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Jenis

No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
1 03-01.2020 Markus Roan √ 04.000.834 0001.592.808.164
2 03-01-2020 Blandika Febrianti √ 04.000.836 0001.592.808.186
3 03-01-2020 Fredika Julianti √ 04.000.1525 0002.624.530.061
4 03-01-2020 Aprilina √ 04.000.616 0001.590.041.935
5 03-01-2020 Stevhanie √ 04.000.1524 0002.624.529.824
6 04-01-2020 Alpinus Akong √ 04.000.642 0001.590.042.284
7 04-01-2020 Purwanti √ 04.000.1018 0001.592.840.864
8 04-01-2020 Lutfia Anggreni √ 04.000.1016 0001.592.810.886
9 04-01-2020 Sariyus Yanto √ 04.000.1320 0001.970.320.544
10 04-01-2020 Sutadi √ 04.000.314 0001.590.038.065
11 04-01-2020 Kaminem √ 04.000.1053 0001.592.811.573
12 04-01-2020 Marianus Natus √ 04.000.295 0001.590.037.885
13 04-01-2020 Tuyek √ 04.000.1297 0001.879.732.901
14 04-01-2020 Nur Adha Sumaryanti √ 04.000.1150 0001.880.401.552
15 06-01-2020 Erika Susana √ 04.000.654 0001.590.042.464
16 06-01-2020 Sri Hayani √ 04.000.504 0001.590.040.269
17 06-01-2020 Dapat Mugiono √ 04.000.501 0001.590.040.258
18 06-01-2020 Edison Pangaribuan √ 04.000.953 0001.592.809.571
19 07-01-2020 Farida Permata Dewi √ 04.000.1339 0002.271.088.225
20 07-01-2020 Giyono √ 04.000.1546 0001.592.810.212
21 07-01-2020 Sariman √ 04.000.586 0001.590.041.373
22 07-01-2020 Tukiyah √ 04.000.971 0001.592.810.054
23 07-01-2020 Irawati √ 04.000.1045 0001.592.811.426
24 07-01-2020 Devinta Olivia √ 04.000.1520 0002.624.521.048
25 07-01-2020 Darniyati √ 04.000.44 0001.590.034.724
26 08-01-2020 Antonius Ali Umar √ 04.000.1089 0001.592.812.359
27 08-01-2020 Delpin Saputra √ 04.000.1091 0001.592.812.394
28 08-01-2020 Linusius √ 04.000.1285 0001.879.736.861
29 08-01-2020 Ernawati √ 04.000.484 0001.961.144.357
30 08-01-2020 Tuyar √ 04.000.490 0001.590.040.089
31 08-01-2020 Marianus Main √ 04.000.1557 0001.590.043.588
32 08-01-2020 Marijan √ 04.000.1327 0002.197.638.707
33 09-01-2020 Karsam √ 04.000.750 0001.590.044.139
34 09-01-2020 Supanto √ 04.000.479 0001.590.039.999
35 10-01-2020 Jamilah √ 04.000.1162 0001.592.814.003
36 10-01-2020 Oktaviana Karmila √ 04.000.1541 0002.224.079.144
37 10-01-2020 Sarni Sahono √ 04.000.996 0001.592.810.605
38 10-01-2020 Lilis Suryani √ 04.000.47 0001.590.034.781
39 10-01-2020 Khairunisa Tri Hapsari √ 04.000.69 0001.590.035.049
40 11-01-2020 Giyono √ 04.000.1546 0001.592.810.212
41 11-01-2020 Bareng Prihatin √ 04.000.355 0001.590.038.493
42 11-01-2020 Muslim Muhsin √ 04.000.776 0001.590.044.446
43 11-01-2020 Marshanto √ 04.000.1522 0002.624.528.867
44 11-01-2020 Hendrikus √ 04.000.1385 0002.623.908.126
45 11-01-2020 Very Irawan √ 04.000.707 0002.075.918.804
46 11-01-2020 Grego Riando √ 04.000.841 0002.438.623.236
47 13-01-2020 Muhamad Anwar Ashari √ 04.000.744 0001.590.040.062
48 13-01-2020 Heriyanto √ 04.000.924 0001.592.809.244
49 13-01-2020 Jamilah √ 04.000.1162 0001.592.814.003
50 13-01-2020 Kaminem √ 04.000.1053 0001.592.811.573

Jenis
No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
51 13-01-2020 Muhammad Daun Nasution √ 04.000.1044 0001.592.811.415
52 13-01-2020 Rafiq Al Van Romadhon √ 04.000.1163 0001.592.814.069
53 13-01-2020 Yohanes Subandi √ 04.000.1107 0001.592.812.631
54 13-01-2020 Donius Doni √ 04.000.1483 0002.624.380.997
55 13-01-2020 Dwi Widiyati √ 04.000.647 0001.590.042.352
56 13-01-2020 Yatik √ 04.000.489 0001.590.042.352
57 14-01-2020 Darwanto √ 04.000.1094 0001.592.812.473
58 14-01-2020 Asiat √ 04.000.526 0001.590.040.618
59 14-01-2020 Siti Mardiyah √ 04.000.985 0001.590.044.624
60 14-01-2020 Sanah √ 04.000.1284 0001.879.735.218
61 14-01-2020 Fiki Ramadhani √ 04.000.1283 0001.879.736.218
62 14-01-2020 Urip Ahmad Suwono √ 04.000.1553 0001.590.043.915
63 14-01-2020 Tri Ayu Puji Astuti √ 04.000.1296 0001.888.881.377
64 14-01-2020 Kliwon √ 04.000.80 0001.590.035.185
65 14-01-2020 Yati √ 04.000.81 0001.590.035.196
66 14-01-2020 Kafiel Azam √ 04.000.503 0001.961.152.525
67 15-01-2020 Purwanti √ 04.000.555 0001.590.041.002
68 15-01-2020 Yatik √ 04.000.489 0001.590.040.067
69 15-01-2020 Agus Wahyudi √ 04.000.486 0001.590.040.056
70 15-01-2020 Riyanti √ 04.000.1540 0001.590.034.555
71 15-01-2020 Apinus Akong √ 04.000.642 0001.590.042.284
72 15-01-2020 Sisilia Nopita Dara √ 04.000.531 0001.590.040.686
73 15-01-2020 Marsianus Dava Triputra √ 04.000.854 0002.269.944.191
74 16-01-2020 Valena Syalomita Dara √ 04.000.207 0002.072.167.029
75 16-01-2020 Mutia Mailani √ 04.000.1252 0001.828.017.292
76 16-01-2020 Lonya √ 04.000.639 0001.590.042.249
77 16-01-2020 Sri Hayani √ 04.000.504 0001.590.040.269
78 16-01-2020 Muhammad Muhrodin √ 04.000.726 0001.590.043.522
79 16-01-2020 Prayitno √ 04.000.1518 0002.624.518.978
80 16-01-2020 Mateus Bambang √ 04.000.1487 0002.624.382.617
81 17-01-2020 Sutiyah √ 04.000.1548 0001.592.814.521
82 17-01-2020 Adi √ 04.000.1491 0002.624.399.392
83 17-01-2020 Pendi Nababan √ 04.000.1558 0001.963.632.216
84 17-01-2020 Taufik Anwar Tambunan √ 04.000.1137 0001.592.813.305
85 17-01-2020 Lupius √ 04.000.1567 0001.827.960.006
86 17-01-2020 Fahruddin Tambunan √ 04.000.1134 0001.592.813.248
87 18-01-2020 Rasikin √ 04.000.972 0001.592.810.065
88 18-01-2020 Alosius √ 04.000.497 0001.590.040.168
89 18-01-2020 Fitri Novita √ 04.000.1351 0002.298.316.026
90 18-01-2020 Lidwina Dora √ 04.000.61 0001.590.034.915
91 18-01-2020 Sriyani √ 04.000.1580 0001.590.043.623
92 18-01-2020 Very Irawan √ 04.000.707 0002.075.918.804
93 20-01-2020 Sakem √ 04.000.1293 0001.879.739.717
94 20-01-2020 Sutini √ 04.000.705 0001.590.043.127
95 20-01-2020 Bening Permata Sari √ 04.000.1566 0001.970.322.917
96 20-01-2020 Paino √ 04.000.704 0001.590.043.116
97 20-01-2020 Nandang Gozali √ 04.000.338 0001.590.038.302
98 21-01-2020 Niat √ 04.000.155 0001.590.035.995
99 21-01-2020 Antonius Samuel √ 04.000.1512 0002.624,500,506
100 21-01-2020 Muhammad Muhroddin √ 04.000.726 0001.590.043.116

Jenis
No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
101 21-01-2020 Suwanto √ 04.000.1352 0002.298.315.082
102 21-01-2020 Sri Wahyuni √ 04.000.1294 0001.888.880.411
103 21-01-2020 Tuyar √ 04.000.490 0001.590.040.089
104 21-01-2020 Edison Pangaribuan √ 04.000.1159 0001.592.813.889
105 21-01-2020 Viona Patricia Tridora √ 04.000.520 0001.590.040.552
106 21-01-2020 Eka Rima Oktaviana √ 04.000.578 0001.590.040.528
107 22-01-2020 Darniyati √ 04.000.44 0001.590.034.729
108 22-01-2020 Indri √ 04.000.638 0001.590.042.238
109 22-01-2020 Nandang Gozali √ 04.000.338 0001.590.038.302
110 22-01-2020 Ali Saputra √ 04.000.990 0002.200.452.366
111 22-01-2020 Rochoidah √ 04.000.942 0001.592.809.424
112 22-01-2020 Edi Sunaslim √ 04.000.1161 0001.592.813.981
113 22-01-2020 Ponirah √ 04.000.50 0001.590.034.825
114 22-01-2020 Ahmad Rifa'i √ 04.000.1085 0001.592.812.236
115 22-01-2020 Ismail Pantas √ 04.000.1506 0002.624.440.274
116 22-01-2020 Aqila Nafisa Putri √ 04.000.464 0002.269.946.384
117 22-01-2020 Rafiq Alvan Ramadhan √ 04.000.1163 0001.592.814.069
118 23-01-2020 Sugiyem √ 04.000.58 0001.590.034.994
119 23-01-2020 Sutriyo √ 04.000.65 0001.590.035.005
120 23-01-2020 Khairunisa Tri Hapsari √ 04.000.69 0001.590.035.049
121 23-01-2020 Sugiyanto √ 04.000.1013 0001.592.810.829
122 23-01-2020 Salmi √ 04.000.1008 0001.592.810.785
123 24-01-2020 Dionisius Acoi √ 04.000.1303 0001.894.283.831
124 24-01-2020 Dominikus Rudi √ 04.000.1305 0001.894.284.831
125 24-01-2020 Titin Surantinah √ 04.000.1570 0001.590.043.645
126 27-01-2020 Tasiana Sabputri Elsau √ 04.000.1412 0002.623.947.625
127 27-01-2020 Sukamti √ 04.000.1576 0001.590.034.173
128 27-01-2020 Lusiana Lusa √ 04.000.1209 0001.592.814.835
129 27-01-2020 Kafiel Azam √ 04.000.503 0001.961.152.525
130 27-01-2020 Purwanti √ 04.000.1018 0001.592.810.864
131 27-01-2020 Sri Hayani √ 04.000.504 0001.590.040.269
132 27-01-2020 Yeyen Hendratno √ 04.000.1014 0001.592.810.853
133 27-01-2020 Dapat Mugiono √ 04.000.501 0001.590.040.258
134 27-01-2020 Sartini √ 04.000.469 0001.592.810.201
135 27-01-2020 Edi Winarno √ 04.000.1571 0001.970.315.278
136 28-01-2020 Dewi Yanti √ 04.000.271 0001.590.037.626
137 29-01-2020 Umar Peki √ 04.000.1581 0002.899.598.815
138 29-01-2020 Nur Adha Sumaryati √ 31-01-2020 0001.880.401.522
139 29-01-2020 Nadya Isma Haniyah √ 04.000.1112 0001.592.812.719
140 30-01-2020 Fiki Ramadani √ 04.000.1283 0001.879.736.218
141 30-01-2020 Sanah √ 04.000.1284 0001.879.735.195
142 30-01-2020 Julius Patrik Aristo √ 04.000.264 0001.590.037.492
143 30-01-2020 Grego Riando √ 04.000.843 0002.438.623.236
144 30-01-2020 Sius √ 04.000.841 0001.592.808.243
145 30-01-2020 Marni √ 04.000.1268 0001.590.040.102
146 31-01-2020 Pautinus Ahon √ 04.000.1297 0001.894.283.278
147 31-01-2020 Tukijem √ 04.000.1582 0001.592.810.976
148 31-01-2020 Rusli Sembiring √ 04.000.278 0001.590.037.705
149 31-01-2020 Sugiono √ 04.000.341 0001.590.038.357
150 31-01-2020 Wagiyo √ 04.000.1351 0002.376.672.748

Jenis
No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
151 31-01-2020 Ari Saputra √ 04.000.1027 0001.592.811.167
152 31-01-2020 Albinus Bodong √ 04.000.1019 0001.592.810.943
153 04.000.
154 04.000.
155 04.000.
156 04.000.
157 04.000.
158 04.000.
159 04.000.
160 04.000.
161 04.000.
162 04.000.
163 04.000.
164 04.000.
165 04.000.
166 04.000.
167 04.000.
168 04.000.
169 04.000.
170 04.000.
171 04.000.
172 04.000.
173 04.000.
174 04.000.
175 04.000.
176 04.000.
177 04.000.
178 04.000.
179 04.000.
180 04.000.
181 04.000.
182 04.000.
183 04.000.
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 134 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 18 Orang
Umur Alamat Diagnosa

36 VII Febris
9 VII Febris
4 VII Febris
6 PU Febris
11 VII Febris
45 Kantor Ispa TD : 120/ 90
40 V Diare TD : 100/ 80
17 V Gatal-gatal TD : 110/ 70
40 VII Ispa & Pegal Linu TD : 100/ 90
42 TU Gatal-gatal TD : 110/ 80
42 VI Ispa TD : 120/ 90
45 VII Ispa & Gastritis TD : 100/ 70
53 III Ispa TD : 110/ 90
5 PU Diare & Febris
39 Kantor Ispa & Febris TD : 110/ 80
36 V Gastritis TD : 100/ 80
34 V Sakit Gigi TD : 110/ 90
56 TU CHF TD : 130/ 100
29 IV Nyeri mammae TD : 100/ 70
62 V Pegal Linu TD : 130/ 90
42 VI Febris TD : 100/ 70
51 V Ispa & Demam TD 150/ 100
48 V Gastritis & Pegal Linu TD : 120/ 80
7 IV Febris
54 IV Sakit Gigi TD : 120/ 90
40 VI Gastritis TD : 130/ 90
10 VI Febris
46 V Febris TD : 120/ 90
52 V Hamil 28 Minggu
48 V Hypertensi TD : 160/ 110
59 S. Jaman Ispa & Gastritis TD : 120/ 90
40 IV Ispa TD : 120/ 80
50 IV Kaki Kanan tertimpa Pelepah Kerja di PTP
54 VII Febris TD : 130/ 90
45 VI Ispa TD : 120/ 90
5 KKPA Sakit Mata
48 V Febris TD : 100/90
46 IV DM TD : 130/ 80
10 PU Febris
62 V Pegal Linu TD : 120/ 80
32 V Nyeri Abdomen TD : 100/ 70
53 IV Gastritis TD : 120/ 90
37 VII Ispa & Febris TD : 110/ 70
36 VII Ispa TD : 110/ 80
3 TU Febris
3 VII Febris & Ispa
55 IV Gastritis TD : 130/ 100
45 I Ispa & Pegal Linu TD : 120/ 80
45 VI Gatal-gatal seluruh Badan TD : 110/ 80
43 VI Febris TD : 120/ 90

Umur Alamat Diagnosa

55 V Ispa TD : 130/ 80
7 TU Febris
31 VI Ispa TD : 100/ 90
28 IV Ispa TD : 100/ 80
34 VI Ispa TD : 100/ 70
32 V Ispa & Pegal Linu TD : 110/ 90
33 V Sakit Telinga Kanan TD : 120/ 90
31 VI KP
54 IV Gastritis TD : 130/ 100
36 V Pegal Linu TD : 110/ 80
7 V Febris
52 IV Sakit mata Kiri TD : 120/ 80
11 V Febris
50 III Diare TD : 140/ 100
51 III Pegal Linu TD : 130/ 100
4 V Ispa
42 VI CHF
32 V Nyeri Abdomen TD : 100/ 90
33 V Gastritis TD : 110/ 80
58 IV Nyeri Perut & Palatus (-)
45 Kantor Batuk ± 36 bln
15 VI Gastritis TD : 100/ 90
4 VI Ispa
3 Transport Ispa
36 VII Ispa & Gastritis TD : 100/60
51 Kantor Ispa TD : 120/ 80
38 V Ispa & Pegal Linu TD : 100/ 90
49 IV Pegal Linu TD : 130/ 90
30 IV Ispa & Febris TD : 100/ 80
35 VII Ispa TD : 100/ 70
55 IV Ispa TD : 120/ 90
38 VII Ispa TD : 100/ 80
40 Asst. Ispa TD : 110/ 70
12 Tanaman Ispa
48 III Ispa TD : 110/ 80
44 Tanaman Ispa TD : 120/ 100
42 V Ispa TD : 110/ 80
52 V Febris TD : 120/ 90
30 V Febris TD : 130/ 90
52 III Sakit Telinga TD : 130/ 90
58 Plasmen Pegal Linu TD : 100/ 80
3 TU Ispa
54 V Febris & Gastritis TD : 100/ 90
33 TU Febris & Gastritis TD : 120/ 80
8 PU Febris
39 TU Gastritis TD : 110/70
53 Gudang Gastritis TD : 130/100
36 III Ispa TD : 120/ 70
27 IV Ispa TD : 100/ 90
49 IV Ispa TD : 130/ 100

Umur Alamat Diagnosa

35 V Ispa TD : 110/ 80
51 V Ispa TD : 120/ 80
48 V Ispa TD : 130/ 80
56 TU Ispa TD : 120/ 90
10 VI Ispa
21 VII Febris & Ispa TD : 100/ 80
54 IV Nyeri Perut sebelah Kiri
52 Kantor Batuk-batuk 2 mggu
53 Gudang Demam ± 1 mggu
3 V Febri & Ispa
37 IV Ispa & Febris TD : 120/ 90
48 TU Gatal-gatal TD : 120/ 80
56 Plasmen Gatal-gatal TD : 110/ 80
43 VI Febris & Ispa TD : 140/ 80
45 VI Febri & Pegal Linu TD : 120/ 70
3 V Ispa
7 TU Ispa
50 III Ispa TD : 120/ 80
31 PU Pegal Linu TD : 100/ 80
11 PU Febris & Ispa
31 V Pegal Linu TD : 110/ 90
52 V Pegal Linu TD : 120/ 80
50 IV Ispa TD : 130/ 80
6 IV Febris & Ispa
60 Plasmen Tengkuk Sakit TD : 130/ 90
7 VIII Demam ± 1 mggu
54 TU DM
47 VIII Demam
4 V Ispa
41 V Pegal Linu TD : 110/ 90
37 V Pegal Linu TD : 110/ 80
46 V Febris & Ispa TD : 120/ 70
33 V Gastritis TD : 100/ 90
58 V Ispa TD : 130/ 80
54 VII Gatal Seluruh Badan TD : 120/ 80
15 VII Ispa
22 VII Luka di tangan Kanan Kena Duri Sawit
4 PU Ispa
13 VII Mual Muntah
6 V Ispa
37 V Ispa TD : 120/ 90
14 VII Ispa
5 VII Ispa & Muntah
29 VII Gastritis TD : 100/ 80
52 V Ispa TD : 120/ 80
47 V Pegal Linu TD : 130/ 80
55 V Febris & Ispa TD : 150/ 90
45 Transport Tengkuk Sakit TD : 120/ 80
43 Transport Sakit Perut & Mulas TD : 130/ 100
33 VII Febris & Ispa TD : 110/ 80

Umur Alamat Diagnosa

16 PU Gatal-gatal di Tangan & Kaki


53 V Gatal-gatal seluruh Badan
Therapi

Oral Keterangan
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
Ambroxol, Salbutamol, Erytromicin Rawat Jalan
Molagit, Contrimoxazole Rawat Jalan
Hydrocortisone Zalf, Erythromicin Rawat Jalan
Flurin, Meloxicam, Erythromicin Rawat Jalan
Ciprofloxacin, Hydrocortisone Zalf Rawat Jalan
OBH syr, Erythromicin, Salbutamol Rawat Jalan
Flurin, Ciprofloxacin, Tomaag Rawat Jalan
Flurin, Tablet Tambah Darah, Erythromicin Rawat Jalan
Metronidazole, Molagit, Paracetamol syr Rawat Jalan
Flurin, Ciprofloxacin Rawat Jalan
Lansoprazole, Tablet Tambah Darah Rawat Jalan
Alpara, Ciprofloxacin Rawat Jalan
Furosmide, Tablet Tambah Darah Rawat Jalan
Paracetamol, Ciprofloxacin Rawat Jalan
Meloxicam, Alpara, Tablet Tambah Darah Rawat Jalan
Paracetamol, Erythromicin Rawat Jalan
Flurin, Erythromicin Rawat Jalan
Lansoprazole, Tablet Tambah Darah, Alpara Rawat Jalan
Paracetamol syr, Ciprofloxacin, Molagit Rawat Jalan
Paracetamol, Ciprofloxacin Rawat Jalan
Lexacrol, Tablet Tambah Darah Rawat Jalan
Paracetamol, Erythromicin, Tomaag Rawat Jalan
Paracetamol, Erythromicin, Tablet Tambah Darah Rawat Jalan
- PT. KMN
Paracetamol, Meloxicam, Amlodipine, Tablet Tambah Darah Rawat Jalan
Furin, Erythromicin, Tomaag, Tablet Tambah Darah Rawat Jalan
Flurin, Erythromicin, Tablet Tambah Darah Rawat Jalan
- PT. KMN
Paracetamol, Erythromicin, Donperidone Rawat Jalan
Flurin, Cefadroxil, Rindobion Rawat Jalan
Sanbe Tears, Cefadroxil Rawat Jalan
Paracetamol, Erythromicin Rawat Jalan
Metformin, Tablet Tambah Darah Rawat Jalan
Paracetamol, Erythromicin, Donperidone Rawat Jalan
Alpara, Allupurinol Rawat Jalan
Lansoprazole Rawat Jalan
Lansoprazole, Tomaag Rawat Jalan
Flurin, Erthromicin Rawat Jalan
Flurin, Tablet Tambah Darah Rawat Jalan
Paracetamol syr, Erthromicin, Donperidone Rawat Jalan
Ambroxol, Salbutamol, Erytromicin, Ibuprofen syr Rawat Jalan
Tomaag, Paracetamol Rawat Jalan
Meloxicam, Allupurinol, Methylprednison, Alpara Rawat Jalan
Methylprednison, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Methylprednison Rawat Jalan

Therapi

Oral Keterangan
Flurin, Amoxicillin Rawat Jalan
Ibuprofen syr, Cefadroxil syr, Methylprednison, Donperidone Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Allupurinol Rawat Jalan
Amoxicillin, Alpara, Colme Tetes Telinga Rawat Jalan
- PT. KMN
Lansoprazole, Ranitidine Rawat Jalan
Tablet Tambha Darah Rawat Jalan
Ibuprofen syr, Cefadroxil syr, Methylprednison Rawat Jalan
Sanbe Tears, Amoxicillin Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Molagit, Tomaag, Cotrimoxazole Rawat Jalan
Allupurinol, Alpara, Methylprednison Rawat Jalan
OBH syr, Cefadroxil syr Rawat Jalan
- PT. KMN
Ranitidine, Alpara Rawat Jalan
Lansoprazole, Cefexime Rawat Jalan
- PT. KMN
- PT. KMN
Tomaag, Ranitidine Rawat Jalan
OBH syr Rawat Jalan
Flurin syr Rawat Jalan
Alpara, Rindobion, Omeprazole Rawat Jalan
Alpara, Amoxicillin, Methylprednisone Rawat Jalan
Methylprednisone, Alpara, Cefadroxil Rawat Jalan
Rindobion, Allupurinol, Omeprazole Rawat Jalan
Alpara, Methylprednisone, Cefadroxil Rawat Jalan
Ambroxol, Amoxicillin Rawat Jalan
Alpara, OBH syr, Amoxicillin, Methylprednisone Rawat Jalan
Alpara, Amoxicillin, Methylprednisone Rawat Jalan
Alpara, Amoxicillin, Methylprednisone Rawat Jalan
Flurin syr Rawat Jalan
Alpara, Amoxicillin, OBH syr, Allupurinol Rawat Jalan
OBH syr, Alpara Rawat Jalan
Alpara, Cefadroxil, Methylprednisone Rawat Jalan
Paracetamol, Cefadroxil, Rindobion, Methylprednisone Rawat Jalan
Cefixime, Rindobion, Paracetamol Rawat Jalan
Cefixime, Colme Tetes Telinga Rawat Jalan
Alpara, Allupurinol, Rindobion Rawat Jalan
Flurin syr, Cefadroxil syr Rawat Jalan
Alpara, Amoxicillin, MethylprednisoneTomaag Rawat Jalan
Paracetamol, Cefadroxil, Methylprednisone, Tomaag Rawat Jalan
Paracetamol, Amoxicillin, Methylprednisone Rawat Jalan
Omeprazole, Lexacrol, Tablet Tambah Darah Rawat Jalan
Lansoprazole, Rindobion Rawat Jalan
Ambroxol, Amoxicillin, Rindobion Rawat Jalan
Ambroxol, OBH syr, Paracetamol,Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Methylprednisone, OBH syr Rawat Jalan

Therapi

Oral Keterangan
Alpara, Cefadroxil, Methylprednisone, OBH syr Rawat Jalan
Alpara, Cefadroxil, Methylprednisone, Rindobion Rawat Jalan
Amoxicillin, Ambroxol, OBH syr Rawat Jalan
Rindobion, Alpara Rawat Jalan
Flurin syr, Cefadroxil syr Rawat Jalan
Cefixime, Ambroxol, Paracetamol Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
Alpara syr Rawat Jalan
Alpara, Amoxicillin, Methylprednisone Rawat Jalan
Methylprednisone Rawat Jalan
Methylprednisone, Amoxicillin Rawat Jalan
Paracetamol, Ambroxol, Salbutamol, Cefadroxil, Methylprednisone Rawat Jalan
Paracetamol, Allupurinol, Amoxicillin Rawat Jalan
Flurin syr, Cefadroxil syr Rawat Jalan
Flurin syr, Amoxicillin Rawat Jalan
Flurin, Cefadroxil Rawat Jalan
Rindobion Rawat Jalan
Flurin syr, Cefadroxil syr Rawat Jalan
Rindobion, Calcium Lactate Rawat Jalan
Rindobion, Allupurinol Rawat Jalan
OBH syr, Amoxicillin Rawat Jalan
Flurin syr, Cefadroxil syr Rawat Jalan
Simvastatin, Allupurinol, Paracetamol Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
Alpara syr PT. KMN
Allupurinol, Paracetamol Rawat Jalan
Methylprednisone, Alpara, Cefixime Rawat Jalan
Ambroxol, Paracetamol, Cefdaroxil Rawat Jalan
Omeprazole, Lexacrol Rawat Jalan
OBH syr, Amoxicillin Rawat Jalan
Amoxicillin, Methylprednisone Rawat Jalan
Ambroxol, Amoxicillin Rawat Jalan
Cefixime, Paracetamol Rawat Jalan
Alpara syr, Cefadroxil syr Rawat Jalan
Methylprednisone, Cefixime, Tomaag Rawat Jalan
Alpara syr, Cefadroxil syr Rawat Jalan
Alpara, Cefixime, Methylpresnisone Rawat Jalan
Ambroxol, Amoxicillin Rawat Jalan
Alpara syr, Donperidone Rawat Jalan
Tomaag, Rindobion Rawat Jalan
Ambroxol, OBH syr, Cefadroxil, Rindobion Rawat Jalan
Allupurinol, Simvastatin Rawat Jalan
Ambroxol, Cefixime, paracetamol Rawat Jalan
Simvastatin, Allupurinol, Alpara Rawat Jalan
Alpara, Omeprazole, Donperidone Rawat Jalan
Ambroxol, Cefixime, paracetamol Rawat Jalan

Therapi

Oral Keterangan
Acyclouvir, Betonidazole Zalf Rawat Jalan
Methylprednisone Rawat Jalan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 04-02-2020 Rudito √ 04.000.1031
2 04-02-2020 Yohanes Santo √ 04.000.1379
3 05-02-2020 Giarti √ 04.000.777
4 05-02-2020 Hartanti √ 04.000.975
5 05-02-2020 Rasikin √ 04.000.972
6 05-02-2020 Purwanti √ 04.000.1018
7 05-02-2020 Giyono √ 04.000.1546
8 05-02-2020 Yatik √ 04.000.489
9 05-02-2020 Agus Wahyudi √ 04.000.486
10 05-02-2020 Yuda Saputra √ 04.000.1033
11 05-02-2020 Ahmad Maskuri √ 04.000.543
12 05-02-2020 Ali Saputra √ 04.000.990
13 05-02-2020 Tursiah √ 04.000.988
14 05-02-2020 Irawati √ 04.000.1045
15 06-02-2020 Sukamto √ 04.000.747
16 06-02-2020 Sri Hayani √ 04.000.504
17 06-02-2020 Dapat Migiono √ 04.000.501
18 06-02-2020 Dava Arianto √ 04.000.502
19 06-02-2020 Tono √ 04.000.512
20 06-02-2020 Tuyek √ 04.000.1277
21 06-02-2020 Sutadi √ 04.000.314
22 07-02-2020 Natalia Nanti √ 04.000.817
23 07-02-2020 Sunarti √ 04.000.916
24 07-02-2020 Parmin √ 04.000.915
25 07-02-2020 Didi Nurhidayat √ 04.000.1368
26 07-02-2020 Suratno √ 04.000.1281
27 07-02-2020 Simanta Surbakti √ 04.000.46
28 07-02-2020 Lilis Suryani √ 04.000.47
29 08-02-2020 Heriyanto √ 04.000.924
30 08-02-2020 Wahid Wahyu Yuwono √ 04.000.1584
31 10-02-2020 Slamet Suprinyanto √ 04.000.693
32 10-02-2020 Ramijah √ 04.000.1585
33 10-02-2020 Tuyar √ 04.000.490
34 10-02-2020 Ismail Pantas √ 04.000.1506
35 10-02-2020 Ahmad Riyadi √ 04.000.570
36 11-02-2020 Ahmad Riyadi √ 04.000.570
37 11-02-2020 Fitri Novita √ 04.000.1551
38 11-02-2020 Putri Keyla Alvin √ 04.000.1353
39 11-02-2020 Sutinah √ 04.000.587
40 11-02-2020 Agus Wahyudi √ 04.000.486
41 11-02-2020 Anjelina Julita √ 04.000.755
42 11-02-2020 Riyanti √ 04.000.425
43 12-02-2020 Tukiyah √ 04.000.971
44 12-02-2020 Yulius Atam √ 04.000.1306
45 12-02-2020 Apriliyanus √ 04.000.1309
46 12-02-2020 Sumilah √ 04.000.737
47 12-02-2020 Suwito √ 04.000.311
48 12-02-2020 Yeyen Hendratno √ 04.000.1014
49 12-02-2020 Yandi Olopan Saragih √ 04.000.1586
50 12-02-2020 Sugiharto √ 04.000.1147

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 12-02-2020 Fadil Aditya Nurhan √ 04.000.1200
52 12-02-2020 Murni Maryati √ 04.000.1198
53 13-02-2020 Kasim √ 04.000.274
54 13-02-2020 Linusius √ 04.000.1285
55 13-02-2020 Sarpin √ 04.000.508
56 13-02-2020 Jamiyem √ 04.000.498
57 13-02-2020 Natalia Nanti √ 04.000.817
58 13-02-2020 Vika Indriyani √ 04.000.500
59 13-02-2020 Maria Diana √ 04.000.200
60 13-02-2020 Sendeng √ 04.000.685
61 14-02-2020 Karifki Deni Saputra √ 04.000.1587
62 14-02-2020 Tono √ 04.000.512
63 14-02-2020 Lorensius Ardianto √ 04.000.1514
64 15-02-2020 Tugito Yashudi √ 04.000.1568
65 15-02-2020 Sanah √ 04.000.1284
66 15-02-2020 Tarsini √ 04.000.1577
67 15-02-2020 Marshanto √ 04.000.1522
68 15-02-2020 Purwanti √ 04.000.1018
69 15-02-2020 Sendeng √ 04.000.685
70 15-02-2020 Sefania Jesiska Hutajulu √ 04.000.1550
71 17-02-2020 Ketut Edi Suryanto √ 04.000.1588
72 17-02-2020 Wagiyo √ 04.000.1354
73 17-02-2020 Markus Reja √ 04.000.1084
74 17-02-2020 Mardiyah √ 04.000.985
75 17-02-2020 Miswanto √ 04.000.505
76 17-02-2020 Slamet Riyadi √ 04.000.1589
77 17-02-2020 Herkulanus Ateng √ 04.000.351
78 17-02-2020 Sumarni √ 04.000.1547
79 17-02-2020 Zulkarnaen Gultom √ 04.000.1590
80 17-02-2020 Nasib √ 04.000.724
81 18-02-2020 Natalia Nanti √ 04.000.817
82 18-02-2020 Yoga Makul Hidayah √ 04.000.346
83 18-02-2020 Supanto √ 04.000.479
84 18-02-2020 Jeki Maulana √ 04.000.1461
85 18-02-2020 Arimbi Sekar Kinanti √ 04.000.550
86 18-02-2020 Sulasmi √ 04.000.1555
87 18-02-2020 Slamet Riyadi √ 04.000.1589
88 18-02-2020 Marjan √ 04.000.1327
89 19-02-2020 Tono √ 04.000.512
90 19-02-2020 Darniyati √ 04.000.44
91 19-02-2020 Parmin √ 04.000.915
92 19-02-2020 Sunarti √ 04.000.916
93 19-02-2020 Dapat Mugiono √ 04.000.501
94 19-02-2020 Rizki Alvino √ 04.000.68
95 20-02-2020 Irfan Aufa Khairi √ 04.000.781
96 20-02-2020 Eko Setiawan √ 04.000.1338
97 20-02-2020 Karsini √ 04.000.1563
98 20-02-2020 Sumini √ 04.000.1591
99 20-02-2020 Marsini √ 04.000.463
100 20-02-2020 Eddy √ 04.000.333

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 20-02-2020 Ninski Aulia Ramadhita √ 04.000.628
102 20-02-2020 Devega Galih Alinski √ 04.000.629
103 21-02-2020 Fitri Novita √ 04.000.1351
104 21-02-2020 Marianus Main √ 04.000.1557
105 21-02-2020 Ahmad Rifa'i √ 04.000.1085
106 21-02-2020 Antonius Ali Umar √ 04.000.1089
107 22-02-2020 Lilis Suryani √ 04.000.47
108 22-02-2020 Darniyanti √ 04.000.44
109 22-02-2020 Lamiati √ 04.000.1319
110 22-02-2020 Sendeng √ 04.000.55
111 22-02-2020 Natalia Nanti √ 04.000.817
112 22-02-2020 Sayem √ 04.000.846
113 22-02-2020 Dasiman √ 04.000.1539
114 24-02-2020 Sumarni √ 04.000.1547
115 24-02-2020 Ariel Alvino √ 04.000.496
116 24-02-2020 Intan Fitriani √ 04.000.1592
117 24-02-2020 Viona Patricia Tridora √ 04.000.520
118 24-02-2020 Nandang Gozali √ 04.000.338
119 25-02-2020 Muslim Muhsin √ 04.000.776
120 25-02-2020 Slamet Riadi √ 04.000.204
121 26-02-2020 Indah Maisaroh √ 04.000.1384
122 26-02-2020 Agustinus √ 04.000.619
123 26-02-2020 Tono √ 04.000.512
124 26-02-2020 Ali Saputra √ 04.000.990
125 27-02-2020 Anastasius √ 04.000.847
126 27-02-2020 Marjan √ 04.000.1327
127 27-02-2020 Siti Mardiyah √ 04.000.1551
128 27-02-2020 Suwito √ 04.000.331
129 27-02-2020 Sisilia Suci √ 04.000.517
130 28-02-2020 Slamet Supriyanto √ 04.000.643
131 29-02-2020 Ismail Pantas √ 04.000.1506
132 29-02-2020 Irawati √ 04.000.1045
133 29-02-2020 Ngamar √ 04.000.1593
134 29-02-2020 Asep Suryana √ 04.000.1034
135 29-02-2020 Rifqi Izzatul Azzaqi √ 04.000.1037
136 29-02-2020 Lupius √ 04.000.1567
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
151 04.000.
152 04.000.
153 04.000.
154 04.000.
155 04.000.
156 04.000.
157 04.000.
158 04.000.
159 04.000.
160 04.000.
161 04.000.
162 04.000.
163 04.000.
164 04.000.
165 04.000.
166 04.000.
167 04.000.
168 04.000.
169 04.000.
170 04.000.
171 04.000.
172 04.000.
173 04.000.
174 04.000.
175 04.000.
176 04.000.
177 04.000.
178 04.000.
179 04.000.
180 04.000.
181 04.000.
182 04.000.
183 04.000.
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 123 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 13 Orang
No BPJS Umur Alamat Diagnosa

0001.592.811.202 46 V Pegal Linu TD : 120/ 90


0002.623.900.476 27 VIII Luka Kejatuhan Pelepah TD : 110/ 90
0001.590.044.477 51 IV Ispa TD : 120/ 70
0001.592.810.076 39 V Ispa & Pegal Linu TD : 110/ 80
0001.592.810.065 42 V Pegal Linu TD : 110/ 90
0001.592.810.864 42 V Ispa TD : 120/ 80
0001.592.810.212 61 V Artritis TD : 130/ 90
0001.590.040.067 32 V Ispa TD : 100/ 70
0001.590.040.056 33 V Ispa TD : 110/ 90
0001.592.811.235 8 V Ispa
0001.590.040.809 40 VI Febris TD : 100/ 80
0002.200.452.366 3.5 V Kaki Kena Knalpot
0001.592.810.357 31 V Ispa TD : 110/ 90
0001.592.811.426 49 V Febris TD : 120/ 80
0001.590.044.095 49 V Pegal Linu TD : 120/ 70
0001.590.040.269 36 V Gusi Berdarah TD : 110/ 70
0001.590.040.258 32 V Pegal Linu
0001.590.040.271 11 V Febris & Ispa
0001.590.040.405 46 V Sakit Gigi TD : 110/ 70
0001.879.732.901 54 III Pegal Linu TD : 120/ 90
0001.590.038.065 42 TU Ispa & Sesak (+) TD : 120/ 100
0001.592.807.973 44 VII Febris & Muntah TD : 130/ 100
0001.592.809.165 52 I Hypertensi TD : 170/ 110
0001.592.809.154 54 I Pegal Linu 120/ 100
0002.623.765.252 29 I Ispa & Febris TD : 100/ 90
0001.879.734.835 38 V Ispa & Febris TD : 110/ 70
0001.590.034.779 47 IV Influenza & Ispa TD : 130/ 90
0001.590.034.781 47 IV DM
0001.592.809.244 44 I Gastritis, Gatal2 & Pegal Linu TD : 120/ 90
0002.311.835.264 32 IV Ispa TD 110/ 80
0001.590.043.015 54 TU Hypertensi & Pegal Linu TD : 150/ 100
0001.590.043.419 55 IV Hypertensi TD : 160/ 90
0001.590.040.089 48 V Hypertensi & Artritis TD : 140/ 110
0002.624.440.274 45 VI Ispa & Pegal Linu TD : 120/ 90
0001.590.041.114 54 VI Ispa TD : 120/ 70
0001.590.041.114 54 VI Ispa ± 1 blnTD : 140/ 80
0002.298.316.026 30 V Ispa + TD : 120/ 90
0002.624.609.441 3 V Febris
0001.592.811.189 54 V Diare ± 2 Hari TD : 130/ 90
0001.590.040.056 33 V Ispa & Gastritis TD : 100/ 70
0001.590.044.196 19 IV Febris & Mual TD : 110/ 80
0001.592.809.266 42 I Leher Sakit & Tegang TD : 130/ 100
0001.592.810.054 51 V Hypertensi & Pegal Linu TD : 160/ 100
0002.894.284.246 41 V Sakit Gigi TD : 110/ 80
0002.894.284.336 8 V Ispa & Febris
0001.590.043.858 54 IV DM & Hypertensi TD : 160/ 90
0001.590.038.021 46 Transport Pegal Linu TD : 120/ 80
0001.592.810.853 50 V Febris TD : 100/ 90
0001.591.581.587 37 Askep Diare TD : 110/ 80
0001.592.813.564 39 PU Ispa TD : 110/ 90

No BPJS Umur Alamat Diagnosa

0002.086.250.848 4 IV Gatal2 & Ispa


0001.592.814.677 36 IV Nyeri Perut Bawah TD : 130/ 90
0001.590.037.661 51 VII Artritis TD : 130/ 90
0001.879.736.861 46 V Pegal Linu TD : 100/ 70
0001.590.040.315 50 V Mata Kejatuhan Brondol TD : 120/ 90
0001.590.040.179 53 V Gastritis & Pegal Linu TD : 110/ 90
0001.592.807.973 44 VI Febris & Ispa
0001.590.040.192 17 V Luka di Kaki Akibat Jatuh & Diare TD : 100/ 80
0001.590.036.535 34 VII Gastritis TD : 110/ 70
0001.590.042.936 56 TU Artritis TD : 120/ 90
0002.311.836.232 10 IV Diare
0001.590.040.405 47 V Pegal Linu TD : 100/ 70
0002.624.500.686 6 IV Demam
0001.873.307.169 65 Plasmen Pegal-pegal TD : 120/ 90
0001.879.735.195 36 V Ispa TD : 110/ 80
0001.873.307.759 63 Plasmen Hypertensi TD : 170/ 100
0002.624.528.867 37 VI Ispa TD : 110/ 90
0001.590.040.002 42 VI CHF
0001.590.042.936 56 Plasmen Artritis TD : 120/80
0001.828.023.939 8 KKPA Sakit Gigi
0002.479.561.773 36 TU Sakit Pinggang TD : 120/ 80
0002.376.672.748 34 VI Febris TD : 100/ 70
0001.592.812.214 12 VI Febris
0001.592.810.313 53 V Pusing & Tengkuk Sakit TD : 120/ 70
0001.590.040.282 37 V Febris TD : 110/ 80
0002.079.588.216 32 TU Diare & Febris TD : 100/ 90
0001.590.038.458 51 PU Tangan Kanan Ngilu TD : 130/ 90
0001.594.153.056 62 Plasmen Artritis TD : 130/ 100
53 VI Kedua Kaki Sakit TD : 130/ 80
0001.590.043.421 56 III Ispa & Pegal Linu TD : 120/ 90
0001.592.807.973 44 VII Ispa & Sesak (+) TD : 120/ 90
0001.590.038.414 14 Transport Febris & Ispa
0001.590.039.999 54 V Jari Tangan Sakit & Susah Digerakkan TD : 120/ 80
0002.624.095.912 11 VII Ispa
0001.590.040.934 12 VI Ispa
0001.594.153.146 60 V Sakit Gigi TD : 130/ 100
0002.079.588.216 32 IV Febris & Lemas (+) TD : 100/ 70
0002.197.638.707 40 IV Kedua Kaki Sakit TD : 140/ 90
0001.590.040.405 46 V Sakit Gigi TD : 110/ 80
0001.590.034.724 54 IV Nyeri Perut Bawah TD : 120/ 90
0001.592.809.154 54 I Artritis TD : 110/ 80
0001.592.809.165 52 I Hypertensi TD : 150/ 90
0001.590.040.258 32 V Pegal Linu TD : 100/ 70
0002.263.578.625 12 PU Ispa, Febris & Mual
0002.263.578.625 4 IV Ispa & Febris
0002.271.087.944 32 IV Sakit Pinggang Smpi ke Kaki bag. Bwh TD : 110/ 80
0001.592.810.651 52 V Sakit Pinggang TD : 140/ 100
0001.590.043.926 52 V Sakit Pinggang TD : 130/ 90
0002.269.945.934 22 V Gatal2 seluruh Badan TD : 110/ 80
0001.590.038.267 42 TU Pegal Linu TD : 110/ 80

No BPJS Umur Alamat Diagnosa

0001.590.042.148 13 Kantor Ispa


0001.590.042.159 10 Kantor Gusi Bengkak
0002.298.316.026 30 V Ispa TD : 120/ 100
0001.590.043.588 59 IV Febris TD : 130/ 90
0001.592.812.236 42 VI Febris TD : 120/ 90
0001.592.812.359 40 VI Pegal Linu TD : 110/ 80
0001.590.034.781 47 IV DM
0001.590.034.724 54 IV Punggung Kiri Sakit & Telepak Kaki Dingin
0001.905.920.381 54 V Perut Kiri Terasa Panas Sakit Sampai Ke Pinggang
0001.590.042.936 55 Plasmen Kedua Kaki Masih Terasa Sakit & Ngilu
0001.592.807.973 44 VII Batuk ± 2 mgg & Ssesak (+)
0001.592.808.298 53 VII Post. Op Katarak
0001.827.928.901 39 Transport Sakit Perut Kiri Sampai Ke Pinggang
0001.594.153.056 63 Plasmen Seluruh Badan Terasa Sakit TD : 130/ 100
0001.590.040.157 11 V Ispa & Febris
0001.827.921.205 10 KKPA Varicella
0001.590.040.552 9 VI Ispa & Gatal2 d Badan
0001.590.038.302 53 Gudang Gastritis & Sakit Kencing TD : 120/ 90
0001.590.044.466 53 IV Febris TD : 120/ 90
0001.590.036.614 33 Transport Sakit Kepala & Pusing TD : 110/ 70
0002.764.516.138 25 VII Mual Muntah & Pusing TD : 100/ 70
0001.590.042.014 52 PU Gastritis & Ispa TD : 130/ 90
0001.590.040.405 46 V Febris & Ispa TD : 120/ 70
0002.200.452.366 35 V Ispa
0001.592.808.568 53 VII Gastritis TD : 100/ 70
0002.197.638.707 40 IV Jari Manis Bengkak Akibat Jatuh Waktu Kerja
0001.590.044.624 53 IV Gastritis & Febris TD : 110/ 80
0001.590.038.021 46 Gudang Ispa & Gastritis TD : 120/ 90
0001.590.040.517 44 VI Nyeri Dada Kiri & Muntah (+)
0001.590.043.015 54 TU Hypertensi & Ispa TD : 160/ 100
0002.624.440.274 45 VI Pusing & Ispa TD : 150/ 100
0001.592.811.428 49 V Hypertensi & Tengkuk Sakit TD : 140/ 110
0001.590.034.667 36 V Diare TD : 130/80
0001.592.811.246 40 V Gatal Seluruh Badan TD : 120/ 90
0001.592.811.281 8 V Gatal Seluruh Badan
0001.827.960.006 48 III Gastritis, Febris & Ispa TD : 120/ 100

No BPJS Umur Alamat Diagnosa


Therapi

Oral Keterangan
Paracetamol, Allupurinol Rawat Jalan
Cefixime, Alpara Rawat Jalan
Alpara, Amoxicillin, Calcium Lactate Rawat Jalan
Alpara, Amoxicillin, Calcium Lactate, Methylprednisone Rawat Jalan
Tablet Tambah Darah, Calcium Lactate Rawat Jalan
Alpara Rawat Jalan
Allupurinol, Calcium Lactate Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Methylprednisone Rawat Jalan
Amoxicillin, Ambroxol Rawat Jalan
Paracetamol, Amoxicillin, Methylprednisone Rawat Jalan
Cefadroxil syr, Paracetamol syr, Hydrocortisone Zalf Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Cefadroxil, Methylprednisone, Calcium Lactate Rawat Jalan
Allupurinol, Paracetamol Rawat Jalan
Paracetamol, Cefixime, Methylprednisone Rawat Jalan
Allupuronol, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Paracetamol, Cefadroxil Rawat Jalan
Allupuroinol, Calcium Lactate, Cefixime Rawat Jalan
Cefadroxil, Methylprednisone, Ambroxol, Salbutamol Rawat Jalan
Paracetamol, Cefadroxil, Tomaag, Ambroxol Rawat Jalan
Captopril, Simvastatin Rawat Jalan
Allupurinol, Meloxicam Rawat Jalan
Paracetamol, Ambroxol, Amoxicillin Rawat Jalan
Alpara, Cefixime, Ambroxol Rawat Jalan
Alpara, Cefixime Rawat Jalan
- PT. KMN
Allupuronol, Tomaag, Ketoconazole Zalf Rawat Jalan
Alpara, Cefadroxil Rawat Jalan
Allupurinol, Captopril, Amlodipine Rawat Jalan
Captopril, Allupurinol, Folid Acid Rawat Jalan
Folid Acid, Allupurinol, Captopril Rawat Jalan
Folid Acid, Allupurinol, Ambroxol, Cefadroxil Rawat Jalan
Ambroxol, Cefadroxil Rawat Jalan
- PT. KMN
Cefixime, Ambroxol, Salbutamol Rawat Jalan
Paracetamol syr, Cefadroxil syr Rawat Jalan
Molagit, Metonidazole, Allupurinol, Tomaag Rawat Jalan
Lansoprazole, Ambroxol, Cefixime Rawat Jalan
Paracetamol, Tomaag, Amoxicillin Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Captopril, Allupurinol Rawat Jalan
Paracetamol, Amoxicillin Rawat Jalan
Paracetamol, Ambroxol Rawat Jalan
Captopril, Metrofin, Paracetamol, Cefixime, Ambroxol Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Ambroxol, Paracetamol, Cefadroxil Rawat Jalan
Molagit, Metrinidazole, Tomaag Rawat Jalan
Ambroxol, Cefadroxil Rawat Jalan

Therapi

Oral Keterangan
Ceterizine, Paracetamol syr Rawat Jalan
Lexacrol, Paracetamol, Cefixime Rawat Jalan
Allupurinol, FoliAcid Rawat Jalan
Folic Acid, Paracetamol Rawat Jalan
Chloramphenicol Zalf, Amoxicillin, Paracetamol Rawat Jalan
Tomaag, Allupurinol Rawat Jalan
- PT. KMN
Cefixime, Gentamicin Zalf Rawat Jalan
Antasida Doen, Omeprazole Rawat Jalan
Allupurinol Rawat Jalan
Paracetamol, Amoxicillin, Molagit, Tomaag Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Paracetamol syr Rawat Jalan
Allupurinol, FoliAcid Rawat Jalan
Ambroxol, Paracetamol, Cefixime Rawat Jalan
Amlodipine, Cefixime, Folic Acid Rawat Jalan
Paracetamol, Amoxicillin Ambroxol Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
Alpara, Pritacort Rawat Jalan
Amoxicillin, Paracetamol, Pritacort, Rindobion Rawat Jalan
Paracetamol, Cefadroxil Rawat Jalan
Alpara, Rndobion, Pritacort Rawat Jalan
Pritacort, Alpara, Cefixime Rawat Jalan
Paracetamol, Molagit, Antasida Doen, Amoxicillin Rawat Jalan
Alpara, Ceterizine, Allupurinol Rawat Jalan
Paracetamol, Pritacort, Allupurinol Rawat Jalan
Alpara, Rindobion, Ceterizine Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Alpara, Amoxicillin, Ambroxol, Salbutamol Rawat Jalan
Alpara, Cefixime, Ceterizine Rawat Jalan
Alpara, Pritacort, Rindobion Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Cefixime, Pritacort Rawat Jalan
Rindobion, Paracetamol, Amoxicillin Rawat Jalan
Alpara, Pritacort, Rindobion Rawat Jalan
Alpara, Ceterizine,Amoxicillin Rawat Jalan
Pritacort, Alpara, Cefixime Rawat Jalan
Allupurinol, Alpara, Rindobion Rawat Jalan
Flurin, Amoxicillin, Captopril 25mg Rawat Jalan
Rindobion Rawat Jalan
Alpara, Pritacort, Cefixime, Antasida Doen Rawat Jalan
Alpara syr, Pritamox syr, Antasida Doen Rawat Jalan
Pritacort, Rindobion, Paracetamol Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Rindobion, Alpara Rawat Jalan
Ceterizine, Cefixime Rawat Jalan
Rindobion Rawat Jalan

Therapi

Oral Keterangan
Flurin, Cefixime Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Ambroxol, Salbutamol, Amoxicillin Rawat Jalan
Paracetamol, Ceterizine, Cefixime Rawat Jalan
Paracetamol, Ceterizine, Amoxicillin Rawat Jalan
Folic Acid, Paracetamol Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
Paracetamol, Allupurinol Rawat Jalan
Paracetamol, Ambroxol, Amoxicillin Rawat Jalan
Acyclovir, Paracetamol, Amoxicllin, Hydrocortisone Zalf Rawat Jalan
Amoxicillin, Flurin, Ceterizine Rawat Jalan
Omeprazole, Cifixime Rawat Jalan
Paracetamol, Amoxicillin, Antasida Doen Rawat Jalan
Alpara, Rindobion Rawat Jalan
Paracetamol, Tomaag Rawat Jalan
Tomaag, Flurin, Amoxicillin Rawat Jalan
Flurin, Amoxicillin, Rindobion Rawat Jalan
Flurin syr, Pritamox syr Rawat Jalan
Antasida Doen, Rindobion, Paracetamol Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Antasida Doen, Paracetamol, Rindobion, Amoxicillin Rawat Jalan
Lexacrol syr, Rindobion, Flurin, Amoxicillin Rawat Jalan
Flurin, Lexacrol syr, Cefixime, Rindobion Rawat Jalan
Flurin, Amlodipine Rawat Jalan
Alpara, Amoxicillin, Pritacort, Amlodipine Rawat Jalan
Paracetamol, Ceterizine,Rindobion, Amlodipine Rawat Jalan
Molagit, Contrimoxazole, Antasida Doen Rawat Jalan
Ceterizine, Hydrocortisone Zalf, Cefixime Rawat Jalan
Ceterizine, Hydrocortisone Zalf, Pritamox syr Rawat Jalan
Lexacrol, Flurin, Amoxcillin Rawat Jalan

Therapi

Oral Keterangan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 02-03-2020 Yustinus Coi √ 04.000.475
2 02-03-2020 Irfan Aufa Khairi √ 04.000.781
3 02-03-2020 Irawati √ 04.000.83
4 02-03-2020 Marinu √ 04.000.82
5 02-03-2020 Fitri Novita √ 04.000.1351
6 02-03-2020 Fiki Ramadani √ 04.000.1283
7 02-03-2020 Suranto √ 04.000.1281
8 02-03-2020 Abdul Wahid √ 04.000.465
9 02-03-2020 Altomius √ 04.000.799
10 02-03-2020 Budiono √ 04.000.1189
11 02-03-2020 Bonivasius Yosef √ 04.000.812
12 02-03-2020 Tande √ 04.000.1594
13 02-03-2020 Natalia Nanti √ 04.000.817
14 03-03-2020 Mukti Aisah √ 04.000.1039
15 03-03.2020 Faishal Firdaus √ 04.000.944
16 03-03.2020 Supriani √ 04.000.697
17 03-03.2020 Adia Afrida Fatina √ 04.000.741
18 03-03.2020 Sulpinus √ 04.000.602
19 04-03.2020 Farida Hannum Panjaitan √ 04.000.1135
20 04-03.2020 Suwanto √ 04.000.1352
21 04-03.2020 Hadi Purwanto √ 04.000.1004
22 04-03.2020 Gaderyus Gatis √ 04.000.767
23 04-03.2020 Yono √ 04.000.1295
24 04-03.2020 Masni √ 04.000.1595
25 04-03.2020 Julius Patrick Aristo √ 04.000.264
26 04-03.2020 Dwi Suratno √ 04.000.1383
27 05-03.2020 Dwian Bagas Ardio √ 04.000.317
28 05-03.2020 Giyono √ 04.000.1546
29 05-03.2020 Sumiyanti √ 04.000.1596
30 05-03.2020 Akie √ 04.000.1597
31 05-03.2020 Suwito √ 04.000.331
32 05-03.2020 Grego Riando √ 04.000.841
33 05-03.2020 Oktavianus Florenza √ 04.000.1106
34 06-03.2020 Sarpin √ 04.000.508
35 06-03.2020 Mardiyah √ 04.000.985
36 06-03.2020 Admini √ 04.000.758
37 06-03.2020 Selamat √ 04.000.757
38 06-03.2020 Rosikin √ 04.000.972
39 06-03.2020 Hartati √ 04.000.975
40 06-03.2020 Yatik √ 04.000.489
41 06-03.2020 Linusius √ 04.000.1285
42 06-03.2020 Jamilah √ 04.000.1162
43 06-03.2020 Sono √ 04.000.1555
44 06-03.2020 Legini √ 04.000.1598
45 06-03.2020 Nailul Qurbi. W √ 04.000.765
46 06-03.2020 Zakkia Tussifa √ 04.000.766
47 07-03.2020 Murni Maryati √ 04.000.1108
48 07-03.2020 Indri Ayu Berliani √ 04.000.194
49 07-03.2020 Siswoyo √ 04.000.1561
50 07-03.2020 Sugiyanto √ 04.000.1013

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 07-03.2020 Kaliman √ 04.000.493
52 07-03.2020 Siti Nurhyatun √ 04.000.193
53 09-03.2020 Reza Triyulia Admaja √ 04.000.557
54 09-03.2020 Syukur √ 04.000.1047
55 09-03.2020 Laurensius Asau √ 04.000.1410
56 10-03.2020 Misnem √ 04.000.1559
57 10-03.2020 Dapat Mugiono √ 04.000.501
58 10-03.2020 Tuyar √ 04.000.490
59 10-03.2020 Heriyanto √ 04.000.924
60 10-03.2020 Pitriyo Kristu √ 04.000.1343
61 11-03.2020 Senen √ 04.000.992
62 11-03.2020 Rudito √ 04.000.1031
63 11-03.2020 Kasianus Kopin √ 04.000.1545
64 11-03.2020 Sri Hayani √ 04.000.504
65 11-03.2020 Sukamto √ 04.000.746
66 11-03.2020 Ali Saputra √ 04.000.990
67 11-03.2020 Yeyen Hendratno √ 04.000.1014
68 12-03.2020 Safira Asri Azzahra √ 04.000.1038
69 12-03.2020 Rasyah Claudia Azahra √ 04.000.1036
70 12-03.2020 Surtini √ 04.000.1035
71 12-03.2020 Hadi Purwanto √ 04.000.1004
72 12-03.2020 Sanah √ 04.000.1284
73 12-03.2020 Tumiroh √ 04.000.773
74 12-03.2020 Kliwon √ 04.000.80
75 12-03.2020 Rafadhan Hafiz Priawan √ 04.000.699
76 13-03.2020 M. Fincensius. A √ 04.000.1154
77 13-03.2020 Farida Hannum Panjaitan √ 04.000.1135
78 13-03.2020 Darwanto √ 04.000.1094
79 13-03.2020 Adrianus √ 04.000.1431
80 13-03.2020 Sutrisno √ 04.000.682
81 14-03.2020 Sumarni √ 04.000.784
82 14-03.2020 Titin Sumartinah √ 04.000.1570
83 14-03.2020 Antonius Ali Umar √ 04.000.1089
84 14-03.2020 Aprida Cahyani Prame Sari √ 04.000.562
85 14-03.2020 Wahyu Agus Riatmoko √ 04.000.563
86 17-03.2020 Yulius Atam √ 04.000.1306
87 17-03.2020 Nandang Gojali √ 04.000.338
88 17-03.2020 Ramadani Zada √ 04.000.488
89 17-03.2020 Salmi √ 04.000.1008
90 17-03.2020 Sono √ 04.000.1555
91 17-03.2020 Sutadi √ 04.000.314
92 18-03.2020 Darniyanti √ 04.000.44
93 18-03.2020 Sarni Sahono √ 04.000.996
94 18-03.2020 Bonivasius Yosef √ 04.000.812
95 18-03.2020 Purwanti √ 04.000.1018
96 18-03.2020 Yuda Saputra √ 04.000.1033
97 18-03.2020 Grecia Maura √ 04.000.206
98 19-03.2020 Martinus Ciot √ 04.000.1208
99 19-03.2020 Patar Bancin √ 04.000.1599
100 19-03.2020 Winarti √ 04.000.1600

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 19-03.2020 Devega Galih Alinski √ 04.000.629
102 19-03.2020 Alya Dira √ 04.000.507
103 19-03.2020 Miswanto √ 04.000.505
104 19-03.2020 Cucu Halimah √ 04.000.506
105 19-03.2020 Sugeng Pawitan √ 04.000.772
106 19-03.2020 Rusli Sembiring √ 04.000.278
107 19-03.2020 Mutiah √ 04.000.896
108 19-03.2020 Maya Sifa Salsabila √ 04.000.775
109 20-03.2020 Sumarni √ 04.000.1547
110 20-03.2020 Mahammmad Muhrodin √ 04.000.726
111 20-03.2020 Rafiq Alvan Ramadhon √ 04.000.1163
112 21-03.2020 Hartanti √ 04.000.975
113 21-03.2020 Ahmad Amin Supangat √ 04.000.1601
114 21-03.2020 Lakeisha Faranissa √ 04.000.348
115 21-03.2020 Tugito yashudi √ 04.000.1568
116 21-03.2020 Jamilah √ 04.000.1162
117 21-03.2020 Sri Aminatun √ 04.000.1602
118 21-03.2020 Tono √ 04.000.512
119 21-03.2020 Indah Maisaroh √ 04.000.1384
120 21-03.2020 Andri Gramiko √ 04.000.667
121 23-03.2020 Fadil Aditya Nurhan √ 04.000.1200
122 23-03.2020 Zifana Dwi Salsabila √ 04.000.1199
123 23-03.2020 Yuniarti √ 04.000.1603
124 23-03.2020 Yatik √ 04.000.489
125 23-03.2020 Sartini √ 04.000.1604
126 23-03.2020 Marjan √ 04.000.1327
127 23-03.2020 Biyo Susilo √ 04.000.13
128 23-03.2020 Didi Nurhidayat' √ 04.000.1368
129 24-03.2020 Antonius Samuel √ 04.000.1512
130 24-03.2020 Kasianus Kopin √ 04.000.1545
131 24-03.2020 Silvisius Suwandi √ 04.000.1605
132 24-03.2020 Karsini √ 04.000.1563
133 24-03.2020 Wnda Margareta √ 04.000.1083
134 24-03.2020 Solen Marsianus Gultom √ 04.000.1559
135 24-03.2020 Kliwon √ 04.000.80
136 24-03.2020 Radit Lusardi √ 04.000.1569
137 24-03.2020 Lupius √ 04.000.1567
138 24-03.2020 Upami √ 04.000.494
139 24-03.2020 Supiyah √ 04.000.1549
140 25-03.2020 Dapat Mugiono √ 04.000.501
141 25-03.2020 Jamilah √ 04.000.1162
142 25-03.2020 Kristina Desta Natalia √ 04.000.1128
143 28-03.2020 Muslim Muhsin √ 04.000.776
144 28-03.2020 Tukiyah √ 04.000.971
145 28-03.2020 Suminah √ 04.000.675
146 28-03.2020 Jamiyem √ 04.000.498
147 30-03.2020 Tuyar √ 04.000.490
148 30-03.2020 Giyono √ 04.000.1546
149 30-03.2020 Sumarni √ 04.000.1547
150 30-03.2020 Natalia Nanti √ 04.000.817

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
151 30-03.2020 Fahruddin Tambunan √ 04.000.1134
152 30-03.2020 Purwanti √ 04.000.1018
153 30-03.2020 Yeyen Hendratno √ 04.000.1014
154 30-03.2020 Lutfia Anggreni √ 04.000.1016
155 30-03.2020 Riyanti √ 04.000.925
156 30-03.2020 Kayat √ 04.000.1606
157 31-03.2020 Sumilah √ 04.000.737
158 31-03.2020 Rifqi IzzaAzzaqi √ 04.000.1037
159 31-03.2020 Safira Asri Azzahra √ 04.000.1038
160 31-03.2020 Sutrisno √ 04.000.682
161 31-03.2020 Sisilia Nike √ 04.000.1513
162 31-03.2020 Selfania Jessica Hutajulu √ 04.000.1550
163 31-03.2020 Emilia Ana √ 04.000.1607
164 04.000.
165 04.000.
166 04.000.
167 04.000.
168 04.000.
169 04.000.
170 04.000.
171 04.000.
172 04.000.
173 04.000.
174 04.000.
175 04.000.
176 04.000.
177 04.000.
178 04.000.
179 04.000.
180 04.000.
181 04.000.
182 04.000.
183 04.000.
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 151 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 12 Orang
No BPJS Umur Alamat Diagnosa

0001.590.039.988 45 III Perut Kanan Sakit TD : 140/ 100


0002.263.578.625 3 IV Febris, Ispa & Kembung
0001.590.035.229 27 III Hamil 30-32 Mggu TD : 100/ 70
0001.590.035.207 31 III Pegal Linu TD : 110/ 80
0002.298.316.026 30 III Sakit Gigi TD : 100/ 70
0001.879.736.218 7 V Diare, Perut Kembung
0001.879.734.835 39 V Pegal Linu TD : 120/ 70
0001.590.039.865 51 V Febris TD : 100/ 80
0001.592.807.692 8 VII Konjungtivitis
0001.592.814.508 33 IV Febris & Pusing TD : 100/ 80
0001.592.807.916 42 VII Sakit Gigi TD : 130/ 90
0001.592.807.589 50 VII Febris & Ispa TD : 100/ 70
0001.592.807.973 44 VII Ispa TD : 120/ 70
0001.592.811.336 52 V Hypertensi TD : 90/ 70
0001.592.809.457 9 IV Gatal-gatal seluruh Badan
0001.590.043.059 32 TU Ispa & Gatal di kaki & Tangan TD : 110/ 80
0002.624.369.782 4 IV Ispa & Febris
0001.590.041.766 45 III Mata Kanan Kejatuhan Brondolan TD : 130/ 80
0001.592.813.261 40 Tanaman Post 5C
0002.298.315.082 34 V Ispa & Febris TD : 110/ 70
0001.592.810.706 55 V Pegal Linu TD : 110/ 90
0001.590.044.365 40 IV Ispa TD : 110/ 90
0001.888.885.822 62 V Ispa TD : 120/ 80
0002.066.057.313 57 VI KP
0001.590.037.492 15 VII Ispa
0002.623.907.272 25 VII Ispa TD : 110/ 70
0001.961.153.469 5 TU Febris, Ispa & Diare
0001.592.810.212 61 V Sakit Pinggang TD : 120/ 80
0001.592.810.223 60 V Sakit Pinggang smpi ke Kaki TD : 140/ 100
0001.592.813.608 50 Gudang Obs. Thypoid
0001.590.038.021 46 Gudang Pegal Linu TD : 130/ 80
0002.438.623.236 5 VII Ispa
0002.624.588.818 3.5 VI Batuk & Sesak Napas
0001.590.040.315 51 V Artritis & Gastritis TD : 130/ 70
0001.592.810.313 52 V Tengkuk Sakit TD : 130/ 80
0001.590.044.231 31 IV Gatal Seluruh Badan & Ispa TD : 110/ 80
0001.590.044.229 40 IV Ispa TD : 110/ 90
0001.592.810.065 42 V Gastritis & Artritis TD : 120/ 80
0001.592.810.076 39 V Keputihan & Pegal Linu TD : 110/ 90
0001.590.040.067 32 V Ispa & Pegal Linu TD : 100/ 80
0001.879.736.861 46 V Febris & Ispa TD : 120/ 90
0001.592.814.003 45 VI Gastritis & Pusing TD : 130/ 70
0001.590.034.184 56 IV Ispa TD : 130/ 90
0001.590.034.195 58 IV Artritis & Ispa TD : 120/ 80
0001.590.044.343 14 V Dermatritis & Febris
0001.590.044.354 11 V Dermatritis & Febris
0001.592.814.677 36 IV Cabut Gigi
0001.590.036.761 18 III Nyeri Dada Menyebar ke Punggung
0001.592.810.741 59 V Hypertensi & Ispa TD : 160/ 90
0001.592.810.829 32 V Pegal Linu & Ispa TD : 110/ 80

No BPJS Umur Alamat Diagnosa

0001.590.040.124 48 V Asma Bronkael TD : 140/ 90


0001.590.036.546 43 III Sakit Gigi TD : 130/ 100
0001.590.041.024 8 PU Febris & Ispa
0001.592.811.461 48 V Ispa & Pegal Linu TD : 120/ 90
0002.623.947.456 32 VII Pegal Linu & Febris TD : 100/ 80
0001.594.153.091 54 V Ispa & Pegal Linu TD : 130/ 90
0001.590.040.258 33 V Ispa TD : 100/ 80
0001.590.040.089 49 V Hypertensi & Pegal Linu TD : 160/ 100
0001.592.809.244 45 I Pusing, Gastritis & Ispa TD : 100/ 70
0002.274.480.505 33 V Perut Mulas Terus Menerus
0001.592.810.414 58 V CHF
0001.592.811.202 47 V Ispa TD : 120/ 80
0001.828.013.139 42 KKPA Ispa & Sesak TD : 130/ 80
0001.590.040.269 37 V Diare & Demam TD : 100/ 70
0001.590.044.095 49 V Ispa & Pegal Linu TD : 120/ 90
0002.200.452.366 4 V Ispa
0001.592.810.853 47 V Pegal Linu TD : 120/ 90
0001.592.811.292 8 V Gatal2 seluruh Badan & Ispa
0001.592.811.279 13 V Febris & Ispa
0001.592.811.268 34 V Gatal2 seluruh Badan TD : 110/ 80
0001.592.810.706 56 V Pegal Linu TD : 130/ 90
0001.879.735.195 37 V Febris & Ispa TD : 100/ 70
0001.590.044.433 40 IV Gastritis & Sakit Gigi TD : 120/ 90
0001.590.035.185 50 III Pegal Linu
0002.310.682.329 3 TU Febris & Ispa
0001.592.813.722 42 Gudang Ispa TD : 120/ 90
0001.592.813.261 41 Tanaman Ispa TD : 110/ 70
0001.592.812.473 33 V Mual Muntah & Ispa TD : 110/ 90
0002.624.015.024 35 VII Ispa TD : 100/ 80
0001.590.042.892 53 TU Hypertensi TD : 150/ 90
0001.594.153.056 62 Plasmen Kedua Kaki Sakit Digerakkan TD : 130/ 100
0001.590.043.645 61 Plasmen Ngilu Seluruh Badan Gastritis
0001.592.812.359 40 VI Pegal Linu TD : 100/ 70
0001.590.041.068 15 VII Ispa
0001.590.041.079 12 VII Ispa
0001.894.284.246 42 V Luka Kena Pelepah di tangan TD : 110/ 70
0001.590.038.302 53 Gudang Gastritis & Ispa TD : 120/ 80
0002.459.802.508 3 V Febris
0001.592.810.785 52 V Pegal Linu & Gastritis TD : 120/ 90
0001.590.034.184 55 IV Batuk Pilek TD : 110/ 80
0001.590.038.065 43 IV Diare TD : 130/ 90
0001.590.034.724 54 IV Sakit Gigi TD : 130/ 80
0001.592.810.605 40 V Pegal Linu TD : 110/ 80
0001.592.807.916 44 VII Pegal Linu TD : 110/ 90
0001.592.810.864 41 V Pegal Linu & Ispa TD : 120/ 90
0001.592.811.235 8 V Ispa
0001.590.036.836 8 Transport Ispa
0001.592.814.813 50 VII Gastritis & Febris
0001.592.809.716 52 Asst. Afd Vertigo Perifer
0001.590.042.778 52 S. Meling Badan Meriang & Ispa TD : 120/ 90

No BPJS Umur Alamat Diagnosa

0001.590.042.159 10 Kantor Febris & Batuk


0001.590.040.304 10 V Ispa
0001.590.040.282 37 V Pegal Linu TD : 120/ 70
0001.590.040.293 29 V Ispa TD : 110/ 90
0001.590.044.411 40 IV Alergi TD : 110/ 80
0001.590.037.705 46 Transport Pegal Linu TD : 110/ 80
0001.592.808.851 29 Transport Ispa TD : 120/ 70
0001.590.044.455 11 IV Mual Muntah & Demam
0001.594.153.056 63 Plasmen Pegal Linu TD : 130/ 100
0001.590.043.522 50 IV Artritis TD : 120/ 90
0001.592.814.069 7 TU Febris & Batuk
0001.592.810.076 40 V Gastritis TD : 100/ 70
0002.063.062.675 38 Plasmen Ispa TD : 100/ 90
0001.590.038.447 7 Transport Ispa
0001.873.307.169 65 Plasmen Sakit Kepala & Ispa TD : 130/ 90
0001.592.814.003 45 VI Pegal Linu & Diare TD : 110/ 80
0002.063.062.934 36 Plasmen Ispa TD : 110/ 80
0001.590.040.405 46 V Febris & Ispa TD : 120/ 90
0002.764.516.138 25 VII Diare TD : 100/ 70
0001.590.042.609 37 PU Badan Meriang
0002.086.250.848 4 IV Febris & Ispa
0001.592.814.701 10 IV Batuk ± 1 mggu
0001.590.035.062 53 III Ispa & Pegal Linu TD : 110/ 80
0001.590.040.067 33 V Ispa TD : 110/ 90
0001.592.810.201 59 V Ispa & Pegal Linu TD : 120/ 80
0002.197.628.707 40 IV Pegal Linu TD : 120/ 70
0001.550.594.698 38 VII Gastritis TD : 100/ 70
0002.623.765.252 29 I Luka Kejatuhan Pelehan Sawit
0002.624.500.506 28 IV Pegal Linu TD : 100/ 80
0001.828.013.139 42 KKPA Febris TD : 110/ 90
0001.827.981.437 45 V Pegal Linu TD : 120/ 90
0001.592.810.651 53 V Hypertensi TD : 150/ 80
0001.592.812.192 18 VII Ispa ± 2 Hari TD : 110/ 80
0002.302.739.256 40 VI Sakit Gigi TD : 120/ 70
0001.590.035.185 50 III Sakit Kepala & Badan Lemas TD : 130/ 80
0001.827.961.907 11 III Batuk & Pilek
0001.827.960.006 48 III Gastritis & Febris TD : 110/ 80
0001.590.040.135 40 V Gatal2 Seluruh Badan TD : 110/ 80
0002.241.934.457 57 Simpang Herpes Ditangan TD : 120/ 90
0001.590.040.258 34 V Ispa TD : 110/ 90
0001.592.814.003 46 VI Kunjugtivitis TD : 110/ 80
0001.592.813.035 8 Kantor Ispa
0001.590.044.466 53 IV Gastritis & Ispa TD : 120/ 90
0001.592.810.054 52 V Hypertensi TD : 160/ 100
0001.590.042.734 49 TU Ispa TD : 110/ 90
0001.590.040.179 53 V Ispa TD : 120/ 80
0001.590.040.089 49 V Hypertensi TD : 150/ 100
0001.592.810.212 62 V Pegal Linu TD : 120/ 90
0001.594.153.056 63 Plasmen Pegal Linu TD : 130/ 70
0001.592.807.973 45 VII Ispa TD : 130/ 80

No BPJS Umur Alamat Diagnosa

0001.592.813.248 45 Tanaman Gastritis TD : 120/ 70


0001.592.810.864 42 V Ispa TD : 110/ 80
0001.592.810.853 45 V Febris & Ispa TD : 110/ 90
0001.592.810.886 18 V Ispa TD : 100/ 80
0001.592.809.266 42 I Pegal Linu & Gastritis TD : 120/ 80
0001.590.043.612 66 Plasmen Ispa TD : 100/ 70
0001.590.043.858 55 IV Hypertensi TD : 170/ 110
0001.592.811.281 8 V Gatal-gatal
0001.592.811.292 7 V Gatal-gatal
0001.590.042.892 54 TU Hypertensi TD : 160/ 90
0002.624.500.539 25 IV Ispa TD : 100/ 90
0001.828.023.939 8 KKPA Febris
0001.827.981.832 43 V Pegal Linu TD : 110/ 80
Therapi

Oral Keterangan
Cefixime, Flurin Rawat Jalan
Flurin syr, Pritamox syr, Antasida Doen Rawat Jalan
Rindobion Rawat Jalan
Rindobion Rawat Jalan
Paracetamol, Cefixime, Pritacort Rawat Jalan
Molagit, Antacid, Pritamox syr Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Paracetamol, Amoxicillin, Rindobion Rawat Jalan
Alpara syr, Pritamox syr, Pritacort Rawat Jalan
Paracetamol, Amoxicillin, Rindobion Rawat Jalan
Alpara, Cefixime Rawat Jalan
Alpara, Cefixime, Rindobion Rawat Jalan
Alpara, Cefixime, Rindobion Rawat Jalan
Rindobion, Alpara Rawat Jalan
Ketoconazole Zalf, Pritamox syr, Pritacort Rawat Jalan
Flurin, Amoxicillin, Ceterizine, Ketoconazole Zalf Rawat Jalan
Flurin syr, Pritamox syr Rawat Jalan
Cefixime, Paracetamol, Sanbe Tears, Ceterizine Rawat Jalan
- PT. KMN
Paracetamol, OBH syr, Amoxicillin, Folic Acid Rawat Jalan
Alpara, Folic Acid Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
- PT. KMN
Amoxicillin, Ambroxol, Paracetamol, OBH syr Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Paracetamol syr, Molagit, Ambroxol, OBH syr, Lexacrol syr Rawat Jalan
Asam Mefanamat Allupurinol, Pritacort, Rindobion Rawat Jalan
Asam Mefanamat Allupurinol, Pritacort, Rindobion Rawat Jalan
- PT. KMN
Pritacort, Rindobion Rawat Jalan
Flurin syr, Pritamox syr Rawat Jalan
- PT. KMN
Rindobion, Allupurinol, Antasida Doen Rawat Jalan
Rindobion, Pritacort, Alpara Rawat Jalan
Pritacort, Flurin, Rindobion Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Lexacrol syr, Rindobion Rawat Jalan
Cefixime, Asam Mefanamat, Pritacort Rawat Jalan
Flurin, Amoxicillin, Ceterizine, Rindobion Rawat Jalan
Alpara, Paracetamol, Cefixime, Ceterizine Rawat Jalan
Lexacrol, Asam Mefanamat, Ceterizine Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Flurin, Allupurinol, Amoxicillin Rawat Jalan
Amoxicillin, Paracetamol, Ketonazole Zalf Rawat Jalan
Paracetamol, Amoxicillin, Pritacort, Ketonazole Zalf Rawat Jalan
- PT. KMN
- PT. KMN
Captopril, Alpara, Amoxicillin, Rindobion, OBH syr Rawat Jalan
Alpara, Rindobion, Amoxicillin Rawat Jalan

Therapi

Oral Keterangan
Alpara, OBH syr, Salbutamol, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara syr, Amoxicillin Rawat Jalan
Alpara, Rindobion, Amoxicillin Rawat Jalan
Paracetamol, Allupurinol, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Folic Acid Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Allupurinol, Rindobion, Amlodipine Rawat Jalan
Lexacrol syr, Asam Mefanamat, Dextral, Amoxicillin, Pritacort Rawat Jalan
Asam Traneksamat, Antasida Doen Rawat Jalan
- PT. KMN
Dextral, Amoxicillin Rawat Jalan
Flurin, Ambroxol, Salbutamol Rawat Jalan
Antasida Doen, Alpara, Molagit, Contrimoxazole Rawat Jalan
Alpara, Amoxicillin, Allupurinol Rawat Jalan
Pritamox syr, Flurin syr Rawat Jalan
Rindobion, Paracetamol, Allupurinol Rawat Jalan
Amoxicillin, Pritacort, Hidrcortisone Zalf, Alpara syr Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Pritacort, Hidrocortisone Zalf, Amoxicillin Rawat Jalan
Rindobion, Allupurinol Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Tomaag, Paracetamol, Amoxicillin Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, OBH syr, Amoxicillin Rawat Jalan
Antasida Doen, Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Amlodipine Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Allupurinol, Rindobion, Tomaag Rawat Jalan
Paracetamol, Folic Acid Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Dextral, Amoxicillin, Ambroxol Rawat Jalan
Asam Mefanamat, Pritacort, Amoxicillin Rawat Jalan
Flurin, Amoxicillin, Rindobion, Antasida Doen Rawat Jalan
Alpamil syr, Pritamox syr Rawat Jalan
Paracetamol, Rindobion, Tomaag Rawat Jalan
Dextral, OBH syr, Amoxicillin Rawat Jalan
Molagit, Tomaag, Contrimoxazole Rawat Jalan
Alpara, Cefixime, Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Paracetamol, Dextral, Ambroxol, Cefixime Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
- PT. KMN
- PT. KMN
Alpara, Amoxicillin Rawat Jalan

Therapi

Oral Keterangan
Alpara syr, Pritamox syr Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Pritacort, Amoxicillin Rawat Jalan
Amoxicillin, Paracetamol, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Antasida Doen, Paracetamol, Amoxicillin Rawat Jalan
Allupurinol, Paracetamol Rawat Jalan
Allupurinol, Paracetamol, Rindobion Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Paracetamol, Tomaag, Donperidone Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
- PT. KMN
Asam Mefanamat, Dextral Rawat Jalan
Paracetamol, Allupurinol, Molagit Rawat Jalan
Dextral, Ambroxol, Amoxicillin Rawat Jalan
Rindibion, Alpara Rawat Jalan
Molagit, Antasida Doen Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
- PT. KMN
Alpara, Rindobion, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Dextral, Ambroxol, Amoxicillin Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Paracetamol, Antasida Doen, Rindobion Rawat Jalan
Asam Mefanamat, Pritacort Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Paracetaml, Amoxicillin Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Amlodipine, Paracetamol, Rindobion Rawat Jalan
Dextral, Amoxicillin Rawat Jalan
Asam Mefanamat, Amoxicillin Rawat Jalan
Asam Mefanamat, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Lexacrol, Rindobion, Paracetamol Rawat Jalan
Pritacort, Asam Mefanamat Rawat Jalan
Pritacort, Acyclovir, Gentamicin Zalf Rawat Jalan
Dextral, Ambroxol Rawat Jalan
Sanbe Tears, Pritacort Rawat Jalan
Pritamox syr, Flurin Rawat Jalan
Antasida Doen, Alpara, Rindobion Rawat Jalan
Amlodipine, Allupurinol, Paracetamol, Flurin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Allupurinol, Paracetamol, Amlodipine, Rondobion Rawat Jalan
Allupurinol, Rindobion Rawat Jalan
Paracetamol, Allupurinol Rawat Jalan
Dextral, Ambroxol Rawat Jalan

Therapi

Oral Keterangan
Paracetamol, Antasida Doen, Rindobion Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Folic Acid Rawat Jalan
Alpara, Folic Acid Rawat Jalan
Paracetamol, Allupurinol, Rindobion, Omeprazole Rawat Jalan
Ambroxol, Alpara, Folic Acid Rawat Jalan
- PT. KMN
Acyclovir Rawat Jalan
Acyclovir Rawat Jalan
Amlodipine Rawat Jalan
Alpara, Ambroxol Rawat Jalan
Alpamol syr Rawat Jalan
Paracetamol Rawat Jalan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 01-04-2020 Yuliana √ 04.000.621
2 01-04-2020 Tuyek √ 04.000.1277
3 01-04-2020 Anisa Diana Sari √ 04.000.1280
4 01-04-2020 Eko Setiawan √ 04.000.1338
5 02-04-2020 Fitri Novita √ 04.000.1351
6 02-04-2020 Mardiyah √ 04.000.985
7 02-04-2020 Yeyen Hendratno √ 04.000.1014
8 02-04-2020 Yatik √ 04.000.489
9 03-04-2020 Muhamad Anwar Ashari √ 04.000.744
10 03-04-2020 Bortolomeus Nawel √ 04.000.286
11 03-04-2020 Wiwin Aminah √ 04.000.342
12 03-04-2020 Bonivasius Yosef √ 04.000.812
13 03-04-2020 Edi Winarno √ 04.000.1571
14 04-04-2020 Altomius √ 04.000.799
15 04-04-2020 Supanto √ 04.000.479
16 04-04-2020 Marni √ 04.000.491
17 04-04-2020 Giyono √ 04.000.1546
18 05-04-2020 Winarti √ 04.000.683
19 05-04-2020 Kasianus Kopin √ 04.000.1545
20 06-04-2020 Dewi Yanti √ 04.000.271
21 06-04-2020 Paustinus Ahon √ 04.000.1297
22 06-04-2020 Rochaidah √ 04.000.942
23 07-04-2020 Yulius Atam √ 04.000.1306
24 07-04-2020 Irawati √ 04.000.1045
25 07-04-2020 Indah Maisarah √ 04.000.1384
26 08-04-2020 Marsini √ 04.000.463
27 08-04-2020 Oktaviana Karmila √ 04.000.1541
28 08-04-2020 Giarti √ 04.000.777
29 08-04-2020 Aqila Nafisa Putri √ 04.000.464
30 08-04-2020 Kasim √ 04.000.274
31 08-04-2020 Sius √ 04.000.841
32 08-04-2020 Ismail Pantas √ 04.000.1506
33 08-04-2020 Kristina Desta Natalia √ 04.000.1128
34 08-04-2020 Jamilah √ 04.000.1162
35 08-04-2020 Mukti Aisah √ 04.000.1039
36 09-04-2020 Suyatmi √ 04.000.1608
37 09-04-2020 Sulastri √ 04.000.1032
38 09-04-2020 Yuliana Arabina √ 04.000.407
39 09-04-2020 Kaliman √ 04.000.493
40 11-04-2020 Partini √ 04.000.1538
41 11-04-2020 Muslim Muhsin √ 04.000.776
42 11-04-2020 Dapat Mugiono √ 04.000.501
43 11-04-2020 Purwanti √ 04.000.1018
44 13-04-2020 Tukiyah √ 04.000.971
45 13-04-2020 Tono √ 04.000.512
46 13-04-2020 Agus Wahyudi √ 04.000.486
47 13-04-2020 Bormeus Very √ 04.000.40
48 13-04-2020 Marianus Main √ 04.000.1557
49 14-04-2020 Sisilia Suci √ 04.000.517
50 14-04-2020 Petrus Situ √ 04.000.26

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 14-04-2020 Miswanto √ 04.000.505
52 14-04-2020 Giarti √ 04.000.777
53 15-04-2020 Siti Jariyah √ 04.000.1459
54 15-04-2020 Sugiarto √ 04.000.987
55 15-04-2020 Murni Maryati √ 04.000.1198
56 15-04-2020 Sumilah √ 04.000.737
57 15-04-2020 Pidra Ariska √ 04.000.42
58 15-04-2020 Sumarni √ 04.000.1547
59 15-04-2020 Eva Dwi Nur Chandisan √ 04.000.1609
60 16-04-2020 Bonivasius Yosef √ 04.000.812
61 16-04-2020 Natalia Silon √ 04.000.1298
62 16-04-2020 Donata Ciyo √ 04.000.86
63 17-04-2020 Basirin √ 04.000.540
64 17-04-2020 Egidius √ 04.000.1446
65 17-04-2020 Sugiyanto √ 04.000.1013
66 17-04-2020 Grego Riando √ 04.000.841
67 20-04-2020 Nandang Gozali √ 04.000.338
68 20-04-2020 Lukas Didie √ 04.000.809
69 20-04-2020 Daryus Aleng √ 04.000.1178
70 20-04-2020 Antonius Samuel √ 04.000.1512
71 20-04-2020 Aqila Nafisa Putri √ 04.000.464
72 21-04-2020 Jamiyem √ 04.000.498
73 21-04-2020 Warisem √ 04.000.1396
74 21-04-2020 Parsini √ 04.000.1610
75 21-04-2020 Yuliana √ 04.000.621
76 21-04-2020 Lusiana Unen √ 04.000.620
77 21-04-2020 Romanus Acin √ 04.000.1102
78 21-04-2020 Aris Muchnanjar √ 04.000.1418
79 22-04-2020 Slamet Supriyanto √ 04.000.693
80 22-04-2020 Sumarni √ 04.000.1547
81 22-04-2020 Patar Bancin √ 04.000.1599
82 23-04-2020 Admin √ 04.000.1611
83 23-04-2020 Mukti Aisan √ 04.000.1013
84 23-04-2020 Suwanto √ 04.000.1352
85 23-04-2020 Legini √ 04.000.1558
86 23-04-2020 Sono √ 04.000.1555
87 23-04-2020 Tarsini √ 04.000.1577
88 24-04-2020 Sarti √ 04.000.1154
89 24-04-2020 Albinus Bodong √ 04.000.1019
90 24-04-2020 Rosikin √ 04.000.972
91 24-04-2020 Kaminem √ 04.000.1053
92 24-04-2020 Tono √ 04.000.512
93 25-04-2020 Lilis Suryani √ 04.000.47
94 25-04-2020 M. Gitama Surbakti √ 04.000.48
95 25-04-2020 Donius Doni √ 04.000.1483
96 25-04-2020 Tuyar √ 04.000.490
97 25-04-2020 Sarpin √ 04.000.508
98 25-04-2020 Basuki √ 04.000.413
99 25-04-2020 Nur Adha Sumaryanti √ 04.000.1150
100 27-04-2020 Tukijem √ 04.000.1582

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 27-04-2020 Sumarni √ 04.000.1547
102 27-04-2020 Khofiah √ 04.000.1519
103 27-04-2020 Wahyu Agus Riatmoko √ 04.000.563
104 27-04-2020 Sakeus √ 04.000.1515
105 28-04-2020 Grecia Maura √ 04.000.206
106 28-04-2020 Ismail Pantas √ 04.000.1506
107 28-04-2020 Nataria Rami √ 04.000.1065
108 28-04-2020 Jamilah √ 04.000.1162
109 29-04-2020 Ramadani Zada √ 04.000.488
110 29-04-2020 Yatik √ 04.000.489
111 29-04-2020 Herdiana Sartika √ 04.000.1380
112 29-04-2020 Yohanes Santo √ 04.000.1379
113 30-04-2020 Dapat Mugiono √ 04.000.501
114 30-04-2020 Senen √ 04.000.992
115 30-04-2020 Misnem √ 04.000.1559
116 04.000.
117 04.000.
118 04.000.
119 04.000.
120 04.000.
121 04.000.
122 04.000.
123 04.000.
124 04.000.
125 04.000.
126 04.000.
127 04.000.
128 04.000.
129 04.000.
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
151 04.000.
152 04.000.
153 04.000.
154 04.000.
155 04.000.
156 04.000.
157 04.000.
158 04.000.
159 04.000.
160 04.000.
161 04.000.
162 04.000.
163 04.000.
164 04.000.
165 04.000.
166 04.000.
167 04.000.
168 04.000.
169 04.000.
170 04.000.
171 04.000.
172 04.000.
173 04.000.
174 04.000.
175 04.000.
176 04.000.
177 04.000.
178 04.000.
179 04.000.
180 04.000.
181 04.000.
182 04.000.
183 04.000.
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 107 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 8 Orang
No BPJS Umur Alamat Diagnosa

0001.590.042.036 19 PU Sakit Gigi TD : 100/ 70


0001.879.732.901 54 III Artritis TD : 120/ 90
0001.879.733.441 8 III Ispa
0002.271.087.944 32 IV Pegal Linu TD : 110/ 80
0002.271.316.026 30 V Gatal2 & Pegal Linu TD : 100/ 70
0001.592.810.313 53 V Pegal Linu TD : 120/ 80
0001.592.810.853 47 V Ispa TD : 110/ 90
0001.590.040.067 32 V Gastritis & Ispa TD : 110/ 80
0001.590.044.062 55 IV Ispa TD : 120/ 80
0001.590.037.806 47 KKPA Pegal Linu TD : 100/ 70
0001.590.038.368 40 Transport Ispa TD : 110/ 70
0001.592.807.916 43 VII Diare TD : 110/ 90
0001.970.315.278 54 VII Ispa TD : 120/ 90
0001.592.807.692 8 VII Sariawan
0001.590.039.999 55 V Pegal Linu TD : 150/ 100
0001.590.040.102 48 V Gatal2 TD : 110/ 80
0001.592.810.212 65 V Artritis TD : 130/ 80
0001.590.042.903 50 PU Pegal Linu TD : 110/ 90
0001.828.013.139 42 KKPA Ispa (+), Pegal Linu TD : 120/ 80
0001.590.037.626 14 VII Febris & Ispa
0001.894.283.278 48 IV Gastritis TD : 100/ 80
0001.592.809.424 37 IV Gastritis TD : 110/ 70
0001.894.284.246 42 V Pegal Linu TD : 110/ 80
0001.592.811.426 50 V Gatal-gatal TD : 120/ 90
0002.764.516.138 25 VII Hamil 12 Mggu TD : 100/ 70
0002.269.945.934 23 V Gatal-gatal seluruh Badan TD : 100/ 80
0002.224.079.144 5 KKPA Bisul di Telinga
0001.590.044.477 52 IV Pegal Linu TD : 130/ 80
0002.269.946.384 3 V Febris
0001.590.037.661 52 VII Ispa TD : 120/ 80
0001.592.808.243 30 VII Nyeri Dada TD : 100/ 90
0002.624.440.274 46 VI Kaki Kanan Kena Durit Sawit TD : 120/ 90
0001.592.813.035 8 Kantor Ispa
0001.592.814.003 48 VI Diare TD : 110/ 70
0001.592.811.336 51 V Kaki Bengkak & Gastritis TD : 120/ 80
0001.592.810.537 53 V DM TD : 120/ 80
0001.592.811.213 37 V Ispa TD : 110/ 80
0001.590.039.088 45 III Ispa TD : 120/ 90
0001.590.040.124 48 V Asma & Pegal Linu TD : 110/ 70
0001.590.044.501 55 IV Gastritis & Ispa TD : 120/ 70
0001.590.044.466 54 IV Gastritis TD : 120/ 90
0001.590.040.258 34 V Gastritis TD : 110/ 80
0001.592.810.864 41 V Ispa TD : 110/ 80
0001.592.810.054 52 V Pegal Linu & Pusing TD : 130/ 90
0001.590.040.405 47 V Ispa TD : 110/ 80
0001.590.040.056 34 V Ispa TD : 120/ 80
0001.590.034.702 47 III Pegal Linu TD : 100/ 70
0001.590.043.588 59 IV Ispa TD : 130/ 90
0001.590.040.517 46 VI Nyeri Dada TD : 130/ 70
0001.590.034.408 41 IV Artritis TD : 120/ 80

No BPJS Umur Alamat Diagnosa

0001.590.040.282 37 V Diare & Ispa TD : 100/ 80


0001.590.044.477 52 IV Artritis TD : 130/ 90
0002.624.095.102 32 VII Gastritis & Sakit GigiTD : 100/ 70
0001.592.810.346 36 V Gastritis & Ispa TD : 110/ 60
0001.592.814.677 36 IV Nyeri Perut sebelah Kiri
0001.590.043.858 55 IV CHF Hypertensi
0001.590.034.768 16 III Nyeri Perut sebelah Kanan
0001.594.153.056 63 Plasmen DAT
0001.827.929.316 12 Transport Diare
0001.592.807.916 43 VII Gastritis & Ispa TD : 120/ 90
0001.894.283.291 45 III Pusing (+) & Gastritis TD : 100/ 80
0001.590.035.253 47 III Gastritis (+) & Hypertensi TD : 160/ 100
0001.590.040.765 53 III Ispa TD : 120/ 90
0002.624.085.538 28 III Sakit Gigi TD : 110/ 80
0001.592.810.829 31 V Tangan Kanan Kena Pelepah Sawit
0002.438.623.236 3 VII Febris (+) & Gatal-gatal di Tangan
0001.590.038.032 54 Gudang Gatal-gatal di Tangan TD : 130/ 80
0001.592.807.826 44 VII Pegal Linu & Ispa TD : 120/ 90
0001.592.814.385 33 IV Pegal Linu TD : 110/ 70
0002.624.500.506 28 IV Ispa & Gatal2 Seluruh Badan
0002.269.946.384 3 V Febris
0001.590.040.179 53 V Hypertensi & Gatal2 di Tangan TD : 150/ 100
0002.623.930.389 52 VII Pegal Linu TD : 120/ 70
0002.479.562.493 34 TU Kaki di Gigit Kelabang TD : 110/ 70
0001.590.042.036 19 PU Ispa TD : 100/ 80
0001.590.042.025 52 PU Nyeri Sendi di Kaki TD : 130/ 80
0001.592.812.574 34 VI Diare TD : 100/ 60
0002.623.949.807 24 VII Pegal Linu TD : 100/ 70
0001.590.043.015 54 TU Hypertensi & Gastritis TD : 160/ 90
0001.594.153.056 63 Plasmen Diare & Febris TD : 140/ 90
0001.592.809.716 52 Staff Vertigo
0001.590.040.438 61 III Ispa TD : 130/ 80
0001.592.811.336 52 V Artritis TD : 130/ 90
0002.298.315.082 35 V Ispa TD : 110/ 70
0001.590.034.195 58 IV Artritis TD : 140/ 90
0001.590.034.184 56 IV Gastritis TD : 120/ 80
0001.873.307.259 63 Plasmen Hypertensi & Ispa TD : 160/ 100
0001.592.811.832 57 VI Pegal Linu TD : 120/ 90
0001.592.810.943 54 V Pegal Linu TD : 130/ 80
0001.592.810.065 43 V Ispa TD : 110/ 90
0001.592.811.573 44 VI Pegal Linu TD : 120/ 80
0001.590.040.405 47 V Pegal Linu TD : 110/ 80
0001.590.034.781 47 IV DM
0001.590.034.803 18 IV Tambal Gigi
0002.624.380.997 28 IV Gastritis TD : 110/ 70
0001.590.040.089 49 V Tengkuk Sakit & Gatal2 TD : 130/ 90
0001.590.040.315 51 V Gastritis & Gatal2 TD : 110/ 80
0001.590.039.191 43 I Pegal Linu TD : 110/ 70
0001.880.401.522 5 PU Febris & Ispa
0001.592.810.065 55 V Ispa & Gastritis TD : 120/ 80

No BPJS Umur Alamat Diagnosa

0001.594.153.056 63 Plasmen Febris TD : 130/ 100


0002.624.519.272 29 IV Hamil 12-16 mggu
0001.590.041.079 12 VI Ispa
0002.624.502.508 24 IV Gastritis & Pusing TD : 100/ 70
0001.590.036.636 8 Tranport Ispa
0002.624.440.274 46 VI Pegal Linu TD : 120/ 90
0001.592.811.775 33 VI Kaki Luka Kejatuhan Pelepah
0001.592.814.003 45 VI Pegal Linu TD : 110/ 80
0002.459.602.508 3 V Ispa
0001.590.040.067 33 V Pegal Linu TD : 110/ 80
0002.623.903.503 28 VII Ispa TD : 100/ 80
0002.623.900.476 33 VII Luka dipipi Kena pelepah TD : 100/ 80
0001.590.040.258 34 V Mata Merah TD : 100/ 90
0001.592.810.414 58 V Hypertensi TD : 160/ 100
0001.594.153.091 55 V Ispa & Hypertensi TD : 150/ 90
No BPJS Umur Alamat Diagnosa
Therapi

Oral Keterangan
Alpara. Amoxicillin, Pritacort Rawat Jalan
Allupurinol, Pritacort, Rindobion Rawat Jalan
Alpara syr, Amoxicillin Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Rindobion, Pritacort, Paracetamol Rawat Jalan
Rindobion, Allupurinol Rawat Jalan
Dexrtral, Ambroxol, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Antasida Doen Rawat Jalan
Alpara, Pritacort, Amoxicillin Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Alpara, Amoxicillin, Pritacort Rawat Jalan
Molagit, Antasida Doen, Contrimoxazole Rawat Jalan
Alpara, Amoxicillin, Pritacort Rawat Jalan
Alpara syr, Amoxicillin Rawat Jalan
Alpara, Pritacort, Rindobion, Amlodipine Rawat Jalan
Pritacort, Rindobion Rawat Jalan
Rindobion, Pritacort, Allupurinol, Paracetamol Rawat Jalan
Allupurinol, Rindobion Rawat Jalan
Ambroxol, Flurin, Salbutamol, Pritacort Rawat Jalan
Amoxicillin, Dextral, Paracetamol, Ambroxol Rawat Jalan
Antasida Doen, Rindobion Rawat Jalan
Eindobion, Antasida Doen, Paracetamol Rawat Jalan
Alpara, Rindobion Rawat Jalan
Pritacort, Hydrocortisone Zalf Rawat Jalan
Rindobion Rawat Jalan
Pritacort Rawat Jalan
Alpamaol syr, Amoxicillin, Pritacort Rawat Jalan
Alpara, Rindobion, Pritacort Rawat Jalan
Alpara syr Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Pritacort Rawat Jalan
Paracetamol, Pritacort Rawat Jalan
Ambroxol, Pritacort, OBH syr, Amoxicillin Rawat Jalan
Molagit, Antasida Doen Rawat Jalan
Pritacort, Paracetamol, Omeprazole Rawat Jalan
Metformin, Rindobion Rawat Jalan
Alpara Rawat Jalan
Dextral, Amoxicillin, Ambroxol, Rindobion Rawat Jalan
Rindobion, Folic Acid, Salbutamol Rawat Jalan
Rindobion, Alpara, Antasida Doen Rawat Jalan
Tomaag, Rindobion Rawat Jalan
Antasida Doen, Rindobion Rawat Jalan
Dextral Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Dextral Ambroxol Rawat Jalan
Alpara, Amoxicillin Rawat Jalan

Therapi

Oral Keterangan
Alpara, Amoxicillin, Molagit, Folic Acid Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Antasida Doen, Paracetamol, Amoxicillin Rawat Jalan
Antasida Doen, Alpara, Amoxicillin Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
Molagit, Contrimoxazole, Antasida Doen Rawat Jalan
Alpara, Amoxicillin, Antasida Doen Rawat Jalan
Lexacrol, Folic Acid, Pritacort Rawat Jalan
Antasida Doen, Amlodipine Rawat Jalan
Alpara. Amoxicillin Rawat Jalan
Pritacort, Paracetamol, Amoxicillin Rawat Jalan
Paracetamol, amoxicillin, Pritacort Rawat Jalan
Alpamol syr, Amoxicillin, Pritacort Rawat Jalan
Pritacort, Amoxicillin Rawat Jalan
Vit. B Complex, Alpara, Amoxicillin Rawat Jalan
Vit. B Complex, Alpara Rawat Jalan
Pritacort, Amoxicillin, Flurin Rawat Jalan
Alpamol syr, Pritamox syr Rawat Jalan
Pritacort, Alpara, Vit.B Complex, Amlodipine Rawat Jalan
Vit B Complex, Paracetamol Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Folic Acid Rawat Jalan
Zink, Contrimoxazole Rawat Jalan
Vit. B Complex, Alpara Rawat Jalan
Amlodipine, Antasida Doen Rawat Jalan
Paracetamol, Zink, Anfantrim Rawat Jalan
- PT. KMN
Amoxicillin, Alpara, Pritacort Rawat Jalan
Alpara, Pritacort, Vit. B. Complex Rawat Jalan
Alpara, Pritacort, Amoxicillin Rawat Jalan
Alpara, Vit. B. Complex Rawat Jalan
Antasida Doen, Vit B Complex Rawat Jalan
Flurin, Amlodipine, Vit B Complex Rawat Jalan
Vit B Complex, Alpara Rawat Jalan
Paracetamol, Vit B Complex Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Paracetamol, Pritacort Rawat Jalan
Alpara, Vit. B. Complex Rawat Jalan
- PT. KMN
- PT. KMN
Antasida Doen, Paracetamol Rawat Jalan
Vit B Complex, Pritacort, Alpara, Klaferson Zalf Rawat Jalan
Antasida Doen, Vit B Complex, Klaferson Zalf Rawat Jalan
Vit B Complex, Paracetamol Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Antasida Doen, Flurin Rawat Jalan

Therapi

Oral Keterangan
Paracetamol Rawat Jalan
- PT. KMN
Alpara Rawat Jalan
Paracetamol, Antasida Doen Rawat Jalan
Alpara syr, Pritamox syr Rawat Jalan
Paracetamol, Vit B Complex Rawat Jalan
Paracetamol, Amoxicillin, Pritacort Rawat Jalan
Vit B Complex Rawat Jalan
Alpara syr Rawat Jalan
Vit B Complex Rawat Jalan
Alpara Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Pritacort Rawat Jalan
Amlodipine Rawat Jalan
Flurin, Amlodipine Rawat Jalan
Therapi

Oral Keterangan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 02-05-2020 Muhammad Muhrodin √ 04.000.726
2 02-05-2020 Simon Aidit √ 04.000.1612
3 02-05-2020 Lusianus Lero √ 04.000.837
4 04-05-2020 Selamat √ 04.000.757
5 04-05-2020 Tukinem √ 04.000.1346
6 04-05-2020 Yeyen Hendratno √ 04.000.1014
7 05-05-2020 Wahid Wahyu Yuwono √ 04.000.1584
8 05-05-2020 Yulius Atam √ 04.000.1306
9 05-05-2020 Markus Wong √ 04.000.1114
10 05-05-2020 Kaminem √ 04.000.1053
11 06-05-2020 Anselmus √ 04.000.209
12 06-05-2020 Giyono √ 04.000.1546
13 06-05-2020 Safira Asri Azzahra √ 04.000.1038
14 06-05-2020 Rifqi Izzatul Azzaqi √ 04.000.1037
15 06-05-2020 Surtini √ 04.000.1035
16 06-05-2020 Rosmiati. A √ 04.000.352
17 06-05-2020 Dionesiau Acoi √ 04.000.1303
18 06-05-2020 Purwanti √ 04.000.1018
19 06-05-2020 Sakeus Piktorius √ 04.000.1515
20 06-05-2020 Devri Ayu Saputri √ 04.000.343
21 06-05-2020 Valena Syomita Dara √ 04.000.207
22 08-05-2020 Kasianus Kopin √ 04.000.1541
23 08-05-2020 Agus Wahyudi √ 04.000.486
24 08-05-2020 Marjan √ 04.000.1327
25 09-05-2020 Mardiyah √ 04.000.985
26 09-05-2020 Ratih Oktavia Rhamadani √ 04.000.1253
27 11-05-2020 Petrus Pitu √ 04.000.26
28 11-05-2020 Kliwon √ 04.000.80
29 11-05-2020 Dapat Mugiono √ 04.000.501
30 11-05-2020 Tono √ 04.000.512
31 11-05-2020 Ripin √ 04.000.1172
32 11-05-2020 Mateus Bambang √ 04.000.1487
33 12-05-2020 Darwanto √ 04.000.1094
34 12-05-2020 Istiyah √ 04.000.1560
35 12-05-2020 Rasikin √ 04.000.972
36 12-05-2020 Suwito √ 04.000.311
37 12-05-2020 Petrus Sintu √ 04.000.516
38 12-05-2020 Sakur √ 04.000.1110
39 13-05-2020 Kaliman √ 04.000.493
40 13-05-2020 Yohanes Herkulanus √ 04.000.1613
41 13-05-2020 Yuliana √ 04.000.621
42 13-05-2020 Antonius Samuel √ 04.000.1512
43 14-05-2020 Mariani √ 04.000.680
44 14-05-2020 Anisa Diana Sari √ 04.000.1280
45 14-05-2020 Umar Peki √ 04.000.1581
46 14-05-2020 Siti Jariyah √ 04.000.1459
47 14-05-2020 Imam Rofii √ 04.000.554
48 14-05-2020 Indra Trianto √ 04.000.1054
49 14-05-2020 Edi Sunaslim √ 04.000.1161
50 14-05-2020 Elfrida br. Purba √ 04.000.1160

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 14-05-2020 Patar Bancin √ 04.000.1599
52 15-05-2020 Sabinus Arna √ 04.000.1422
53 15-05-2020 Giarti √ 04.000.777
54 15-05-2020 Nikodemus √ 04.000.1253
55 15-05-2020 Rusli Sembiring √ 04.000.278
56 16-05-2020 Irlansius Sembiring √ 04.000.281
57 16-05-2020 Donius Doni √ 04.000.1483
58 16-05-2020 Senen √ 04.000.992
59 18-05-2020 Lupius √ 04.000.1567
60 18-05-2020 Kafiel Azam √ 04.000.503
61 18-05-2020 Solen Marsianus Gultom √ 04.000.1614
62 18-05-2020 Supriyanto √ 04.000.739
63 18-05-2020 Sri Hayani √ 04.000.504
64 19-05-2020 Chairul Amim √ 04.000.542
65 19-05-2020 Basirin √ 04.000.540
66 19-05-2020 Purwanti √ 04.000.1018
67 19-05-2020 Karsiana Lana √ 04.000.1082
68 19-05-2020 Silvianus Suin √ 04.000.622
69 20-05-2020 Ade Ray Fernando √ 04.000.974
70 20-05-2020 Yohanes Herkulanus √ 04.000.1613
71 20-05-2020 Tono √ 04.000.512
72 20-05-2020 Hadi Purwanto √ 04.000.1004
73 20-05-2020 Hartanti √ 04.000.975
74 26-05-2020 Suyatmi √ 04.000.1608
75 26-05-2020 Dasiyem √ 04.000.686
76 26-05-2020 Sakur √ 04.000.1110
77 27-05-2020 Tuyar √ 04.000.490
78 27-05-2020 Sutrisno √ 04.000.682
79 27-05-2020 Sito √ 04.000.535
80 27-05-2020 Yohanes Sino √ 04.000.653
81 27-05-2020 Rafadhan Hafiz Priawan √ 04.000.699
82 28-05-2020 Biyo Susilo √ 04.000.13
83 28-05-2020 Nikodimus √ 04.000.1069
84 28-05-2020 Konstantinus √ 04.000.658
85 28-05-2020 Tukiyah √ 04.000.971
86 28-05-2020 Suyono √ 04.000.970
87 28-05-2020 Karsiana Lano √ 04.000.1082
88 28-05-2020 Erlina Indriani √ 04.000.627
89 28-05-2020 Alvinsky Bilqis Zalendra √ 04.000.630
90 28-05-2020 Rina Hasim √ 04.000.626
91 28-05-2020 Lukas √ 04.000.1615
92 28-05-2020 Masda br Marbun √ 04.000.1264
93 28-05-2020 Niat √ 04.000.155
94 28-05-2020 Nur Adha Sumaryanti √ 04.000.1150
95 29-05-2020 Putri Keyla Alvin √ 04.000.1353
96 29-05-2020 Fitri Novita √ 04.000.1352
97 29-05-2020 Uyik Kartiko √ 04.000.483
98 29-05-2020 Kaliman √ 04.000.493
99 29-05-2020 Giyono √ 04.000.1546
100 30-05-2020 Yuli Irawati Lubis √ 04.000.1328

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 30-05-2020 Marianus Main √ 04.000.1557
102 30-05-2020 Sugiharto √ 04.000.1147
103 04.000.
104 04.000.
105 04.000.
106 04.000.
107 04.000.
108 04.000.
109 04.000.
110 04.000.
111 04.000.
112 04.000.
113 04.000.
114 04.000.
115 04.000.
116 04.000.
117 04.000.
118 04.000.
119 04.000.
120 04.000.
121 04.000.
122 04.000.
123 04.000.
124 04.000.
125 04.000.
126 04.000.
127 04.000.
128 04.000.
129 04.000.
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Keterangan : Jumlah Pasien yang ditangani sendiri : 93 Orang


Jumlah Pasien yang dikirim ke PT. KMN : 9 Orang
No BPJS Umur Alamat Diagnosa

0001.590.043.622 50 IV Pegal Linu TD : 120/ 80


0001.827.917.842 54 III Artritis TD : 130/ 90
0001.592.808.197 40 VI Pegal Linu TD : 110/ 80
0001.590.044.229 40 IV Sakit Pinggang TD : 110/ 80
0002.276.876.801 52 IV Artritis TD : 120/ 90
0001.592.810.833 45 V Febris
0002.311.835.264 33 IV Pegal Linu TD : 100/ 70
0001.894.284.246 43 V Ispa & Pegal Linu TD : 110/ 80
0001.592.812.732 34 VII Gastritis TD : 110/ 90
0001.592.811.573 43 VI Gatal-gatal di Badan TD : 120/ 80
0001.590.036.669 47 VI Sakit Gigi & Pegal Linu TD : 110/ 80
0001.592.810.212 62 V Artritis TD : 130/ 80
0001.592.811.292 8 V Gatal-gatal Seluruh Badan
0001.592.811.281 9 V Gatal-gatal Seluruh Badan
0001.592.811.268 34 V Gatal-gatal Seluruh Badan TD : 110/ 90
0001.590.038.469 49 Transport Sakit Kepala TD : 120/ 80
0001.894.283.831 50 IV Febris TD : 130/ 90
0001.592.810.864 41 V Pegal Linu & Pusing TD : 120/ 90
0002.624.502.508 24 IV Pipi Sebelah Kiri Sakit & Bengkak
0001.590.038.381 17 Transport Gatal di Tangan
0002.072.167.029 4 Transport Ispa
0001.828.013.139 43 KKPA Sesak Napas TD : 140/ 70
0001.590.040.056 34 V Pegal Linu TD : 100/ 70
0002.197.638.707 50 IV Diare TD : 120/ 70
0001.592.810.313 54 V Hypertensi TD : 150/ 100
0001.828.017.527 15 VII Gatal-gatal Seluruh Badan
0001.590.034.408 40 IV Pegal Linu TD : 120/ 90
0001.590.035.185 50 III Diare & Perut Kembung
0001.590.040.258 32 V Pegal Linu TD : 110/ 90
0001.590.040.405 47 V Ispa & Pegal Linu TD : 110/ 70
0001.592.814.328 37 IV Pegal Linu TD : 110/ 80
0002.624.382.617 35 IV Diare TD : 100/ 70
0001.592.812.473 33 V Konjungvitis Akibat Kejatuhan Serbuk Sawit
0001.592.810.752 49 V Ispa TD : 120/ 80
0001.592.810.065 42 V Gastritis & Pegal Linu TD : 120/ 70
0001.590.038.021 47 Gudang Pegal Linu & Mual TD : 110/ 80
0001.590.040.506 49 VI Gastritis TD : 120/ 90
0001.592.812.675 38 VI Gastritis & Gatal-gatal di Tangan TD : 110/ 80
0001.590.040.124 48 V Asma
0001.827.916.536 38 Transport Nyeri Dada
0001.590.042.036 19 PU Tambal Gigi
0002.624.500.506 28 IV Ispa TD : 110/ 70
0001.590.042.857 49 PU Gastritis & Ispa TD : 130/ 100
0001.879.733.441 9 III Herpes
0002.899.598.815 23 VII Febris TD : 120/ 80
0002.624.095.102 32 VII Gastritis & Gatal di Tangan TD : 110/ 80
0001.590.040.991 45 PU Sakit Gigi TD : 110/ 90
0002.484.908.684 31 VI Febris & Ispa TD : 120/ 70
0001.592.813.981 49 TU Sakit Mata TD : 130/ 80
0001.592.813.902 53 PU Pegal Linu & Sakit Kepala TD : 130/ 90

No BPJS Umur Alamat Diagnosa

0001.592.809.716 52 Asst. Vertigo Perifer


0002.623.987.067 30 VII Kaki Kena Tunggul TD : 110/ 80
0001.590.044.477 52 IV Pilex & Pusing TD : 130/ 80
0001.592.815.184 40 Tanaman Pusing & Ispa TD : 100/ 70
0001.590.038.705 49 Transport Alergi TD : 120/ 90
0001.590.037.749 15 Transport Gatal -gatal
0002.624.380.997 28 IV Pegal Linu TD : 110/ 90
0001.592.810.414 58 V CHF
0001.827.960.006 49 III Pilex & Gastritis TD : 110/ 80
0001.961.152.525 5 V Gatal -gatal
0002.302.739.256 40 VI Gatal -gatal TD : 120/ 80
0001.590.044.038 23 IV Febris TD : 110/ 90
0001.590.040.269 37 V Ispa & Gastritis TD : 100/ 80
0001.590.040.989 19 III Mual Muntah/ Kurang Nafsu Makan'
0001.590.040.705 53 III Ispa TD : 110/ 70
0001.592.810.864 42 V Tangan Kena Duri Sawit TD : 100/ 80
0001.592.810.179 39 VI Febris TD : 120/ 90
0001.590.042.071 42 Kantor Gatal-gatal bagian Tangan
0001.592.810.098 16 V Konsul Mata untuk Buta Warna
0001.827.916.536 38 Transport Konsul sesuai Anjuran
0001.590.040.405 47 V Pegal Linu & Mual2 TD : 110/ 90
0001.592.810.706 56 V Pegal Linu TD : 120/ 80
0001.592.810.076 39 V P/U + ± 2 Mggu & Mual2 TD : 100/ 70
0001.592.810.537 53 V DM TD : 110/ 80
0001.590.042.947 50 PU Pusing & Ispa TD : 100/ 90
0001.592.812.675 38 VI Sakit Kepala TD : 100/ 70
0001.590.040.089 49 V Hypertensi & Ispa TD : 150/ 110
0001.590.042.892 54 TU Febris TD : 100/ 70
0001.590.040.721 45 VI Ispa TD : 120/ 80
0001.590.042.453 42 V Hypertensi TD : 100/ 80
0002.310.682.329 3 TU Febris
0001.550.594.698 38 VII Febris & Mual TD : 100/ 80
0001.592.811.898 53 VI Konjungtivitis
0001.590.042.508 46 Tanaman Gastritis TD : 120/ 70
0001.592.810.054 52 V Hypertensi TD : 150/ 110
0001.592.810.043 55 V Ispa TD : 110/ 80
0001.592.812.179 39 VI Febris TD : 100/ 70
0001.590.042.137 38 Kantor Ispa TD : 100/ 80
0002.085.597.033 4.5 Kantor Ispa
0001.590.042.126 42 Kantor Febris & Ispa TD : 100/ 70
0001.828.011.047 48 Staf Pusing TD : 100/ 70
0001.879.729.211 48 VI Gastritis TD : 110/ 60
0001.590.035.995 36 III Febri TD : 120/ 80
0002.880.401.522 5 PU Ispa
0002.624.609.441 3 V Gatal di Leher Post
0002.298.316.026 31 V Ispa TD : 110/ 70
0001.590.040.034 40 V Ispa TD : 110/ 80
0001.590.040.124 48 V Asma TD : 120/ 90
0001.592.810.212 60 V Ispa TD : 130/ 80
0002.197.639.484 42 IV Demam Meriang & Gatal2 TD : 110/ 80

No BPJS Umur Alamat Diagnosa

0001.590.043.588 60 S. Jaman Ispa & Gastritis TD : 120/ 100


0001.592.813.564 40 PU Dada Terasa Berdebar2 & Pusing TD : 100/ 70
Therapi

Oral Keterangan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Pritacort, Alpara Rawat Jalan
Alpara, Folic Acisd Rawat Jalan
Vit B. Complex, Pritacort, Amoxicillin Rawat Jalan
Pritacort, Alpara Rawat Jalan
Alpara, Folic Acisd Rawat Jalan
Vit B. Complex, Alpara Rawat Jalan
Flurin, Infantrim Rawat Jalan
Antasida Doen Rawat Jalan
Pritacort, Klorfesor cr Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara Rawat Jalan
Acyclovir, Alpara syr Rawat Jalan
Acyclovir, Alpara syr Rawat Jalan
Acyclovir, Alpara Rawat Jalan
Alpara Rawat Jalan
Paracetamol, Infantrim Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Infantrim Rawat Jalan
Acyclovir, Amoxicillin, Klorfeson cr Rawat Jalan
Alpara syr Rawat Jalan
Flurin, Salbutamol Rawat Jalan
Alpara Rawat Jalan
Molagit, Infantrim, Antasida Doen Rawat Jalan
Alpara, Amlodipine Rawat Jalan
Alpara, Klorfeson cr Rawat Jalan
Alpara Rawat Jalan
Molagit, Antasida Doen Rawat Jalan
Alpara Rawat Jalan
Flurin, Vit B. Complex Rawat Jalan
Alpara Rawat Jalan
Zink, Antasida Doen, Infantrim Rawat Jalan
- PT. KMN
Flurin Rawat Jalan
Antasida Doen, Flurin Rawat Jalan
Alpara, Antasida Doen Rawat Jalan
Antasida Doen, Omeprazole Rawat Jalan
Antasida Doen, Flurin, Klafersone Zalf Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
Alpara, Infantrim Rawat Jalan
Alpara, Amoxicillin, Rindobion, Antasida Doen Rawat Jalan
Paracetamol, Amoxicillin, Pritacort Rawat Jalan
Paracetamol, Pritacort, Infantrim Rawat Jalan
Antasida Doen, Alpara, Pritacort Rawat Jalan
Amoxicillin, Pritacort, Paracetamol Rawat Jalan
Flurin, Amoxicillin, Pritacort Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Alpara, Rindobion Rawat Jalan

Therapi

Oral Keterangan
- PT. KMN
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Flurin, Amoxicillin, Rindobion Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Pritacort Rawat Jalan
Amoxicillin, Pritacort, Kloferson Zalf Rawat Jalan
Rindobion Rawat Jalan
- PT. KMN
Alpara, Lexacrol Rawat Jalan
Pritacort Rawat Jalan
Pritacort, Kloferson Zalf Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Dextral, Antasida Doen, Paracetamol Rawat Jalan
Lexacrol syr, Rindobion Rawat Jalan
Flurin, Infantrim Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Rindobion Rawat Jalan
Pritacort, Rindobion Rawat Jalan
- PT. KMN
- PT. KMN
Rindobion, Lexacrol Rawat Jalan
Rindobion, Alpara Rawat Jalan
Paracetamol, Rindobion, Lexacrol syr Rawat Jalan
Metformin, Rindobion Rawat Jalan
Ambroxol, Paracetamol Rawat Jalan
Alpara, Rindobion Rawat Jalan
Flurin. Amlodipine, Rindobion Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Flurin, Infantrim Rawat Jalan
Alpara, Rindobion Rawat Jalan
Alpamol syr, Amoxicillin, Pritacort Rawat Jalan
Paracetamol, Antasida Doen, Infantrim, Rindobion Rawat Jalan
- PT. KMN
Lexacrol syr, Rindobion Rawat Jalan
Amlodipine, Rindobion Rawat Jalan
Pritacort, Dextral Rawat Jalan
Paracetamol, Infantrim, Rindobion Rawat Jalan
Alpara Rawat Jalan
Alpara syr Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Rindobion Rawat Jalan
Antasida Doen Rawat Jalan
Pritacort, Amoxicillin, Paracetamol Rawat Jalan
Alpara syr, Pritamox syr, Amoxicillin Rawat Jalan
Acyclovir, Pritacort, Alpamol syr, Amoxicillin Rawat Jalan
Ambroxol,Dextral Rawat Jalan
Dextral, Infantrim Rawat Jalan
Alpara, Pritacort, Salbutamol Rawat Jalan
Flurin, Dextral, Amoxicillin Rawat Jalan
Flurin, Infantrim Rawat Jalan

Therapi

Oral Keterangan
Dextral, Infantrim, Lexacrol syr Rawat Jalan
Alpara, Rindobion, Lexacrol syr Rawat Jalan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 02-06-2020 Dwi Suratno √ 04.000.1383
2 02-06-2020 Suranto √ 04.000.1281
3 02-06-2020 Wasirin √ 04.000.1616
4 02-06-2020 Yohana Yana √ 04.000.27
5 02-06-2020 Bortholemus Nawel √ 04.000.286
6 02-06-2020 Sutrisno √ 04.000.682
7 02-06-2020 Agung Nugroho √ 04.000.1575
8 02-06-2020 Rochaidah √ 04.000.942
9 03-06-2020 Ngatiman √ 04.000.1530
10 03-06-2020 Antonius Ali Umar √ 04.000.1089
11 03-06-2020 Rosmiati √ 04.000.352
12 04-06-2020 Yuliana √ 04.000.621
13 04-06-2020 Lanyo √ 04.000.639
14 04-06-2020 Markus Roan √ 04.000.834
15 05-06-2020 Nikodimus √ 04.000.1069
16 05-06-2020 Misnem √ 04.000.1559
17 05-06-2020 Konstantinus √ 04.000.658
18 05-06-2020 Supanto √ 04.000.479
19 05-06-2020 Jamiyem √ 04.000.498
20 05-06-2020 Romanus Acin √ 04.000.1102
21 05-06-2020 Marshanto √ 04.000.1522
22 05-06-2020 Vika Indriyana √ 04.000.500
23 05-06-2020 Mistiani √ 04.000.764
24 05-06-2020 Yeyen √ 04.000.1014
25 05-06-2020 Nandang Gojali √ 04.000.338
26 05-06-2020 Purwati √ 04.000.555
27 08-06-2020 Donius Doni √ 04.000.1483
28 08-06-2020 Senal √ 04.000.1463
29 09-06-2020 Hairul Mustakim √ 04.000.1117
30 09-06-2020 Dapat Mugiono √ 04.000.501
31 09-06-2020 Dava Arianto √ 04.000.502
32 09-06-2020 Ramadani Zada √ 04.000.488
33 09-06-2020 Hamid Ariansyah Tambunan √ 04.000.1136
34 09-06-2020 Farida Hannum Panjaitan √ 04.000.1135
35 09-06-2020 Wahid Wahyu Yuwono √ 04.000.1584
36 09-06-2020 Tobo √ 04.000.512
37 09-06-2020 Hartanti √ 04.000.975
38 10-06-2020 Senen √ 04.000.992
39 10-06-2020 Sukiman √ 04.000.1251
40 10-06-2020 Suwanto √ 04.000.1352
41 10-06-2020 Miswanto √ 04.000.505
42 10-06-2020 Cucu Halimah √ 04.000.506
43 11-06-2020 Pasmiyati √ 04.000.1531
44 11-06-2020 Partini √ 04.000.1538
45 11-06-2020 Emilia Ana √ 04.000.1607
46 11-06-2020 Maya Sifa Salsabila √ 04.000.775
47 11-06-2020 Paini √ 04.000.694
48 11-06-2020 Watrimah √ 04.000.339
49 11-06-2020 Rafadhan Hafiz Priawan √ 04.000.699
50 11-06-2020 Kafiel Azam √ 04.000.503

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 11-06-2020 Solen Marsianus Gultom √ 04.000.1614
52 12-06-2020 Budiono √ 04.000.1189
53 12-06-2020 Bonivisius Yosef √ 04.000.812
54 12-06-2020 Sutadi √ 04.000.314
55 12-06-2020 Rusli Sembiring √ 04.000.278
56 12-06-2020 Yulius Atam √ 04.000.1306
57 13-06-2020 Lilis Suryani √ 04.000.47
58 13-06-2020 Zulkarnaen Gultom √ 04.000.1590
59 13-06-2020 Elkina √ 04.000.1334
60 13-06-2020 Selamat √ 04.000.757
61 15-06-2020 Ilham Bayu Utama √ 04.000.1097
62 15-06-2020 Tuminah √ 04.000.509
63 15-06-2020 Mutia Mailani √ 04.000.1252
64 15-06-2020 Yeyen Hendratno √ 04.000.1014
65 15-06-2020 Putri Keyla Alvin √ 04.000.1353
66 15-06-2020 Nur Adha Sumaryanti √ 04.000.1150
67 16-06-2020 Antonius Ali Umar √ 04.000.1089
68 16-06-2020 Delpin Saputra √ 04.000.1091
69 16-06-2020 Sugeng Pawitan √ 04.000.773
70 16-06-2020 Tasem √ 04.000.1618
71
72 17-06-2020 Muhammad Muhrodin √ 04.000.726
73 17-06-2020 Alwi Fidiya Rahman Fauzi √ 04.000.1619
74 17-06-2020 Purwanti √ 04.000.1018
75 17-06-2020 Sri Hayani √ 04.000.504
76 17-06-2020 Rahman Hadi Nata √ 04.000.1254
77 18-06-2020 Nikodimus √ 04.000.1069
78 18-06-2020 Giarti √ 04.000.777
79 18-06-2020 Siti Jariyah √ 04.000.1459
80 18-06-2020 Darwanto √ 04.000.1094
81 19-06-2020 Budiono √ 04.000.1189
82 19-06-2020 Sumarni √ 04.000.1547
83 19-06-2020 Kafael Azam √ 04.000.503
84 19-06-2020 Rafadhan Hafiz Priawan √ 04.000.699
85 20-06-2020 Aloi Sius A √ 04.000.497
86 20-06-2020 Fahruddin Tambunan √ 04.000.1134
87 20-06-2020 Valenan Syomita Dara √ 04.000.207
88 22-06-2020 Tuyar √ 04.000.490
89 22-06-2020 Hendrikus √ 04.000.1385
90 22-06-2020 Marjan √ 04.000.1327
91 22-06-2020 Slamet √ 04.000.350
92 22-06-2020 Sugino √ 04.000.349
93 22-06-2020 Lonya √ 04.000.638
94 22-06-2020 Dapat Mugiono √ 04.000.501
95 22-06-2020 Fahruddin Tambunan √ 04.000.1134
96 22-06-2020 Mateus Bambang √ 04.000.1487
97 22-06-2020 Tukiyah √ 04.000.971
98 22-06-2020 Faisal √ 04.000.1620
99 23-06-2020 Sriyani √ 04.000.1580
100 23-06-2020 Romanus Acin √ 04.000.1102

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 23-06-2020 Fahruddin Tambunan √ 04.000.1134
102 24-06-2020 Mukti Aisah √ 04.000.1039
103 24-06-2020 Markus Wong √ 04.000.1114
104 25-06-2020 Karsini √ 04.000.1563
105 25-06-2020 Bandiyah √ 04.000.745
106 25-06-2020 Eddy √ 04.000.333
107 25-06-2020 Lilis Suryani √ 04.000.47
108 25-06-2020 Ngariyanto √ 04.000.453
109 25-06-2020 Jumadi √ 04.000.1621
110 25-06-2020 Petrus Sintu √ 04.000.516
111 26-06-2020 Hadi Purwanto √ 04.000.1004
112 26-06-2020 Susilo √ 04.000.318
113 27-06-2020 Sugiarto √ 04.000.987
114 27-06-2020 Ali Saputra √ 04.000.990
115 27-06-2020 Kaliman √ 04.000.493
116 27-06-2020 Robertus Anyan √ 04.000.525
117 27-06-2020 Indri Ayu Berliani √ 04.000.194
118 27-06-2020 Nahda √ 04.000.1622
119 27-06-2020 Sapar √ 04.000.760
120 27-06-2020 Sariyus Yanto √ 04.000.1320
121 29-06-2020 Lukas √ 04.000.1496
122 29-06-2020 Sumilah √ 04.000.737
123 29-06-2020 Rafiq Alvan Romadhan √ 04.000.1163
124 29-06-2020 Jamiyem √ 04.000.498
125 29-06-2020 Sumarni √ 04.000.1547
126 30-06-2020 Paryati √ 04.000.1623
127 30-06-2020 Gianto √ 04.000.354
128 30-06-2020 Stepanus Capeng √ 04.000.1081
129 30-06-2020 Suyono √ 04.000.970
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Keterangan : Jumlah Pasien yang ditangani sendiri : 120 Orang


Jumlah Pasien yang dikirim ke PT. KMN : 9 Orang
No BPJS Umur Alamat Diagnosa

0002.623.907.272 25 VII Ispa TD : 110/ 80


0001.879.734.835 39 V Gastritis TD : 100/ 80
0001.594.153.247 65 IV Ispa & Gastritis TD : 130/ 90
0001.592.844.366 46 TU Pegal Linu TD : 130/ 80
0001.590.037.806 47 KKPA Ispa TD : 120/ 90
0001.590.042.892 54 TU Hypertensi TD : 150/ 100
0001.592.809.435 20 IV Ispa TD : 100/ 80
0001.592.809.424 38 IV Gastritis TD : 100/ 90
0002.624.534.054 43 IV Pegal Linu TD : 110/ 90
0001.592.812.359 41 VI Diare TD : 120/ 80
0001.590.038.469 49 Transport Febris & Ispa TD : 100/ 80
0001.590.042.036 19 PU Nyeri Abdomen TD : 100/ 80
0001.590.042.249 52 Kantor Ispa TD : 120/ 80
0001.592.808.164 37 VII Ispa TD : 110/ 90
0001.592.811.898 53 VI Pusing TD : 100/ 90
0001.594.153.091 55 V Hypertensi & Pegal Linu TD : 150/ 90
0001.590.042.508 46 Tanaman Febris TD : 120/ 90
0001.590.039.999 55 V Pegal Linu & Ispa TD : 130/ 80
0001.590.040.179 53 V Pegal Linu & Ispa TD : 120/ 100
0001.592.812.574 34 VI Pegal Linu TD : 110/ 70
0002.624.528.867 38 VII Ispa TD : 110/ 90
0001.590.040.192 18 V Ispa TD : 100/ 80
0001.590.044.332 36 V Gastritis & Mual TD : 100/ 90
0001.592.810.853 47 V Pegal Linu TD : 120/ 90
0001.590.038.302 54 Gudang Pinggang Sakit & Gastrtis TD : 130/ 80
0001.590.041.002 43 VI Sesak & Ispa TD : 110/ 80
0002.624.380.997 28 VII Gatal-gatal TD : 100/ 90
0002.624.095.449 38 VII Pegal Linu TD : 110/ 80
0001.592.812.811 27 VII Diare TD : 100/ 70
0001.590.040.258 34 V Gastritis & Ispa TD : 100/ 80
0001.590.040.271 11 V Ispa
0002.459.802.508 4 V Febris & Ispa
0001.592.813.283 17 Tanaman Ispa
0001.592.813.261 40 Tanaman Febris & Diare TD : 120/ 70
0002.311.835.264 33 IV Ispa TD : 110/ 90
0001.590.040.405 47 V Ispa TD : 110/ 70
0001.592.810.076 40 VI Gastritis & Ispa TD : 100/ 80
0001.592.810.414 58 V CHF
0001.808.016.829 42 VII Ispa TD : 120/ 80
0002.298.315.082 35 V Bisul di Bokong TD : 110/ 80
0001.590.040.282 37 V Sakit Gigi TD : 110/ 70
0001.590.040.293 30 V Diare TD : 100/ 60
0002.624.534.346 35 V Diare TD : 140/ 70
0001.590.044.501 55 IV Febris & Mual Muntah TD : 100/ 80
0001.827.981.832 43 V Ispa TD : 110/ 90
0001.590.044.455 11 IV Nyeri Kencing
0001.590.043.026 52 VI Nyeri di Tumit Kaki & Gastritis TD : 120/ 90
0001.590.038.312 50 Gudang Tengkuk Sakit & Nyeri TD : 130/ 90
0002.310.682.329 3 TU Febris
0001.961.152.525 5 V Febris & Muntah-muntah

No BPJS Umur Alamat Diagnosa

0002.302.739.256 40 VI Gatal-gatal di Tangan TD : 120/ 80


0001.592.814.508 34 IV Ispa & Pegal Linu TD : 110/ 80
0001.592.807.916 43 VII Sakit Gigi TD : 130/ 90
0001.590.038.065 44 TU Ispa TD : 120/ 70
0001.590.037.705 46 Transport Ispa TD : 120/ 90
0001.894.284.246 42 V Febris & Gastritis TD : 100/ 90
0001.590.034.781 47 IV Gastritis & Pusing DM TD : 120/ 100
0001.828.015.694 53 VII Gatal-gatal di Tangan TD : 110/ 90
0002.251.450.067 45 III Ispa TD : 130/ 80
0001.590.044.229 40 IV Sakit Gigi TD : 120/ 100
0001.592.812.539 9 V Herpes
0001.590.040.337 48 V Ispa & Gatal di Tangan TD : 120/ 100
0001.828.017.292 36 VII Ispa TD : 110/ 80
0001.592.810.853 45 V Pinggang Sakit Kejatuhan B. Sawit TD : 130/90
0002.624.609.441 3 V Febris & Muntah2
0001.880.401.522 5 PU Febris & Mual2
0001.592.812.359 41 VI Febris TD : 110/ 70
0001.592.812.394 10 VI Febris & Mual Muntah
0001.590.044.411 41 IV Gastrtis & Sakit Pinggang TD : 120/ 90
0001.590.043.893 57 IV Hypertensi & Tangan & Kaki seb. Kiri Susah di
gerakakan TD : 180/ 120
0001.590.043.522 50 IV Cabut Gigi
0002.252.788.345 3 Plasmen Batuk, Pilek & Mual Muntah2
0001.592.810.864 41 V Pegal Linu TD : 110/ 90
0001.590.040.269 37 V Ispa & Pegal Linu TD : 110/ 80
0001.828.017.606 10 VII Diare
0001.592.811.898 53 VI Nyeri Mata Kanan TD : 130/ 100
0001.590.044.477 52 IV Pegal Linu TD : 120/ 90
0002.624.095.102 32 VII Gastritis & Pusing DM TD : 110/ 70
0001.592.812.473 33 V Ispa TD : 120/ 80
0001.592.814.508 32 IV Febris & Ispa TD : 100/ 70
0001.594.153.056 63 Plasmen Febris TD : 140/ 100
0001.961.152.525 5 V Ispa & Mual2
0002.310.682.329 3 TU Febris
0001.590.040.168 53 V Febris TD : 120/ 90
0001.592.813.248 45 Tanaman Ispa TD : 110/ 80
0002.072.167.029 4 Transport Sakit Gigi
0001.590.040.089 49 V Hypertensi TD : 150/ 100
0002.623.908.126 37 VII Febris TD : 100/ 90
0002.197.638.707 41 IV Gastritis & Pegal Linu TD : 130/ 70
0001.590.038.548 52 III Ispa & Sesak (+) TD : 140/ 90
0001.590.038.436 54 III Gastritis TD : 110/ 90
0001.590.042.249 52 Kantor Gastritis TD : 130/ 70
0001.590.040.258 34 V Sakit Mata TD : 110/ 70
0001.592.813.248 45 Tanaman Ispa TD : 120/ 90
0002.624.382.617 35 IV Gatal2 TD : 110/ 80
0001.592.810.054 52 V Sakit Pinggang & Gastritis TD : 120/ 80
0001.592.809.457 9 IV Ispa & Febris
0001.590.043.623 59 Plasmen Gastritis TD : 120/ 80
0001.592.812.574 34 VI Gastritis TD : 100/ 90

No BPJS Umur Alamat Diagnosa

0001.592.813.248 45 Tanaman Lutut Kiri Kena Parang TD : 120/ 90


0001.592.811.336 52 V Ispa & Pegal Linu TD : 130/ 80
0001.592.812.732 34 VI Diare TD : 120/ 90
0001.592.810.651 53 V Hypertensi & Ispa TD : 140/ 100
0001.590.044.073 53 IV Mammae Seb. Kanan Benjolan ± 1 bln
0001.590.038.267 42 VI Influenza TD : 110/ 90
0001.590.034.781 47 IV DM
0001.590.039.652 54 III Gastritis TD : 120/ 70
0001.590.039.437 59 III Ispa TD : 130/ 80
0001.590.040.506 49 VI Gastritis TD : 100/ 80
0001.592.810.706 56 V Diare TD : 120/ 80
0001.590.038.098 46 IV Ispa TD : 110/ 90
0001.592.810.346 37 Transport Ispa & Nyeri Abdomen TD : 100/ 70
0002.200.452.366 4 Transport Febris
0001.590.040.124 48 V Asma Bronkral TD : 130/ 100
0001.590.040.607 35 VI Ispa TD : 100/ 80
0001.590.036.761 8 III Ada Benjolan Bawah Mammae Kiri
0001.095.078.062 48 III Batuk Darah ± 2 Minggu
0001.590.044.253 38 IV Pegal Linu TD : 100/ 90
0001.970.320.544 41 VII Nyeri Abdomen TD : 100/ 70
0002.624.411.834 44 VIII Ispa TD : 110/ 80
0001.590.043.858 55 IV DM & Hypertensi TD : 150/ 100
0001.592.814.069 8 TU Febris
0001.590.040.179 53 V Ispa TD : 120/ 90
0001.594.153.056 63 Plasmen Febris
0001.590.044.027 62 TU Artritis
0001.590.038.482 36 Transport Ispa & Gastritis TD : 100/ 80
0001.592.812.157 37 VI Ispa TD : 120/ 80
0001.592.810.043 55 V Ispa TD : 100/ 90
Therapi

Oral Keterangan
Flurin, Amoxicillin Rawat Jalan
Acytral, Rindobion Rawat Jalan
Flurin, Rindobion, Acytral, Amoxicillin Rawat Jalan
Rindobion, Alpara Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Amlodipine Rawat Jalan
Amoxicillin, Alpara Rawat Jalan
Acytral, Infantrim Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Molagit, Antasida Doen Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Dextral, Amoxicillin Rawat Jalan
Alpara Rawat Jalan
Alpara, Captopril Rawat Jalan
Paracetamol Rawat Jalan
Alpara, Rindobion, Pritacort, Allupurinol Rawat Jalan
Alpara, Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Paracetamol, Dextral Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Antasida Doen, Rindobion Rawat Jalan
Rindobion, Paracetamol Rawat Jalan
Alpara, Antasida Doen Rawat Jalan
Salbutamol, Ambroxol Rawat Jalan
Pritacort, Rindobion Rawat Jalan
Flurin Rawat Jalan
Zink, Antasida Doen, Infantrim Rawat Jalan
Antasida Doen, Flurin, Amoxicillin Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpamol syr, Amoxicillin Rawat Jalan
Flurin Rawat Jalan
Paracetamol, Zink, Infantrim Rawat Jalan
Flurin Rawat Jalan
Flurin, Folic Acid Rawat Jalan
Flurin, Antasida Doen Rawat Jalan
- PT. KMN
Flurin, Infantrim Rawat Jalan
Paracetamol, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Paracetamol Rawat Jalan
Zink, Tomaag, Contrimozale Rawat Jalan
Zink, Antasida Doen, Infantrim Rawat Jalan
Antasida Doen, Paracetamol Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Antasida Doen Rawat Jalan
Acitral, Paracetamol, Pritacort Rawat Jalan
Pritacort, Paracetamol Rawat Jalan
Alpamol syr Rawat Jalan
Alpamol syr, Lexacrol syr Rawat Jalan

Therapi

Oral Keterangan
Pritacort, Amoxicillin, Klorfeson Zalf Rawat Jalan
Flurin, Infantrim, Ambroxol, Rindobion Rawat Jalan
Paracetamol, Amoxiclllin, Pritacort Rawat Jalan
Pritacort, Flurin, Ambroxol Rawat Jalan
Dextral, Infantrim, Rindobion Rawat Jalan
Antasida Doen, Paracetmol, Amoxicillin Rawat Jalan
Lexacrol syr, Donperidone, Paracetamol, Rindobion Rawat Jalan
Pritacort, Klorfeson Zalf Rawat Jalan
Dextral, Ambroxol, Paracetamol Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Pritacort Rawat Jalan
Dextral, Pritacort, Paracetamol Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Alpamol syr, lexacrol syr Rawat Jalan
Alpamol syr, lexacrol syr Rawat Jalan
Paracetamol Rawat Jalan
Paracetamol, Donperidone, Lexacrol syr Rawat Jalan
Acitral, Paracetamol Rawat Jalan
- PT. KMN

- PT. KMN
Alpara syr, Lexacrol syr Rawat Jalan
Rondobion Rawat Jalan
Flurin, Rindobion Rawat Jalan
Molagit, Infantrim, Lexacrol syr Rawat Jalan
Paracetamol, Infantrim, Pritacort Rawat Jalan
Flurin, Rindobion Rawat Jalan
Antasida Doen, Paracetmol Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
- PT. KMN
Paracetamol, Pritacort Rawat Jalan
Alpara syr, Lexacrol syr Rawat Jalan
Alpara syr Rawat Jalan
Paracetamol, Infantrim, Pritacort, Rindobion Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Alpamol syr, Amoxicillin, Pritacort Rawat Jalan
Rindobion, Amlodipine, Paracetamol Rawat Jalan
Paracetamol, Infantrim, Pritacort Rawat Jalan
Paracetamol, Antasida Doen Rawat Jalan
Salbutamol, Ambroxol, Flurin Rawat Jalan
Antasida Doen, Rindobion Rawat Jalan
Donperidone, Lexacrol syr Rawat Jalan
Flurin, Pritacort Rawat Jalan
Flurin, Ambroxol Rawat Jalan
Pritacort Rawat Jalan
Antasida Doen, Paracetamol, Rindobion Rawat Jalan
Alpara syr, Infantrim Rawat Jalan
Antasida Doen Rawat Jalan
Antasida Doen Rawat Jalan

Therapi

Oral Keterangan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Flurin, Rindobion Rawat Jalan
Zink, Antasida Doen Rawat Jalan
Dextral, Amlodipine, Rindobion Rawat Jalan
- PT. KMN
Flurin Rawat Jalan
- PT. KMN
Antasida Doen Rawat Jalan
Dextral, Ambroxol, Acitral Rawat Jalan
Antasida Doen Rawat Jalan
Zink, Antasida Doen, Infantrim Rawat Jalan
Flurin Rawat Jalan
Antasida Doen, Rindobion, Flurin Rawat Jalan
Alpamol syr Rawat Jalan
Salbutamol, Ambroxol, Flurin Rawat Jalan
Flurin, Infantrim Rawat Jalan
- PT. KMN
- PT. KMN
Rindobion, Folic Acid Rawat Jalan
Antasida Doen, Ranitidine, Folic Acid Rawat Jalan
Flurin, Amoxicillin Rawat Jalan
Metformin, Amlodipine Rawat Jalan
Alpamol syr, Amoxicillin Rawat Jalan
Flurin, Folic Acid Rawat Jalan
Paracetamol Rawat Jalan
- PT. KMN
Flurin, Antasida Doen, Infantrim Rawat Jalan
Dextral, Ambroxol Rawat Jalan
Amoxicillin, Flurin Rawat Jalan
Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 01-07-2020 Suwanto √ 04.000.1352
2 01-07-2020 Adrianus √ 04.000.1431
3 01-07-2020 Lohi √ 04.000.1258
4 01-07-2020 Suranto √ 04.000.1281
5 02-07-2020 Wahid Wahyu Yuwono √ 04.000.1584
6 03-07-2020 Marshanto √ 04.000.1522
7 03-07-2020 Bela Sigianto Fransiskus √ 04.000.1493
8 03-07-2020 Yohana Una √ 04.000.1578
9 03-07-2020 Lukas √ 04.000.1496
10 04-07-2020 Konstantinus √ 04.000.658
11 04-07-2020 Sudiro √ 04.000.288
12 04-07-2020 Petrus Sintu √ 04.000.516
13 06-07-2020 Antonius Aliumar √ 04.000.1089
14 06-07-2020 Ridito √ 04.000.1031
15 06-07-2020 Slamet Riadi √ 04.000.204
16 06-07-2020 Andri Gromiko √ 04.000.667
17 06-07-2020 Singlin Budianto √ 04.000.631
18 06-07-2020 Winarti √ 04.000.683
19 06-07-2020 Elfrida br. Purba √ 04.000.1160
20 07-07-2020 Patar Bancin √ 04.000.1599
21 07-07-2020 Supono √ 04.000.1624
22 07-07-2020 Tono √ 04.000.512
23 07-07-2020 Sarpin √ 04.000.508
24 07-07-2020 Antonius Samuel √ 04.000.1512
25 07-07-2020 Fitri Novita √ 04.000.1351
26 07-07-2020 Umar Peki √ 04.000.1581
27 07-07-2020 Putri Keyla Alvia √ 04.000.1353
28 07-07-2020 Sayem √ 04.000.846
29 07-07-2020 Donius Doni √ 04.000.1483
30 07-07-2020 Sutrisno √ 04.000.682
31 08-07-2020 Sumilah √ 04.000.757
32 08-07-2020 Suparni √ 04.000.1625
33 08-07-2020 Sri Hayani √ 04.000.504
34 08-07-2020 Indri √ 04.000.638
35 08-07-2020 Jumadi √ 04.000.1621
36 08-07-2020 Lidwina Dora √ 04.000.61
37 09-07-2020 Mardiyah √ 04.000.985
38 09-07-2020 Yoga Fitria Maulana √ 04.000.1017
39 09-07-2020 Yeyen Hendratno √ 04.000.1014
40 09-07-2020 Tukiyah √ 04.000.971
41 09-07-2020 Heni Pusvita Sari √ 04.000.1055
42 09-07-2020 Kaminem √ 04.000.1053
43 10-07-2020 Ahmad Rifa'i √ 04.000.1085
44 10-07-2020 Hartanti √ 04.000.975
45 10-07-2020 Zifana Dwi Salsabina √ 04.000.1199
46 10-07-2020 Paino √ 04.000.704
47 11-07-2020 Farida Hannum Panjaitan √ 04.000.1135
48 11-07-2020 Pendi Nababan √ 04.000.1558
49 11-07-2020 Venesia Radoty Nababan √ 04.000.1626
50 11-07-2020 Senen √ 04.000.992

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51 11-07-2020 Zifana Dwi Salsabila √ 04.000.1199
52 13-07-2020 Dapat Mugiono √ 04.000.501
53 13-07-2020 Umar Peki √ 04.000.1581
54 13-07-2020 Miswanto √ 04.000.505
55 13-07-2020 Lukas √ 04.000.1496
56 13-07-2020 Misnem √ 04.000.1559
57 13-07-2020 Lonya √ 04.000.638
58 14-07-2020 Sito √ 04.000.535
59 14-07-2020 Sarti √ 04.000.1554
60 15-07-2020 Agus Wahyudi √ 04.000.486
61 15-07-2020 Giarti √ 04.000.777
62 15-07-2020 Mira Susanti √ 04.000.1627
63 15-07-2020 Tuti Lestari √ 04.000.1628
64 15-07-2020 Indah Maisarah √ 04.000.1384
65 15-07-2020 Suwito √ 04.000.311
66 15-07-2020 Taufikul Huda √ 04.000.1480
67 15-07-2020 Ali Saputra √ 04.000.940
68 16-07-2020 Wasirin √ 04.000.1616
69 16-07-2020 Ramijah √ 04.000.1585
70 16-07-2020 Urip Ahmad Suwono √ 04.000.1553
71 16-07-2020 Tuyar √ 04.000.490
72 16-07-2020 Antonius Samuel √ 04.000.1512
73 16-07-2020 Lorensius Ardianto √ 04.000.1514
74 16-07-2020 Marudut Parulian Malau √ 04.000.1629
75 17-07-2020 Zulkarnaen Gultom √ 04.000.1590
76 18-07-2020 Yeyen Hendratno √ 04.000.1014
77 18-07-2020 Tuminah √ 04.000.509
78 19-07-2020 Khofiah √ 04.000.1519
79 20-07-2020 Yono √ 04.000.1296
80 20-07-2020 Sivisius Suwandi √ 04.000.1605
81 20-07-2020 Indah Maisarah √ 04.000.1384
82 21-07-2020 Ismail Pantas √ 04.000.1506
83 21-07-2020 Darwanto √ 04.000.1094
84 21-07-2020 Antonius Aliumar √ 04.000.1089
85 23-07-2020 Giyono √ 04.000.1546
86 23-07-2020 Selamat √ 04.000.757
87 23-07-2020 Tukinem √ 04.000.1346
88 24-07-2020 Nur Se'ach √ 04.000.1069
89 24-07-2020 Waginem √ 04.000.421
90 25-07-2020 Sutinah √ 04.000.587
91 25-07-2020 Supono √ 04.000.1624
92 25-07-2020 Dhevinta Dhea Kalola √ 04.000.1532
93 25-07-2020 Patar Bancin √ 04.000.1599
94 25-07-2020 Nikodimus √ 04.000.1069
95 25-07-2020 Ponirah √ 04.000.1630
96 27-07-2020 Agus Widadin √ 04.000.1073
97 27-07-2020 Mariani √ 04.000.680
98 27-07-2020 Kaliman √ 04.000.493
99 29-07-2020 Mardiyah √ 04.000.985
100 29-07-2020 Purwanti √ 04.000.1018

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 29-07-2020 Tumiroh √ 04.000.773
102 30-07-2020 Stefanus Capeng √ 04.000.1081
103 30-07-2020 Kerepon Suparman √ 04.000.1526
104 30-07-2020 Jamiyem √ 04.000.498
105 04.000.
106 04.000.
107 04.000.
108 04.000.
109 04.000.
110 04.000.
111 04.000.
112 04.000.
113 04.000.
114 04.000.
115 04.000.
116 04.000.
117 04.000.
118 04.000.
119 04.000.
120 04.000.
121 04.000.
122 04.000.
123 04.000.
124 04.000.
125 04.000.
126 04.000.
127 04.000.
128 04.000.
129 04.000.
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Keterangan : Jumlah Pasien yang ditangani sendiri : 89 Orang


Jumlah Pasien yang dikirim ke PT. KMN : 15 Orang
No BPJS Umur Alamat Diagnosa

0002.298.315.082 35 IV Ispa TD : 120/ 90


0002.624.015.024 35 VII Ispa TD : 110/ 70
0001.879.726.487 52 IV Gastritis & Ispa TD : 130/ 80
0001.879.734.835 39 V Ispa TD : 110/ 80
0002.311.835.264 33 IV Ispa & Salat Mata TD : 120/ 80
0002.624.528.867 38 VI Pegal Linu TD : 100/ 90
0002.624.410.697 22 VII Pegal Linu TD : 110/ 80
0001.590.041.777 59 S. Jaman DM & Gastritis TD : 130/ 100
0002.624.411.834 44 VII Nyeri Abdomen & Salut
0001.590.042.508 46 Tanaman Gastritis TD : 120/ 90
0001.590.037.841 39 VII Ispa TD : 110/ 80
0001.590.040.506 49 VI Ispa & Gastritis TD : 120/ 70
0001.592.812.359 41 VI Pegal Linu TD : 120/ 90
0001.592.811.202 47 V Sakit Pinggang ± 2 Hari TD : 130/ 80
0001.590.036.614 34 Transport Ispa TD : 110/ 90
0001.590.042.609 38 PU Gastritis TD : 110/ 70
0001.590.042.161 42 Kantor
0001.590.042.093 51 PU Pegal Linu TD : 100/ 80
0001.592.813.902 54 PU Tengkuk Sakit TD : 130/ 100
0001.592.809.716 52 Asst Nyeri Telinga Kiri & Mata Kiri
0002.302.774.738 46 IV Febris TD : 100/ 80
0001.590.040.405 47 V Pegal Linu TD : 130/ 80
0001.590.040.315 51 V Gastritis TD : 120/ 90
0002.624.500.506 28 IV Febris TD : 100/ 70
0002.298.316.026 31 V Bisul di Kening TD : 110/ 80
0002.899.598.815 23 VII Pegal Linu TD : 110/ 80
0002.624.609.441 3 V Ispa
0001.592.808.298 54 VII Ispa Sesak (+) TD : 120/ 100
0002.624.380.997 28 IV Pegal Linu TD : 110/ 90
0001.590.042.892 54 TU Hypertensi TD : 150/ 100
0001.590.043.858 55 IV Hypertensi & DM
0001.590.043.454 57 IV DM
0001.590.040.269 37 V Pegal Linu TD : 110/ 80
0001.590.042.238 52 Kantor Ispa TD : 120/ 90
0001.590.039.437 59 III Sesak (+) & Ispa (+)
0001.590.034.915 53 III DM
0001.592.810.313 54 V Pegal Linu TD : 120/ 90
0001.592.810.897 16 V Ispa
0001.592.810.853 47 V Ispa TD : 110/ 90
0001.592.810.054 52 V Hyperetnsi
0002.484.909.652 6 VI Febris & Ispa
0001.592.811.573 44 VI Pegal Linu TD : 120/ 80
0001.592.812.236 44 VI Pegal Linu TD : 120/ 80
0001.592.810.076 40 V Pegal Linu TD : 110/ 90
0001.592.814.701 10 IV Broncho Preunemia
0001.590.043.116 40 TU Sakit Gigi TD : 130/ 90
0001.592.813.261 41 Tanaman Cabut kuku TD : 120/ 80
0001.963.632.216 41 Asst Ispa TD : 120/ 90
0001.963.633.239 11 Asst Gastritis & Febris
0001.592.810.414 58 V CHF

No BPJS Umur Alamat Diagnosa

0001.592.814.701 10 IV Bronchophemunia
0001.590.040.258 34 V Gastritis & Pegal Linu TD : 120/ 90
0002.899.598.815 23 VII Febris & Mual (+) TD : 100/ 70
0001.590.040.282 37 V Pegal Linu TD : 110/ 80
0002.624.411.834 44 VII Ispa TD : 110/ 90
0001.594.153.091 55 V Artritis TD : 130/ 80
0001.590.042.249 52 Kantor Demam Thypoid
0001.590.040.721 45 VI Kaki Luka Kena Egrek TD : 120/ 90
0001.592.811.832 57 VI Gatal-gatal
0001.590.040.056 34 V Ispa TD : 110/ 80
0001.590.044.477 52 IV Gastritis TD : 130/ 80
0002.074.453.806 33 Transport Hamil = 20-22 Mggu
0001.906.038.178 24 Transport Bisul di Bokong
0002.764.516.138 25 VII Hamil = 24-27 Mggu
0001.590.038.021 48 Gudang Sakit Gigi & Gatal2 di Kaki TD : 130/ 80
0002.624.378.872 28 IV Febris TD : 110/ 70
0002.200.452.366 4 V Febris & Ispa
0001.594.153.247 65 IV Ispa & Gastritis TD : 130/ 80
0001.590.043.419 56 IV Hypertensi & Nyeri Tangan Kiri TD : 130/ 90
0001.590.043.915 53 IV Ispa TD : 120/ 80
0001.590.040.089 49 V Hypertensi TD : 130/ 80
0002.624.500.506 28 IV Febris TD : 100/ 70
0002.624.500.686 6 IV Batuk & Pilek
0001.405.611.347 50 IV Batuk & Pilek
0001.828.015.694 52 VII Ispa & Gastritis, Pegal Linu TD : 110/ 80
0001.592.810.853 45 V Gastritis & Ispa TD : 120/ 90
0001.590.040.337 48 V Ispa TD : 130/ 80
0002.624.519.272 29 IV Hamil Aterm
0001.888.885.822 63 V Ispa & Pegal Linu TD : 130/ 100
0001.827.981.437 45 V Febris TD : 120/ 80
0002.764.516.138 25 VII Sakit Gigi TD : 110/ 90
0002.624.440.274 46 VI Kaki Kena Duri Sawit TD : 120/ 90
0001.592.812.473 33 V Pegal Linu TD : 110/ 80
0001.592.812.359 41 VI Ispa TD : 120/ 80
0001.592.810.212 62 V Pegal Linu TD : 130/ 100
0001.590.044.229 40 IV Ispa TD : 120/ 80
0002.276.876.801 52 IV Ispa TD : 120/ 90
0001.592.812.091 44 I Ispa TD : 110/ 80
0001.590.039.281 52 I Ispa TD : 120/ 90
0001.590.041.384 40 VI Pegal Linu TD : 120/80
0002.302.774.738 46 V Ispa TD : 120/ 80
0002.624.534.471 9 IV Febris
0001.592.809.716 52 Asst Nyeri mata sebela Kiri
0001.592.811.898 54 VI Kedua Mata Sakit Nyeri
0001.828.021.667 58 Plasmen Gastritis & Pegal Linu TD : 130/ 90
0001.592.811.999 32 VI Ispa & Pegal Linu TD : 110/ 80
0001.590.042.857 49 PU Ispa TD : 120/ 90
0001.590.042.124 48 V Ispa & Sesak TD : 130/ 90
0001.592.810.313 54 TU Pegal Linu TD : 130/ 90
0001.592.810.864 42 V Jari Tangan Luka kena Parang

No BPJS Umur Alamat Diagnosa

0001.590.042.433 40 IV Gastritis TD : 120/ 80


0001.592.812.157 37 VI Ispa TD : 110/ 80
0002.624.533.198 48 VI Ispa TD : 110/ 90
0001.590.040.179 53 V Gastritis TD : 130/ 80
Therapi

Oral Keterangan
Flurin, Ambroxol Rawat Jalan
Flurin, Folic Acid Rawat Jalan
Antasida Doen, Flurin Rawat Jalan
Flurin Rawat Jalan
Amoxicillin, Dextral, Paracetamol Rawat Jalan
Folic Acid Rawat Jalan
Folic Acid Rawat Jalan
Metformin, Antasida Doen, Amoxicillin Rawat Jalan
- PT. KMN
Antasida Doen Rawat Jalan
Dextral, Ambroxol Rawat Jalan
Acitral, Amoxicillin, Ambroxol Rawat Jalan
Alpara Rawat Jalan
Alpara, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Antasida Doen Rawat Jalan
Alpara, Amoxicillin, Rindobion Rawat Jalan
Alpara, Rindobion Rawat Jalan
Alpara, Rindobion Rawat Jalan
- PT. KMN
Alpara, Infantrim Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Antasida Doen, Alpara Rawat Jalan
Alpara, Rindobion Rawat Jalan
Paracetamol, Amoxicillin Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Alpara syr Rawat Jalan
Infantrim, Ambroxol, Salbutamol, Paracetamol Rawat Jalan
Rindobion Rawat Jalan
Amlodipine 5mg Rawat Jalan
- PT. KMN
- PT. KMN
Alpara, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
- PT. KMN
- PT. KMN
Paracetamol, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Captopril, Rindobion Rawat Jalan
Alpara syr Rawat Jalan
Alpara, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Rindobion Rawat Jalan
- PT. KMN
Alpara, Amoxicillin Rawat Jalan
Amoxicillin, Rindobion Rawat Jalan
Ambroxol, Rindobion, Amoxicillin Rawat Jalan
Paracetamol, Amoxicillin, Antasida Doen Rawat Jalan
- PT. KMN

Therapi

Oral Keterangan
- PT. KMN
Antasida Doen, Paracetamol Rawat Jalan
Antasida Doen, Paracetamol Rawat Jalan
Alpara, Rindobion Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Paracetamol, Infantrim, Rindobion Rawat Jalan
- PT. KMN
Paracetamol, Infantrim Rawat Jalan
Alpara, Ambroxol Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Rindobion, Amoxicillin Rawat Jalan
- PT. KMN
Paracetamol, Amoxicillin Rawat Jalan
- PT. KMN
Paracetamol, Infantrim, Klorfeson Zalf Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara syr Rawat Jalan
Alpara, Antasida Doen Rawat Jalan
Amlodipine, Alpara Rawat Jalan
Alpara, Infantrim Rawat Jalan
Amlodipine, Alpara Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara syr Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Antasida Doen, Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin, Antasida Doen Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
- PT. KMN
Alpara, Infantrim, Rindobion Rawat Jalan
Paracetamol, Infantrim Rawat Jalan
Paracetamol Rawat Jalan
Paracetamol, Infantrim Rawat Jalan
Alpara Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Infantrim, Antasida Doen Rawat Jalan
Ambroxol, Infantrim, Paracetamol Rawat Jalan
Alpra Rawat Jalan
Alpara, Infantrim Rawat Jalan
Paracetamol, Amoxicillin Rawat Jalan
- PT. KMN
- PT. KMN
Paracetamol, Molagit, Antasida Doen Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara, Amoxicillin Rawat Jalan
Alpara Rawat Jalan
Paracetamol, Infantrim Rawat Jalan

Therapi

Oral Keterangan
Paracetamol, Antasida Doen Rawat Jalan
Alpara, Infantrim Rawat Jalan
Alpara, Infantrim Rawat Jalan
Antasida Doen, Paracetamol Rawat Jalan
Jenis
Therapi
No Tgl Nama Pekerja Kelamin No RM No BPJS Umur Alamat Diagnosa

Lk Pr Oral Keterangan
1 01-08-2020 Sutrisno √ 04.000.682 0001.590.042.892 54 TU Hypertensi & Ispa TD : 150/ 100 Alpara, Infantrim, Amlodipin Rawat Jalan
2 01-08-2020 Wagiyo √ 04.000.1617 0001.590.034.162 61 IV Sakit Kencing TD : 120/ 110 Paracetamol, Infantrim Rawat Jalan
3 01-08-2020 Nikodimus √ 04.000.1069 0001.592.811.898 53 VI Kontrol Mata - PT. KMN
4 03-08-2020 Jamilah √ 04.000.1162 0001.592.814.003 46 VI Kaki Kiri kena Parang TD : 120/ 100 Alpara, Amoxicillin, Infantrim Rawat Jalan
5 04-08-2020 Robertus Anyan √ 04.000.525 0001.590.040.607 35 VI Pegal Linu & Ispa TD : 110/ 80 Alpara, Ambroxol Rawat Jalan
6 04-08-2020 Dasimin √ 04.000.11 0001.425.682.732 45 VI Pegal Linu TD : 130/ 90 Alpara Rawat Jalan
7 05-08-2020 Basirin √ 04.000.540 0001.590.040.765 53 III Hypertensi, Ispa, Gatal2 TD : 150/ 100 Alpara, Infantrim, Amlodipin, Klaferson Zalf Rawat Jalan
8 05-08-2020 Sugino √ 04.000.349 0001.590.038.436 54 III Ispa TD : 120/ 90 Alpara, Infantrim Rawat Jalan
9 05-08-2020 Slamet √ 04.000.350 0001.590.038.548 52 III DM, Sesak (+), Kaki Bengkak (+) TD : 130/ 100 Metformin, Paracetamol, Furosmide, Alpara Rawat Jalan
10 05-08-2020 Minisih √ 04.000.541 0001.590.040.877 51 III Gatal2 Seluruh Badan TD : 130/ 90 Alpara Rawat Jalan
11 06-08-2020 Tande √ 04.000.1594 0001.592.807.589 51 VII Sakit Gigi TD : 120/ 90 Alpara, Infantrim Rawat Jalan
12 06-08-2020 Adi √ 04.000.1631 0002.624.399.392 38 VII Ispa TD : 120/ 80 Alpara Rawat Jalan
13 07-08-2020 Anastasia √ 04.000.1063 0001.592.811.718 49 VI Hypertensi & Pegal Linu TD : 160/ 110 Captopril, Paracetamol, Rindobion Rawat Jalan
14 07-08-2020 Yulius Atam √ 04.000.1306 0001.894.284.246 43 V Sakit Gigi TD : 120/ 80 Paracetamol Rawat Jalan
15 08-08-2020 Paulus Tomso √ 04.000.1058 0001.592.811.639 28 VI Ispa TD : 100/ 90 Alpara, Infantrim Rawat Jalan
16 08-08-2020 Rochaidah √ 04.000.942 0001.592.809.424 38 IV Ispa TD : 110/ 80 Alpara, Infantrim Rawat Jalan
17 08-08-2020 Tuyar √ 04.000.490 0001.590.040.089 44 V Febris TD : 140/ 90 Paracetamol Rawat Jalan
18 08-08-2020 Nikodemus √ 04.000.1233 0001.592.815.184 40 Tanaman Gastritis TD : 120/ 90 Antasida Doen Rawat Jalan
19 08-08-2020 Slamet √ 04.000.350 0001.590.038.548 52 III DM (+) - PT. KMN
20 08-08-2020 Manisih √ 04.000.541 0001.590.040.877 51 III Gatal2 ± 1 Mggu - PT. KMN
21 08-08-2020 Indri Ayu Berliani √ 04.000.194 0001.590.036.761 18 III Kontrol Ulang sesuai Anjuran - PT. KMN
22 08-08-2020 Rapina √ 04.000.1632 0002.470.175.008 33 III Sakit Waktu Haid (+) - PT. KMN
23 08-08-2020 Supriyanto √ 04.000.1365 0002.470.174.841 35 III Artritis - PT. KMN
24 08-08-2020 Ami Markus √ 04.000.800 0001.592.807.714 57 VII Penglihatan Kurang - PT. KMN
25 10-08-2020 Antonius Ali Umar √ 04.000.1089 0001.592.812.359 41 VI Pegal Linu TD : 110/ 80 Paracetamol Rawat Jalan
26 10-08-2020 Lupius √ 04.000.1567 0001.827.960.006 49 III Febris & Gastritis TD : 100/ 70 Antasida Doen, Paracetamol, Pritacort, Amoxicillin Rawat Jalan
27 10-08-2020 Kasianus Kopin √ 04.000.1541 0001.828.013.139 42 KKPA Pegal Linu TD : 120/ 90 Mefanamid Acid Rawat Jalan
28 10-08-2020 Aqila Nafisa Putri √ 04.000.464 0002.269.946.384 3 V Febris ± 3 Hari Amoxicillin, Alpamol syr Rawat Jalan
29 11-08-2020 Antonius Samuel √ 04.000.1512 0002.624.500.506 28 IV Pegal Linu & Gastritis TD : 100/ 70 Antasida Doen, Rindobion Rawat Jalan
30 11-08-2020 Senen √ 04.000.992 0001.592.810.414 58 V Gatal2 Seluruh Badan Pritacort Rawat Jalan
31 12-08-2020 Senen √ 04.000.992 0001.592.810.414 58 V CHF - PT. KMN
32 12-08-2020 Tukiyah √ 04.000.971 0001.592.810.054 52 V Hypertensi & Ispa TD : 160/ 100 Paracetamol, Ambroxol, Rindobion, Captopril Rawat Jalan
33 12-08-2020 Konstantinus √ 04.000.658 0001.590.042.508 46 Tanaman Ispa TD : 120/ 80 Ambroxol Rawat Jalan
34 12-08-2020 Fitri Novita √ 04.000.1351 0002.298.316.026 31 V Febris TD : 100/ 70 Paracetamol, Pritacort Rawat Jalan
35 13-08-2020 Andri Gromiko √ 04.000.667 0001.590.042.609 38 PU Pegal Linu TD : 100/ 70 Rindobion Rawat Jalan
36 13-08-2020 Umar Peki √ 04.000.1581 0002.899.598.815 23 VII Febris TD : 110/ 80 Paracetamol, Pritacort, Amoxicillin Rawat Jalan
37 13-08-2020 Suranto √ 04.000.1281 0002.879.734.835 39 V Febris & Gastritis TD : 120/ 90 Antasida Doen, Paracetamol, Pritacort Rawat Jalan
38 13-08-2020 Ali Saputra √ 04.000.990 0002.200.452.366 4 V Alergi Pritacort Rawat Jalan
39 13-08-2020 Riska Aulia Kurnia √ 04.000.989 0001.592.810.379 10 V Ispa Ambroxol Rawat Jalan
40 13-08-2020 Heriyanto √ 04.000.1633 0001.590.040.225 33 V Batuk & Pilek TD : 100/ 80 Paracetamol, Pritacort, Amoxicillin Rawat Jalan
41 13-08-2020 Marjan √ 04.000.1327 0002.197.638.707 40 IV Febris TD : 130/ 90 Paracetamol, Pritacort, Rindobion Rawat Jalan
42 14-08-2020 sito √ 04.000.535 0001.590.040.721 40 VI Sakit Gigi TD : 130/ 80 Mefanamid Acid, Pritacort, Amoxicillin Rawat Jalan
43 14-08-2020 Lupius √ 04.000.1567 0001.827.960.006 49 III Alergi TD : 120/ 90 Pritacort Rawat Jalan
44 15-08-2020 Supono √ 04.000.1624 0002.302.774.738 46 V Meriang & Pegal Linu TD : 110/ 80 Rindobion, Paracetamol Rawat Jalan
45 15-08-2020 Dianita br. Sinulingga √ 04.000.1634 0001.590.042.712 54 PU Diare (+) TD : 120/ 90 Molagit, Antasida Doen Rawat Jalan
46 15-08-2020 Ismail Pantas √ 04.000.1506 0002.624.440.274 46 VI Sakita Gigi TD : 130/ 80 Mefanamic Acid, Pritacort, Infantrim Rawat Jalan
47 21-08-2020 Toha √ 04.000.1182 0001.592.814.418 53 IV Gatal Seluruh Badan TD : 120/ 90 Pritacort, Amoxicillin Rawat Jalan
48 21-08-2020 Selamat √ 04.000.757 0001.590.044.229 38 IV Febris TD : 110/ 80 Paracetamol, Pritacort, Amoxicillin Rawat Jalan
49 21-08-2020 Singlin √ 04.000.631 0001.590.042.161 42 Kantor Sakit Pinggang TD : 110/ 90 Mefanamid Acid, Pritacort Rawat Jalan
50 22-08-2020 Suwito √ 04.000.311 0001.590.038.021 43 Gudang Sakit Gigi TD : 120/ 80 Mefanamid Acid, Amoxicillin, Pritacort Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No RM No BPJS Umur Alamat Diagnosa

Lk Pr Oral Keterangan
51 22-08-2020 Sukamti √ 04.000.1576 0001.590.034.173 53 IV Ispa & Febris TD : 130/ 90 Paracetamol, Pritacort, Ambroxol Rawat Jalan
52 24-08-2020 Giyono √ 04.000.1546 0001.592.810.212 62 V Hernia & Artritis TD : 130/ 90 Pritacort, Mefanamid Acid, Rindobion, Amoxicillin Rawat Jalan
53 24-08-2020 Ripin √ 04.000.1172 0001.592.814.328 37 IV Ispa TD : 110/ 80 Ambroxol, Infantrim, Rindobion Rawat Jalan
54 24-08-2020 Irlansius Sembiring √ 04.000.281 0001.590.034.749 15 Transport Gatal di Tangan Pritacort, Amoxicillin Rawat Jalan
55 24-08-2020 Jeri Derwawansyah √ 04.000.1460 0002.624.095.765 15 VII Gusi Bengkak Pritacort, Paracetamol, Amoxicillin Rawat Jalan
56 24-08-2020 Siti Jariyah √ 04.000.1459 0002.624.095.102 32 VII Pegal Linu TD : 110/ 80 Paracetamol, Rindobion Rawat Jalan
57 25-08-2020 Patar Bancin √ 04.000.1599 0001.592.809.716 52 Asst DM & Mata Kabur - PT. KMN
58 25-08-2020 Rupina √ 04.000.1632 0002.470.175.008 33 III ISK - PT. KMN
59 25-08-2020 Uluan Nainggolan √ 04.000.1334 0001.879.726.072 38 Transport Ambeyen - PT. KMN
60 25-08-2020 Sukamto √ 04.000.746 0001.590.044.095 50 V Pegal Linu TD : 120/ 80 Pritacort, Rindobion Rawat Jalan
61 25-08-2020 Doni Cahyo Adi √ 04.000.749 0001.590.044.534 15 V Kaki Kena Gancu Amoxicillin, Pritacort, Mefenamid Acid Rawat Jalan
62 25-08-2020 Ismail Pantas √ 04.000.1506 0002.624.440.274 46 VI Artritis TD : 130/ 90 Mefenamid Acid, Pritacort Rawat Jalan
63 25-08-2020 Sakem √ 04.000.1293 0001.879.739.717 55 V Meriang & Febris TD : 130/ 80 Paracetamol, Pritacort, Infantrim, Ambroxol Rawat Jalan
64 26-08-2020 Apoponius Amon √ 04.000.708 0001.590.043.149 43 TU Sakit Gigi TD : 120/ 100 Infantrim, Mefenamid Acid, Pritacort Rawat Jalan
65 26-08-2020 Karsini √ 04.000.1563 0001.592.810.651 53 V Badan Meriang TD : 150/ 90 Paracetamol, Rindobion, Amoxicillin Rawat Jalan
66 26-08-2020 Kasim √ 04.000.274 0001.590.037.661 52 VII Pegal Linu & Febris TD : 130/ 80 Paracetamol, Rindobion, Amoxicillin Rawat Jalan
67 27-08-2020 Adi Kurniawan √ 04.000.646 0001.590.042.341 36 IV Febris TD : 100/ 70 Paracetamol, Pritacort, Amoxicillin, Rindobion Rawat Jalan
68 27-08-2020 Mukti Aisah √ 04.000.1039 0001.592.811.336 52 V Febris TD : 120/ 80 Paracetamol, Ambroxol, Pritacort, Amoxicillin Rawat Jalan
69 27-08-2020 Lukas √ 04.000.1615 0001.828.011.047 48 Plasmen Febris TD : 130/ 90 Paracetamol, Amoxicillin Rawat Jalan
70 27-08-2020 Pendi Nababan √ 04.000.1558 0001.963.632.216 41 I Ispa & Febris TD : 120/ 90 Amoxicillin, Pritacort, Paracetamol, Ambroxol Rawat Jalan
71 28-08-2020 Reza Triyulia Admeja √ 04.000.557 0001.590.041.024 8 VI Febris Paracetamol, Pritacort Rawat Jalan
72 28-08-2020 Aloisius. A √ 04.000.497 0001.590.040.168 53 V Gatal2 Seluruh Badan TD : 120/ 90 Pritacort Rawat Jalan
73 28-08-2020 Misnem √ 04.000.1559 0001.594.153.091 55 V Sakit Gigi TD : 140/ 100 Pritacort, Mefenamid Acid, Amoxicillin Rawat Jalan
74 29-08-2020 Fadil Aditya Nurhan √ 04.000.1200 0002.086.250.848 4 IV Ispa & Febris Ambroxol, Amoxicillin Rawat Jalan
75 29-08-2020 Wagiyo √ 04.000.1617 0001.590.034.162 61 IV ISK - PT. KMN
76 29-08-2020 Candra Dwi Nova Irwansyah √ 04.000.347 0001.590.038.425 9 Transport Konjungtivitis - PT. KMN
77 29-08-2020 Ami Markus √ 04.000.800 0001.592.807.714 57 VII Renc. Op. Katarak - PT. KMN
78 29-08-2020 Kindoi Yohana √ 04.000.801 0001.592.807.725 57 VII Artritis & Batuk (+) Darah ± 1 Bln - PT. KMN
79 29-08-2020 Tono √ 04.000.512 0001.590.040.405 47 V Pegal Linu TD : 120/ 80 Rindobion, Paracetamol Rawat Jalan
80 29-08-2020 Eko Setiawan √ 04.000.1338 0002.271.087.944 33 IV Pegal Linu TD : 110/ 90 Paracetamol, Rindobion Rawat Jalan
81 29-08-2020 Rusli Sembiring √ 04.000.278 0001.590.037.705 46 Transport Sakit Gigi (+) Mefenamid Acid, Pritacort Rawat Jalan
82 31-08-2020 Sarpin √ 04.000.508 0001.590.040.315 51 V Gatal di Tangan Pritacort, Amoxicillin Rawat Jalan
83 31-08-2020 Albinus Bodong √ 04.000.1019 0001.592.810.943 54 V Gatal2 Seluruh Badan Pritacort, Amoxicillin Rawat Jalan
84 31-08-2020 Aminah √ 04.000.733 0001.590.043.678 55 V Artritis TD : 120/ 90 Paracetamol, Pritacort, Amoxicillin Rawat Jalan
85 31-08-2020 Budi Darmawan √ 04.000.696 0001.590.043.048 35 TU Ispa & Febris TD : 110/ 80 Amoxicillin, Paracetamol, Ambroxol Rawat Jalan
86 31-08-2020 Zulfadli Dafa Priawan √ 04.000.698 0001.880.407.258 7 TU Febris Alpamol syr Rawat Jalan
87 31-08-2020 Sumarni √ 04.000.1547 0001.594.153.056 63 Plasmen Kaki Kena Paku TD : 150/ 100 Paracetamol, Amoxicillin Rawat Jalan
88 31-08-2020 Kasinem √ 04.000.95 0001.590.035.433 58 III Gastritis (+) - PT. KMN
89 31-08-2020 Rebin Nawito √ 04.000.94 0001.590.035.321 58 III DM (+) - PT. KMN
90 04.000.
91 04.000.
92 04.000.
93 04.000.
94 04.000.
95 04.000.
96 04.000.
97 04.000.
98 04.000.
99 04.000.
100 04.000.

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No RM No BPJS Umur Alamat Diagnosa

Lk Pr Oral Keterangan
101 04.000.
102 04.000.
103 04.000.
104 04.000.
105 04.000.
106 04.000.
107 04.000.
108 04.000.
109 04.000.
110 04.000.
111 04.000.
112 04.000.
113 04.000.
114 04.000.
115 04.000.
116 04.000.
117 04.000.
118 04.000.
119 04.000.
120 04.000.
121 04.000.
122 04.000.
123 04.000.
124 04.000.
125 04.000.
126 04.000.
127 04.000.
128 04.000.
129 04.000.
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Keterangan : Jumlah Pasien yang ditangani sendiri : 72 Orang


Jumlah Pasien yang dikirim ke PT. KMN : 17 Orang
Jenis
Therapi
No Tgl Nama Pekerja Kelamin No RM No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


1 01-10-2019 Sanah √ 04.000.1284 0001.879.735.195 36 V Pegal Linu TD : 110/ 80 Megabal, Meloxicam, Natrium Diklofenak Rawat Jalan
2 01-10-2019 Suratno √ 04.000.1281 0001.879.734.235 38 V Pegal Linu TD : 110/ 90 Allupurinol, Megabal, Paracetamol Rawat Jalan
3 01-10-2019 Yuda Saputra √ 04.000.1033 0001.592.811.235 8 V Ispa Samcodin, Paracetamol syr, Thiamfilex syr Rawat Jalan
4 01-10-2019 Istiyah √ 04.000.1539 0001.592.810.752 48 V Pegal Linu & Gastritis TD : 120/ 80 Allupurinol, Natrium Diklofenak, Antasida Doen Rawat Jalan
5 01-10-2019 Sumarni √ 04.000.786 0001.594.153.056 62 Plasmen Febris TD : 140/ 100 Paracetamol, Amoxicillin, Methylprednisone, Megabal Rawat Jalan
6 01-10-2019 Harapan Sitorus √ 04.000.130 0001.590.035.714 54 V Hepatitis - PT. KMN
7 01-10-2019 Kartina Lely √ 04.000.133 0001.590.035.725 47 V Nyeri di Lutut - PT. KMN
8 01-10-2019 Basirin √ 04.000.540 0001.590.040.765 52 VI Artritis TD : 130/ 80 Natrium Diklpfenak, Meloxicam, Megabal Rawat Jalan
9 01-10-2019 Manisih √ 04.000.541 0001.590.040.877 50 I Febris & Gastritis TD : 120/ 90 Paracetamol, Amoxicillin, Methylprednisone, Antasida Doen Rawat Jalan
10 01-10-2019 Aminah √ 04.000.733 0001.590.043.678 52 IV Ispa TD : 130/ 90 Samcodin, Cefadroxil, Dexamethasone Rawat Jalan
11 01-10-2019 Marjan √ 04.000.1327 0002.197.638.707 38 IV Diare TD : 140/ 70 Paracetamol, Metronidazole, Molagit Rawat Jalan
12 01-10-2019 Tuyar √ 04.000.490 0001.590.040.089 48 V Hypertensi & Mata Merah TD : 170/ 100 Sanbe Tears, Paracetamol, Amoxicillin, Amlodipin Rawat Jalan
13 01-10-2019 Sugeng Pawitan √ 04.000.772 0001.590.044.411 40 IV Pegal Linu TD : 100/ 80 Paracetamol, Cefadroxil, Meloxicam Rawat Jalan
14 01-10-2019 Tukiyah √ 04.000.971 0001.592.810.054 51 V Nyeri Abdomen TD : 150/ 90 Scoma Plus, Allupurinol Rawat Jalan
15 01-10-2019 Putri Keyla Alvia √ 04.000.1353 0002.624.609.441 2 V Febris Ibuprofen syr Rawat Jalan
16 01-10-2019 Fitri Novita √ 04.000.1351 0002.298.316.026 30 V Ispa TD : 100/ 90 Samcodin, Amoxicillin Rawat Jalan
17 01-10-2019 Suwanto √ 04.000.1352 0002.298.315.082 34 V Pegal Linu TD : 110/ 80 Megabal Rawat Jalan
18 01-10-2019 Sakem √ 04.000.1293 0001.879.739.717 54 V Pegal Linu TD : 120/ 90 Allupurinol, Scoma Plus, Megabal Rawat Jalan
19 01-10-2019 Fiki Ramadani √ 04.000.1283 0001.879.736.218 6 V Febris Dexamethasone, Ibuprofen syr Rawat Jalan
20 01-10-2019 Giarti √ 04.000.777 0001.590.044.477 51 IV Ispa TD : 120/ 90 Samcodin, Amoxicillin, Megabal Rawat Jalan
21 02-10-2019 Zifana Dwi Salsabila √ 04.000.1199 0001.592.814.701 10 IV Ispa Cefadroxil, Molacart, Samcodin Rawat Jalan
22 02-10-2019 Dapat Mugiono √ 04.000.501 0001.590.040.258 34 V Gastritis TD : 110/70 Donperidone, Lansoprazole Rawat Jalan
23 02-10-2019 Miswanto √ 04.000.505 0001.590.040.282 36 V Pegal Linu TD : 110/ 90 Natrium Diklofenak, Meloxicam Rawat Jalan
24 02-10-2019 Petrus Sintu √ 04.000.516 0001.590.040.506 48 VI Gastritis TD : 110/80 Antasida Doen, Lansoprazole Rawat Jalan
25 02-10-2019 Tukiyah √ 04.000.971 0001.592.810.054 51 V Nyeri Abdomen TD : 150/ 100 - PT. KMN
26 02-10-2019 Sri Hayani √ 04.000.504 0001.590.040.269 36 V Kedua Tangan Nyeri TD : 110/ 80 - PT. KMN
27 02-10-2019 Orkekon Sembiring √ 04.000.1144 0001.592.813.529 56 Plasmen Fisioterapi - PT. KMN
28 03-10-2019 Stefanus Capeng √ 04.000.1081 0001.592.812.157 36 VI Ispa TD : 110/ 70 Ambroxol, Cefadroxil Rawat Jalan
29 03-10-2019 Oktaviana Karmila √ 04.000.1541 0002.224.079.144 4 KKPA Febris & Sakit Mata Ibuprofen syr, Sanbe Tears Rawat Jalan
30 03-10-2019 Maniyah √ 04.000.1592 0001.590.034.342 55 IV Gastritis TD : 130/ 100 Tomaag, Amlodipin Rawat Jalan
31 03-10-2019 Sugiyanto √ 04.000.1013 0001.592.810.829 32 V Gastritis TD : 110/ 80 Ranitidine, Paracetamol Rawat Jalan
32 03-10-2019 Dasimin √ 04.000.11 0001.425.682.732 44 VI Pegal Linu & hypertensi TD : 150/ 90 Meloxicam, Amlodipine Rawat Jalan
33 03-10-2019 Sumarno Heri Ismanto √ 04.000.732 0001.590.043.667 52 IV Diare & Hypertensi TD : 160/ 100 Molagit, Metronidazole, Amlodipine Rawat Jalan
34 03-10-2019 Erika Susana √ 04.000.654 0001.590.042.464 39 Kantor Ispa TD : 110/ 80 Flurin, Cefixime Rawat Jalan
35 03-10-2019 Ahmad Riyadi √ 04.000.570 0001.590.041.114 54 VI Gastritis & Ispa TD : 120/ 90 Acitral, Amoxicillin, Flurin Rawat Jalan
36 03-10-2019 Winarti √ 04.000.683 0001.590.042.903 50 PU Ispa TD : 130/ 70 Flurin, Cefixime Rawat Jalan
37 04-10-2019 Anastasius √ 04.000.874 0001.592.808.568 53 VIII Nyeri Perut TD : 130/ 100 Ranitidine, Lansoprazole Rawat Jalan
38 04-10-2019 Andrianus √ 04.000.1431 0002.624.015.024 34 VII Pegal Linu TD : 140/ 90 Natrium Diklofenak, Megabal Rawat Jalan
39 05-10-2019 Heriyanto √ 04.000.924 0001.592.809.244 45 I Pegal Linu TD : 110/ 90 Allupurinol, Scoma Plus, Megabal, Ketonidazole Tube Rawat Jalan
40 05-10-2019 Jaya Wiranto √ 04.000.926 0001.592.809.288 25 I Gatal2 ditangan TD : 110/ 90 Dexamethasone, Ketonidazole Zalf Rawat Jalan
41 05-10-2019 Erlina Indriani √ 04.000.627 0001.590.042.137 37 Kantor Sakit Gigi TD : 100/ 80 paracetamol, Meloxicam, Erytromycin Rawat Jalan
42 05-10-2019 Farida Hannum Panjaitan √ 04.000.1135 0001.592.813.261 40 Tanaman Hamil 36 Mggu - PT. KMN
43 05-10-2019 Yatik √ 04.000.489 0001.590.040.067 32 V Pegal Linu TD : 100/ 90 Megabal, Meloxicam Rawat Jalan
44 05-10-2019 Fahruddin Tambunan √ 04.000.1134 0001.592.813.248 44 Tanaman Nyeri Abdomen TD : 120/ 90 - PT. KMN
45 05-10-2019 Agus Wahyudi √ 04.000.486 0001.590.040.056 33 V Nyeri Abdomen TD : 130/ 80 Scoma Plus, Ranitidine Rawat Jalan
46 05-10-2019 Rudito √ 04.000.1031 0001.592.811.202 46 V Ispa TD : 120/ 90 Ambroxol, Erythromycin, Lansoprazole Rawat Jalan
47 05-10-2019 Jamiyem √ 04.000.498 0001.590.040.179 52 V Post. Op. App TD : 120/ 80 - PT. KMN
48 05-10-2019 Boni √ 04.000.1043 0001.592.811.382 52 V DM - PT. KMN
49 05-10-2019 Mahammad Muhrodin √ 04.000.726 0001.590.043.522 49 IV Pegal Linu TD : 130/ 80 Allupurinol, Paracetamol Rawat Jalan
50 07-10-2019 Rotua br. Simanjuntak √ 04.000.1139 0001.592.813.362 51 PU Ispa TD : 140/ 90 Ambroxol, Amoxicillin, Paracetamol Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


51 07-10-2019 Riyanti √ 04.000.1544 0001.827.929.103 36 Transport Ispa TD : 110/ 80 Ambroxol, Cefadroxil, Salbutamol Rawat Jalan
52 07-10-2019 Petrus Sintu √ 04.000.26 0001.590.034.342 40 VI Artritis TD : 120/ 100 Allupurinol, Natrium Diklofenak, Hydrocotison Zalf Rawat Jalan
53 08-10-2019 Riyanti √ 04.000.1539 0001.592.809.266 42 I Gastritis & Gatal2 TD : 120 : 90 Sucrafle syr, Scoma Plus, Cefadroxil, Lansoprazole, Ketonidazole Zalf, Tablet Rawat Jalan
Tambah Darah Rawat Jalan
54 08-10-2019 Kasianus Kopin √ 04.000.1541 0001.828.013.139 42 KKPA Ispa TD : 130/ 100 Cefadroxil, Ambroxol, Molacort, Salbutamol Rawat Jalan
55 08-10-2019 Dionisia Meglinda √ 04.000.1542 0001.828.015.053 10 KKPA Ispa Ambroxol, Amoxicillin Rawat Jalan
56 08-10-2019 Deni Marceleno √ 04.000.202 0001.590.036.568 12 VII Gastritis Antasida Doen, Lansoprazole, Paracetamol Rawat Jalan
57 09-10-2019 Surati √ 04.000.12 0001.594.153.192 60 Simpang Hypertensi TD : 170/ 100 - PT. KMN
58 09-10-2019 Jure √ 04.000.1545 0001.590.043.599 58 IV Hypertensi TD : 180/ 120 - PT. KMN
59 09-10-2019 Gresia Maura √ 04.000.206 0001.590.036.636 6 Transport Ispa Flurin syr, Cefadroxil syr Rawat Jalan
60 09-10-2019 Adrianus Atung √ 04.000.266 0001.590.037.514 49 VI Ispa & Gatal2 TD : 120/ 80 Molacort, Ketonidazole Zalf, Acyclour, Flurin, Cefadroxil Rawat Jalan
61 10-10-2019 Andri Gramiko √ 04.000.667 0001.590.042.609 37 PU Gastritis & Sakit Kepala TD : 100/ 80 Lansoprazole, Ranitidine, Scoma Plus Rawat Jalan
62 10-10-2019 Wahyu Triprasetyo √ 04.000.472 0002.459.509.312 2 V Ispa Molexdril syr Rawat Jalan
63 10-10-2019 Sutrisno √ 04.000.682 0001.590.042.892 52 TU Gastritis TD : 130/ 90 Sucrafle syr, Lansoprazole, Scoma Plus Rawat Jalan
64 11-10-2019 Purwanti √ 04.000.1018 0001.592.810.864 41 V Pegal Linu TD : 110/ 80 Natrium Diklofenak, Meloxicam Rawat Jalan
65 11-10-2019 Sumarno √ 04.000.845 0001.592.808.287 54 VII Febris TD : 120/ 90 Paracetamol, Antasida Doen, Amoxicillin Rawat Jalan
66 11-10-2019 Tukiyo √ 04.000.54 0001.159.034.871 54 III - PT. KMN
67 12-10-2019 Adi √ 04.000.1491 0002.624.399.392 38 VII Febris TD : 100/ 80 Erytthromycin, Paracetamol, Methylprednisone Rawat Jalan
68 12-10-2019 Suminem √ 04.000.993 0001.592.810.425 55 V Ispa TD : 130/ 80 Flurin, Amoxicillin, Sanbe Tears Rawat Jalan
69 12-10-2019 Hadi Purwanto √ 04.000.1004 0001.592.810.706 54 V Febris & Konjung Tivitis TD : 120/ 90 Paracetamol, Amoxicillin, Sanbe Tears Rawat Jalan
70 12-10-2019 Senen √ 04.000.992 0001.592.810.414 57 V Konsul CHF - PT. KMN
71 12-10-2019 Lamiati √ 04.000.1319 0001.905.920.381 54 V Konsul Nyeri Abdomen - PT. KMN
72 12-10-2019 Seni Rama √ 04.000.1272 0001879.732.067 43 I Febris TD : 140/ 90 Paracetamol, Amoxicillin, Dexamethasone Rawat Jalan
73 12-10-2019 Yayuk Mey Rismatul √ 04.000.283 0001.590.037.773 44 VII Sakit Mata TD : 120/ 80 Paracetamol, Methylprednisone, Cefadroxil, Sanbe Tears Rawat Jalan
74 12-10-2019 Rusli Sembiring √ 04.000.278 0001.590.037.705 45 Transport Ispa TD : 110/ 80 Flurin, Amoxicillin Rawat Jalan
75 12-10-2019 Alvinsky Bilqis Zalendra √ 04.000.630 0002.085.597.033 4 Kantor Ispa Flurin syr, Erytrhomycin syr Rawat Jalan
76 12-10-2019 Yohanes Sino √ 04.000.653 0001.590.042.453 43 V Febris TD : 120/ 90 Paracetamol, Methylprednisone, Cefadroxil Rawat Jalan
77 14-10-2019 Bonivasius Yosef √ 04.000.812 0001.592.807.916 42 VII Febris TD : 120/ 90 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
78 14-10-2019 Antonius Ali Umar √ 04.000.1089 0001.592.812.359 40 VI Pegal Linu TD : 110/ 80 Paracetamol, Meloxicam Rawat Jalan
79 14-10-2019 Rafadhan Hafiz Priawan √ 04.000.699 0002.310.682.329 2 TU Febris & Gatal2 Ibuprofen syr, Thiamfilex syr, Methylprednisone, Hydrocortisone Rawat Jalan
80 15-10-2019 Giyono √ 04.000.1546 0001.592.810.212 61 V Gastritis & Pegal Linu TD : 130/ 100 Lansoprazole, Ranitidine, Megabal, Donperidone Rawat Jalan
81 15-10-2019 Edison Pangaribuan √ 04.000.953 0001.592.809.571 56 TU CHF - PT. KMN
82 16-10-2019 Sri Aminatun √ 04.000.699 0002.063.062.934 35 Plasmen Mata Kanan Bengkak TD : 120/ 80 Methylprednisone, Chloramphenicol Zalf, Meloxicam Rawat Jalan
83 16-10-2019 Lilis Suryani √ 04.000.47 0001.590.034.781 46 IV DM - PT. KMN
84 17-10-2019 Alvinsky Bilqis Zalendra √ 04.000.630 0002.085.597.033 4 Kantor Febris Paracetamol syr, Thiamfilex syr Rawat Jalan
85 17-10-2019 Anastasius √ 04.000.847 0001.592.808.568 53 VII Gastritis & Ispa TD : 120/ 80 Lansoprazole, Ranitidine, Flurin Rawat Jalan
86 17-10-2019 Tono √ 04.000.512 0001.590.040.405 46 V Ispa TD : 110/ 80 Flurin, Cefadroxil Rawat Jalan
87 17-10-2019 Purdiono √ 04.000.1025 0001.592.811.123 42 PU Ispa TD : 120/ 90 Flurin, Cefadroxil, Megabal Rawat Jalan
88 17-10-2019 Yustina √ 04.000.597 0001.590.041.676 47 PU Gastritis TD : 130/ 80 Lansoprazole, Ranitidine, Megabal Rawat Jalan
89 17-10-2019 Yulita Erin √ 04.000.598 0001.590.041.709 12 PU Kaki Kena Duri Sawit Paracetamol, Ciprofloxacin, Methylprednisone, Betadine Rawat Jalan
90 17-10-2019 Herlina Timbus √ 04.000. 0001.828.039.476 39 KKPA Febris TD : 110/ 90 Methylprednisone, Ciprofloxacin, Paracetamol Rawat Jalan
91 17-10-2019 Yohana Una √ 04.000. 0001.590.041.777 58 S. Jaman DM & GDP 420 TD : 130/ 80 Paracetamol, Metformin, megabal Rawat Jalan
92 17-10-2019 Romanus Acin √ 04.000.1102 0001.592.812.574 33 VI Pegal Linu TD : 110/ 90 Meloxicam, Natrium Diklofenak Rawat Jalan
93 17-10-2019 Slamet Riadi √ 04.000.204 0001.590.036.614 32 Transport Nyeri Abdomen TD : 100/ 70 Ciprofloxacin, Scoma Plus, Methylprednisone Rawat Jalan
94 17-10-2019 Nandang Gozali √ 04.000.338 0001.590.038.302 53 Gudang Gastritis TD : 130/ 70 Lansoprazole, Ranitidine, Paracetamol Rawat Jalan
95 17-10-2019 Selfania Jesiska Hutajulu √ 04.000. 8 KKPA Sakit Gigi Ibuprofen syr, Ciprofloxacin Rawat Jalan
96 18-10-2019 Nandang Gozali √ 04.000.338 0001.590.038.302 53 Gudang Gastritis TD : 130/ 90 Lansoprazole, Ranitidine, Paracetamol, Megabal Rawat Jalan
97 18-10-2019 Meisy Sesaria Dwi Putri √ 04.000.197 0001.590.036.513 11 VII Febris Paracetamol, Mrthylprednisone, Cefadroxil Rawat Jalan
98 18-10-2019 Sumarni √ 04.000. 0001.594.153.056 62 Plasmen Kedua Kaki Bengkak TD : 140/ 100 Amlodipine, Scoma Plus, Ranitidine Rawat Jalan
99 18-10-2019 Silvianus Suin √ 04.000.622 0001.590.042.071 41 Kantor Sakit Kepala TD : 140/ 100 Paracetamol, Amoxicillin, Molacort Rawat Jalan
100 18-10-2019 Purwanti √ 04.000.108 0001.592.810.864 41 V Febris TD : 100/ 90 Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


101 19-10-2019 T. Sumini √ 04.000.1011 0001.592.812.315 43 III Pegal Linu TD : 100/ 80 Meloxicam, Tablet Tambah Darah Rawat Jalan
102 19-10-2019 Muslim Muksin √ 04.000.776 0001.590.044.466 53 IV Sakit Mata TD 120/ 90 Chlorampenicol, Cefadroxil Rawat Jalan
103 19-10-2019 Jure √ 04.000.1548 0001.590.043.599 58 IV Rencana Operasi Appenditis PT. KMN
104 19-10-2019 Yuli Irawati Lubis √ 04.000.1328 0002.197.639.484 41 IV Hamil 30 Mggu - PT. KMN
105 19-10-2019 Marjan √ 04.000.1327 0002.197.638.707 38 IV Kedua Tangan Kebas - PT. KMN
106 19-10-2019 Linusius √ 04.000.1285 0001.879.736.861 46 V Pegal Linu TD : 110/ 80 Meloxicam, Ciprofloxacin Rawat Jalan
107 19-10-2019 Sugimen √ 04.000.291 0001.590.037.874 51 III Pegal Linu TD : 120/ 90 Megabal, Meloxicam Rawat Jalan
108 19-10-2019 Parmi √ 04.000.292 0001.590.037.997 44 III Pegal Linu TD : 130/ 90 Allupurinol, Paracetamol Rawat Jalan
109 19-10-2019 Sayem √ 04.000.846 0001.592.808.298 53 VII Pegal Linu TD : 110/ 90 Meloxicam, Ciprofloxacin Rawat Jalan
110 19-10-2019 Ngatiman √ 04.000.1530 0002.624.534.054 42 IV Pegal Linu TD : 110/ 100 Allupurinol, Methylprednisone Rawat Jalan
111 19-10-2019 Sutiyah √ 04.000.1548 0001.592.814.521 55 IV Gatal2 di Tangan TD : 120/ 80 Hydrocortisone, Cefadroxil, Ceterizine Rawat Jalan
112 19-10-2019 Supiyah √ 04.000.1549 0002.241.934.457 57 Simpang Gatal2 Seluru Badan TD : 130/ 90 Methylprednisone, Amoxicillin, Ketoconazole Zalf Rawat Jalan
113 19-10-2019 Sumarni √ 04.000.1547 0001.594.153.056 62 Plasmen Kedua Kaki Bengkak - PT. KMN
114 21-10-2019 Sutrisno √ 04.000.682 0001.590.042.892 53 TU Hypertensi TD : 140/ 100 Amlodipine Rawat Jalan
115 21-10-2019 Tono √ 04.000.512 0001.590.040.405 46 V Gastritis TD : 110/ 90 Scoma Plus, Lansoprazole Rawat Jalan
116 21-10-2019 Watrimah √ 04.000.339 0001.590.038.313 48 Gudang Gastritis TD : 120/ 80 Lansoprazole, Amoxicillin, Scoma Plus Rawat Jalan
117 22-10-2019 Bartolomeus Nawel √ 04.000.286 0001.590.037.806 46 KKPA Kaki Kanan Bengkak TD : 110/ 80 Paracetamol, Ciprofloxacin, Methylprednisone Rawat Jalan
118 22-10-2019 Kasim √ 04.000.274 0001.590.037.661 51 VII Nyeri Perut TD : 100/ 80 Scoma Plus, Tablet Tambah Darah Rawat Jalan
119 22-10-2019 Sugiyanto √ 04.000.1013 0001.592.810.829 31 V Kaki Kena Duri Sawit TD : 110/ 90 Paracetamol, Ciprofloxacin, Betadine Rawat Jalan
120 22-10-2019 Grego Riando √ 04.000.841 0002.438.623.236 3 VII Febris Paracetamol syr, Thiamfilex syr Rawat Jalan
121 22-10-2019 Romanus Acin √ 04.000.1102 0001.592.812.574 33 VI Tengkuk Sakit TD : 130/ 100 Meloxicam, Paracetamol Rawat Jalan
122 23-10-2019 Dapat Mugiono √ 04.000.501 0001.590.040.258 32 V Febris TD : 100/ 90 Cefadroxil, Paracetamol Rawat Jalan
123 23-10-2019 Kaliman √ 04.000.493 0001.590.040.124 47 V Asma TD : 120/ 110 Molexdril syr, Amoxicillin, Salbutamol, Paracetamol Rawat Jalan
124 23-10-2019 Sri Hayani √ 04.000.504 0001.590.040.269 36 V Pegal Linu TD : 110/ 90 Natrium Diklofenak, Allupurinol, Amlodipine Rawat Jalan
125 23-10-2019 Simanta Surbakti √ 04.000.46 0001.590.034.779 46 IV Hypertensi & Tengkuk Sakit TD : 160/ 100 Amlodipine, Simvastatin Rawat Jalan
126 23-10-2019 Muhammad Daud Nasution √ 04.000.1044 0001.592.811.415 55 V Nyeri Tengkuk TD : 130/ 80 Amlodipine, Simvastatin Rawat Jalan
127 24-10-2019 Yulius Atam √ 04.000.1306 0001.894.284.246 42 V Nyeri Abdomen TD : 100/ 80 Scoma Plus, Antasida Doen Rawat Jalan
128 24-10-2019 Siti Mardiyah √ 04.000.1551 0001.590.044.624 53 IV Sakit Telinga TD : 130/ 80 Colme fls, Ciproflaxacin, Paracetamol Rawat Jalan
129 24-10-2019 Nandang Gozali √ 04.000.338 0001.590.038.302 53 Gudang Gastritis TD : 120/ 100 Lansoprazole, Scoma Plus Rawat Jalan
130 24-10-2019 Sakem √ 04.000.1293 0001.879.739.717 54 V Pegal Linu TD : 130/ 80 Megabal, Meloxicam, Paracetamol Rawat Jalan
131 24-10-2019 Persila Iin Kasinta √ 04.000.1552 0001.592.807.736 21 VII Anemia & Febris TD : 100/ 80 - PT. KMN
132 24-10-2019 Antaonius Ali Umar √ 04.000.1089 0001.592.812.359 40 VI Pegal Linu TD : 110/ 90 Natrium Diklofenak, Meloxicam Rawat Jalan
133 25-10-2019 Urip Ahmad Suwono √ 04.000.1553 0001.590.043.915 52 IV Ispa Flurin, Cefadroxil Rawat Jalan
134 25-10-2019 Rasikin √ 04.000.972 0001.592.810.065 42 V Sakit Telinga Kiri TD : 110/ 80 Colme fls, Ciproflaxacin, Scoma Plus Rawat Jalan
135 25-10-2019 Hartanti √ 04.000.975 0001.592.810.076 39 V Pegal Linu TD : 110/ 70 Allupurinol, Paracetamol, Megabal Rawat Jalan
136 25-10-2019 Suyatmi √ 04.000.430 0001.592.810.537 52 V DM TD : 130/ 80 Paracetamol, Cefadroxil, Metformin Rawat Jalan
137 25-10-2019 Sumitem √ 04.000.678 0001.590.042.813 46 TU Ispa TD : 120/ 90 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
138 26-10-2019 Indri Ayu Berliana √ 04.000.194 0001.590.036.761 17 III Kontrol Benjolan Dimamae - PT. KMN
139 26-10-2019 Tukiyo √ 04.000.54 0001.590.034.871 54 III Kontrol Op. App - PT. KMN
140 26-10-2019 Salmi √ 04.000.1008 0001.592.810.785 52 V Pegal Linu TD : 120 / 80 Allupurinol, Meloxicam Rawat Jalan
141 26-10-2019 Sarti √ 04.000.1554 0001.592.811.832 56 VI Kontrol KP - PT. KMN
142 26-10-2019 Sugiyanto √ 04.000.1013 0001.592.810.829 31 V Febris TD : 110/90 Paracetamol, Methylprednisone, Amoxicillin Rawat Jalan
143 26-10-2019 Yayuk Mey Rismatul √ 04.000.283 0001.590.037.773 44 VII Kontrol Mata - PT. KMN
144 26-10-2019 Sono √ 04.000.1555 0001.590.034.184 55 IV Ispa TD : 130/ 90 Flurin, Cefadroxil Rawat Jalan
145 26-10-2019 Sugino √ 04.000.349 0001.590.038.436 54 III Pegal Linu TD : 140/ 80 Natrium Diklofenak, Lansoprazole, Meloxicam Rawat Jalan
146 28-10-2019 Ariel Alvino √ 04.000.496 0001.590.040.157 10 V Febris & Muntah Paracetamol, Donperidone, Thiamfilex syr Rawat Jalan
147 28-10-2019 Indah Maisarah √ 04.000.1384 0001.590.042.824 25 VII Nyeri Abdomen TD : 100/ 80 Scoma Plus, Cefixime, Lansoprazole Rawat Jalan
148 28-10-2019 Sulasmi √ 04.000.1556 0001.594.153.146 60 V Dermatitis TD : 140/ 80 Ketoconazole Zalf, Cefadroxil, Methylprednisone Rawat Jalan
149 28-10-2019 Syukur √ 04.000.1047 0001.592.811.461 47 V Febris & Ispa TD : 130/ 90 Flurin, Ranitidine, Amoxicillin Rawat Jalan
150 28-10-2019 Ramadani Zada √ 04.000.488 0002.459.802.508 3 V Febris Ibuprofen syr, Thiamfilex syr, OBH syr Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


151 28-10-2019 Sugiono √ 04.000.341 0001.590.038.537 43 Transport Pegal Linu TD : 120/ 80 Meloxicam, Megabal, Natrium Diklofenak Rawat Jalan
152 28-10-2019 Dwian Bagas Ardio √ 04.000.317 0001.961.153.469 5 TU Febris & Ispa Paracetamo syr, Ambroxol, Thiamfilex syr Rawat Jalan
153 28-10-2019 Marianus Main √ 04.000.1557 0001.590.043.588 59 S. Jaman Pegal Linu TD : 120/ 80 Meloxicam, Allupurinol, Megabal Rawat Jalan
154 28-10-2019 Bonivasius Yosef √ 04.000.812 0001.592.807.916 42 VII Sakit Gigi TD : 130/ 90 Paracetamol, Amoxicillin, Metyhlprednisone Rawat Jalan
155 28-10-2019 Alvinsky Bilqis Zalendra √ 04.000.630 0002.085.597.033 4 Kantor Gusi Bengkak Ibuprofen syr, Metyhlprednisone, Amoxicillin Rawat Jalan
156 28-10-2019 Heru Dwi Saputra √ 04.000.331 0001.590.038.256 11 TU Diare Molagit, Metronidazole, Lexacrol Rawat Jalan
157 28-10-2019 Apinus Akong √ 04.000.642 0001.590.042.284 45 Kantor Ispa & Gastritis TD : 100/ 90 Flurin, Cefadroxil, Lexacrol Rawat Jalan
158 28-10-2019 Sutadi √ 04.000.314 0001.590.038.065 43 TU Ispa TD : 120/ 80 Ambroxol, Metyhlprednisone, Cefixime Rawat Jalan
159 28-10-2019 Gresia Maura √ 04.000.206 0001.590.036.636 7 Transport Febris Ibuprofen syr, Thiamfilex syr, Methylprednisone Rawat Jalan
160 29-10-2019 Heryanto √ 04.000.1342 0002.274.479.796 37 V Benjolan di leher Kiri TD : 120/ 80 Paracetamol, Ciprofloxacin, Metyhlprednisone Rawat Jalan
161 29-10-2019 Kuswoyo √ 04.000.328 0001.590.038.223 42 TU Pegal Linu TD : 110/ 80 Natrium Diklofenak, Meloxicam, Megabal Rawat Jalan
162 29-10-2019 Pitriyo Kristu Imel √ 04.000.1343 0002.274.480.505 33 V Nyeri Pinggang Kanan TD : 130/ 80 Natrium Diklofenak, Meloxicam, Scoma Plus Rawat Jalan
163 29-10-2019 Michael √ 04.000.324 0001.590.038.177 10 V Muntah2 Donperidone syr, Paracetamol syr Rawat Jalan
164 29-10-2019 Edisud √ 04.000.1311 0001.894.284.459 41 VI Gastritis TD : 100/ 80 Lexacrol, Donperidone, Paracetamol Rawat Jalan
165 29-10-2019 Ribut √ 04.000.1312 0001.894.284.472 36 VI Ispa TD : 110/ 90 Flurin, Erythromicin, Ambroxol Rawat Jalan
166 29-10-2019 Fitri Novita √ 04.000.1351 0002.298.316.026 30 V Diare TD : 100/ 70 Molagit, Metronidazole, Tomaag Rawat Jalan
167 29-10-2019 Suwanto √ 04.000.1352 0002.298.315.082 34 V Pegal Linu TD : 110/ 90 Meloxicam, Natrium Diklofenak, Megabal Rawat Jalan
168 29-10-2019 Sukiman √ 04.000.1251 0001.828.016.829 41 VII Pegal Linu TD : 120/ 80 Allupurinol, Meloxicam, Megabal Rawat Jalan
169 29-10-2019 Mutia Mailani √ 04.000.1252 0001.828.017.292 35 VII Ispa & Gastritis TD : 100/ 90 Flurin, Erythromicin, Lexacrol Rawat Jalan
170 29-10-2019 Rindo Imanuel Simanjuntak √ 04.000.1257 0001.879.724.968 32 TU Sakit Gigi TD : 100/ 70 Paracetamol, Megabal, Lexacrol Rawat Jalan
171 30-10-2019 Masda br Marbun √ 04.000.1264 0001.879.729.211 47 TU Ispa TD : 130/ 80 Ambroxol, Flurin, Cefadroxil Rawat Jalan
172 30-10-2019 Ripka Yuli Margareth Siahaan √ 04.000.1267 0002.072.169.336 5 TU Febris Ibuprofen syr, Thiamfilex syr Rawat Jalan
173 30-10-2019 Dirga Maulana Kusuma √ 04.000.1271 0001.880.523.415 8 III KP - PT. KMN
174 30-10-2019 Marni √ 04.000.1268 0001.879.731.235 44 III KP - PT. KMN
175 30-10-2019 Emaniati √ 04.000.1148 0001.880.731.235 33 PU Nyeri Perut Kanan Bawah - PT. KMN
176 30-10-2019 Raditya Sulistyo Pratama √ 04.000.67 0001.590.035.027 13 PU Nyeri Didada Kanan Paracetamol, Amoxicillin, Metyhlprednisone Rawat Jalan
177 30-10-2019 Edi sunaslim √ 04.000.1161 0001.592.813.981 48 TU Gatal2 di Tangan TD : 110/ 80 Methylprednisone, Ketoconazole Zalf Rawat Jalan
178 30-10-2019 Petrus Ikang √ 04.000.35 0001.590.034.601 44 VII DM TD : 100/ 70 - PT. KMN
179 30-10-2019 Yohanes SIno √ 04.000.653 0001.590.042.453 43 V Nyeri Kepala TD : 100/ 90 Paracetamol, Simvastatin Rawat Jalan
180 31-10-2019 Yohanes SIno √ 04.000.653 0001.590.042.453 43 V Luka Kena Duri Sawit di Tangan Betadine, Paracetamol, Amoxicillin Rawat Jalan
181 31-10-2019 Pendi Nababan √ 04.000.1558 0001.963.632.216 40 I Kepala Pusing TD : 130/90 Simvastatin, Megabal Rawat Jalan
182 31-10-2019 Tuyar √ 04.000.490 0001.590.040.089 48 V Hypertensi TD : 140/ 110 Amlodipine, Rindobion Rawat Jalan
183 31-10-2019 Sakur √ 04.000.1110 0001.592.812.675 37 VI Febris TD : 100/ 80 Paracetamol, Methylprednisone, Cefadroxil Rawat Jalan
184
185
186
187
188
189
190
191
192
193
194
195
196
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198
199
200
Keterangan : Jumlah Pasien yang ditangani sendiri : 154 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 29 Orang
Jenis
Therapi
No Tgl Nama Pekerja Kelamin No RM No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


1 01-11-2019 Ismail Pantas √ 04.000.1506 0002.624.440.274 45 VI Ispa TD : 120/ 90 Flurin, Simvastatin, Methylprednisone, Amoxicillin Rawat Jalan
2 01-11-2019 Solen Marsianus Gultom √ 04.000.1559 0002.302.739.256 40 VI Pegal Linu TD : 120/ 90 Allupurinol, Meloxicam, Megabal Rawat Jalan
3 01-11-2019 Suranto √ 04.000.1281 0001.879.734.835 38 V Pegal Linu TD : 110/ 70 Natrium Diklofenak, Meloxicam, Megabal Rawat Jalan
4 01-11-2019 Dapat Mugiono √ 04.000.501 0001.590.040.258 33 V Pegal Linu TD : 100/ 80 Paracetamol, Megabal Rawat Jalan
5 01-11-2019 Sri Hayani √ 04.000.504 0001.590.040.264 36 V Nyeri Perut TD : 100/ 90 Amoxicillin, Scoma Plus Rawat Jalan
6 02-11-2019 Wulan Novianti √ 04.000.553 0001.590.040.978 16 V Gatal2 TD : 120/ 90 Methylprednisone, Amoxicillin Rawat Jalan
7 02-11-2019 Fitri Novita √ 04.000.1351 0002.298.316.026 30 V Ispa TD : 110/ 80 Ambroxol, Cefadroxil Rawat Jalan
8 02-11-2019 Putri Keyla Alvia √ 04.000.1353 0002.624.609.441 2 V Ispa OBH syr, Thiamfilex syr Rawat Jalan
9 02-11-2019 Suwanto √ 04.000.1352 0002.298.315.082 34 V Ispa TD : 100/ 90 Flurin, Amoxicillin Rawat Jalan
10 02-11-2019 Ilu √ 04.000.1129 0001.592.813.057 50 Kantor Tangan Kesemutan TD : 130/ 80 Natrium Diklofenak, Meloxicam Rawat Jalan
11 02-11-2019 Giyono √ 04.000.1546 0001.592.810.212 61 V Tengkuk Sakit TD : 140/ 80 Megabal, Simvastatin Rawat Jalan
12 04-11-2019 Misnem √ 04.000.1559 0001.594.153.091 54 V Hypertensi & Pegal Linu TD : 150/ 100 Scoma Plus, Meloxicam, Amoxicillin, Amlodipine Rawat Jalan
13 04-11-2019 Lusiana Unem √ 04.000.620 0001.590.042.025 51 PU Febris TD : 130/ 90 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
14 04-11-2019 Ripka Yuli Magareth Siahaan √ 04.000.1267 0002.072.169.336 4 TU Diare & Muntah Molagit, Donperidone, Ibuprofen syr Rawat Jalan
15 04-11-2019 Rosmiati. A √ 04.000.352 0001.590.038.469 48 Transport Nyeri Perut & Sakit Mata TD : 120/ 80 Cefadroxil, Methylprednisone, Khloropenicol Zalf Rawat Jalan
16 04-11-2019 Stepanus Capeng √ 04.000.1081 0001.592.812.157 36 VI Ispa TD : 110/ 80 Ambroxol, Amoxicillin Rawat Jalan
17 04-11-2019 Dapat Mugiono √ 04.000.501 0001.590.040.258 33 V Mata Kiri Berdarah kena jatuhan Brondolon - PT. KMN
18 05-11-2019 Anselmus √ 04.000.209 0001.590.036.669 46 VII Febris TD : 100/ 90 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
19 05-11-2019 Ahmad Maskuri √ 04.000.543 0001.590.040.809 40 V Mata Nyeri Kejatuhan Brondolan TD : 110/ 80 Chloropenicol Zalf, Cefadroxil, Methylprednisone, Paracetamol Rawat Jalan
20 05-11-2019 Sukiyah √ 04.000.1548 0001.592.814.521 55 IV Benjolan dipunggung kaki Kanan - PT. KMN
21 06-11-2019 Haryanto √ 04.000.1342 0002.274.479.796 37 V Post. Op di Punggung Kiri - PT. KMN
22 06-11-2019 Raditya Sulistyo Pratama √ 04.000.67 0001.590.035.027 13 PU Benjolan di Kedua Putting Mamae - PT. KMN
23 06-11-2019 Liberius Picay Zaman √ 04.000.1428 0002.623.994.739 24 VII Bisul Dipantat TD : 110/ 70 Gentamycin Sulphate Zalf, , Paracetamol, Amoxicillin, Methylprednisone Rawat Jalan
24 06-11-2019 Agus Wahyudi √ 04.000.486 0001.590.040.056 33 V Pegal Linu TD : 110/ 90 Megabal Rawat Jalan
25 06-11-2019 Yatik √ 04.000.489 0001.590.040.067 32 V Pegal Linu TD : 110/ 80 Meloxicam, Megabal Rawat Jalan
26 06-11-2019 Rudito √ 04.000.1031 0001.592.811.202 46 V Febris TD : 130/ 90 Paracetamol, Cefadroxil, Megabal, Methylprenisone Rawat Jalan
27 06-11-2019 Sukamto √ 04.000.746 0001.590.044.095 49 V Tangan Kiri Terasa Sakit TD : 120/ 80 Meloxicam, Megabal Rawat Jalan
28 06-11-2019 Sius √ 04.000.841 0001.592.808.243 29 VII Ispa & Pegal Linu TD : 120/ 80 Meloxicam, Paracetamol, Ambroxol, Erytromicin Rawat Jalan
29 06-11-2019 Nandang Gozali √ 04.000.338 0001.590.038.302 53 Gudang Gastritis TD : 120/ 70 Lansoprazole, Megabal Rawat Jalan
30 06-11-2019 Sarni Sohono √ 04.000.996 0001.592.810.605 40 V Gastritis TD : 130/ 100 - PT. KMN
31 06-11-2019 Bonivasius Yosef √ 04.000.812 0001.592.807.916 44 VII Pegal Linu & Sakit Mata TD : 110/ 90 Megabal, Paracetamol, Chloropenicol Zalf Rawat Jalan
32 07-11-2019 Darniyati √ 04.000.44 0001.590.034.724 54 IV Sakit Gigi TD : 120/ 80 Cefadroxil, Methylprednisone, Paracetamol Rawat Jalan
33 07-11-2019 Purwanti √ 04.000.1048 0001.592.810.864 41 V Mual Nyeri Badan TD : 130/ 90 Meloxicam, Donperidone Rawat Jalan
34 08-11-2019 Upami √ 04.000.494 0001.590.040.135 39 V Gastritis TD : 100/ 80 Lansoprazole, Donperidone Rawat Jalan
35 08-11-2019 Yuda Saputra √ 04.000.1033 0001.592.811.235 8 V Ispa OBH syr , Amoxicillin Rawat Jalan
36 08-11-2019 Heriyanto √ 04.000.924 0001.592.809.244 45 I Pegal Linu & Gatal2 TD : 130/ 90 Meloxicam, Megabal, Ketoconazole Zalf Rawat Jalan
37 08-11-2019 Istiyah √ 04.000.1560 0001.592.810.752 48 V Pegal Linu TD : 120/ 90 Meloxicam, Megabal Rawat Jalan
38 08-11-2019 Siswoyo √ 04.000.1561 0001.592.810.741 58 V Post Stok TD : 140/ 100 Megabal, Captopril Rawat Jalan
39 08-11-2019 Muhammad Muhrodin √ 04.000.726 0001.590.043.522 49 IV Pegal Linu TD : 130/ 80 Meloxicam, Allupurinol Rawat Jalan
40 08-11-2019 Samikem √ 04.000.678 0001.590.042.813 46 TU Sakit Gigi TD : 120/ 90 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
41 08-11-2019 Cristian Marcel √ 04.000.1076 0001.896.425.548 5 VII Febris & Ispa Paracetamol syr, OBH syr, Thiamfilex syr Rawat Jalan
42 11-11-2019 Anisa Diana Sari √ 04.000.1280 0001.879.733.441 8 III Gatal2 di Tangan Methylprednisone, Hydrocortisone Zalf Rawat Jalan
43 11-11-2019 Tuyek √ 04.000.1277 0001.879.732.901 53 III Pegal Linu TD : 120/ 90 Allupurinol, Paracetamol Rawat Jalan
44 11-11-2019 Jamilah √ 04.000.1162 0001.592.814.003 45 VI Pegal Linu TD : 120/ 90 Paracetamol, Allupurinol, Meloxicam Rawat Jalan
45 11-11-2019 Warisem √ 04.000.1396 0002.623.903.389 51 VII Ispa TD : 130/ 80 OBH syr, Amoxicillin Rawat Jalan
46 11-11-2019 Slamet. C √ 04.000.473 0001.590.039.966 54 V Febris TD : 120/ 80 Paracetamol, Cefadroxil, Methylprednisone Rawat Jalan
47 11-11-2019 Siana √ 04.000.1432 0002.624.015.259 25 VII Febris TD : 120/ 80 Paracetamol, Amoxicllin, Methylprednisone Rawat Jalan
48 11-11-2019 Irawati √ 04.000.83 0001.590.035.229 27 III Hamil 16 Mggu TD : 100/ 70 Tablet Tambah Darah Rawat Jalan
49 11-11-2019 Rusli sembiring √ 04.000.278 0001.590.037.705 45 Transport Pegal Linu TD : 120/ 90 Paracetamol, Meloxicam Rawat Jalan
50 12-11-2019 Grecia Maura √ 04.000.206 0001.590.036.836 8 Transport Ispa OBH syr, Thiamfilex syr Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


51 12-11-2019 Iin Liliani √ 04.000.1562 0001.590.042.677 24 Tranport Koreng di Kaki TD : 140/ 100 Cefadroxil, Gentamycin, Paracetamol Rawat Jalan
52 12-11-2019 Zakkia Tussifa √ 04.000.766 0001.590.044.354 10 Febris Paracetamol syr, Thiamfilex syr, Methylprednisone, Hydrocortison Rawat Jalan
53 12-11-2019 Trianti √ 04.000.334 0001.590.038.278 36 Tranport Gastritis & Sakit Mata TD : 140/ 100 Omeprazole, Lansoprazole, Cefadroxil, Colme Ear Drop Rawat Jalan
54 13-11-2019 Jamilah √ 04.000.1162 0001.592.814.003 45 VI Pegal Linu TD : 120/ 80 Meloxicam, Megabal Rawat Jalan
55 13-11-2019 Nur Adha Sumaryanti √ 04.000.1150 0001.880.401.522 5 PU Febris Paracetamol syr, Thiamfilex syr Rawat Jalan
56 13-11-2019 Haryanto √ 04.000.1342 0002.274.479.796 37 V Post of Benjolan di Leher TD : 110/ 80 Paracetamol, Cefixime, Methylprednisone Rawat Jalan
57 13-11-2019 Sutrisno √ 04.000.682 0001.590.042.892 53 TU Hypertensi TD : 140/ 90 Amlodipin Rawat Jalan
58 13-11-2019 Dwian Bagas Ardio √ 04.000.317 0001.961.153.469 5 TU Ispa Flurin syr, Thiamfilex syr Rawat Jalan
59 14-11-2019 Karsini √ 04.000.1563 0001.592.810.651 52 V Rawat Jalan
60 14-11-2019 Nailul Qurbi W √ 04.000.765 0001.590.044.343 12 V Febris Paracetamol, Amoxicillin, Donperidone, Tomaag Rawat Jalan
61 14-11-2019 Eko Setiawan √ 04.000.1338 0002.271.087.944 32 IV Ispa TD : 100/ 90 OBH syr, Amoxicillin Rawat Jalan
62 14-11-2019 Indah Maisaroh √ 04.000.1384 0002.764.516.138 24 VII Sakit Mata TD : 110/ 80 Methylprednisone, Cefixime Rawat Jalan
63 14-11-2019 Kliwon √ 04.000.80 0001.590.035.185 50 III Pegal Linu TD : 120/ 90 Meloxicam, Megabal Rawat Jalan
64 15-11-2019 Tono √ 04.000.512 0001.590.040.405 46 V Pegal Linu TD : 110/ 80 Allupurinol, Paracetamol, Megabal Rawat Jalan
65 15-11-2019 Suyono √ 04.000.970 0001.592.810.043 54 V Pegal Linu TD : 100/ 90 Methylprednisone, Cefixime, Megabal Rawat Jalan
66 15-11-2019 Ngatiman √ 04.000.1530 0002.624.534.054 42 IV Pegal Linu TD : 110/ 70 Allupurinol, Paracetamol, Methylprednisone Rawat Jalan
67 15-11-2019 Anastasius √ 04.000.874 0001.592.808.568 53 VII Gastritis TD : 120/ 80 Omeprazole, Tomaag, Tablet Tambah Darah Rawat Jalan
68 15-11-2019 Muhail √ 04.000.931 0001.592.809.334 48 I Febris TD : 110/ 90 Paracetamol, Meloxicam, Tablet Tambah Darah Rawat Jalan
69 15-11-2019 Purwanti √ 04.000.1018 0001.592.810.864 48 V Sakit Gigi TD : 120/ 80 Cefadroxil, Methylprednisone Rawat Jalan
70 15-11-2019 Samikem √ 04.000.678 0001.590.042.813 46 TU Nyeri di Tangan TD : 130/ 90 Paracetamol, Cefixime, Methylprednisone Rawat Jalan
71 16-11-2019 Sontat √ 04.000.662 0001.590.042.543 57 III Konsul Hernia - PT. KMN
72 16-11-2019 Linusius √ 04.000.1285 0001.879.736.861 46 V Gastritis TD : 110/ 90 Omeprazole, Ranitidine Rawat Jalan
73 16-11-2019 Sito √ 04.000.325 0001.590.038.188 43 TU Ispa TD : 100/ 70 OBH syr, Amoxicillin, Salbutamol Rawat Jalan
74 16-11-2019 Agus Wahyudi √ 04.000.486 0001.590.040.056 33 V Ambeyen - PT. KMN
75 16-11-2019 Yatik √ 04.000.504 0001.590.040.067 32 V Pegal Linu TD : 100/ 80 Meloxicam, Megabal, Paracetamol, Amoxicillin Rawat Jalan
76 16-11-2019 Yayuk Mey Rismatul √ 04.000.283 0001.590.037.773 44 VII Katarak - PT. KMN
77 16-11-2019 Senen √ 04.000.992 0001.592.810.414 57 V CHF - PT. KMN
78 16-11-2019 Dapat Mugiono √ 04.000.501 0001.590.040.258 34 V Kontrol Mata - PT. KMN
79 18-11-2019 Imam Samsudin √ 04.000.521 0001.590.040.563 39 VI Mata Sebelah Kanan Kena Kunci Sewaktu Kerja - PT. KMN
80 18-11-2019 Waryanti √ 04.000.999 0001.592.810.616 34 V Hamil 34-36 Mggu - PT. KMN
81 18-11-2019 Setiya Budi Prabowo √ 04.000.1279 0001.879.733.283 16 III Febris - PT. KMN
82 18-11-2019 Tukiyah √ 04.000.971 0001.592.810.054 51 V Hypertensi TD : 160/ 110 Amlodipine, Paracetamol, Meloxicam Rawat Jalan
83 18-11-2019 Ripka Yuli Margareth Siahaan √ 04.000.1267 0002.072.169.336 4 TU Febris Paracetamol syr, Thiamfilex syr, Methylprednisone Rawat Jalan
84 18-11-2019 Sanah √ 04.000.1284 0001.879.735.195 36 V Febris TD : 100/ 70 Paracetamol, Amoxicillin, Tablet Tambah Darah Rawat Jalan
85 18-11-2019 Thadeus Tami √ 04.000.1236 0001.592.844.355 45 TU Sakit Pinggang sebelah Kanan - PT. KMN
86 18-11-2019 Alvinsky Bilqis Zalendra √ 04.000.630 0002.085.597.033 4 Kantor Febris Paracetamol syr, Thiamfilex syr, Methylprednisone Rawat Jalan
87 19-11-2019 Jenal √ 04.000.1463 0002.624.095.449 37 VII Gastritis TD : 100/ 80 Antasida Doen, Donperidone Rawat Jalan
88 19-11-2019 Siti Jariyah √ 04.000.1459 0002.624.095.102 31 VII Gastritis TD : 100/ 70 Tomaag, Donperidone Rawat Jalan
89 19-11-2019 Paini √ 04.000.694 0001.590.043.026 51 VI Gastritis TD : 130/ 90 Omeprazole, Donperidone Rawat Jalan
90 19-11-2019 Slamet Supriyanto √ 04.000.693 0001.590.043.015 53 TU Hypertensi TD : 150/ 100 Amlodipine Rawat Jalan
91 19-11-2019 Tuyar √ 04.000.490 0001.590.040.089 48 V Hypertensi TD : 130/ 90 Amlodipine, Rindobion Rawat Jalan
92 19-11-2019 Hilarius Sinto √ 04.000.269 0001.590.037.604 50 VII Febris TD : 110/ 70 Methylprednisone, Paracetamol, Cefadroxil Rawat Jalan
93 19-11-2019 Sutadi √ 04.000.314 0001.590.038.065 43 TU Ispa TD : 120/ 80 Cefadroxil, Ambroxol, OBH syr Rawat Jalan
94 19-11-2019 Reza Ardiansyah √ 04.000.316 0001.590.038.087 4 TU Ispa Flurin syr, Thiamfilex syr Rawat Jalan
95 19-11-2019 Supriyanto √ 04.000.739 0001.590.044.038 40 I Gastritis TD : 120/ 70 Tomaag, Donperidone Rawat Jalan
96 19-11-2019 Suhartijah √ 04.000.1564 0001.592.806.529 54 Asst IV Hypertensi TD : 160/ 110 Amlodipine, Paracetamol Rawat Jalan
97 20-11-2019 Farida Hannum Panjaitan √ 04.000.1135 0001.592.813.261 40 Tanaman Hamil 34-36 Mggu - PT. KMN
98 20-11-2019 Fahruddin Tambunan √ 04.000.1134 0001.592.813.248 44 Tanaman Konsul Nyeri Abdomen - PT. KMN
99 20-11-2019 Farida Permata Dewi √ 04.000.1339 0002.271.088.225 29 IV Hamil 32-34 Mggu - PT. KMN
100 21-11-2019 Suminem √ 04.000.982 0001.592.810.054 56 V Nyeri Kepala TD : 130/ 100 Simvastatin, Meloxicam, Rindobion,Tomaag Rawat Jalan

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


101 21-11-2019 Kafiel Azam √ 04.000.503 0001.961.152.525 4 V Febris Paracetamol syr, Thiamfilex syr, Donperidone syr Rawat Jalan
102 21-11-2019 Yeni Ibi Yosepa √ 04.000.1373 0002.623.792.893 38 I Gastritis Kronis - PT. KMN
103 21-11-2019 Diego Fernando Destro √ 04.000.1565 0001.828.029.148 7 Kantor Ispa Flurin syr Rawat Jalan
104 22-11-2019 Ninski Aulia Ramandhita √ 04.000.628 0001.590.042.148 13 Kantor Febris Paracetamol, Ambroxol, Amoxicillin Rawat Jalan
105 22-11-2019 Antonius Ali Umar √ 04.000.1089 0001.592.812.359 40 VI Gastritis TD : 110/ 80 Tomaag, Donperidone Rawat Jalan
106 22-11-2019 Ismail Pantas √ 04.000.1506 0002.624.440.274 45 VI Artritis TD : 120/ 90 Allupurinol, Methylprednisone Rawat Jalan
107 23-11-2019 Imam Samsudin √ 04.000.521 0001.590.040.563 39 VI Konsul Mata Karena Kena Kunci Mesin - PT. KMN
108 23-11-2019 Lilis Suryani √ 04.000.47 0001.590.034.781 46 IV DM - PT. KMN
109 23-11-2019 Maniyah √ 04.000.1542 0001.590.034.342 55 Simpang Benjolan Di bawah Ketiak - PT. KMN
110 23-11-2019 Liberius Picay Zaman √ 04.000.1428 0002.623.994.739 24 VII Varicella TD : 110/ 80 - PT. KMN
111 23-11-2019 M. Arfan Nasution √ 04.000.677 0001.590.042.802 55 TU Febris & Ispa TD : 130/ 70 Alpara, Meloxicam, Methylprednisone, Amoxicillin Rawat Jalan
112 23-11-2019 Sakem √ 04.000.1293 0001.879.739.717 54 V Pegal Linu TD : 120/ 80 Meloxicam, Paracetamol, Rindobion Rawat Jalan
113 23-11-2019 Bening Permata Sari √ 04.000.1566 0001.970.322.917 8 PU Febris & Muntah2 Paracetamol, Amoxicillin, Donperidone syr Rawat Jalan
114 23-11-2019 Marsini √ 04.000.463 0002.269.945.934 22 V Gatal2 di Tangan TD : 110/ 90 Acyclovir, Cefadroxil, Ketoconazole Zalf Rawat Jalan
115 23-11-2019 Aqila Nafisa Putri √ 04.000.464 0002.269.946.384 2 V Ispa Flurin syr Rawat Jalan
116 23-11-2019 Paino √ 04.000.704 0001.590.043.116 39 TU Ispa TD : 120/ 80 OBH, syr, Cefadroxil Rawat Jalan
117 24-11-2019 Farida Hannum Panjaitan √ 04.000.1135 0001.592.813.261 40 Tanaman Hamil Aterm - PT. KMN
118 25-11-2019 Lupius √ 04.000.1567 0001.827.960.006 48 III Febris & Nyeri Perut TD : 120/ 80 Paracetamol, Cefadroxil, Ranitidine Rawat Jalan
119 25-11-2019 Sutrisno √ 04.000.682 0001.590.042.892 53 TU Hypertensi & Ispa TD : 130/ 100 Amlodipine, Flurin Rawat Jalan
120 25-11-2019 Asep Suryono √ 04.000.1034 0001.592.811.246 40 V Konjungtivitis TD : 110/ 90 Paracetamol, Cefadroxil, Sanbe Kids syr Rawat Jalan
121 25-11-2019 Aris Muchnanjar √ 04.000.1418 0002.623.949.807 25 VII Febris TD : 100/ 80 Paracetamol, Meloxicam, Amoxicillin Rawat Jalan
122 25-11-2019 Sisilia Suci √ 04.000.517 0001.590.040.517 45 VI Pegal Linu TD : 120/ 80 Meloxicam, Paracetamol, Tomaag Rawat Jalan
123 25-11-2019 Viona Patricia Tridora √ 04.000.520 0001.590.040.552 9 VI Gatal2 di Seluruh Badan Ceterizine, Ketoconazole Zalf Rawat Jalan
124 25-11-2019 Prayitno √ 04.000.1518 0002.624.518.978 29 IV Febris TD : 100/ 70 Paracetamol, Ceterizine, Cefixime Rawat Jalan
125 26-11-2019 Yulius Atam √ 04.000.1306 0001.894.284.246 42 V Gatal2 di Tangan TD : 110/ 80 Acyclovir, Calcium Lactate Rawat Jalan
126 26-11-2019 Yuda Saputra √ 04.000.1033 0001.592.811.235 8 V Febris & Muntah2 Donperidone syr, Paracetamol syr, Methylprednisone Rawat Jalan
127 26-11-2019 Tugito Yashudi √ 04.000.1568 0001.837.307.169 64 Plasmen Pegal Linu TD : 120/ 90 Paracetamol, Meloxicam, Rindobion Rawat Jalan
128 26-11-2019 Anastasius √ 04.000.874 0001.592.808.568 53 VII Gastritis TD : 120/ 90 Lansoprazole, Tomaag Rawat Jalan
129 26-11-2019 Radit Lusardi √ 04.000.1569 0001.827.961.907 10 III Febris & Gastritis Tomaag, Amoxicillin, Paracetamol, OBH syr, Methylprednisone Rawat Jalan
130 27-11-2019 Dirga Maulana Kusuma √ 04.000.1271 0001.880.523.415 8 III KP - PT. KMN
131 27-11-2019 Marni √ 04.000.1268 0001.879.731.235 44 III KP TD : 120/ 80 - PT. KMN
132 27-11-2019 Sugiharto √ 04.000.1147 0001.592.813.564 39 PU Febris & Ispa TD : 120/ 90 Alpara, Rindobion Rawat Jalan
133 27-11-2019 Ernawati √ 04.000.484 0001.961.144.357 32 V Hamil 20 Mggu TD : 100/ 90 Tablet Tambah Darah Rawat Jalan
134 27-11-2019 Sugiato √ 04.000.987 0001.592.810.346 37 V Febris & Muntah2 TD : 100/ 80 Lansoprazole, Paracetamol, Rindobion, Amoxicillin Rawat Jalan
135 27-11-2019 Sono √ 04.000.1555 0001.590.034.184 55 V Ispa TD : 130/ 80 Flurn, Meloxicam Rawat Jalan
136 27-11-2019 Lupius √ 04.000.1567 0001.827.960.006 48 IV Ispa TD : 120/ 80 Flurn, Amoxicillin, Ceterizine Rawat Jalan
137 27-11-2019 Slamet Wahyudi √ 04.000.763 0001.590.044.321 39 III Febris & Gastritis TD : 120/ 90 Paracetamol, Donperidone, Ranitidine Rawat Jalan
138 27-11-2019 Julia Nur Aisanda √ 04.000.1024 0001.592.811.112 11 V Febris & Muntah2 Paracetamol, Donperidone, Amoxicillin Rawat Jalan
139 27-11-2019 Rochaidah √ 04.000.942 0001.592.809.424 37 IV Sakit Kencing TD : 120/ 90 Paracetamol, Meloxicam Rawat Jalan
140 28-11-2019 Muslim Muhsin √ 04.000.776 0001.590.044.446 53 IV Corpus Alenium OD Natrium Diklofenak, Amoxicllin Rawat Jalan
141 28-11-2019 Mirah √ 04.000.474 0001.590.039.977 54 V Sakit Gigi & Pusing Asam Mefanamat, Ciprofloxacine, Amlodipine,Methylprednisone Rawat Jalan
142 28-11-2019 Oki Nur Ramadani √ 04.000.482 0001.590.040.023 15 V Febris & Laringitis Kronik Paracetamol, Cefadroxil, Ceterizine Rawat Jalan
143 28-11-2019 Fiki Ramadani √ 04.000.1283 0001.879.736.218 6 V Febris Thypord Paracetamol syr , Cefexime syr, Ibuprofen syr Rawat Jalan
144 29-11-2019 Sariyus Yanto √ 04.000.1320 0001.970.320.544 40 VI Pegal Linu TD : 110/ 80 Paracetamol, Allupurinol, Rindobion Rawat Jalan
145 29-11-2019 Oktaviana Karmila √ 04.000.1541 0002.224.079.144 5 KKPA Febris & Ispa Paracetamol syr, Amoxicillin, Ceterizine Rawat Jalan
146 30-11-2019 Yono √ 04.000.1295 0001.888.885.822 62 V Pegal Linu TD : 130/ 90 Paracetamol, Meloxicam, Rindobion Rawat Jalan
147 30-11-2019 Aloi Sius.A √ 04.000.497 0001.590.040.168 52 V Ispa TD : 120/ 70 Flurin, Cefadroxil, Rindobion Rawat Jalan
148 30-11-2019 Mardiyah √ 04.000.985 0001.592.810.313 33 V Ispa TD : 110/ 90 Flurin, Amoxicillin, Ceterizine Rawat Jalan
149 30-11-2019 Edi Sunaslim √ 04.000.1161 0001.592.813.981 48 TU Gatal2 TD : 110/ 90 Ceterizine, Ketoconazole Zalf Rawat Jalan
150 30-11-2019 Eddy √ 04.000.333 0001.590.038.267 42 TU Benjolan di kaki Kiri - PT. KMN

Jenis
Therapi
No Tgl Nama Pekerja Kelamin No BPJS Umur Alamat Diagnosa

Lk Pr Oral Injeksi Keterangan


151 30-11-2019 Dian Setya Hermawan √ 04.000.320 0001.590.038.133 11 TU Febris Paracetamol,, Donperidone, Amoxicillin, Ceterizine Rawat Jalan
152 30-11-2019 Purwanti √ 04.000.1018 0001.592.810.864 41 V Sakit Gigi TD : 120/ 80 Ceterizine Rawat Jalan
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 126 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 26 Orang
Jenis
No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Jenis
No Tgl Nama Pekerja Kelamin No RM No BPJS

Lk Pr
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Jenis
No Tgl Nama Pekerja Kelamin No BPJS

Lk Pr
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150

Jenis
No Tgl Nama Pekerja Kelamin No BPJS

Lk Pr
151 04.000.
152 04.000.
153 04.000.
154 04.000.
155 04.000.
156 04.000.
157 04.000.
158 04.000.
159 04.000.
160 04.000.
161 04.000.
162 04.000.
163 04.000.
164 04.000.
165 04.000.
166 04.000.
167 04.000.
168 04.000.
169 04.000.
170 04.000.
171 04.000.
172 04.000.
173 04.000.
174 04.000.
175 04.000.
176 04.000.
177 04.000.
178 04.000.
179 04.000.
180 04.000.
181 04.000.
182 04.000.
183 04.000.
184 04.000.
185 04.000.
186 04.000.
187 04.000.
188 04.000.
189 04.000.
190 04.000.
191 04.000.
192 04.000.
193 04.000.
194 04.000.
195 04.000.
196 04.000.
197 04.000.
198 04.000.
199 04.000.
200 04.000.
Keterangan : Jumlah Pasien yang ditangani sendiri : 124 Orang
Jumlah Pasien yang dikirim ke PT. KMN : 19 Orang
Umur Alamat Diagnosa
Umur Alamat Diagnosa
Umur Alamat Diagnosa
Umur Alamat Diagnosa
Therapi

Oral Injeksi Keterangan


Therapi

Oral Injeksi Keterangan


Therapi

Oral Injeksi Keterangan


Therapi

Oral Injeksi Keterangan


Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
1 01-09-2020 Rasikin √ 04.000.972
2 01-09-2020 Hartanti √ 04.000.975
3 01-09-2020 Suyatmi √ 04.000.1608
4 01-09-2020 Jamilah √ 04.000.1162
5 01-09-2020 Sri Hayani √ 04.000.504
6 01-09-2020 Dapat Mugiono √ 04.000.501
7 01-09-2020 Yatik √ 04.000.489
8 02-09-2020 Uluan Nainggolan √ 04.000.1334
9 02-09-2020 Muhammad Muhrodin √ 04.000.726
10 02-09-2020 Suwanto √ 04.000.1352
11 02-09-2020 Kliwon √ 04.000.80
12 03-09-2020 Yohana Yana √ 04.000.27
13 03-09-2020 Sartini √ 04.000.1604
14 03-09-2020 Rochaidah √ 04.000.942
15 03-09-2020 Wahid Wahyu Yuwono √ 04.000.1584
16 03-09-2020 Egidius √ 04.000.1446
17 04-09-2020 Adrianus √ 04.000.1431
18 04-09-2020 Fiki Ramadani √ 04.000.1283
19 04-09-2020 Suranto √ 04.000.1281
20 04-09-2020 Donata Ciyo √ 04.000.86
21 05-09-2020 Marianus Main √ 04.000.1557
22 05-09-2020 Tukiyah √ 04.000.971
23 05-09-2020 Hadi Purwanto √ 04.000.1004
24 05-09-2020 Yohanes Herkulanus √ 04.000.1613
25 05-09-2020 Aminah √ 04.000.733
26 05-09-2020 Rochaidah √ 04.000.942
27 05-09-2020 Juvita √ 04.000.835
28 05-09-2020 Nahda √ 04.000.1622
29 05-09-2020 Nurul Apriyani √ 04.000.1635
30 05-09-2020 Sariyus Yanto √ 04.000.1320
31 04.000.
32 04.000.
33 04.000.
34 04.000.
35 04.000.
36 04.000.
37 04.000.
38 04.000.
39 04.000.
40 04.000.
41 04.000.
42 04.000.
43 04.000.
44 04.000.
45 04.000.
46 04.000.
47 04.000.
48 04.000.
49 04.000.
50 04.000.

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Jenis
No Tgl Nama Pekerja Kelamin No RM

Lk Pr
101 04.000.
102 04.000.
103 04.000.
104 04.000.
105 04.000.
106 04.000.
107 04.000.
108 04.000.
109 04.000.
110 04.000.
111 04.000.
112 04.000.
113 04.000.
114 04.000.
115 04.000.
116 04.000.
117 04.000.
118 04.000.
119 04.000.
120 04.000.
121 04.000.
122 04.000.
123 04.000.
124 04.000.
125 04.000.
126 04.000.
127 04.000.
128 04.000.
129 04.000.
130 04.000.
131 04.000.
132 04.000.
133 04.000.
134 04.000.
135 04.000.
136 04.000.
137 04.000.
138 04.000.
139 04.000.
140 04.000.
141 04.000.
142 04.000.
143 04.000.
144 04.000.
145 04.000.
146 04.000.
147 04.000.
148 04.000.
149 04.000.
150 04.000.

Keterangan : Jumlah Pasien yang ditangani sendiri : 72 Orang


Jumlah Pasien yang dikirim ke PT. KMN : 17 Orang
No BPJS Umur Alamat Diagnosa

0001.592.810.065 43 V Pegal Linu TD : 110/ 80


0001.592.810.076 40 V Artritis TD : 100/ 70
0001.592.810.537 53 V DM TD : 120/ 90
0001.592.814.003 46 VI Pegal Linu TD : 130/ 80
0001.590.040.269 37 V Febris TD : 100/ 80
0001.590.040.258 35 V Pegal Linu TD : 110/ 90
0001.590.040.067 33 V Pegal Linu TD : 120/ 90
0001.879.726.072 38 Transport Ispa & Pegal Linu TD : 120/ 80
0001.590.043.522 50 IV Artritis TD : 130/ 100
0002.298.315.082 35 V Ispa TD : 110/ 80
0001.590.035.185 51 III Pegal Linu TD : 130/ 90
0001.592.844.336 46 TU Badan Lemas (+) & Pusing (+) TD : 90/ 80
0001.592.810.201 59 V Ispa TD : 130/ 90
0001.592.809.424 38 IV Ispa TD : 120/ 80
0002.311.835.264 33 IV Badan Meriang TD : 110/ 70
0002.624.085.538 28 III Pegal Linu & Febris TD : 120/ 90
0002.624.015.024 35 VII Febris & Pegal Linu TD : 120/ 80
0001.879.736.218 7 V Gatal2 Seluruh Badan
0001.879.734.835 39 V Febris TD : 110/ 70
0001.590.035.253 47 III Gusi Bengkak & Gastritis TD : 140/ 90
0001.592.843.588 60 S. Jaman Ispa TD : 130/ 80
0001.592.810.054 52 V Hypertensi & Pegal Linu TD : 160/ 100
0001.592.810.706 54 V Pegal Linu TD : 120/ 90
0001.827.916.536 38 Transport Nyeri di Pinggang TD : 110/ 80
0001.590.043.678 53 IV Kedua Mata Pegal TD : 120/ 90
0001.592.809.424 38 IV Dbs. Thypoid
0001.592.808.175 36 VII Konjungtivitis
0001.295.078.062 48 II Infeksi Para-paru
0001.295.078.782 23 II Benjolan di Telapak Tangan Kiri
0001.970.320.544 41 VII Obs. Thypoid
No BPJS Umur Alamat Diagnosa
No BPJS Umur Alamat Diagnosa
Therapi

Oral Keterangan
Rindobion, Paracetamol Rawat Jalan
Pritacort, Mefenamid Acid Rawat Jalan
Metformin, Rindobion Rawat Jalan
Pritacort, Amoxicillin Rawat Jalan
Paracetamol, Pritacort, Amoxicillin Rawat Jalan
Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Ambroxol, Amoxicillin, Rindobion, Mefenamid Acid Rawat Jalan
Rindobion, Peracetamol Rawat Jalan
Rindobion, Ambroxol Rawat Jalan
Pritacort, Rindobion Rawat Jalan
Paracetamol, Rindobion Rawat Jalan
Pritacort, Ambroxol, Rindobion Rawat Jalan
Ambroxol, Paracetamol, Infantrim Rawat Jalan
Paracetamol, Pritacort, Infantrim Rawat Jalan
Rindobion, Paracetamol, Infantrim Rawat Jalan
Paracetamol, Infantrim, Rindobion, Pritacort Rawat Jalan
Amoxicillin, Kloferson Zalf, Alpamol syr Rawat Jalan
Rindobion, Paracetamol, Amoxicillin Rawat Jalan
Acitrl, Mefenamid Acid, Pritacort Rawat Jalan
Alpara, Amoxicillin, Pritacort Rawat Jalan
Rindobion, Captopril Rawat Jalan
Rindobion, Mefenamid Acid Rawat Jalan
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
- PT. KMN
Therapi

Oral Keterangan
Therapi

Oral Keterangan

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