DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

TANGGAL TANGGAL JENIS STATUS

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

044506051221P000 31-12-2021 31-12-2021 DANNERIUS ARIFIN

1 0000256861045 L PBI (APBN) Schizophrenia Berobat Jalan
494 00:00 11:20 SINAGA
044506051221P000 31-12-2021 31-12-2021
2 0001240480078 KHOIRUL L - Other rheumatoid arthritis Berobat Jalan
496 00:00 11:22
044506051221P000 31-12-2021 31-12-2021 Influenza, virus not
3 0002148302439 GIJAR BR SITORUS P - Berobat Jalan
495 00:00 11:21 identified
044506051221P000 30-12-2021 30-12-2021 Influenza, virus not
4 0000257397671 RISMAWATI P PBI (APBN) Berobat Jalan
486 00:00 11:57 identified
Other benign neoplasm of
044506051221P000 30-12-2021 30-12-2021
5 0000257430892 RISMA P PBI (APBN) connective and other soft Berobat Jalan
485 00:00 11:55
tissue of abdomen
044506051221P000 30-12-2021 30-12-2021 Influenza, virus not
6 0000257986776 MUAL HUTAGALUNG L PBI (APBN) Berobat Jalan Hipertensi
491 00:00 12:08 identified
044506051221P000 30-12-2021 30-12-2021 Influenza, virus not
7 0000258082626 ISHAK L - Berobat Jalan
489 00:00 12:03 identified
044506051221P000 30-12-2021 30-12-2021 Dengue fever [classical
8 0000258864636 RIRIN TAMBUNAN P - Berobat Jalan
493 00:00 13:46 dengue]
044506051221P000 30-12-2021 30-12-2021 Non-insulin-dependent
9 0001240481979 ASTUTI P - Berobat Jalan
487 00:00 11:59 diabetes mellitus
044506051221P000 30-12-2021 30-12-2021 ASSYIFA ZAHRA SARI Influenza, virus not
10 0002152297258 P PBI (APBD) Berobat Jalan
492 00:00 12:11 SARAGIH identified
044506051221P000 30-12-2021 30-12-2021 AQILLA ZAHRA SARI Influenza, virus not
11 0002152297271 P - Berobat Jalan
488 00:00 12:01 SARGIH identified
044506051221P000 30-12-2021 30-12-2021 FAIRIZAL AGUSTINUS Influenza, virus not
12 0002782468844 L - Berobat Jalan
490 00:00 12:06 SIHOTANG identified
044506051221P000 29-12-2021 30-12-2021 UUM JULI NARITA
13 0000160317753 P PNS DAERAH Allergic contact dermatitis Berobat Jalan
483 00:00 09:50 SITORUS
044506051221P000 29-12-2021 29-12-2021 Influenza, virus not
14 0000170272181 INTAN RAHMAYANI P PNS DAERAH Berobat Jalan
477 00:00 10:58 identified
044506051221P000 29-12-2021 29-12-2021 PEGAWAI Essential (primary)
15 0001089088288 ETRINA MELINDA P Berobat Jalan
476 00:00 10:57 SWASTA hypertension
044506051221P000 29-12-2021 30-12-2021 LODEWIK PARLUHUTAN
16 0001848267898 L - Allergic contact dermatitis Berobat Jalan
484 00:00 09:56 NAINGGOLAN
044506051221P000 29-12-2021 29-12-2021 Essential (primary)
17 0002151542891 SURIANI RITONGA P - Berobat Jalan
475 00:00 10:55 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 29-12-2021 30-12-2021 Influenza, virus not

18 0002782473243 NAYLA SALSABILA P PBI (APBN) Berobat Jalan
482 00:00 09:48 identified
044506051221P000 28-12-2021 28-12-2021
19 0000014895718 ZULKARNAIN BANUAREA L - Pulpitis Berobat Jalan
470 00:00 12:57
044506051221P000 28-12-2021 28-12-2021 Influenza, virus not
20 0000256351757 MUHAMMAD HAFI L PBI (APBN) Berobat Jalan
464 00:00 12:45 identified
044506051221P000 28-12-2021 28-12-2021
21 0000256354198 BADRI L PBI (APBN) Dyspepsia Berobat Jalan Hipertensi
465 00:00 12:47
044506051221P000 28-12-2021 28-12-2021
22 0000257116948 FATMAWATI P PBI (APBN) Acute atopic conjunctivitis Berobat Jalan
460 00:00 12:39
044506051221P000 28-12-2021 28-12-2021
23 0000258081783 SITI AISAH P PBI (APBN) Dyspepsia Berobat Jalan
458 00:00 12:36
044506051221P000 28-12-2021 28-12-2021 Non-insulin-dependent Diabetes
24 0000258103462 ADNAN L PBI (APBN) Berobat Jalan
461 00:00 12:41 diabetes mellitus Mellitus
044506051221P000 28-12-2021 28-12-2021 Pregnancy examination
25 0000258142285 NAFSIAH P - Berobat Jalan
472 00:00 13:28 and test
044506051221P000 28-12-2021 28-12-2021 Influenza, virus not
26 0000258157258 ALAMSYAH NASUTION L - Berobat Jalan
455 00:00 12:20 identified
044506051221P000 28-12-2021 28-12-2021
27 0000258157405 ASLAMIYAH P PBI (APBN) Myalgia Berobat Jalan
456 00:00 12:22
044506051221P000 28-12-2021 28-12-2021
28 0001240479213 RAMLI AM L PBI (APBD) Schizophrenia Berobat Jalan
466 00:00 12:48
044506051221P000 28-12-2021 28-12-2021 PEKERJA
29 0001968802907 MUHAMMAD REZA L Epilepsy Berobat Jalan
451 00:00 10:25 MANDIRI
044506051221P000 28-12-2021 28-12-2021
30 0002146023099 RUMIATI P PBI (APBD) Allergic contact dermatitis Berobat Jalan
469 00:00 12:55
044506051221P000 28-12-2021 29-12-2021 Single spontaneous
31 0002148296567 NUR ANNISSA P - Sembuh
474 00:00 10:25 delivery
044506051221P000 28-12-2021 28-12-2021
32 0002148301293 NURAINUN P PBI (APBD) Acute lymphadenitis Berobat Jalan
454 00:00 12:18
044506051221P000 28-12-2021 28-12-2021
33 0002148302632 ASBAH P PBI (APBD) Dyspepsia Berobat Jalan
468 00:00 12:54
044506051221P000 28-12-2021 28-12-2021 Influenza, virus not
34 0002151542542 ABDUL GOFAR L - Berobat Jalan
459 00:00 12:38 identified
044506051221P000 28-12-2021 28-12-2021 Non-insulin-dependent
35 0002151730642 AISYAH P PBI (APBD) Berobat Jalan
463 00:00 12:44 diabetes mellitus
044506051221P000 28-12-2021 28-12-2021 Rheumatoid arthritis,
36 0002151730653 SOFIAH P - Berobat Jalan
462 00:00 12:42 unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 28-12-2021 28-12-2021

37 0002152297618 SARI ANGGRI SIREGAR P - Myalgia Berobat Jalan
457 00:00 12:25
044506051221P000 28-12-2021 28-12-2021 Rheumatoid arthritis,
38 0002782473941 RUSMI FARIDAH P - Berobat Jalan
471 00:00 13:19 unspecified
044506051221P000 28-12-2021 28-12-2021
39 0002831524593 BASRI L - Dyspepsia Berobat Jalan
467 00:00 12:50
044506051221P000 27-12-2021 27-12-2021 Influenza, virus not
40 0000256945149 HEVI ASRIANI P - Berobat Jalan
416 00:00 12:54 identified
044506051221P000 27-12-2021 27-12-2021 Non-insulin-dependent Diabetes
41 0000257067584 MAYSARAH P - Berobat Jalan
421 00:00 13:11 diabetes mellitus Mellitus
044506051221P000 27-12-2021 27-12-2021 Non-insulin-dependent
42 0000257543752 JONNI NAPITUPULU L - Berobat Jalan
419 00:00 13:06 diabetes mellitus

044506051221P000 27-12-2021 27-12-2021 Sacrococcygeal disorders,

43 0000257611511 AMERUDIN L - Berobat Jalan
426 00:00 13:22 not elsewhere classified

044506051221P000 27-12-2021 28-12-2021 PEGAWAI Thyrotoxicosis,

44 0000257947975 SARIATI SARAGIH P Berobat Jalan
434 00:00 08:57 SWASTA unspecified
044506051221P000 27-12-2021 27-12-2021 Influenza, virus not
45 0000258125894 KHOLIJAH SARAGIH P PBI (APBN) Berobat Jalan
417 00:00 12:56 identified
044506051221P000 27-12-2021 27-12-2021 SITI NURASIAH BR Influenza, virus not
46 0000258209346 P PBI (APBN) Berobat Jalan
410 00:00 12:36 PERANGIN ANGIN identified

044506051221P000 27-12-2021 27-12-2021 Sacrococcygeal disorders,

47 0000258252298 RUSMI P - Berobat Jalan
424 00:00 13:18 not elsewhere classified

044506051221P000 27-12-2021 27-12-2021 Essential (primary)

48 0000258255099 EVI SYAHRIANI P - Berobat Jalan
423 00:00 13:16 hypertension
044506051221P000 27-12-2021 28-12-2021 Non-insulin-dependent
49 0000258558401 SABRI L - Berobat Jalan
432 00:00 08:46 diabetes mellitus
044506051221P000 27-12-2021 27-12-2021 Pregnancy examination
50 0001240461494 CHIKI AMELIA P - Berobat Jalan
415 00:00 12:52 and test
044506051221P000 27-12-2021 27-12-2021
51 0001240478998 SRI WAHYUNI P - Dyspepsia Berobat Jalan
411 00:00 12:38
044506051221P000 27-12-2021 27-12-2021
52 0001240481968 SALIM AY L PBI (APBD) Dyspepsia Berobat Jalan
420 00:00 13:09
044506051221P000 27-12-2021 28-12-2021 Diphyllobothriasis and
53 0002152297956 NIKMATUL HUSNA P - Berobat Jalan
433 00:00 08:56 sparganosis
044506051221P000 27-12-2021 27-12-2021 PEKERJA
54 0002232022893 UMI KALSUM P Epilepsy, unspecified Berobat Jalan
406 00:00 12:09 MANDIRI
044506051221P000 27-12-2021 27-12-2021
55 0002270266323 AISYAH P - Allergic contact dermatitis Berobat Jalan
425 00:00 13:21
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 27-12-2021 27-12-2021 Sacrococcygeal disorders,

56 0002313905771 UMI KALSUM BS P - Berobat Jalan
409 00:00 12:34 not elsewhere classified

044506051221P000 27-12-2021 27-12-2021

57 0002472538252 HERY HIDAYAT L - Schizophrenia Berobat Jalan
418 00:00 13:04
044506051221P000 27-12-2021 27-12-2021 PEKERJA Acute pharyngitis,
58 0002500654239 IBRAHIM BUTAR BUTAR L Berobat Jalan
412 00:00 12:40 MANDIRI unspecified
044506051221P000 27-12-2021 27-12-2021 PEKERJA
59 0002500654386 samsiah sitorus P Arthrosis, unspecified Berobat Jalan
413 00:00 12:48 MANDIRI
044506051221P000 27-12-2021 30-12-2021 Single spontaneous
60 0002628723532 JURAIDAH P - Sembuh
480 00:00 09:05 delivery
044506051221P000 27-12-2021 27-12-2021 Rheumatoid arthritis,
61 0002742848201 PERSI INDRA JAYEN L - Berobat Jalan
427 00:00 13:25 unspecified
044506051221P000 27-12-2021 27-12-2021 Influenza, virus not
62 0002782479611 TUALAM BR SILABAN P - Berobat Jalan
408 00:00 12:32 identified
044506051221P000 27-12-2021 27-12-2021 PEKERJA Influenza, virus not
63 0002899383647 NURHAYATI P Berobat Jalan
422 00:00 13:15 MANDIRI identified
044506051221P000 27-12-2021 27-12-2021 Pregnancy examination
64 0003016130668 SUPRIATIK P PBI (APBN) Berobat Jalan
414 00:00 12:50 and test
044506051221P000 25-12-2021 28-12-2021 Single spontaneous
65 0001197677507 MULIATIK P - Sembuh
449 00:00 09:56 delivery
044506051221P000 24-12-2021 24-12-2021 Non-insulin-dependent
66 0000014576499 RATNA DEWI SINAGA P PNS DAERAH Berobat Jalan
314 00:00 12:16 diabetes mellitus
044506051221P000 24-12-2021 24-12-2021
67 0000256378116 YUSRI AFRIZA L PBI (APBN) Schizophrenia Berobat Jalan
317 00:00 12:24
044506051221P000 24-12-2021 24-12-2021
68 0000256388095 ELISA P - Dyspepsia Berobat Jalan
315 00:00 12:18
044506051221P000 24-12-2021 24-12-2021
69 0000257968901 CHRISTIAN HASUGIAN L - Allergic contact dermatitis Berobat Jalan
319 00:00 12:30
044506051221P000 24-12-2021 24-12-2021
70 0000257970126 NATALINDO HASUGIAN L PBI (APBN) Pulpitis Berobat Jalan
320 00:00 12:32
044506051221P000 24-12-2021 24-12-2021
71 0000258041103 KHOIRUL ABDILLAH L PBI (APBN) Dyspepsia Berobat Jalan
316 00:00 12:22
044506051221P000 24-12-2021 24-12-2021 Influenza, virus not
72 0000258086542 RAHMAD HIDAYAT L - Berobat Jalan
325 00:00 12:41 identified
044506051221P000 24-12-2021 24-12-2021 Influenza, virus not
73 0000258092324 MASNI P PBI (APBN) Berobat Jalan
328 00:00 12:45 identified
044506051221P000 24-12-2021 24-12-2021
74 0000258277364 NORMAWATI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
324 00:00 12:39
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

Diabetes
044506051221P000 24-12-2021 24-12-2021 PEKERJA
75 0001865759038 SUPIAH P Heart failure, unspecified Berobat Jalan Mellitus
312 00:00 09:49 MANDIRI
Hipertensi
044506051221P000 24-12-2021 24-12-2021
76 0002152297721 SRI FAZRAINI P - Dyspepsia Berobat Jalan
326 00:00 12:42
044506051221P000 24-12-2021 24-12-2021
77 0002526844599 ZAINAB P PBI (APBN) Dyspepsia Berobat Jalan
323 00:00 12:38
044506051221P000 24-12-2021 24-12-2021 Dengue fever [classical
78 0002608712763 MISRIONO L PBI (APBN) Berobat Jalan
321 00:00 12:34 dengue]
044506051221P000 24-12-2021 24-12-2021 Influenza, virus not
79 0002628723532 JURAIDAH P - Berobat Jalan
322 00:00 12:36 identified
044506051221P000 24-12-2021 24-12-2021
80 0002782455388 NASMAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
327 00:00 12:44
044506051221P000 24-12-2021 24-12-2021
81 0002782458573 LINDA WATI BR DAMANIK P PBI (APBN) Dyspepsia Berobat Jalan
313 00:00 12:15
044506051221P000 24-12-2021 24-12-2021 Influenza, virus not
82 0002782473377 TEMUJA P PBI (APBN) Berobat Jalan
318 00:00 12:28 identified
044506051221P000 23-12-2021 24-12-2021 Essential (primary)
83 0000011642073 BONOR SIRAIT L - Berobat Jalan
344 00:00 13:19 hypertension
044506051221P000 23-12-2021 24-12-2021
84 0000014538429 YUNI SRIMAHDANI P PNS DAERAH Allergic contact dermatitis Berobat Jalan
332 00:00 12:55
044506051221P000 23-12-2021 24-12-2021 Influenza, virus not
85 0000014860001 MIAN MANURUNG P - Berobat Jalan
353 00:00 13:39 identified
044506051221P000 23-12-2021 24-12-2021 PENERIMA
86 0000014883052 NURHAYATI L TOBING P Dyspepsia Berobat Jalan
339 00:00 13:10 PENSIUN PNS
044506051221P000 23-12-2021 24-12-2021 Non-insulin-dependent
87 0000015085912 SULAIMAN L PNS DAERAH Berobat Jalan
352 00:00 13:37 diabetes mellitus
044506051221P000 23-12-2021 24-12-2021 ANGGI PARANITA PEGAWAI
88 0000256776063 P Dyspepsia Berobat Jalan
337 00:00 13:06 SIPAHUTAR SWASTA
044506051221P000 23-12-2021 24-12-2021
89 0000257027578 PUPUT RIANTI P PBI (APBN) Dyspepsia Berobat Jalan
340 00:00 13:11
044506051221P000 23-12-2021 24-12-2021
90 0000257537935 PURNAMA TOBING P PBI (APBN) Allergic contact dermatitis Berobat Jalan
347 00:00 13:26
044506051221P000 23-12-2021 24-12-2021
91 0000257617574 ERNA P PBI (APBN) Allergic contact dermatitis Berobat Jalan
342 00:00 13:15
044506051221P000 23-12-2021 24-12-2021
92 0000258069159 MAHMUDDIN L PBI (APBN) Schizophrenia Berobat Jalan
349 00:00 13:30
044506051221P000 23-12-2021 24-12-2021 Non-insulin-dependent Diabetes
93 0000258103462 ADNAN L PBI (APBN) Berobat Jalan
333 00:00 12:57 diabetes mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 23-12-2021 24-12-2021

94 0000258183459 SITI ROHIMAH P PBI (APBN) Dyspepsia Berobat Jalan
334 00:00 12:59
044506051221P000 23-12-2021 24-12-2021 Influenza, virus not
95 0000258235683 HAMDAN L - Berobat Jalan
335 00:00 13:01 identified
044506051221P000 23-12-2021 24-12-2021
96 0000258861701 NURBAYA SILABAN P - Allergic contact dermatitis Berobat Jalan
329 00:00 12:49
044506051221P000 23-12-2021 24-12-2021 MUNAWIR SAZLAN Rheumatoid arthritis,
97 0000258925634 L - Berobat Jalan
331 00:00 12:54 MUHAMMAR unspecified
044506051221P000 23-12-2021 24-12-2021 SONIA SEBRINA BR.
98 0001888937392 P - Allergic contact dermatitis Berobat Jalan
345 00:00 13:22 SITORUS
044506051221P000 23-12-2021 24-12-2021 MUHAMMAD DAFFA
99 0002068838976 L - Allergic contact dermatitis Berobat Jalan
350 00:00 13:33 HAFIZ
044506051221P000 23-12-2021 24-12-2021 PEKERJA Non-insulin-dependent
100 0002091367664 ALFREDO SIMANJUNTAK L Berobat Jalan
346 00:00 13:25 MANDIRI diabetes mellitus
044506051221P000 23-12-2021 24-12-2021 Influenza, virus not
101 0002148301124 BUDI MARPAUNG L PBI (APBD) Berobat Jalan
343 00:00 13:17 identified
044506051221P000 23-12-2021 24-12-2021 ARIS NAHALLUDDIN
102 0002148303453 L - Allergic contact dermatitis Berobat Jalan
341 00:00 13:14 SINAGA
044506051221P000 23-12-2021 24-12-2021 Influenza, virus not
103 0002152301512 MHD.YUSUP L - Berobat Jalan
338 00:00 13:08 identified
044506051221P000 23-12-2021 24-12-2021
104 0002152302322 MARIANI P - Dyspepsia Berobat Jalan
351 00:00 13:35
044506051221P000 23-12-2021 24-12-2021 PEKERJA
105 0002324853461 NURAINI P Dyspepsia Berobat Jalan
348 00:00 13:29 MANDIRI
044506051221P000 23-12-2021 24-12-2021
106 0002710324833 ENDANG PRATIWI P - Dyspepsia Berobat Jalan
354 00:00 13:40
044506051221P000 23-12-2021 24-12-2021
107 0002782456964 HELVI YUSNANI P PBI (APBN) Dyspepsia Berobat Jalan
336 00:00 13:04
044506051221P000 23-12-2021 24-12-2021 PEKERJA Influenza, virus not
108 0002915379707 KUSNEN L Berobat Jalan
330 00:00 12:50 MANDIRI identified
044506051221P000 22-12-2021 22-12-2021 PENERIMA Essential (primary)
109 0000014882995 SUDARMAJI L Berobat Jalan Hipertensi
287 00:00 12:24 PENSIUN PNS hypertension
044506051221P000 22-12-2021 22-12-2021
110 0000225598994 ISMAIL M L PBI (APBD) Gastritis, unspecified Berobat Jalan
301 00:00 13:50
044506051221P000 22-12-2021 22-12-2021 Essential (primary)
111 0000247303462 NAPSIAH P PBI (APBN) Berobat Jalan
293 00:00 13:35 hypertension
044506051221P000 22-12-2021 23-12-2021 Influenza, virus not
112 0000256286531 ANDI IRAWAN L - Berobat Jalan
306 00:00 08:25 identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 22-12-2021 22-12-2021

113 0000257421655 TARMIZI L - Gastritis, unspecified Berobat Jalan
284 00:00 12:15
044506051221P000 22-12-2021 23-12-2021 Influenza, virus not
114 0000257486758 MISRIANI P PBI (APBN) Berobat Jalan
307 00:00 08:38 identified
044506051221P000 22-12-2021 23-12-2021 JONSON REPALDO
115 0000257562617 L - Allergic contact dermatitis Berobat Jalan
308 00:00 08:40 TAMBUNAN
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
116 0000257779012 RINI ASTUTI P PBI (APBN) Berobat Jalan
304 00:00 13:55 identified
044506051221P000 22-12-2021 22-12-2021
117 0000257818858 NURAISYAH P - Allergic contact dermatitis Berobat Jalan
298 00:00 13:46
044506051221P000 22-12-2021 22-12-2021
118 0000257880036 HAMNAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
283 00:00 12:13
044506051221P000 22-12-2021 22-12-2021 Non-insulin-dependent
119 0000257994189 JAPAR SIDDIK RITONGA L PBI (APBD) Berobat Jalan Hipertensi
292 00:00 13:33 diabetes mellitus
044506051221P000 22-12-2021 22-12-2021
120 0000258045186 HENI RUSPITA P PBI (APBN) Gastritis, unspecified Berobat Jalan
294 00:00 13:38
044506051221P000 22-12-2021 22-12-2021
121 0000258193135 CHAIDIR ILYAS L PBI (APBN) Gastritis, unspecified Berobat Jalan
303 00:00 13:54
044506051221P000 22-12-2021 23-12-2021
122 0001491214566 DIAH BUDI ASTUTI P - Gastritis, unspecified Berobat Jalan
310 00:00 08:44
044506051221P000 22-12-2021 22-12-2021 Pure
123 0001897059947 roslina P - Berobat Jalan
296 00:00 13:43 hypercholesterolaemia
044506051221P000 22-12-2021 22-12-2021 PEKERJA Influenza, virus not
124 0001968790487 HAIKAL PRAMUDA L Berobat Jalan
302 00:00 13:52 MANDIRI identified
044506051221P000 22-12-2021 22-12-2021
125 0002148302439 GIJAR BR SITORUS P - Allergic contact dermatitis Berobat Jalan
299 00:00 13:47
044506051221P000 22-12-2021 22-12-2021
126 0002151421716 DERMINA SIREGAR P - Myopia Berobat Jalan
281 00:00 09:39
044506051221P000 22-12-2021 22-12-2021 MHD. HAIKAL Influenza, virus not
127 0002152296775 L - Berobat Jalan
289 00:00 12:32 DARWINSYAH identified
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
128 0002152296786 MASYITOH P PBI (APBD) Berobat Jalan
291 00:00 12:39 identified
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
129 0002194917513 HENDRA ZEGA L - Berobat Jalan
288 00:00 12:28 identified
044506051221P000 22-12-2021 22-12-2021 PEKERJA
130 0002232022893 UMI KALSUM P Epilepsy Berobat Jalan
282 00:00 12:10 MANDIRI
044506051221P000 22-12-2021 23-12-2021 PEKERJA
131 0002471715189 NOVA ADE SILVIA P Gastritis, unspecified Berobat Jalan
305 00:00 08:23 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 22-12-2021 22-12-2021 Influenza, virus not

132 0002608972964 JURAIDAH P - Berobat Jalan
290 00:00 12:36 identified
044506051221P000 22-12-2021 29-12-2021 Single spontaneous
133 0002782458347 WALIAH P - Sembuh
478 00:00 12:10 delivery
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
134 0002851162413 RIYANDA SYAHPUTRA L PBI (APBN) Berobat Jalan
300 00:00 13:49 identified
044506051221P000 22-12-2021 22-12-2021 MUHAMMAD FADIL Influenza, virus not
135 0002851169668 L PBI (APBN) Berobat Jalan
295 00:00 13:40 KHOLIS identified
044506051221P000 22-12-2021 22-12-2021 Essential (primary)
136 0002894097341 RUSMINI P PBI (APBD) Berobat Jalan
285 00:00 12:18 hypertension
044506051221P000 22-12-2021 23-12-2021 Influenza, virus not
137 0002894124767 RISHAMDANI L - Berobat Jalan
311 00:00 08:46 identified
044506051221P000 22-12-2021 23-12-2021 MUHAMMAD HANIF Influenza, virus not
138 0002902468893 L PNS DAERAH Berobat Jalan
309 00:00 08:43 HADZIQ AVANDI identified
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
139 0002909140211 SITI ROHANA P - Berobat Jalan
297 00:00 13:44 identified
044506051221P000 22-12-2021 22-12-2021 Influenza, virus not
140 0002909140222 NUR AZZAHRA P PBI (APBD) Berobat Jalan
286 00:00 12:21 identified
044506051221P000 21-12-2021 28-12-2021
141 0000014910153 DARWIN L - Allergic contact dermatitis Berobat Jalan
439 00:00 09:11
044506051221P000 21-12-2021 28-12-2021
142 0000156935463 AISYAH P PNS DAERAH Dyspepsia Berobat Jalan
441 00:00 09:15
044506051221P000 21-12-2021 21-12-2021
143 0000193622995 RAZITA SYAZWANI P - Myopia Berobat Jalan
277 00:00 10:27
044506051221P000 21-12-2021 27-12-2021
144 0000257385712 SAODAH P PBI (APBN) Schizophrenia Berobat Jalan
429 00:00 18:49
044506051221P000 21-12-2021 28-12-2021
145 0000257448396 SUYANTI P - Dyspepsia Berobat Jalan
447 00:00 09:28
Diabetes
044506051221P000 21-12-2021 21-12-2021 Intracerebral
146 0000257508718 RUSPITA BR TORUS P - Rujuk Vertikal Mellitus
278 00:00 11:07 haemorrhage, unspecified
Hipertensi
044506051221P000 21-12-2021 27-12-2021
147 0000257708114 SITI AISYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
404 00:00 11:59
Diabetes
044506051221P000 21-12-2021 28-12-2021 Non-insulin-dependent
148 0000258081579 ABD RONI L PBI (APBN) Berobat Jalan Mellitus
438 00:00 09:10 diabetes mellitus
Hipertensi
044506051221P000 21-12-2021 28-12-2021 Influenza, virus not
149 0000258086542 RAHMAD HIDAYAT L - Berobat Jalan
435 00:00 09:06 identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

Acute nephritic syndrome,

044506051221P000 21-12-2021 21-12-2021
150 0000258108581 SARAH P PBI (APBN) diffuse membranous Rujuk Vertikal
276 00:00 10:11
glomerulonephritis

044506051221P000 21-12-2021 27-12-2021

151 0000258110054 HARLAN PRIYO UTOMO L PBI (APBN) Dyspepsia Berobat Jalan
407 00:00 12:16
044506051221P000 21-12-2021 28-12-2021
152 0000258586942 MIDAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
445 00:00 09:24
044506051221P000 21-12-2021 28-12-2021
153 0000976967335 MUHAMMAD AZHAR L PNS DAERAH Allergic contact dermatitis Berobat Jalan
440 00:00 09:13
044506051221P000 21-12-2021 28-12-2021 PEKERJA Influenza, virus not
154 0001893238378 CACA ANANDA FUTRI P Berobat Jalan
443 00:00 09:19 MANDIRI identified
Lumbar and other
044506051221P000 21-12-2021 21-12-2021 PEKERJA intervertebral disc
155 0002091459205 ROSMALENA P Rujuk Vertikal
279 00:00 11:38 MANDIRI disorders with
radiculopathy
044506051221P000 21-12-2021 27-12-2021
156 0002118793296 LELI FARIDA YANTI P - Migraine, unspecified Berobat Jalan
405 00:00 12:01
044506051221P000 21-12-2021 28-12-2021 Influenza, virus not
157 0002126703576 MUHAMMAD HANAFI L PBI (APBN) Berobat Jalan
444 00:00 09:21 identified
044506051221P000 21-12-2021 27-12-2021 HETI HERAWATI P.
158 0002148299831 P PBI (APBD) Dyspepsia Berobat Jalan
403 00:00 11:58 SINAGA
044506051221P000 21-12-2021 21-12-2021
159 0002151421716 DERMINA SIREGAR P - Senile incipient cataract Berobat Jalan
280 00:00 13:47
044506051221P000 21-12-2021 28-12-2021
160 0002151729977 LATIFAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
446 00:00 09:26
044506051221P000 21-12-2021 27-12-2021 Influenza, virus not
161 0002270379622 SITI NUR SYAFIRA P - Berobat Jalan
431 00:00 18:52 identified
044506051221P000 21-12-2021 28-12-2021 PEGAWAI
162 0002318205306 MUHAMMAD AFIF L Allergic contact dermatitis Berobat Jalan
442 00:00 09:16 SWASTA
044506051221P000 21-12-2021 27-12-2021 Non-insulin-dependent
163 0002429964764 TUMINEM P - Berobat Jalan
430 00:00 18:50 diabetes mellitus
044506051221P000 21-12-2021 28-12-2021 Influenza, virus not
164 0002440168582 ADZKIA NADIA P PBI (APBN) Berobat Jalan
437 00:00 09:08 identified
044506051221P000 21-12-2021 28-12-2021 Influenza, virus not
165 0002608248587 ANGGI PRATAMA L PBI (APBN) Berobat Jalan
448 00:00 09:30 identified
044506051221P000 21-12-2021 27-12-2021 MUHAMMAD IRFAN Influenza, virus not
166 0002782469632 L PBI (APBN) Berobat Jalan
428 00:00 18:47 SITORUS identified
044506051221P000 21-12-2021 28-12-2021
167 0002868635979 NURLELA P - Dyspepsia Berobat Jalan
436 00:00 09:07
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 20-12-2021 27-12-2021 Non-insulin-dependent

168 0000015085912 SULAIMAN L PNS DAERAH Berobat Jalan
396 00:00 11:42 diabetes mellitus
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
169 0000193622995 RAZITA SYAZWANI P - Berobat Jalan
386 00:00 10:39 identified
044506051221P000 20-12-2021 27-12-2021
170 0000225598994 ISMAIL M L PBI (APBD) Dyspepsia Berobat Jalan
398 00:00 11:47
044506051221P000 20-12-2021 27-12-2021 Essential (primary)
171 0000247303462 NAPSIAH P PBI (APBN) Berobat Jalan
377 00:00 09:29 hypertension
044506051221P000 20-12-2021 27-12-2021 Fever of other and
172 0000256362232 NURMALA SARI P - Berobat Jalan
388 00:00 10:44 unknown origin
044506051221P000 20-12-2021 27-12-2021 DANNERIUS ARIFIN
173 0000256861045 L PBI (APBN) Schizophrenia Berobat Jalan
378 00:00 09:30 SINAGA
044506051221P000 20-12-2021 27-12-2021
174 0000256969574 NGADEMI P PBI (APBN) Dyspepsia Berobat Jalan
374 00:00 09:23
044506051221P000 20-12-2021 27-12-2021
175 0000257026599 ZARIASIH P PBI (APBN) Dyspepsia Berobat Jalan
401 00:00 11:51
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
176 0000257035419 SUMARNI P PBI (APBN) Berobat Jalan
390 00:00 10:49 identified
044506051221P000 20-12-2021 27-12-2021
177 0000257039469 ERNAWATI P PBI (APBN) Dyspepsia Berobat Jalan
371 00:00 09:20
044506051221P000 20-12-2021 28-12-2021 Single spontaneous
178 0000257047637 ENDANG SRI LESTARI P PBI (APBN) Sembuh
453 00:00 11:25 delivery
044506051221P000 20-12-2021 27-12-2021 PEGAWAI
179 0000257476296 NURHAIJAH SIMBOLON P Allergic contact dermatitis Berobat Jalan
364 00:00 09:01 SWASTA
044506051221P000 20-12-2021 27-12-2021
180 0000257715628 SUPARTIK P PBI (APBN) Gastritis, unspecified Berobat Jalan
363 00:00 08:59
044506051221P000 20-12-2021 27-12-2021
181 0000257838952 SITI NURHALIZA P PBI (APBN) Allergic contact dermatitis Berobat Jalan
387 00:00 10:41
044506051221P000 20-12-2021 27-12-2021
182 0000257975965 NURHAYATI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
372 00:00 09:21
044506051221P000 20-12-2021 27-12-2021 ESTER APRILI YANTI Influenza, virus not
183 0000257978957 P PBI (APBN) Berobat Jalan
376 00:00 09:28 SILABAN identified
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
184 0000257979115 MOSES GABE SILABAN L PBI (APBN) Berobat Jalan
375 00:00 09:25 identified
044506051221P000 20-12-2021 27-12-2021
185 0000258007792 AIDAH P PBI (APBN) Dyspepsia Berobat Jalan
370 00:00 09:17
044506051221P000 20-12-2021 20-12-2021
186 0000258069159 MAHMUDDIN L PBI (APBN) Schizophrenia Berobat Jalan
273 00:00 13:14
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 20-12-2021 27-12-2021

187 0000258072816 WAHYUDI PRADANA L - Allergic contact dermatitis Berobat Jalan
389 00:00 10:47
044506051221P000 20-12-2021 27-12-2021 Non-insulin-dependent Diabetes
188 0000258103462 ADNAN L PBI (APBN) Berobat Jalan
360 00:00 08:50 diabetes mellitus Mellitus
044506051221P000 20-12-2021 27-12-2021 Essential (primary)
189 0000258606415 AHMAD L PBI (APBN) Berobat Jalan
358 00:00 08:44 hypertension
044506051221P000 20-12-2021 27-12-2021
190 0000258857763 TIURMIN BR. SILALAHI P - Gastritis, unspecified Berobat Jalan
367 00:00 09:08
044506051221P000 20-12-2021 27-12-2021
191 0000258864636 RIRIN TAMBUNAN P - Migraine, unspecified Berobat Jalan
368 00:00 09:10
044506051221P000 20-12-2021 27-12-2021
192 0000984926619 MASYITAH P PBI (APBN) Dyspepsia Berobat Jalan
397 00:00 11:45
044506051221P000 20-12-2021 27-12-2021
193 0000984928195 MAIYAH P PBI (APBN) Dyspepsia Berobat Jalan
379 00:00 09:31
044506051221P000 20-12-2021 20-12-2021 PEGAWAI
194 0001176558063 DESTY AULIA P Acute appendicitis Rujuk Vertikal
271 00:00 10:45 SWASTA
044506051221P000 20-12-2021 27-12-2021
195 0001240480271 KHAIRUL SYAHBANI L PBI (APBD) Congestive heart failure Berobat Jalan
399 00:00 11:48
044506051221P000 20-12-2021 27-12-2021
196 0001317091779 MONIKA SIMANGUNSONG P - Allergic contact dermatitis Berobat Jalan
393 00:00 11:39
044506051221P000 20-12-2021 27-12-2021 LAMBOK PANGIHUTAN
197 0001488931784 L - Allergic contact dermatitis Berobat Jalan
366 00:00 09:06 SIAGIAN
044506051221P000 20-12-2021 27-12-2021 PEKERJA
198 0001968373528 MANAOR SINAGA L Gastritis, unspecified Berobat Jalan Hipertensi
359 00:00 08:46 MANDIRI
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
199 0002075101648 mhd. rizki L - Berobat Jalan
400 00:00 11:49 identified
044506051221P000 20-12-2021 20-12-2021 Influenza, virus not
200 0002148302439 GIJAR BR SITORUS P - Berobat Jalan
272 00:00 13:11 identified
044506051221P000 20-12-2021 27-12-2021
201 0002148303429 SRI WAHYUNI P PBI (APBN) Dyspepsia Berobat Jalan
394 00:00 11:40
044506051221P000 20-12-2021 27-12-2021
202 0002148307468 RUDI ANDIKA L - Allergic contact dermatitis Berobat Jalan
369 00:00 09:15
044506051221P000 20-12-2021 27-12-2021
203 0002148308515 NURLELA P - Allergic contact dermatitis Berobat Jalan
381 00:00 09:37
044506051221P000 20-12-2021 27-12-2021
204 0002151541991 HENDRI SYAHLAN L - Dyspepsia Berobat Jalan
355 00:00 08:40
044506051221P000 20-12-2021 27-12-2021
205 0002152297719 RAHMADSYAH L PBI (APBD) Epilepsy, unspecified Berobat Jalan
391 00:00 10:51
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 20-12-2021 27-12-2021

206 0002152297833 MUHAMMAD YUSUF L PBI (APBN) Allergic contact dermatitis Berobat Jalan
362 00:00 08:57
044506051221P000 20-12-2021 27-12-2021
207 0002152303119 JUNAIDI L - Dyspepsia Berobat Jalan
361 00:00 08:55
044506051221P000 20-12-2021 20-12-2021
208 0002152652229 PRIMEN SITOHANG L - Dyspepsia Berobat Jalan
274 00:00 13:16
044506051221P000 20-12-2021 27-12-2021 ANGELITA CARLISA PEKERJA Influenza, virus not
209 0002255516875 P Berobat Jalan
365 00:00 09:03 SIHOTANG MANDIRI identified
044506051221P000 20-12-2021 27-12-2021
210 0002270266323 AISYAH P - Allergic contact dermatitis Berobat Jalan
383 00:00 09:53
044506051221P000 20-12-2021 20-12-2021 PEKERJA
211 0002294982213 ERNAWATI P Dyspepsia Berobat Jalan
275 00:00 13:18 MANDIRI
044506051221P000 20-12-2021 27-12-2021
212 0002381873758 ROBIATUN P - Dyspepsia Berobat Jalan
402 00:00 11:52
044506051221P000 20-12-2021 27-12-2021
213 0002627054357 SUTIFAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
356 00:00 08:41
044506051221P000 20-12-2021 27-12-2021
214 0002710325406 NURGAYA P PBI (APBN) Dyspepsia Berobat Jalan
357 00:00 08:42
044506051221P000 20-12-2021 27-12-2021 RIZKY RAMA AL FAJRI
215 0002782461429 L PBI (APBN) Pulpitis Berobat Jalan
384 00:00 09:59 SIMATUPANG
SYARIFATUL
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
216 0002782461431 MUNAWAROH P PBI (APBN) Berobat Jalan
385 00:00 10:04 identified
SIMATUPANG
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
217 0002782497036 MUHAMMAD EKO L PBI (APBN) Berobat Jalan
382 00:00 09:52 identified
044506051221P000 20-12-2021 27-12-2021 Influenza, virus not
218 0002851162413 RIYANDA SYAHPUTRA L PBI (APBN) Berobat Jalan
395 00:00 11:41 identified
044506051221P000 20-12-2021 27-12-2021 PEKERJA
219 0002899383647 NURHAYATI P Allergic contact dermatitis Berobat Jalan
392 00:00 11:32 MANDIRI
Respiratory tuberculosis,
044506051221P000 20-12-2021 27-12-2021
220 0002903170329 MUHAMMAD FAUZAN L - bacteriologically and Berobat Jalan
373 00:00 09:22
histologically confirmed
044506051221P000 20-12-2021 27-12-2021
221 0002909753425 RAMLAH P - Schizophrenia Berobat Jalan
380 00:00 09:32
044506051221P000 17-12-2021 17-12-2021 Thyrotoxicosis,
222 0000234470698 KRISTINA SIHOMBING P - Rujuk Vertikal
261 00:00 09:50 unspecified
044506051221P000 17-12-2021 17-12-2021
223 0000256354198 BADRI L PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi
265 00:00 10:50
044506051221P000 17-12-2021 17-12-2021 Non-insulin-dependent Diabetes
224 0000258103462 ADNAN L PBI (APBN) Berobat Jalan
269 00:00 11:37 diabetes mellitus Mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 17-12-2021 17-12-2021

225 0000258119087 MHD. YUSUF L - Schizophrenia, unspecified Berobat Jalan
266 00:00 10:59
044506051221P000 17-12-2021 17-12-2021 PEKERJA
226 0001968373528 MANAOR SINAGA L Gastritis, unspecified Berobat Jalan Hipertensi
267 00:00 11:32 MANDIRI
Tuberculosis of lung,
044506051221P000 17-12-2021 17-12-2021 confirmed by sputum
227 0002151732903 MHD.FAUZI HUSAIRI L - Berobat Jalan
270 00:00 11:41 microscopy with or without
culture
044506051221P000 17-12-2021 17-12-2021
228 0002424102759 HANJA JUPLIANDA L - Schizophrenia, unspecified Berobat Jalan
264 00:00 10:32
044506051221P000 17-12-2021 17-12-2021 PEKERJA Influenza, virus not
229 0002457205637 ANDREY SINAGA L Berobat Jalan
268 00:00 11:35 MANDIRI identified
044506051221P000 16-12-2021 17-12-2021
230 0000014868156 FRISIAN PANGARIBUAN P - Gastritis, unspecified Berobat Jalan
262 00:00 09:56
044506051221P000 16-12-2021 17-12-2021 Essential (primary)
231 0000014868911 JULIAN BERIVIN SARAGIH L PNS DAERAH Berobat Jalan
251 00:00 09:18 hypertension
044506051221P000 16-12-2021 17-12-2021 Diabetes
232 0000014869945 RASMAR OPPU SUNGGU P PNS DAERAH Allergic contact dermatitis Berobat Jalan
240 00:00 08:54 Mellitus
044506051221P000 16-12-2021 17-12-2021
233 0000256354198 BADRI L PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi
263 00:00 09:59
044506051221P000 16-12-2021 17-12-2021
234 0000257299841 MARDIANA P - Dyspepsia Berobat Jalan
252 00:00 09:20
044506051221P000 16-12-2021 17-12-2021
235 0000257471908 HAMAMI L PBI (APBN) Migraine, unspecified Berobat Jalan
253 00:00 09:22
044506051221P000 16-12-2021 17-12-2021 Influenza, virus not
236 0000257543752 JONNI NAPITUPULU L - Berobat Jalan
258 00:00 09:36 identified
044506051221P000 16-12-2021 17-12-2021 MASTIUR BR.
237 0000257703862 P - Migraine, unspecified Berobat Jalan
255 00:00 09:25 SIMANJUNTAK
044506051221P000 16-12-2021 17-12-2021
238 0000258184697 RIAN SYAHPUTRA L - Schizophrenia Berobat Jalan
247 00:00 09:10
044506051221P000 16-12-2021 17-12-2021
239 0000258213914 MASTINA SIHOMBING P PBI (APBN) Dyspepsia Berobat Jalan
241 00:00 08:57
044506051221P000 16-12-2021 17-12-2021
240 0000258253661 SAHARI ROMADHAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan
256 00:00 09:30
044506051221P000 16-12-2021 17-12-2021 Essential (primary)
241 0000258892097 SAMIem P PBI (APBN) Berobat Jalan
239 00:00 08:52 hypertension
044506051221P000 16-12-2021 28-12-2021 Single spontaneous
242 0000258902662 SUSILIAN P - Sembuh
450 00:00 10:19 delivery
044506051221P000 16-12-2021 17-12-2021
243 0001231951015 KASIANI P - Allergic contact dermatitis Berobat Jalan
249 00:00 09:14
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 16-12-2021 17-12-2021

244 0001303305478 NURASIAH.M P - Migraine, unspecified Berobat Jalan
250 00:00 09:16
044506051221P000 16-12-2021 17-12-2021 Influenza, virus not
245 0002034985792 SURIATIK P - Berobat Jalan
242 00:00 08:59 identified
044506051221P000 16-12-2021 17-12-2021
246 0002059737039 KASDI L PBI (APBN) Dyspepsia Berobat Jalan
254 00:00 09:23
044506051221P000 16-12-2021 17-12-2021 Influenza, virus not
247 0002125875183 FEBRI L PBI (APBN) Berobat Jalan
260 00:00 09:40 identified
044506051221P000 16-12-2021 16-12-2021 Blighted ovum and
248 0002148301686 priska egr siahaan P - Rujuk Vertikal
237 00:00 10:08 nonhydatidiform mole
044506051221P000 16-12-2021 17-12-2021 Influenza, virus not
249 0002148302057 NURINEM P - Berobat Jalan
244 00:00 09:04 identified
044506051221P000 16-12-2021 17-12-2021 AZARA SALSABILAH
250 0002148302079 P PBI (APBN) Allergic contact dermatitis Berobat Jalan
245 00:00 09:06 MANURUBG
044506051221P000 16-12-2021 17-12-2021 MUHAMMAD ABHIZAR Influenza, virus not
251 0002285779443 L - Berobat Jalan
238 00:00 08:48 NASUTION identified
044506051221P000 16-12-2021 17-12-2021 PEKERJA
252 0002290588042 AULIA FITRI P Allergic contact dermatitis Berobat Jalan
259 00:00 09:36 MANDIRI
044506051221P000 16-12-2021 17-12-2021 RIZKY RAMA AL FAJRI
253 0002782461429 L PBI (APBN) Pulpitis Berobat Jalan
246 00:00 09:08 SIMATUPANG
044506051221P000 16-12-2021 17-12-2021
254 0002831522848 MAISURI P PBI (APBN) Dyspepsia Berobat Jalan
248 00:00 09:12
044506051221P000 16-12-2021 17-12-2021
255 0002887637657 YUSNI WATI P - Dyspepsia Berobat Jalan
243 00:00 09:02
044506051221P000 16-12-2021 17-12-2021 PEKERJA Influenza, virus not
256 0002915379707 KUSNEN L Berobat Jalan
257 00:00 09:32 MANDIRI identified
044506051221P000 15-12-2021 15-12-2021 Non-insulin-dependent Diabetes
257 0000014576591 SYANIAH P - Berobat Jalan
232 00:00 12:57 diabetes mellitus Mellitus
044506051221P000 15-12-2021 15-12-2021 Non-insulin-dependent Diabetes
258 0000014835339 AJIN SIMANJUNTAK L PNS DAERAH Berobat Jalan
235 00:00 13:06 diabetes mellitus Mellitus

044506051221P000 15-12-2021 15-12-2021 Sacrococcygeal disorders,

259 0000201772168 YUSNITA P PNS DAERAH Berobat Jalan
223 00:00 12:18 not elsewhere classified

044506051221P000 15-12-2021 15-12-2021

260 0000234470406 MERIATI TUMORANG P PBI (APBN) Acute atopic conjunctivitis Berobat Jalan
200 00:00 11:26
044506051221P000 15-12-2021 15-12-2021 Thyrotoxicosis,
261 0000234470698 KRISTINA SIHOMBING P - Berobat Jalan
199 00:00 11:24 unspecified
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
262 0000256860167 PESTINA SIHOMBING P PBI (APBN) Berobat Jalan Hipertensi
212 00:00 11:50 identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 15-12-2021 15-12-2021 DANNERIUS ARIFIN

263 0000256861045 L PBI (APBN) Schizophrenia Berobat Jalan
207 00:00 11:41 SINAGA
Tuberculosis of lung,
044506051221P000 15-12-2021 15-12-2021 confirmed by sputum
264 0000257000499 RAHMAT SINAGA L PBI (APBN) Berobat Jalan
211 00:00 11:48 microscopy with or without
culture
044506051221P000 15-12-2021 15-12-2021
265 0000257039469 ERNAWATI P PBI (APBN) Migraine, unspecified Berobat Jalan
224 00:00 12:20
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
266 0000257818858 NURAISYAH P - Berobat Jalan
220 00:00 12:11 identified
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
267 0000257979115 MOSES GABE SILABAN L PBI (APBN) Berobat Jalan
205 00:00 11:38 identified
044506051221P000 15-12-2021 15-12-2021
268 0000258041103 KHOIRUL ABDILLAH L PBI (APBN) Dyspepsia Berobat Jalan
209 00:00 11:44
044506051221P000 15-12-2021 15-12-2021
269 0000258488436 SITI SAHARA P - Allergic contact dermatitis Berobat Jalan
229 00:00 12:53
Tuberculosis of lung,
044506051221P000 15-12-2021 15-12-2021 confirmed by sputum
270 0000984926643 ANGGI PRATIWI P PBI (APBN) Berobat Jalan
213 00:00 11:51 microscopy with or without
culture
044506051221P000 15-12-2021 15-12-2021
271 0000984928408 RUSMIATI P PBI (APBN) Dyspepsia Berobat Jalan Hipertensi Hipertensi
202 00:00 11:29
044506051221P000 15-12-2021 15-12-2021
272 0000984928724 NURAINI L PBI (APBN) Schizophrenia Berobat Jalan
208 00:00 11:43
Tuberculosis of lung,
044506051221P000 15-12-2021 15-12-2021 confirmed by sputum
273 0001240478559 HERYANTO L PBI (APBD) Berobat Jalan
215 00:00 11:57 microscopy with or without
culture
044506051221P000 15-12-2021 15-12-2021 Essential (primary)
274 0001240480798 SAHTINI P PBI (APBD) Berobat Jalan Hipertensi
225 00:00 12:22 hypertension
044506051221P000 15-12-2021 15-12-2021
275 0001803409582 MIDIAN SINAGA L - Allergic contact dermatitis Berobat Jalan
210 00:00 11:46
044506051221P000 15-12-2021 15-12-2021
276 0001858483901 RONALD NAINGGOLAN L PNS DAERAH Migraine, unspecified Berobat Jalan
230 00:00 12:55
044506051221P000 15-12-2021 15-12-2021 Essential (primary)
277 0001878151814 NGADISAN L - Berobat Jalan
221 00:00 12:13 hypertension
044506051221P000 15-12-2021 15-12-2021 PEKERJA
278 0001968802907 MUHAMMAD REZA L Epilepsy, unspecified Berobat Jalan
201 00:00 11:27 MANDIRI
044506051221P000 15-12-2021 15-12-2021
279 0002003311912 SONDANG PURBA P - Migraine, unspecified Berobat Jalan
233 00:00 12:58
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 15-12-2021 15-12-2021

280 0002148297726 MISNI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
231 00:00 12:56
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
281 0002148300426 ANDRI YAMAN PURBA L PBI (APBD) Berobat Jalan
228 00:00 12:52 identified
044506051221P000 15-12-2021 15-12-2021 Essential (primary)
282 0002148304375 KATIJAH P PBI (APBD) Berobat Jalan
222 00:00 12:14 hypertension
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
283 0002152297945 SITI AISYAH P - Berobat Jalan
226 00:00 12:48 identified
044506051221P000 15-12-2021 15-12-2021
284 0002152299148 ISMAIL L - Gastritis, unspecified Berobat Jalan
216 00:00 11:59
044506051221P000 15-12-2021 15-12-2021
285 0002152300961 ANDRIYAWAN L - Migraine, unspecified Berobat Jalan
219 00:00 12:08
044506051221P000 15-12-2021 15-12-2021 Influenza, virus not
286 0002152302254 MAYSARAH P PBI (APBD) Berobat Jalan
227 00:00 12:50 identified

044506051221P000 15-12-2021 15-12-2021 Sacrococcygeal disorders,

287 0002270266323 AISYAH P - Berobat Jalan
204 00:00 11:36 not elsewhere classified

044506051221P000 15-12-2021 15-12-2021

288 0002627054357 SUTIFAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
217 00:00 12:04
044506051221P000 15-12-2021 15-12-2021 Essential (primary)
289 0002782482513 SAPARUDDIN L PBI (APBN) Berobat Jalan
206 00:00 11:39 hypertension
044506051221P000 15-12-2021 15-12-2021
290 0002782482524 NGATIEM P - Gastritis, unspecified Berobat Jalan
234 00:00 13:04
044506051221P000 15-12-2021 15-12-2021
291 0002868638477 ROJALI L PBI (APBN) Migraine, unspecified Berobat Jalan
236 00:00 13:07
044506051221P000 15-12-2021 15-12-2021 Essential (primary)
292 0002894097341 RUSMINI P PBI (APBD) Berobat Jalan
214 00:00 11:53 hypertension
044506051221P000 15-12-2021 15-12-2021
293 0002894124767 RISHAMDANI L - Pulpitis Berobat Jalan
203 00:00 11:33
Tuberculosis of lung,
044506051221P000 15-12-2021 15-12-2021 confirmed by sputum
294 0002903170329 MUHAMMAD FAUZAN L - Berobat Jalan
218 00:00 12:06 microscopy with or without
culture
044506051221P000 14-12-2021 14-12-2021 Influenza, virus not
295 0000201772359 ZENURYURINDI SARAGIH P PNS DAERAH Berobat Jalan
189 00:00 13:13 identified
044506051221P000 14-12-2021 14-12-2021
296 0000256991534 NURHAYATI P - Low vision, both eyes Rujuk Vertikal
161 00:00 11:17
044506051221P000 14-12-2021 14-12-2021
297 0000256991591 NURAIDAH P - Dyspepsia Berobat Jalan
191 00:00 13:18
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 14-12-2021 14-12-2021

298 0000257010377 SUSILA P - Allergic contact dermatitis Berobat Jalan
186 00:00 13:02
044506051221P000 14-12-2021 14-12-2021 Influenza, virus not
299 0000257052104 MHD REYFAN NUR L - Berobat Jalan
182 00:00 12:51 identified
044506051221P000 14-12-2021 15-12-2021
300 0000257653978 indra syahputra L PBI (APBN) Schizophrenia Berobat Jalan
192 00:00 08:58
044506051221P000 14-12-2021 15-12-2021 Essential (primary)
301 0000258038425 JARIAH P - Berobat Jalan
193 00:00 09:01 hypertension
044506051221P000 14-12-2021 14-12-2021
302 0000984927677 RAMIN L - Dyspepsia Berobat Jalan
178 00:00 12:31
044506051221P000 14-12-2021 14-12-2021 Essential (primary)
303 0000984927688 CARTIWAN P PBI (APBN) Berobat Jalan
177 00:00 12:23 hypertension
044506051221P000 14-12-2021 15-12-2021 Essential (primary)
304 0001240477187 TIOLINA MANURUNG P - Berobat Jalan
198 00:00 09:10 hypertension
044506051221P000 14-12-2021 15-12-2021
305 0001240480023 MUHD HANG KADEFI L PBI (APBD) Allergic contact dermatitis Berobat Jalan
197 00:00 09:08
044506051221P000 14-12-2021 15-12-2021 PEKERJA
306 0001865757958 SARBAKTI L Pulpitis Berobat Jalan
194 00:00 09:03 MANDIRI
044506051221P000 14-12-2021 14-12-2021
307 0002148296646 NURHABIBAH P - Allergic contact dermatitis Berobat Jalan
190 00:00 13:15
044506051221P000 14-12-2021 14-12-2021
308 0002148298716 TUPPAK SIBARANI L - Allergic contact dermatitis Berobat Jalan
184 00:00 12:58
Tuberculosis of lung,
044506051221P000 14-12-2021 14-12-2021 confirmed by sputum
309 0002151732903 MHD.FAUZI HUSAIRI L - Berobat Jalan
185 00:00 12:59 microscopy with or without
culture
044506051221P000 14-12-2021 14-12-2021 Influenza, virus not
310 0002306604993 ELANI GIRSANG P PNS DAERAH Berobat Jalan
188 00:00 13:07 identified
044506051221P000 14-12-2021 14-12-2021 PEKERJA Influenza, virus not
311 0002484360505 ZAM QIEL SAMOSIR L Berobat Jalan
187 00:00 13:04 MANDIRI identified
044506051221P000 14-12-2021 15-12-2021
312 0002782461554 MUKLIS L PBI (APBN) Allergic contact dermatitis Berobat Jalan
195 00:00 09:05
044506051221P000 14-12-2021 14-12-2021 Rheumatoid arthritis,
313 0002782482063 EMLAH P - Berobat Jalan
183 00:00 12:57 unspecified
044506051221P000 14-12-2021 15-12-2021 Dengue fever [classical
314 0002851171277 SITI MAYANTI P PBI (APBN) Berobat Jalan
196 00:00 09:07 dengue]
044506051221P000 13-12-2021 14-12-2021 Essential (primary)
315 0000011642073 BONOR SIRAIT L - Berobat Jalan
160 00:00 11:11 hypertension
044506051221P000 13-12-2021 14-12-2021
316 0000025708915 RUZIAH HAJRI P - Dyspepsia Berobat Jalan Hipertensi
179 00:00 12:35
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 13-12-2021 14-12-2021

317 0000256354198 BADRI L PBI (APBN) Dyspepsia Berobat Jalan Hipertensi
154 00:00 10:53
044506051221P000 13-12-2021 14-12-2021
318 0000256378116 YUSRI AFRIZA L PBI (APBN) Schizophrenia Berobat Jalan
146 00:00 10:30

044506051221P000 13-12-2021 14-12-2021 Sacrococcygeal disorders,

319 0000256984312 SABRI L - Berobat Jalan
170 00:00 11:51 not elsewhere classified

044506051221P000 13-12-2021 14-12-2021

320 0000257008915 NURHALIMAH. H P PBI (APBN) Dyspepsia Berobat Jalan
180 00:00 12:37
044506051221P000 13-12-2021 14-12-2021 Contraceptive
321 0000257042103 NURHAYATI P - Berobat Jalan
171 00:00 11:56 management
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
322 0000257042619 AGUS SALIM L PBI (APBN) Berobat Jalan
172 00:00 11:59 identified
044506051221P000 13-12-2021 14-12-2021 Pregnancy examination
323 0000257047637 ENDANG SRI LESTARI P PBI (APBN) Berobat Jalan
176 00:00 12:18 and test
044506051221P000 13-12-2021 14-12-2021
324 0000257054578 SITI SAHARA P PBI (APBN) Dyspepsia Berobat Jalan
157 00:00 11:01

Viral hepatitis complicating

044506051221P000 13-12-2021 13-12-2021
325 0000257267057 SAFaRIANI P - pregnancy, childbirth and Rujuk Vertikal
130 00:00 10:07
the puerperium

044506051221P000 13-12-2021 14-12-2021

326 0000257629127 ERNI P PBI (APBN) Dyspepsia Berobat Jalan Hipertensi
158 00:00 11:07
044506051221P000 13-12-2021 14-12-2021 Pregnancy examination
327 0000257696212 AYU LESTARI P - Berobat Jalan
145 00:00 10:28 and test
044506051221P000 13-12-2021 14-12-2021
328 0000257795886 MAISALAMAH P PBI (APBN) Dyspepsia Berobat Jalan
141 00:00 10:06
044506051221P000 13-12-2021 14-12-2021 Pregnancy examination
329 0000258101155 AGUSTINA P - Berobat Jalan
169 00:00 11:47 and test
044506051221P000 13-12-2021 14-12-2021
330 0001242918966 RAPAEL RIZKI SITORUS L PBI (APBN) Allergic contact dermatitis Berobat Jalan
150 00:00 10:43
044506051221P000 13-12-2021 14-12-2021
331 0001276201124 FADLI SAPUTRA P PBI (APBN) Schizophrenia Berobat Jalan
164 00:00 11:31
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
332 0001803411415 RIBKHA ESTERIA SINAGA P - Berobat Jalan
140 00:00 10:04 identified
044506051221P000 13-12-2021 14-12-2021 SONIA SEBRINA BR.
333 0001888937392 P - Pneumonia, unspecified Berobat Jalan
153 00:00 10:51 SITORUS
044506051221P000 13-12-2021 14-12-2021 PEKERJA Essential (primary)
334 0001894527178 kristian sinaga L Berobat Jalan Hipertensi
155 00:00 10:56 MANDIRI hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 13-12-2021 13-12-2021 Calculus of kidney and

335 0002003311574 AMINUDDIN L - Rujuk Vertikal
131 00:00 10:32 ureter
044506051221P000 13-12-2021 14-12-2021
336 0002148301293 NURAINUN P PBI (APBD) Migraine, unspecified Berobat Jalan
173 00:00 12:01
044506051221P000 13-12-2021 14-12-2021 Essential (primary)
337 0002151542891 SURIANI RITONGA P - Berobat Jalan
163 00:00 11:28 hypertension
044506051221P000 13-12-2021 13-12-2021
338 0002152297719 RAHMADSYAH L PBI (APBD) Epilepsy, unspecified Rujuk Vertikal
129 00:00 09:57
044506051221P000 13-12-2021 14-12-2021
339 0002152300702 ISMAIL L - Myalgia Berobat Jalan
143 00:00 10:20
044506051221P000 13-12-2021 14-12-2021
340 0002152300713 FITRIANI P - Allergic contact dermatitis Berobat Jalan
142 00:00 10:08
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
341 0002152651487 SRI HAYANI P PBI (APBD) Berobat Jalan
174 00:00 12:08 identified
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
342 0002152651509 SYARAFINA RASID P PBI (APBD) Berobat Jalan
175 00:00 12:17 identified
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
343 0002251104557 RAMADHANI L - Berobat Jalan
181 00:00 12:40 identified
044506051221P000 13-12-2021 14-12-2021 Essential (primary)
344 0002252489354 ZUBAIDAH P - Berobat Jalan
166 00:00 11:36 hypertension
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
345 0002270266323 AISYAH P - Berobat Jalan
162 00:00 11:25 identified
044506051221P000 13-12-2021 14-12-2021
346 0002627227787 SITI ZUBAIDAH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
148 00:00 10:37
044506051221P000 13-12-2021 14-12-2021
347 0002710325349 NARTINI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
168 00:00 11:41
044506051221P000 13-12-2021 14-12-2021
348 0002710325362 RIDHO SUCIPTO L PBI (APBN) Presbyopia Berobat Jalan
167 00:00 11:38
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
349 0002782466008 NURAINUN P PBI (APBN) Berobat Jalan
144 00:00 10:23 identified
044506051221P000 13-12-2021 14-12-2021
350 0002782476808 AHMAD RASID L - Gastritis, unspecified Berobat Jalan
139 00:00 09:40

044506051221P000 13-12-2021 14-12-2021 Sacrococcygeal disorders,

351 0002782479093 MELDA YOLANDA P PBI (APBN) Berobat Jalan
159 00:00 11:08 not elsewhere classified

044506051221P000 13-12-2021 14-12-2021

352 0002782481242 TINA SUPARTIKA P PBI (APBN) Schizophrenia Berobat Jalan
156 00:00 10:59
044506051221P000 13-12-2021 14-12-2021 Influenza, virus not
353 0002851171288 DINA RAMADANI P PBI (APBN) Berobat Jalan
165 00:00 11:33 identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

Tuberculosis of lung,
044506051221P000 13-12-2021 14-12-2021 confirmed by sputum
354 0002887637602 RODUAN L PBI (APBN) Berobat Jalan
147 00:00 10:33 microscopy with or without
culture
044506051221P000 13-12-2021 14-12-2021
355 0003076708915 SANTO JOSUA SITORUS L - Allergic contact dermatitis Berobat Jalan
151 00:00 10:44
044506051221P000 13-12-2021 14-12-2021
356 0003076709218 YOEL SATRIA SITORUS L - Allergic contact dermatitis Berobat Jalan
149 00:00 10:41
044506051221P000 13-12-2021 14-12-2021 SABAR MARULI TUA
357 0003076710219 L - Allergic contact dermatitis Berobat Jalan
152 00:00 10:47 SITORUS
044506051221P000 28-12-2021 Single spontaneous
358 12-12-2021 0000257448958 NUR HALIMAH P - Sembuh
452 10:43 delivery
044506051221P000 29-12-2021 Single spontaneous
359 12-12-2021 0002851167159 HANA HATIKA P - Sembuh
479 12:23 delivery
044506051221P000 14-12-2021 Diabetes
360 12-10-2021 0000014576005 HAMIDAH P PNS DAERAH Myalgia Berobat Jalan
134 09:19 Mellitus
044506051221P000 14-12-2021
361 12-10-2021 0000014881882 SITI MASITAH SARAGIH P PNS DAERAH Migraine, unspecified Berobat Jalan Hipertensi
136 09:22
044506051221P000 10-12-2021
362 12-10-2021 0000256877368 HERLINA SITOHANG P PBI (APBN) Allergic contact dermatitis Berobat Jalan
124 09:53
044506051221P000 10-12-2021 ROBET FIRDAUS BUTAR Dengue fever [classical
363 12-10-2021 0000257510507 L - Berobat Jalan
126 10:02 BUTAR dengue]
044506051221P000 10-12-2021
364 12-10-2021 0000257512691 ANGGUN AFRIANTI P - Allergic contact dermatitis Berobat Jalan
127 10:03
044506051221P000 10-12-2021 Influenza, virus not
365 12-10-2021 0000257513049 CANTIKA MAHARANI P - Berobat Jalan
128 10:05 identified
044506051221P000 10-12-2021
366 12-10-2021 0000257968901 CHRISTIAN HASUGIAN L - Allergic contact dermatitis Berobat Jalan
122 09:51
044506051221P000 10-12-2021 Low back pain, multiple
367 12-10-2021 0000257969891 RUSMAIDA BR SAGALA P PBI (APBN) Berobat Jalan
120 09:41 sites
044506051221P000 10-12-2021 Influenza, virus not
368 12-10-2021 0000257970126 NATALINDO HASUGIAN L PBI (APBN) Berobat Jalan
119 09:37 identified
044506051221P000 10-12-2021 Dengue fever [classical
369 12-10-2021 0000257975965 NURHAYATI P PBI (APBN) Berobat Jalan
121 09:47 dengue]
044506051221P000 10-12-2021 ESTER APRILI YANTI Influenza, virus not
370 12-10-2021 0000257978957 P PBI (APBN) Berobat Jalan
123 09:52 SILABAN identified
044506051221P000 14-12-2021 Influenza, virus not
371 12-10-2021 0000258075922 SAMI P - Berobat Jalan Hipertensi
137 09:27 identified
044506051221P000 14-12-2021 PEGAWAI
372 12-10-2021 0001089088288 ETRINA MELINDA P Allergic contact dermatitis Berobat Jalan
138 09:30 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 14-12-2021 Essential (primary)

373 12-10-2021 0001231792391 MUHAMMAD YUSUF L PBI (APBN) Berobat Jalan
132 09:16 hypertension
044506051221P000 14-12-2021 PEKERJA Influenza, virus not
374 12-10-2021 0001865757958 SARBAKTI L Berobat Jalan
135 09:21 MANDIRI identified
Diabetes
044506051221P000 14-12-2021 PEKERJA Influenza, virus not
375 12-10-2021 0001865759038 SUPIAH P Berobat Jalan Mellitus
133 09:17 MANDIRI identified
Hipertensi
044506051221P000 10-12-2021 Influenza, virus not
376 12-10-2021 0002148299921 AGATA YENTI SAGALA P PBI (APBD) Berobat Jalan
125 09:55 identified
044506051221P000 09-12-2021 Open wound of
377 12-09-2021 0000257715988 WAHYU SYAHPUTRA L PBI (APBN) Berobat Jalan
107 11:49 unspecified body region
044506051221P000 09-12-2021
378 12-09-2021 0000257791331 KEMALA INTAN P - Dyspepsia Berobat Jalan
115 12:03
044506051221P000 09-12-2021 Influenza, virus not
379 12-09-2021 0001242933952 TITIN ARISTA P - Berobat Jalan
118 12:22 identified
044506051221P000 09-12-2021 DION YUSUF HASIHOLAN Benign lipomatous
380 12-09-2021 0002148305657 L - Berobat Jalan
109 11:52 SINAGA neoplasm, unspecified
044506051221P000 09-12-2021
381 12-09-2021 0002148306614 SYAHFITRI P PBI (APBD) Allergic contact dermatitis Berobat Jalan
116 12:04
044506051221P000 09-12-2021 Influenza, virus not
382 12-09-2021 0002152297113 ASMAIYAH P - Berobat Jalan
108 11:50 identified
044506051221P000 09-12-2021
383 12-09-2021 0002782469619 JOKO PRIYONO SITORUS L PBI (APBN) Dyspepsia Berobat Jalan
111 11:55
044506051221P000 09-12-2021
384 12-09-2021 0002782469621 SUSI SUGIANI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
113 11:59
044506051221P000 09-12-2021 MUHAMMAD IRFAN Influenza, virus not
385 12-09-2021 0002782469632 L PBI (APBN) Berobat Jalan
114 12:01 SITORUS identified
044506051221P000 09-12-2021
386 12-09-2021 0002782469643 RUSLI SITORUS L - Dyspepsia Berobat Jalan
110 11:54
044506051221P000 09-12-2021 NUR LINDA SARI BR Influenza, virus not
387 12-09-2021 0002782469654 P PBI (APBN) Berobat Jalan
112 11:57 SITORUS identified
044506051221P000 09-12-2021
388 12-09-2021 0003108412203 MEI LINDA SIGALINGGING P - Pulpitis Berobat Jalan
117 12:07
044506051221P000 09-12-2021 Non-insulin-dependent
389 12-08-2021 0000011642073 BONOR SIRAIT L - Berobat Jalan
096 10:33 diabetes mellitus
044506051221P000 09-12-2021 NURHAIDA BR Rheumatoid arthritis,
390 12-08-2021 0000014864602 P - Berobat Jalan
095 10:31 TAMBUNAN unspecified
044506051221P000 09-12-2021
391 12-08-2021 0000257080342 JUMAHARANI P - Dyspepsia Berobat Jalan
097 10:35
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 09-12-2021
392 12-08-2021 0000257421655 TARMIZI L - Schizophrenia Berobat Jalan
102 10:58
044506051221P000 09-12-2021 PEGAWAI
393 12-08-2021 0000257514074 MIDAWATI BR TAMBUN P Myalgia Berobat Jalan
100 10:55 SWASTA
044506051221P000 09-12-2021
394 12-08-2021 0000257693591 SYURIP P PBI (APBN) Arthrosis, unspecified Berobat Jalan
101 10:57
044506051221P000 09-12-2021
395 12-08-2021 0000258069082 HABSAH P - Arthrosis, unspecified Berobat Jalan
105 11:03
044506051221P000 09-12-2021 Non-insulin-dependent
396 12-08-2021 0001240480798 SAHTINI P PBI (APBD) Berobat Jalan Hipertensi
103 10:59 diabetes mellitus
044506051221P000 09-12-2021 ENDANG VELIANA
397 12-08-2021 0002148307064 P - Myalgia Berobat Jalan
106 11:06 PAKPAHAN
044506051221P000 09-12-2021
398 12-08-2021 0002148307885 HAPOSAN SIHOTANG L PBI (APBD) Allergic contact dermatitis Berobat Jalan
098 10:52

Diarrhoea and
044506051221P000 09-12-2021
399 12-08-2021 0002152310512 ADAM NOPRIANDRA L PBI (APBD) gastroenteritis of Berobat Jalan
099 10:54
presumed infectious origin

044506051221P000 09-12-2021
400 12-08-2021 0002782483637 AMNAH P - Dyspepsia Berobat Jalan
104 11:01
Acquired clawhand,
044506051221P000 08-12-2021 PEKERJA
401 12-08-2021 0003092700767 muhammad alfi wijaya L clubhand, clawfoot and Rujuk Vertikal
093 10:54 MANDIRI
clubfoot

Diarrhoea and
044506051221P000 08-12-2021
402 12-07-2021 0000014576073 ZHEN ANWARD SITORUS L - gastroenteritis of Berobat Jalan
089 10:15
presumed infectious origin

044506051221P000 08-12-2021 FRANSISCA SANTA ANA PEKERJA Influenza, virus not

403 12-07-2021 0000200418074 P Berobat Jalan
090 10:17 BR. SITORUS MANDIRI identified
044506051221P000 08-12-2021 Influenza, virus not
404 12-07-2021 0000215231545 RUKAIYAH P PBI (APBN) Berobat Jalan
086 10:08 identified
044506051221P000 08-12-2021 TITIEK HENNY AGUSTRI Influenza, virus not
405 12-07-2021 0000216264791 P - Berobat Jalan
092 10:22 NINGSIH identified
044506051221P000 08-12-2021 DANNERIUS ARIFIN
406 12-07-2021 0000256861045 L PBI (APBN) Schizophrenia Berobat Jalan
084 09:42 SINAGA
044506051221P000 08-12-2021
407 12-07-2021 0000256971194 MANOTAP MANGUNSONG L PBI (APBN) Migraine, unspecified Berobat Jalan
077 09:18
044506051221P000 08-12-2021 ROBET FIRDAUS BUTAR Influenza, virus not
408 12-07-2021 0000257510507 L - Berobat Jalan
075 09:08 BUTAR identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

Other disorders of skin

044506051221P000 08-12-2021 and subcutaneous tissue
409 12-07-2021 0000257512691 ANGGUN AFRIANTI P - Berobat Jalan
076 09:10 in diseases classified
elsewhere
044506051221P000 08-12-2021 PEGAWAI Low back pain, multiple
410 12-07-2021 0000257514074 MIDAWATI BR TAMBUN P Berobat Jalan
074 09:05 SWASTA sites
044506051221P000 08-12-2021 Non-insulin-dependent
411 12-07-2021 0000257546665 CHARLES HASIBUAN L - Berobat Jalan
094 11:32 diabetes mellitus
044506051221P000 08-12-2021 Influenza, virus not
412 12-07-2021 0001240480203 ARMAINI P - Berobat Jalan
088 10:13 identified
044506051221P000 08-12-2021
413 12-07-2021 0001242918966 RAPAEL RIZKI SITORUS L PBI (APBN) Allergic contact dermatitis Berobat Jalan
081 09:28
Respiratory tuberculosis,
044506051221P000 08-12-2021 SONIA SEBRINA BR.
414 12-07-2021 0001888937392 P - bacteriologically and Berobat Jalan
082 09:36 SITORUS
histologically confirmed
044506051221P000 08-12-2021 Influenza, virus not
415 12-07-2021 0002148305692 SITI HAJAR P PBI (APBD) Berobat Jalan
087 10:10 identified
044506051221P000 08-12-2021 Influenza, virus not
416 12-07-2021 0002152301545 NADIYA RISTY P - Berobat Jalan
085 09:45 identified
044506051221P000 08-12-2021 PEGAWAI Dengue fever [classical
417 12-07-2021 0002592495617 CICI YULFANI P Berobat Jalan
091 10:18 SWASTA dengue]
044506051221P000 07-12-2021 Influenza, virus not
418 12-07-2021 0002605913098 SIHAR SITORUS L - Berobat Jalan
070 09:25 identified
044506051221P000 07-12-2021 Essential (primary)
419 12-07-2021 0002607786483 RISMA HO P PBI (APBN) Berobat Jalan
071 09:26 hypertension
044506051221P000 07-12-2021 Influenza, virus not
420 12-07-2021 0002607792006 ROSLINA P - Berobat Jalan
072 09:27 identified
044506051221P000 08-12-2021 Influenza, virus not
421 12-07-2021 0002782462792 MUHAMMAD EFENDI L - Berobat Jalan
083 09:41 identified
044506051221P000 08-12-2021
422 12-07-2021 0003076708915 SANTO JOSUA SITORUS L - Allergic contact dermatitis Berobat Jalan
080 09:24
044506051221P000 08-12-2021
423 12-07-2021 0003076709218 YOEL SATRIA SITORUS L - Allergic contact dermatitis Berobat Jalan
079 09:22
044506051221P000 08-12-2021 SABAR MARULI TUA
424 12-07-2021 0003076710219 L - Allergic contact dermatitis Berobat Jalan
078 09:20 SITORUS
044506051221P000 07-12-2021 PEKERJA
425 12-07-2021 0003110015373 DIOVANNI ABDILLAH L Glaucoma Rujuk Vertikal
073 11:32 MANDIRI
044506051221P000 07-12-2021
426 12-06-2021 0000011049175 SARASI DAMANIK L - Dyspepsia Berobat Jalan
063 08:52
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 06-12-2021
427 12-06-2021 0000257006878 PAINI P PBI (APBN) Dyspepsia Berobat Jalan
055 11:10
044506051221P000 07-12-2021 Pregnancy examination
428 12-06-2021 0000257448958 NUR HALIMAH P - Berobat Jalan
067 08:58 and test
044506051221P000 06-12-2021 Open wound of
429 12-06-2021 0000257715988 WAHYU SYAHPUTRA L PBI (APBN) Berobat Jalan
061 11:26 unspecified body region
044506051221P000 06-12-2021 Influenza, virus not
430 12-06-2021 0000258157258 ALAMSYAH NASUTION L - Berobat Jalan
057 11:21 identified
044506051221P000 06-12-2021 Diphyllobothriasis and
431 12-06-2021 0000982699885 LIDIA HUTAGALUNG P - Berobat Jalan
062 11:31 sparganosis
044506051221P000 06-12-2021 Benign lipomatous
432 12-06-2021 0001231540659 ARIFIN EFENDI L PBI (APBD) Berobat Jalan
049 10:30 neoplasm, unspecified
044506051221P000 07-12-2021
433 12-06-2021 0001240480067 ADNAN L PBI (APBD) Schizophrenia Berobat Jalan
065 08:55
044506051221P000 06-12-2021 Thyrotoxicosis,
434 12-06-2021 0001240481968 SALIM AY L PBI (APBD) Berobat Jalan
052 10:35 unspecified
044506051221P000 06-12-2021 Non-insulin-dependent
435 12-06-2021 0001240481979 ASTUTI P - Berobat Jalan
053 10:37 diabetes mellitus
044506051221P000 06-12-2021
436 12-06-2021 0001303305478 NURASIAH.M P - Migraine, unspecified Berobat Jalan
051 10:34
044506051221P000 06-12-2021 SONIA SEBRINA BR.
437 12-06-2021 0001888937392 P - Pneumonia, unspecified Berobat Jalan
050 10:31 SITORUS
044506051221P000 07-12-2021 SOHANA Influenza, virus not
438 12-06-2021 0001967097284 P - Berobat Jalan
066 08:56 SIMANUNGKALIT identified
044506051221P000 07-12-2021 Influenza, virus not
439 12-06-2021 0002075101648 mhd. rizki L - Berobat Jalan
064 08:53 identified
044506051221P000 07-12-2021 Dengue fever [classical
440 12-06-2021 0002151541991 HENDRI SYAHLAN L - Berobat Jalan
068 08:59 dengue]
044506051221P000 07-12-2021 Pregnancy examination
441 12-06-2021 0002151542002 SALMIAH P - Berobat Jalan
069 09:00 and test
044506051221P000 31-12-2021 Single spontaneous
442 12-06-2021 0002594358516 SRI INTAN ZIRA P PBI (APBN) Sembuh
497 11:48 delivery
044506051221P000 06-12-2021 PEKERJA Essential (primary)
443 12-06-2021 0002748348044 KALIBER SINAGA L Berobat Jalan
059 11:23 MANDIRI hypertension
044506051221P000 06-12-2021 Essential (primary)
444 12-06-2021 0002748348292 TIOMSI NADEAK P - Berobat Jalan Hipertensi
058 11:22 hypertension
044506051221P000 06-12-2021 Non-insulin-dependent
445 12-06-2021 0002887637602 RODUAN L PBI (APBN) Berobat Jalan
056 11:18 diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 06-12-2021
446 12-06-2021 0002887637657 YUSNI WATI P - Dyspepsia Berobat Jalan
060 11:25
044506051221P000 30-12-2021 Single spontaneous
447 12-05-2021 0001175550298 NURMAYANTI P - Sembuh
481 09:09 delivery
044506051221P000 04-12-2021
448 12-04-2021 0000014538429 YUNI SRIMAHDANI P PNS DAERAH Arthrosis, unspecified Berobat Jalan
038 09:45
044506051221P000 06-12-2021 Influenza, virus not
449 12-04-2021 0000203503634 VRETTY HERAWATI P PNS DAERAH Berobat Jalan
054 10:46 identified
044506051221P000 04-12-2021 Influenza, virus not
450 12-04-2021 0000257242757 SITI AISAH P - Berobat Jalan
044 13:10 identified
044506051221P000 04-12-2021 Influenza, virus not
451 12-04-2021 0000257420722 MEGA WATI P PBI (APBN) Berobat Jalan
048 13:14 identified
044506051221P000 04-12-2021 Pregnancy examination
452 12-04-2021 0000257448958 NUR HALIMAH P - Berobat Jalan
047 13:13 and test
044506051221P000 04-12-2021 Rheumatoid arthritis,
453 12-04-2021 0000257782498 HALIMAH P PBI (APBN) Berobat Jalan
046 13:12 unspecified
044506051221P000 04-12-2021 Non-insulin-dependent Diabetes
454 12-04-2021 0000258103462 ADNAN L PBI (APBN) Berobat Jalan
039 09:46 diabetes mellitus Mellitus
044506051221P000 04-12-2021 Non-insulin-dependent
455 12-04-2021 0001240480798 SAHTINI P PBI (APBD) Berobat Jalan Hipertensi
037 09:44 diabetes mellitus
044506051221P000 04-12-2021
456 12-04-2021 0001886973592 NUR FITRI YANI SIRAIT P PNS DAERAH Dyspepsia Berobat Jalan
043 13:04
044506051221P000 04-12-2021 Pregnancy examination
457 12-04-2021 0002152311952 SRI MULIANI P - Berobat Jalan
045 13:11 and test
044506051221P000 04-12-2021 PEGAWAI Dengue fever [classical
458 12-04-2021 0002297059558 TRI HANAFI LUBIS L Berobat Jalan
036 09:42 SWASTA dengue]
044506051221P000 03-12-2021
459 12-03-2021 0000257035195 MAHYUDIN SINAGA L - Congestive heart failure Rujuk Vertikal
026 10:20
044506051221P000 04-12-2021
460 12-03-2021 0000257498256 SOPIYAN L PBI (APBN) Migraine, unspecified Berobat Jalan
040 09:48
044506051221P000 04-12-2021
461 12-03-2021 0000257715988 WAHYU SYAHPUTRA L PBI (APBN) Tinea corporis Berobat Jalan
031 09:24
044506051221P000 04-12-2021 Non-insulin-dependent
462 12-03-2021 0000258082457 SAINI L - Berobat Jalan
033 09:27 diabetes mellitus
044506051221P000 03-12-2021 Thyrotoxicosis,
463 12-03-2021 0001240481968 SALIM AY L PBI (APBD) Rujuk Vertikal
025 09:46 unspecified
044506051221P000 04-12-2021 PEKERJA
464 12-03-2021 0001600877891 VICTOR BUTAR BUTAR L Migraine, unspecified Berobat Jalan
034 09:29 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 04-12-2021 Influenza, virus not

465 12-03-2021 0002247030415 ARIFUR RAHMAN L - Berobat Jalan
027 09:17 identified
044506051221P000 04-12-2021 Influenza, virus not
466 12-03-2021 0002247032136 ARIFA RAHMAH P PBI (APBN) Berobat Jalan
028 09:18 identified
044506051221P000 04-12-2021 Acute appendicitis, other
467 12-03-2021 0002258594144 BESTOW EFRAIM SINAGA L - Berobat Jalan
042 09:52 and unspecified
044506051221P000 04-12-2021 Influenza, virus not
468 12-03-2021 0002313905771 UMI KALSUM BS P - Berobat Jalan
032 09:26 identified
044506051221P000 04-12-2021 Influenza, virus not
469 12-03-2021 0002608728715 MIMNAH R P PBI (APBN) Berobat Jalan
029 09:21 identified
044506051221P000 03-12-2021 PEKERJA
470 12-03-2021 0002612381174 FARIDA ROSDIANA S P Epilepsy, unspecified Rujuk Vertikal
024 09:34 MANDIRI
044506051221P000 04-12-2021
471 12-03-2021 0002710325351 RANGGA MAULANA L PBI (APBN) Allergic contact dermatitis Berobat Jalan
030 09:23
044506051221P000 04-12-2021
472 12-03-2021 0002831524593 BASRI L - Dyspepsia Berobat Jalan
041 09:49
044506051221P000 02-12-2021 Non-insulin-dependent
473 12-02-2021 0000011642073 BONOR SIRAIT L - Berobat Jalan
022 12:01 diabetes mellitus
044506051221P000 02-12-2021 Non-insulin-dependent
474 12-02-2021 0000014576499 RATNA DEWI SINAGA P PNS DAERAH Berobat Jalan
017 11:21 diabetes mellitus
044506051221P000 04-12-2021 Periapical abscess without
475 12-02-2021 0000257072466 SURIYANI P PBI (APBN) Berobat Jalan
035 09:40 sinus
044506051221P000 02-12-2021 Influenza, virus not
476 12-02-2021 0000257709892 ELISYAHPITRI P - Berobat Jalan
018 11:43 identified
044506051221P000 02-12-2021
477 12-02-2021 0000257748434 UMI KALSUM P PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi
023 13:38
044506051221P000 02-12-2021 DWI RAMADHANI
478 12-02-2021 0001835115849 P - Gastritis, unspecified Berobat Jalan
019 11:48 WULANDARI
044506051221P000 02-12-2021 Influenza, virus not
479 12-02-2021 0002052055991 KHODIJAH P - Berobat Jalan
020 11:49 identified
044506051221P000 02-12-2021 Open wound of
480 12-02-2021 0002052056013 AHMAT FAHREZI L - Berobat Jalan
021 11:58 unspecified body region
044506051221P000 01-12-2021 Malignant neoplasm of
481 12-01-2021 0000014839356 BERLIANA TAMBUNAN P - Rujuk Vertikal Hipertensi
001 08:18 breast
044506051221P000 29-12-2021 Single spontaneous
482 12-01-2021 0000257729477 NUR LELA P PBI (APBN) Sembuh
473 09:55 delivery
044506051221P000 01-12-2021
483 12-01-2021 0000258084347 ASIAH P - Allergic contact dermatitis Berobat Jalan
005 12:31
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KISARAN - 0207

FKTP : LALANG - 04450605

044506051221P000 01-12-2021 Pregnancy examination

484 12-01-2021 0001240461494 CHIKI AMELIA P - Berobat Jalan
015 13:36 and test
044506051221P000 01-12-2021
485 12-01-2021 0001240478109 MARSAULINA TAMBA P - Migraine, unspecified Berobat Jalan
012 13:30

044506051221P000 01-12-2021 LAMBOK PANGIHUTAN Sacrococcygeal disorders,

486 12-01-2021 0001488931784 L - Berobat Jalan
014 13:35 SIAGIAN not elsewhere classified

044506051221P000 01-12-2021
487 12-01-2021 0002045322279 NUR'AINI P PBI (APBN) Arthrosis, unspecified Rujuk Vertikal
004 11:56
044506051221P000 01-12-2021 DION YUSUF HASIHOLAN Cutaneous abscess,
488 12-01-2021 0002148305657 L - Berobat Jalan
007 12:36 SINAGA furuncle and carbuncle
044506051221P000 01-12-2021 Influenza, virus not
489 12-01-2021 0002148307468 RUDI ANDIKA L - Berobat Jalan
011 12:49 identified
Tuberculosis of lung,
044506051221P000 01-12-2021 confirmed by sputum
490 12-01-2021 0002148307885 HAPOSAN SIHOTANG L PBI (APBD) Berobat Jalan
013 13:33 microscopy with or without
culture
044506051221P000 01-12-2021 Influenza, virus not
491 12-01-2021 0002151730686 MUHAMMAD YUSUP L - Berobat Jalan
010 12:47 identified
Respiratory tuberculosis,
044506051221P000 02-12-2021
492 12-01-2021 0002151732903 MHD.FAUZI HUSAIRI L - bacteriologically and Berobat Jalan
016 09:30
histologically confirmed
044506051221P000 01-12-2021 PEKERJA
493 12-01-2021 0002196072022 LISTON GULTOM L Chronic kidney disease Rujuk Vertikal
003 11:14 MANDIRI
044506051221P000 01-12-2021 PEKERJA Hydrocephalus,
494 12-01-2021 0002322699849 IZHAR AL BUKHORI L Rujuk Vertikal
002 11:12 MANDIRI unspecified
044506051221P000 01-12-2021
495 12-01-2021 0002782467988 MARIPAH P - Tinea corporis Berobat Jalan
009 12:45
044506051221P000 01-12-2021
496 12-01-2021 0002782475458 FAUZIAH P PBI (APBN) Acute atopic conjunctivitis Berobat Jalan
006 12:35
044506051221P000 01-12-2021
497 12-01-2021 0002893110952 RIKI HAMDANI L - Gastritis, unspecified Berobat Jalan
008 12:38