384 SUDIAH 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000384 SUDIAH 23/11/2023 Kreatinin 1.90 mgr/dl Rp. 30.000

0441L0011123P000384 SUDIAH 23/11/2023 Ureum 62.00 mgr/dl Rp. 30.000

0441L0011123P000385 PARJULIATI 23/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0011123P000385 PARJULIATI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
207.00
0441L0011123P000385 PARJULIATI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000385 PARJULIATI 23/11/2023 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

221.00
0441L0011123P000385 PARJULIATI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000385 PARJULIATI 23/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000385 PARJULIATI 23/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000386 ERNI 23/11/2023 HbA1c 10.60 % Rp. 160.000

0441L0011123P000386 ERNI 23/11/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

210.00
0441L0011123P000386 ERNI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
568.00
0441L0011123P000386 ERNI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
108.00
0441L0011123P000386 ERNI 23/11/2023 Kolesterol HDL Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

432.00
0441L0011123P000386 ERNI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000386 ERNI 23/11/2023 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0011123P000386 ERNI 23/11/2023 Ureum 58.00 mgr/dl Rp. 30.000

0441L0011123P000387 SARI BUNA 23/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

150.00
0441L0011123P000387 SARI BUNA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0011123P000387 SARI BUNA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000387 SARI BUNA 23/11/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

229.00
0441L0011123P000387 SARI BUNA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000387 SARI BUNA 23/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000387 SARI BUNA 23/11/2023 Ureum 20.00 mgr/dl Rp. 30.000

0441L0011123P000388 RASAMI 23/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

129.00
0441L0011123P000388 RASAMI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0441L0011123P000388 RASAMI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000388 RASAMI 23/11/2023 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

223.00
0441L0011123P000388 RASAMI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000388 RASAMI 23/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000388 RASAMI 23/11/2023 Ureum 19.00 mgr/dl Rp. 30.000

0441L0011123P000389 DAHNIAR LELA 23/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

112.00
0441L0011123P000389 DAHNIAR LELA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
188.00
0441L0011123P000389 DAHNIAR LELA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000389 DAHNIAR LELA 23/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0011123P000389 DAHNIAR LELA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000389 DAHNIAR LELA 23/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000389 DAHNIAR LELA 23/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000390 NIRWANA 23/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

142.00
0441L0011123P000390 NIRWANA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
175.00
0441L0011123P000390 NIRWANA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000390 NIRWANA 23/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

236.00
0441L0011123P000390 NIRWANA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000390 NIRWANA 23/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000390 NIRWANA 23/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000391 SULYAWANI 23/11/2023 Microalbuminaria 18.00 mgr/dl Rp. 120.000

138.00
0441L0011123P000391 SULYAWANI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0441L0011123P000391 SULYAWANI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000391 SULYAWANI 23/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

235.00
0441L0011123P000391 SULYAWANI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000391 SULYAWANI 23/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000391 SULYAWANI 23/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000392 ASMARA 23/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

140.00
0441L0011123P000392 ASMARA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0441L0011123P000392 ASMARA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000392 ASMARA 23/11/2023 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0011123P000392 ASMARA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000392 ASMARA 23/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000392 ASMARA 23/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000393 YUSNIL LENA 23/11/2023 HbA1c 7.90 % Rp. 160.000

0441L0011123P000393 YUSNIL LENA 23/11/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000

130.00
0441L0011123P000393 YUSNIL LENA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
207.00
0441L0011123P000393 YUSNIL LENA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000393 YUSNIL LENA 23/11/2023 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0011123P000393 YUSNIL LENA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000393 YUSNIL LENA 23/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000393 YUSNIL LENA 23/11/2023 Ureum 32.00 mgr/dl Rp. 30.000

0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

143.00
0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
178.00
0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000394 AZWAR EFFENDI 23/11/2023 Ureum 35.00 mgr/dl Rp. 30.000

0441L0011123P000395 RALYA 23/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000395 RALYA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
164.00
0441L0011123P000395 RALYA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000395 RALYA 23/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0011123P000395 RALYA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000395 RALYA 23/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000395 RALYA 23/11/2023 Ureum 27.00 mgr/dl Rp. 30.000

0441L0011123P000396 JAHARI 23/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

112.00
0441L0011123P000396 JAHARI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0011123P000396 JAHARI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000396 JAHARI 23/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0011123P000396 JAHARI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000396 JAHARI 23/11/2023 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0011123P000396 JAHARI 23/11/2023 Ureum 47.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000397 YETI YANA 23/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

141.00
0441L0011123P000397 YETI YANA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0011123P000397 YETI YANA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000397 YETI YANA 23/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

236.00
0441L0011123P000397 YETI YANA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000397 YETI YANA 23/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000397 YETI YANA 23/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000398 WILSON 23/11/2023 Microalbuminaria 20.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000398 WILSON 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
153.00
0441L0011123P000398 WILSON 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000398 WILSON 23/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0011123P000398 WILSON 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000398 WILSON 23/11/2023 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0011123P000398 WILSON 23/11/2023 Ureum 45.00 mgr/dl Rp. 30.000

0441L0011123P000399 SURIANA 23/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

136.00
0441L0011123P000399 SURIANA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0011123P000399 SURIANA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000399 SURIANA 23/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

230.00
0441L0011123P000399 SURIANA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000399 SURIANA 23/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000399 SURIANA 23/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000400 HERLINA 23/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

144.00
0441L0011123P000400 HERLINA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
172.00
0441L0011123P000400 HERLINA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000400 HERLINA 23/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

237.00
0441L0011123P000400 HERLINA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000400 HERLINA 23/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000400 HERLINA 23/11/2023 Ureum 25.00 mgr/dl Rp. 30.000

0441L0011123P000401 SUDIYANTI 23/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

154.00
0441L0011123P000401 SUDIYANTI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
124.00
0441L0011123P000401 SUDIYANTI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000401 SUDIYANTI 23/11/2023 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0011123P000401 SUDIYANTI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000401 SUDIYANTI 23/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000401 SUDIYANTI 23/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

148.00
0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

235.00
0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000402 TAHAR MUZAKAR 23/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000403 FENIA YOLANDA 23/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

120.00
0441L0011123P000403 FENIA YOLANDA 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0441L0011123P000403 FENIA YOLANDA 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000403 FENIA YOLANDA 23/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000403 FENIA YOLANDA 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000403 FENIA YOLANDA 23/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000403 FENIA YOLANDA 23/11/2023 Ureum 20.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

140.00
0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
170.00
0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

232.00
0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000404 MARTIANNA BR SEMBIRING 23/11/2023 Ureum 18.00 mgr/dl Rp. 30.000

0441L0011123P000405 E. SITUMORANG 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000406 NETI HARIYANI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000407 ADAM SATRIA PRAYOGA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000408 CORNELIUS ADHI PRASETYA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000409 YENITA. S 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000410 DIAN PURNAMA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000411 ERMAWATI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000412 KUNTUM DAHLIA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000413 MISLAINI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000414 E. SITUMORANG 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000415 NETI HARIYANI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000416 ADAM SATRIA PRAYOGA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000417 CORNELIUS ADHI PRASETYA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000418 YENITA. S 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000419 DIAN PURNAMA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000420 ERMAWATI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000421 KUNTUM DAHLIA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000422 MISLAINI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000423 MUHAMAD ALI ROBIN 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000424 II SUANDI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000425 DARMO WIDODO 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000426 LIMAN 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000427 SURI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000428 TASUIM 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000429 SUNARYO 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000430 KARMIYATI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000431 AMAI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000432 SALBIAH 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000433 MUHAMAD ALI ROBIN 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000434 II SUANDI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000435 DARMO WIDODO 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000436 LIMAN 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000437 SURI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000438 TASUIM 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000439 SUNARYO 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000440 KARMIYATI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000441 AMAI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000442 SALBIAH 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000443 SOMAT 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000444 RENPIL YANA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000445 LILIS SURYANI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000446 FEBI TRIWAHYUNI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000447 SARIA HUSNA 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000448 SAMSI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000449 ANIKI PITRIANI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000450 ZIKRULLAH 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000451 WIDYA INTAN SARI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000452 NANI SUTINI 09/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000453 SOMAT 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000454 RENPIL YANA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000455 LILIS SURYANI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000456 FEBI TRIWAHYUNI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000457 SARIA HUSNA 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000458 SAMSI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000459 ANIKI PITRIANI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000460 ZIKRULLAH 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000461 WIDYA INTAN SARI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000462 NANI SUTINI 10/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000463 ERMAWATI 24/11/2023 Microalbuminaria 16.00 mgr/dl Rp. 120.000

119.00
0441L0011123P000463 ERMAWATI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0011123P000463 ERMAWATI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000463 ERMAWATI 24/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0011123P000463 ERMAWATI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000463 ERMAWATI 24/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000463 ERMAWATI 24/11/2023 Ureum 28.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000464 nutiara 24/11/2023 Microalbuminaria 15.00 mgr/dl Rp. 120.000

117.00
0441L0011123P000464 nutiara 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0011123P000464 nutiara 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000464 nutiara 24/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0011123P000464 nutiara 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000464 nutiara 24/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000464 nutiara 24/11/2023 Ureum 50.00 mgr/dl Rp. 30.000

0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

115.00
0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000465 RIKI EFRIANDA 24/11/2023 Ureum 42.00 mgr/dl Rp. 30.000

0441L0011123P000466 NURLAILI 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

124.00
0441L0011123P000466 NURLAILI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0441L0011123P000466 NURLAILI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000466 NURLAILI 24/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0011123P000466 NURLAILI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000466 NURLAILI 24/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000466 NURLAILI 24/11/2023 Ureum 40.00 mgr/dl Rp. 30.000

0441L0011123P000467 rahmat ilahi 24/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

152.00
0441L0011123P000467 rahmat ilahi 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0011123P000467 rahmat ilahi 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000467 rahmat ilahi 24/11/2023 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

236.00
0441L0011123P000467 rahmat ilahi 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000467 rahmat ilahi 24/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000467 rahmat ilahi 24/11/2023 Ureum 32.00 mgr/dl Rp. 30.000

0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000468 EGAFAIGAHATTI 24/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000469 NURSIDIK 24/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0011123P000469 NURSIDIK 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0441L0011123P000469 NURSIDIK 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000469 NURSIDIK 24/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0011123P000469 NURSIDIK 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000469 NURSIDIK 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000469 NURSIDIK 24/11/2023 Ureum 25.00 mgr/dl Rp. 30.000

0441L0011123P000470 ERMA WATI 24/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

108.00
0441L0011123P000470 ERMA WATI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0011123P000470 ERMA WATI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000470 ERMA WATI 24/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

178.00
0441L0011123P000470 ERMA WATI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000470 ERMA WATI 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000470 ERMA WATI 24/11/2023 Ureum 24.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000471 YAHMIN 24/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

137.00
0441L0011123P000471 YAHMIN 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
122.00
0441L0011123P000471 YAHMIN 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000471 YAHMIN 24/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0011123P000471 YAHMIN 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000471 YAHMIN 24/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000471 YAHMIN 24/11/2023 Ureum 24.00 mgr/dl Rp. 30.000

0441L0011123P000472 SUNARTI 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

110.00
0441L0011123P000472 SUNARTI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0441L0011123P000472 SUNARTI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000472 SUNARTI 24/11/2023 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0011123P000472 SUNARTI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000472 SUNARTI 24/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000472 SUNARTI 24/11/2023 Ureum 16.00 mgr/dl Rp. 30.000

0441L0011123P000473 AIDIL FITRI 24/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

115.00
0441L0011123P000473 AIDIL FITRI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0441L0011123P000473 AIDIL FITRI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000473 AIDIL FITRI 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0011123P000473 AIDIL FITRI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000473 AIDIL FITRI 24/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000473 AIDIL FITRI 24/11/2023 Ureum 27.00 mgr/dl Rp. 30.000

0441L0011123P000474 LUSTI MARYANI 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0011123P000474 LUSTI MARYANI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0441L0011123P000474 LUSTI MARYANI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000474 LUSTI MARYANI 24/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0011123P000474 LUSTI MARYANI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000474 LUSTI MARYANI 24/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000474 LUSTI MARYANI 24/11/2023 Ureum 31.00 mgr/dl Rp. 30.000

0441L0011123P000475 ZAHARA 24/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

112.00
0441L0011123P000475 ZAHARA 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
141.00
0441L0011123P000475 ZAHARA 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000475 ZAHARA 24/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0011123P000475 ZAHARA 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000475 ZAHARA 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000475 ZAHARA 24/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

126.00
0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
134.00
0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

204.00
0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000476 ARLAN ZAZALI 24/11/2023 Ureum 36.00 mgr/dl Rp. 30.000

0441L0011123P000477 SITI HANAPIAH 24/11/2023 Microalbuminaria 21.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000477 SITI HANAPIAH 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
132.00
0441L0011123P000477 SITI HANAPIAH 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000477 SITI HANAPIAH 24/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0011123P000477 SITI HANAPIAH 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000477 SITI HANAPIAH 24/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000477 SITI HANAPIAH 24/11/2023 Ureum 27.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000478 TUTI SUDARMINI 24/11/2023 HbA1c 7.90 % Rp. 160.000

0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Microalbuminaria 22.00 mgr/dl Rp. 120.000

108.00
0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
151.00
0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000478 TUTI SUDARMINI 24/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Microalbuminaria 10.00 mgr/dl Rp. 120.000

114.00
0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000479 HASAN BUSTOMI 24/11/2023 Ureum 21.00 mgr/dl Rp. 30.000

0441L0011123P000480 AMRAN. CF 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

116.00
0441L0011123P000480 AMRAN. CF 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0441L0011123P000480 AMRAN. CF 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000480 AMRAN. CF 24/11/2023 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0011123P000480 AMRAN. CF 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000480 AMRAN. CF 24/11/2023 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0011123P000480 AMRAN. CF 24/11/2023 Ureum 18.00 mgr/dl Rp. 30.000

0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

117.00
0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

144.00
0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0011123P000481 YOSMI OKTAPIA 24/11/2023 Ureum 17.00 mgr/dl Rp. 30.000

0441L0011123P000482 SUTERI MURWATI 24/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

136.00
0441L0011123P000482 SUTERI MURWATI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
124.00
0441L0011123P000482 SUTERI MURWATI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000482 SUTERI MURWATI 24/11/2023 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0011123P000482 SUTERI MURWATI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000482 SUTERI MURWATI 24/11/2023 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0011123P000482 SUTERI MURWATI 24/11/2023 Ureum 45.00 mgr/dl Rp. 30.000

0441L0011123P000483 SUHARNA 24/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

111.00
0441L0011123P000483 SUHARNA 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
133.00
0441L0011123P000483 SUHARNA 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000483 SUHARNA 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0011123P000483 SUHARNA 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000483 SUHARNA 24/11/2023 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0011123P000483 SUHARNA 24/11/2023 Ureum 37.00 mgr/dl Rp. 30.000

0441L0011123P000484 CIK ILUN 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0011123P000484 CIK ILUN 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0441L0011123P000484 CIK ILUN 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000484 CIK ILUN 24/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

198.00
0441L0011123P000484 CIK ILUN 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000484 CIK ILUN 24/11/2023 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0011123P000484 CIK ILUN 24/11/2023 Ureum 33.00 mgr/dl Rp. 30.000

0441L0011123P000485 MURHAYATI 24/11/2023 Microalbuminaria 11.00 mgr/dl Rp. 120.000

131.00
0441L0011123P000485 MURHAYATI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000485 MURHAYATI 24/11/2023 Kolesterol Trigliserida 77.00 mgr/dl Rp. 50.000

0441L0011123P000485 MURHAYATI 24/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0011123P000485 MURHAYATI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000485 MURHAYATI 24/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000485 MURHAYATI 24/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000486 HERMANSA 24/11/2023 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0011123P000486 HERMANSA 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0011123P000486 HERMANSA 24/11/2023 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0011123P000486 HERMANSA 24/11/2023 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0011123P000486 HERMANSA 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000486 HERMANSA 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000486 HERMANSA 24/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000487 EVA SUSIANTI 24/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

124.00
0441L0011123P000487 EVA SUSIANTI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0011123P000487 EVA SUSIANTI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000487 EVA SUSIANTI 24/11/2023 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0011123P000487 EVA SUSIANTI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000487 EVA SUSIANTI 24/11/2023 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0011123P000487 EVA SUSIANTI 24/11/2023 Ureum 29.00 mgr/dl Rp. 30.000

0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Microalbuminaria 14.00 mgr/dl Rp. 120.000

199.00
0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

122.00
0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0011123P000488 WIM TAMAWIWI 24/11/2023 Ureum 30.00 mgr/dl Rp. 30.000

0441L0011123P000489 RATNA LINDA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000490 KUSMAR LINDA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000491 IPNA HELI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000492 SUHAIRIA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000493 DESRIATI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000494 LINDA PUSPITA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000495 CUCU DWI RAHMA YUDISTIRA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000496 ABDUL RAHIM LUBIS 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000497 AFRIANI LESTARINI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000498 HALLIAN WIRA ATMAJA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000499 RATNA LINDA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000500 KUSMAR LINDA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000501 IPNA HELI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000502 SUHAIRIA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000503 DESRIATI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000504 LINDA PUSPITA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000505 CUCU DWI RAHMA YUDISTIRA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000506 ABDUL RAHIM LUBIS 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000507 AFRIANI LESTARINI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000508 HALLIAN WIRA ATMAJA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000509 FAUZI AGUNG NUGROHO 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000510 HARTATI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000511 NUZUL HIDAYAH PUTRI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000512 FITRI AGUSTINA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000513 REFLI OPRA SINTA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000514 SRI HARYANI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000515 OMIKO SATRIA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000516 MARTINA NAVRATILOFA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000517 SAHRI AMAL 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000518 TRI AYU ULANDARI 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000519 FANI CARLA ZANITA 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000520 GEMPAR ALAM 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000521 roesmini syarif 02/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000522 FAUZI AGUNG NUGROHO 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000523 HARTATI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000524 NUZUL HIDAYAH PUTRI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000525 FITRI AGUSTINA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000526 REFLI OPRA SINTA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000527 SRI HARYANI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000528 OMIKO SATRIA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000529 MARTINA NAVRATILOFA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000530 SAHRI AMAL 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000531 TRI AYU ULANDARI 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000532 FANI CARLA ZANITA 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000533 GEMPAR ALAM 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000534 roesmini syarif 03/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000535 SITI BANDIANI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000536 JARINI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000537 YULIATI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000538 WAHYU PURNAMA SARI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000539 NOVIYANTO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000540 JAJAK 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000541 AHMAD AL ZIQRI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000542 SITI BANDIANI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000543 JARINI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000544 YULIATI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000545 WAHYU PURNAMA SARI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000546 NOVIYANTO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000547 JAJAK 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000548 AHMAD AL ZIQRI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000549 BAMBANG WARIYANTO 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000550 SURYANI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000551 IMILIYAH 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000552 UNTUNG SANTOSO 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000553 ZORA ETRYLITA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000554 IRMELINDA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000555 WAHYUDI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000556 JUMINEM 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000557 BAMBANG WARIYANTO 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000558 SURYANI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000559 IMILIYAH 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000560 UNTUNG SANTOSO 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000561 ZORA ETRYLITA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000562 IRMELINDA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000563 WAHYUDI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000564 JUMINEM 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000565 SAPARMAN 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000566 DEVAN ADITYA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000567 FARIDA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000568 KUSWARAK 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000569 HASILA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000570 MARTINI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000571 NOVTI AIZA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000572 NURANI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000573 WIWIT ANDRIAWATI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000574 ZAIMA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000575 SAPARMAN 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000576 DEVAN ADITYA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000577 FARIDA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000578 KUSWARAK 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000579 HASILA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000580 MARTINI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000581 NOVTI AIZA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000582 NURANI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000583 WIWIT ANDRIAWATI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000584 ZAIMA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000585 YUHANA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000586 LODRIK FRANSISKO 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000587 LINDA KASUMA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000588 METRI YENTODI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000589 SRI UNINGSIH 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000590 FITRI AYU ELLYZA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000591 DWI JULIANSYAH 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000592 EKA APRIYANI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000593 kholest prasetia wijaya 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000594 ELI PARIDA 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000595 PUTRI LIAN SARI 10/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000596 YUHANA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000597 LODRIK FRANSISKO 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000598 LINDA KASUMA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000599 SRI UNINGSIH 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000600 METRI YENTODI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000601 FITRI AYU ELLYZA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000602 DWI JULIANSYAH 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000603 EKA APRIYANI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000604 kholest prasetia wijaya 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000605 ELI PARIDA 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000606 PUTRI LIAN SARI 11/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000607 ITA YURDIANA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000608 ZULTI ASTRA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000609 MUHAMMAD AFRIZAL 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000610 AGUS HERYANTO 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000611 MARDALENA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000612 POPY MAYANG SARY 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000613 ERINI FERDIAN 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000614 ITA YURDIANA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000615 ZULTI ASTRA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000616 MUHAMMAD AFRIZAL 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000617 AGUS HERYANTO 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000618 MARDALENA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000619 POPY MAYANG SARY 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000620 ERINI FERDIAN 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000621 HARLIANI 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000622 SUSILAWATI 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000623 HERMANSYAH 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000624 RATNA LITA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000625 MUHAMMAD NASIR 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000626 NYAMAN SITANGGANG 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000627 VIVI ANODA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000628 LEVY NOPTRIYANA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000629 RELIN ATITA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000630 RUMSIDI 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000631 RIA FITRIYANTI.S. 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000632 TRI EKA AGUSTIAN 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000633 veka aryanti 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000634 MUSTOPA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000635 NURBAYA 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000636 HARLIANI 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000637 SUSILAWATI 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000638 HERMANSYAH 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000639 RATNA LITA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000640 MUHAMMAD NASIR 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000641 NYAMAN SITANGGANG 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000642 VIVI ANODA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000643 LEVY NOPTRIYANA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000644 RELIN ATITA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000645 RUMSIDI 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000646 RIA FITRIYANTI.S. 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000647 TRI EKA AGUSTIAN 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000648 veka aryanti 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000649 MUSTOPA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000650 NURBAYA 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000651 ASNI WATI 23/11/2023 HbA1c 13.80 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000651 ASNI WATI 23/11/2023 Microalbuminaria 13.00 mgr/dl Rp. 120.000

144.00
0441L0011123P000651 ASNI WATI 23/11/2023 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0011123P000651 ASNI WATI 23/11/2023 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0011123P000651 ASNI WATI 23/11/2023 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0011123P000651 ASNI WATI 23/11/2023 Kolesterol Total Rp. 45.000
mgr/dl

0441L0011123P000651 ASNI WATI 23/11/2023 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0011123P000651 ASNI WATI 23/11/2023 Ureum 28.00 mgr/dl Rp. 30.000

0441L0011123P000652 ZULFITRI HASTUTI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000653 ADE IRAWATI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000654 YENI HARNATATI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000655 JOYON 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000656 MISRIANI ASTUTI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000657 SOFYAN RAIS 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000658 RISKI AMELIA 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000659 YANTI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000660 ABDUL GAPUR 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000661 ZAINAL ARIFIN 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000662 YANTO GUNAWAN 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000663 MARJUMAINI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000664 MARNOTO 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000665 WAHIDIN KASMIR 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000666 MEISYA ADELLIA 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000667 YOPICE KAROSE 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000668 LUKMAN 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000669 BITA LIDARNI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000670 MUHAMADIL HAYYU ZAKKI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000671 AMRULLAH 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000672 ZULFITRI HASTUTI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000673 ADE IRAWATI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000674 YENI HARNATATI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000675 JOYON 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000676 MISRIANI ASTUTI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000677 SOFYAN RAIS 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000678 RISKI AMELIA 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000679 YANTI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000680 ABDUL GAPUR 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000681 ZAINAL ARIFIN 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000682 YANTO GUNAWAN 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000683 MARJUMAINI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000684 MARNOTO 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000685 WAHIDIN KASMIR 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000686 MEISYA ADELLIA 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000687 YOPICE KAROSE 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000688 LUKMAN 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000689 BITA LIDARNI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000690 MUHAMADIL HAYYU ZAKKI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000691 AMRULLAH 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000692 L. DHARSONO SIGALINGGING 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000693 rohana 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000694 MAYUNA 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000695 LENDA HARTINI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000696 SAPUANDI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000697 RIDWAN 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000698 HATIMA J 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000699 FITRIYANSYAH 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000700 TITI SUMANTI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000701 L. DHARSONO SIGALINGGING 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000702 rohana 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000703 MAYUNA 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000704 LENDA HARTINI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000705 SAPUANDI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000706 RIDWAN 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000707 HATIMA J 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000708 FITRIYANSYAH 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000709 TITI SUMANTI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000710 SYAHRIL 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

R. BERNANDA ARGANDHI
0441L0011123P000711 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
SAPUTRA, S.ST

0441L0011123P000712 RATNAWATI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000713 RAHILAWATI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000714 FATONAH 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000715 ADRI ENNY, SH 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000716 NURHALMAINI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000717 WENNY HARYANTI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000718 RUBAIDA 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000719 RAMZI ABDAUL HANIF 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000720 NESI OCTARI 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000721 elpina 13/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000722 SYAHRIL 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

R. BERNANDA ARGANDHI
0441L0011123P000723 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
SAPUTRA, S.ST

0441L0011123P000724 RATNAWATI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000725 RAHILAWATI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000726 FATONAH 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000727 ADRI ENNY, SH 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000728 NURHALMAINI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000729 WENNY HARYANTI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000730 RUBAIDA 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000731 RAMZI ABDAUL HANIF 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000732 NESI OCTARI 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000733 elpina 14/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000734 MUSSYAFFA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000735 JONSON,B.SC 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000736 SATIP 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000737 ADE PUTRI UTAMI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000738 BUPA FEBRI YANTONIS 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000739 HUSNI TAMRIN 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000740 MARYAM 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000741 M. NURDIN 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000742 sjahabudin 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000743 FONGKY EKO PRAMONO 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000744 PUJI SUARTIK 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000745 UNAI MUNAH 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000746 NORMA MARISA YOHANA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000747 IRFANIA ZIKRI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000748 PITRI YUSNITA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000749 IDA LAILA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000750 SUNARIO 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000751 R. KASIYATI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000752 POPPY LAILATUL ZANAH 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000753 ASMAWATI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000754 MUSSYAFFA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000755 JONSON,B.SC 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000756 SATIP 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000757 ADE PUTRI UTAMI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000758 BUPA FEBRI YANTONIS 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000759 HUSNI TAMRIN 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000760 MARYAM 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000761 M. NURDIN 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000762 sjahabudin 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000763 FONGKY EKO PRAMONO 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000764 PUJI SUARTIK 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000765 UNAI MUNAH 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000766 NORMA MARISA YOHANA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000767 IRFANIA ZIKRI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000768 PITRI YUSNITA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000769 IDA LAILA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000770 SUNARIO 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000771 R. KASIYATI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000772 POPPY LAILATUL ZANAH 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000773 ASMAWATI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000774 HAMIMAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000775 HAPRIZAL 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000776 YUNIARTI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000777 NURDAINI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000778 ZULIANA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000779 MUCHTAR MARTHA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000780 ZAINUBI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000781 yusrida 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000782 SUHARTINI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000783 HERMANTO 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000784 KURNIASIH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000785 IDUL FITRI EDI YANTO 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000786 MARYAZIK 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000787 ASRI HIJA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000788 MUHAMMAD ISHAK 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000789 RIGUSMAN 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000790 HARUN SUARDI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000791 MAISARI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000792 MEDI KURNIA UTAMA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000793 WILLY KUSMAWATI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000794 HAMIMAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000795 HAPRIZAL 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000796 YUNIARTI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000797 NURDAINI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000798 ZULIANA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000799 MUCHTAR MARTHA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000800 ZAINUBI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000801 yusrida 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000802 SUHARTINI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000803 HERMANTO 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000804 KURNIASIH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000805 IDUL FITRI EDI YANTO 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000806 MARYAZIK 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000807 ASRI HIJA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000808 MUHAMMAD ISHAK 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000809 RIGUSMAN 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000810 HARUN SUARDI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000811 MAISARI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000812 MEDI KURNIA UTAMA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000813 WILLY KUSMAWATI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000814 MULYATI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000815 HETTI ARYANTI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000816 BAMBANG SUWONDO 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000817 ELVA NOVARINA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000818 SUTIRAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000819 NOVITA TRI DINANTI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000820 HUSNUL HOKOTIMA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000821 ASRULLAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000822 MULYATI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000823 HETTI ARYANTI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000824 BAMBANG SUWONDO 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000825 ELVA NOVARINA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000826 SUTIRAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000827 NOVITA TRI DINANTI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000828 HUSNUL HOKOTIMA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000829 ASRULLAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000830 TATI AGUSTINA 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000831 RIAN ARIADI 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000832 ELITA JAYA 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000833 PUSPITA KUMALA SARI 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000834 DESI RAHMITA 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000835 RIFDINAL 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000836 SANTI YUFIKA 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000837 ADILA DWI PERMATA 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000838 NEL FITRI 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000839 ASMAUL HUSNAH 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000840 PUTRI MAYANG SARI 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000841 RINCE 25/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000842 TATI AGUSTINA 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000843 RIAN ARIADI 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000844 ELITA JAYA 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000845 PUSPITA KUMALA SARI 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000846 DESI RAHMITA 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000847 RIFDINAL 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000848 SANTI YUFIKA 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000849 ADILA DWI PERMATA 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000850 NEL FITRI 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000851 ASMAUL HUSNAH 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000852 PUTRI MAYANG SARI 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000853 RINCE 26/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000854 RUBYAH 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000855 GUSNETI 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000856 LIHAN SARMAN 11/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000857 RUBYAH 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000858 GUSNETI 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000859 LIHAN SARMAN 12/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000860 YOPI MARDANI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000861 DARWANTO 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000862 PUSSIKA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000863 SEPTI NOVIA 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000864 PUJI LESTARI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000865 IWAN SUDONO 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000866 HELYANTI 14/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000867 YOPI MARDANI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000868 DARWANTO 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000869 PUSSIKA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000870 SEPTI NOVIA 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000871 PUJI LESTARI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000872 IWAN SUDONO 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000873 HELYANTI 15/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000874 HATIMA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000875 SUMARNI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000876 ARMA YULIANA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000877 MAHMUDAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000878 MUCHLIS 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000879 SRI HASTUTI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000880 SAHIL AMSYAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000881 LINCE ANDRIANI 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000882 EDI SYAIM 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000883 NARUL HANIAH 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000884 HILDA SEPTI VIANA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000885 JENNI CHAROLIN 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000886 JANA 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000887 KHAIRUL FAROUKY 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000888 DENNY JULIUS 15/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000889 HATIMA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000890 SUMARNI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000891 ARMA YULIANA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000892 MAHMUDAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000893 MUCHLIS 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000894 SRI HASTUTI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000895 SAHIL AMSYAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000896 LINCE ANDRIANI 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000897 EDI SYAIM 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000898 NARUL HANIAH 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000899 HILDA SEPTI VIANA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000900 JENNI CHAROLIN 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000901 JANA 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000902 KHAIRUL FAROUKY 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000903 DENNY JULIUS 16/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000904 SARUDIN S.PD 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000905 ANNA SURYANA 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000906 MARWAN 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000907 HJ. SUMIATI 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000908 RISKI 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000909 MISFATUL AIDA 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000910 NURI ELITAWATI 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000911 MANNARIA SIANTURI 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000912 YANGSEN SARUMPAET 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000913 habidah ariyanty 20/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000914 SARUDIN S.PD 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000915 ANNA SURYANA 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000916 MARWAN 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000917 HJ. SUMIATI 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000918 RISKI 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000919 MISFATUL AIDA 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000920 NURI ELITAWATI 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000921 MANNARIA SIANTURI 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000922 YANGSEN SARUMPAET 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000923 habidah ariyanty 21/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000924 SARTIMIN 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000925 ERI SURYANI 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000926 NOVILI HINDRIATI 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000927 LELA KENCANA BOTI 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000928 DAMHAR B 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000929 PARUHUMAN HARAHAP 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000930 SRI HIDAYATI 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000931 AMIATI 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000932 R.V. DIAN VERIGUS 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000933 DRS. DAFRIZAL 21/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000934 SARTIMIN 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000935 ERI SURYANI 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000936 NOVILI HINDRIATI 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000937 LELA KENCANA BOTI 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000938 DAMHAR B 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000939 PARUHUMAN HARAHAP 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000940 SRI HIDAYATI 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000941 AMIATI 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000942 R.V. DIAN VERIGUS 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000943 DRS. DAFRIZAL 22/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000944 NURBAITI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000945 WULAN PERTIWI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000946 SITI FATIMAH 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000947 IKA MUSTIKA SARI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000948 HENI HERAWATI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000949 ERYANTI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000950 ROSMIANTI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000951 MAULIDA SURYANI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000952 RAIHANA 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000953 ELPI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000954 ROSNI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000955 SRI MULYANI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000956 SULISTIANI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000957 ELIANA 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000958 TAUFIK ARIEF 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000959 HALASSON SIANTURI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000960 ROMLAN A. GANI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000961 FRANSISCA SULI ASIH 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000962 INDRA GUNAWAN 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000963 NURBAITI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000964 WULAN PERTIWI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000965 SITI FATIMAH 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000966 IKA MUSTIKA SARI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000967 HENI HERAWATI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000968 ERYANTI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000969 ROSMIANTI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000970 MAULIDA SURYANI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000971 RAIHANA 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000972 ELPI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000973 ROSNI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000974 SRI MULYANI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000975 SULISTIANI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000976 ELIANA 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000977 TAUFIK ARIEF 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000978 HALASSON SIANTURI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000979 ROMLAN A. GANI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000980 FRANSISCA SULI ASIH 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000981 INDRA GUNAWAN 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000982 ROSITA JUMITA 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P000983 NISI KUMALASARI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000984 HEPLIN HARTATI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000985 METRIKA ARINDA WASA 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000986 TUTI HARYANTI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000987 ICHA AGUSTIN AYU PRATIWI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000988 YESI MARYATI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000989 SRI INDARTI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000990 RIA ARMONI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000991 NETI PUSPITA 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P000992 ROSITA JUMITA 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000993 NISI KUMALASARI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000994 HEPLIN HARTATI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000995 METRIKA ARINDA WASA 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000996 TUTI HARYANTI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000997 ICHA AGUSTIN AYU PRATIWI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000998 YESI MARYATI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P000999 SRI INDARTI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001000 RIA ARMONI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001001 NETI PUSPITA 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001002 MURSALIN 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001003 AGUSTIANTO 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001004 KUSTIARTI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001005 SUPRIHAYATI 28/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001006 MURSALIN 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001007 AGUSTIANTO 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001008 KUSTIARTI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001009 SUPRIHAYATI 29/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001010 MARLISA HANIFIA 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001011 YIE MEI LAN 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001012 DJONG KOK FUNG 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001013 GIDION 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001014 ADVRIYANTO SUTRIADI 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001015 AYU FEBRIANTI 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001016 PERDI SISWANTO 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001017 ROZALI 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001018 ZUMRATUL AINI 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001019 SELVIALITA PERMANDA 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001020 HAWA 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001021 SYAIPUL YAHARONI 29/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001022 MARLISA HANIFIA 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001023 YIE MEI LAN 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001024 DJONG KOK FUNG 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001025 GIDION 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001026 ADVRIYANTO SUTRIADI 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001027 AYU FEBRIANTI 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001028 PERDI SISWANTO 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001029 ROZALI 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001030 ZUMRATUL AINI 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001031 SELVIALITA PERMANDA 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001032 HAWA 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001033 SYAIPUL YAHARONI 30/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001034 HERMANSYAH 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001035 NURJANAH 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001036 REBI LESMANA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001037 SARINA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001038 PUTRI INTAN PERWITA SARI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001039 KHOLIDI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001040 RUKMI ARYANTI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001041 PUJI ROIDA SIRAIT 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001042 TUTI SUHANTI 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001043 RENI APRIANITA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001044 REKA ADISTA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001045 NURJANA 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001046 SAMSIAR 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001047 WELLY HARDIANTO 06/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001048 HERMANSYAH 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001049 NURJANAH 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001050 REBI LESMANA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001051 SARINA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001052 PUTRI INTAN PERWITA SARI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001053 KHOLIDI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001054 RUKMI ARYANTI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001055 PUJI ROIDA SIRAIT 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001056 TUTI SUHANTI 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001057 RENI APRIANITA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001058 REKA ADISTA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001059 NURJANA 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001060 SAMSIAR 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001061 WELLY HARDIANTO 07/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001062 DEVI MAYASARI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001063 DIAH MAYASARI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001064 ETI VUSVITA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001065 DARMADI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001066 SURYA KENCANA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001068 SYAHRUDDIN 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001069 EVA SUHRI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001070 MARLIA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001071 AZIZAH 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001072 MELI ARYANTI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001073 HAIRAH ARYANI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001074 ENI ERIANTI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001075 LISMI HERAWATI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001076 RATIMAH 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001077 AYU DESTRIA NINGRUM 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001078 ROSI YULIANTI 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001079 SISKA IRMANEZA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001080 DEMI PUSPATIKA 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001081 NYIMAS ALIAH 07/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001082 DEVI MAYASARI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001083 DIAH MAYASARI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001084 ETI VUSVITA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001085 DARMADI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001086 SURYA KENCANA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001087 SYAHRUDDIN 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001088 EVA SUHRI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001089 MARLIA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001090 AZIZAH 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001091 MELI ARYANTI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001092 HAIRAH ARYANI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001093 ENI ERIANTI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001094 LISMI HERAWATI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001095 RATIMAH 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001096 ROSI YULIANTI 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001097 AYU DESTRIA NINGRUM 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001098 SISKA IRMANEZA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001099 DEMI PUSPATIKA 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001100 NYIMAS ALIAH 08/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001101 VARYANITA 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001102 ZAINAL AMRON 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001103 FEDRIK AFDIANTO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001104 ROMZI 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001105 MAHYUDIN 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001106 HERMAN K 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001107 FITRIANI HASANAH 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001108 ANTON GOES MARDIANTORO 08/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001109 VARYANITA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001110 ZAINAL AMRON 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001111 FEDRIK AFDIANTO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001112 ROMZI 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001113 MAHYUDIN 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001114 HERMAN K 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001115 FITRIANI HASANAH 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001116 ANTON GOES MARDIANTORO 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001117 MARIO FRANSISCO 23/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

MUHAMMAD RAJAA'
0441L0011123P001119 23/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
KHALILLURRAHMAN

0441L0011123P001120 MULYANA SY 23/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001121 HJ.RUSMIATI 23/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001123 SUPRAN JULIADI 23/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001124 MARIO FRANSISCO 24/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

MUHAMMAD RAJAA'
0441L0011123P001125 24/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
KHALILLURRAHMAN

0441L0011123P001126 MULYANA SY 24/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001127 HJ.RUSMIATI 24/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001128 SUPRAN JULIADI 24/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001129 SUDIRMAN 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001130 KARYANSAH 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001131 NYIMAS AYU YULIANTI 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001132 imelda novela 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001133 ARIES ALEK 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001134 ZAIDAN JAUHARI 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001135 AGUS PRANOTO 24/11/2023 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0011123P001136 SUDIRMAN 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001137 KARYANSAH 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001138 NYIMAS AYU YULIANTI 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001139 imelda novela 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001140 ARIES ALEK 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001141 ZAIDAN JAUHARI 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001142 AGUS PRANOTO 25/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0011123P001143 YUNITA 17/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001144 RIFA'ATUL MAHMUDAH 16/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001145 RENITA UTAMA 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001146 ETTRIKA PUJASARI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001147 TINTIN KUSUMAWATI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001148 RAYA NENGSI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001149 LENI AGUSTIANES 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001150 ISTIKA MAHARANI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001151 LELI ARYENI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001152 RIA OKTAVIANTI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001153 KETUT SUAN DEWI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001154 MAYA SOFIA 15/11/2023 Pelayanan Papsmear Rp. 125.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0011123P001155 ARI KUSRINI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001156 YULIANTI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001157 SULASTRI 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001158 HARMA MEISTY 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001159 MEISUSPITA 15/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001160 MUINAH 21/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001161 SITI JAENAB 21/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001162 LESI AJI DWI PUTRI 21/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001163 HARYANTI 21/11/2023 Pelayanan Papsmear Rp. 125.000

0441L0011123P001164 CIK ISA 09/11/2023 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

Tanggal terima FPK, Tanggal, 14/12/2023


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