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BPJS Kesehatan Cab.

CURUP
FORMULIR PENGAJUAN KLAIM TINGKAT PERTAMA

Nomor FPK : P2402000046799

Provider : Laboratorium Lala Vino


Bulan Pelayanan : February 2024

Pelayanan : Promotif

Total Data : 1384

Total Tagihan : Rp. 293.015.000

NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000001 HALIJA 04/02/2024 HbA1c 9.60 % Rp. 160.000

0441L0010224P000001 HALIJA 04/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000001 HALIJA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000001 HALIJA 04/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000001 HALIJA 04/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000001 HALIJA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000001 HALIJA 04/02/2024 Kreatinin 1.90 mgr/dl Rp. 30.000

0441L0010224P000001 HALIJA 04/02/2024 Ureum 62.00 mgr/dl Rp. 30.000

0441L0010224P000002 RESMA WATI 04/02/2024 HbA1c 7.70 % Rp. 160.000

0441L0010224P000002 RESMA WATI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000002 RESMA WATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000002 RESMA WATI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000002 RESMA WATI 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000002 RESMA WATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000002 RESMA WATI 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000002 RESMA WATI 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000003 INAHIA 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000003 INAHIA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000003 INAHIA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000003 INAHIA 04/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000003 INAHIA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000003 INAHIA 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000003 INAHIA 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000004 KITUM M. ZEN 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000004 KITUM M. ZEN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000004 KITUM M. ZEN 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000004 KITUM M. ZEN 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000004 KITUM M. ZEN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000004 KITUM M. ZEN 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000004 KITUM M. ZEN 04/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000005 ASMAINI 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

169.00
0441L0010224P000005 ASMAINI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
157.00
0441L0010224P000005 ASMAINI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000005 ASMAINI 04/02/2024 Kolesterol HDL 67.00 mgr/dl Rp. 45.000

267.00
0441L0010224P000005 ASMAINI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000005 ASMAINI 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000005 ASMAINI 04/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

105.00
0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

207.00
0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000006 SAIDIL MUSTAR 04/02/2024 Ureum 55.00 mgr/dl Rp. 30.000

0441L0010224P000007 AZMAWATI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

164.00
0441L0010224P000007 AZMAWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0010224P000007 AZMAWATI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000007 AZMAWATI 04/02/2024 Kolesterol HDL 64.00 mgr/dl Rp. 45.000

257.00
0441L0010224P000007 AZMAWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000007 AZMAWATI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000007 AZMAWATI 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000008 INDAR LENA 04/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000008 INDAR LENA 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

0441L0010224P000008 INDAR LENA 04/02/2024 Kolesterol LDL 84.00 mgr/dl Rp. 60.000

685.00
0441L0010224P000008 INDAR LENA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000008 INDAR LENA 04/02/2024 Kolesterol HDL 74.00 mgr/dl Rp. 45.000

295.00
0441L0010224P000008 INDAR LENA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000008 INDAR LENA 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000008 INDAR LENA 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000009 NURDIANAWATI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000009 NURDIANAWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000009 NURDIANAWATI 04/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000009 NURDIANAWATI 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000009 NURDIANAWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000009 NURDIANAWATI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000009 NURDIANAWATI 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000010 DAHARIS NASUTION 04/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000011 ILISNANI 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000011 ILISNANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000011 ILISNANI 04/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000011 ILISNANI 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000011 ILISNANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000011 ILISNANI 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000011 ILISNANI 04/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000012 WINARSIH 04/02/2024 HbA1c 8.80 % Rp. 160.000

0441L0010224P000012 WINARSIH 04/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000012 WINARSIH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
201.00
0441L0010224P000012 WINARSIH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000012 WINARSIH 04/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000012 WINARSIH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000012 WINARSIH 04/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000012 WINARSIH 04/02/2024 Ureum 53.00 mgr/dl Rp. 30.000

0441L0010224P000013 SUSILAWATI 04/02/2024 HbA1c 6.90 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000013 SUSILAWATI 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

162.00
0441L0010224P000013 SUSILAWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000013 SUSILAWATI 04/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000013 SUSILAWATI 04/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0010224P000013 SUSILAWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000013 SUSILAWATI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000013 SUSILAWATI 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000014 SUHARKO 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000014 SUHARKO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000014 SUHARKO 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000014 SUHARKO 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000014 SUHARKO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000014 SUHARKO 04/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000014 SUHARKO 04/02/2024 Ureum 53.00 mgr/dl Rp. 30.000

0441L0010224P000015 NISMILIAH 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000015 NISMILIAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0010224P000015 NISMILIAH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000015 NISMILIAH 04/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000015 NISMILIAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000015 NISMILIAH 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000015 NISMILIAH 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 HbA1c 11.90 % Rp. 160.000

0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Microalbuminaria 23.00 mgr/dl Rp. 120.000

110.00
0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
322.00
0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

232.00
0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Kreatinin 1.80 mgr/dl Rp. 30.000

0441L0010224P000016 MARLIAN EFFENDI 04/02/2024 Ureum 67.00 mgr/dl Rp. 30.000

0441L0010224P000017 MUSTAQIM 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000017 MUSTAQIM 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000017 MUSTAQIM 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000017 MUSTAQIM 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000017 MUSTAQIM 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000017 MUSTAQIM 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000017 MUSTAQIM 04/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000018 FAT MINARSIH 04/02/2024 HbA1c 7.30 % Rp. 160.000

0441L0010224P000018 FAT MINARSIH 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000018 FAT MINARSIH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0441L0010224P000018 FAT MINARSIH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000018 FAT MINARSIH 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000018 FAT MINARSIH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000018 FAT MINARSIH 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000018 FAT MINARSIH 04/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

177.00
0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
162.00
0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Kolesterol HDL 70.00 mgr/dl Rp. 45.000

279.00
0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000019 AH. HAKIM KIRBI ISA 04/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000020 DARMAWANI 04/02/2024 HbA1c 11.00 % Rp. 160.000

0441L0010224P000020 DARMAWANI 04/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000020 DARMAWANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
184.00
0441L0010224P000020 DARMAWANI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000020 DARMAWANI 04/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

212.00
0441L0010224P000020 DARMAWANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000020 DARMAWANI 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000020 DARMAWANI 04/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000021 JUMIASIH 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000021 JUMIASIH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000021 JUMIASIH 04/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000021 JUMIASIH 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000021 JUMIASIH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000021 JUMIASIH 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000021 JUMIASIH 04/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000022 NIKMAH 04/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000022 NIKMAH 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

180.00
0441L0010224P000022 NIKMAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000022 NIKMAH 04/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000022 NIKMAH 04/02/2024 Kolesterol HDL 65.00 mgr/dl Rp. 45.000

261.00
0441L0010224P000022 NIKMAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000022 NIKMAH 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000022 NIKMAH 04/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

142.00
0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000023 SUBANDI KASMIR 04/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 HbA1c 7.00 % Rp. 160.000

0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000024 EKA FITRI JUWITA 04/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 HbA1c 9.30 % Rp. 160.000

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000025 ZAINAL EFENDI 04/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 HbA1c 9.80 % Rp. 160.000

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

152.00
0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000026 ZAINI HANAFIAH 04/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000027 SRI SUHARNI 04/02/2024 HbA1c 9.80 % Rp. 160.000

0441L0010224P000027 SRI SUHARNI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

150.00
0441L0010224P000027 SRI SUHARNI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
159.00
0441L0010224P000027 SRI SUHARNI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000027 SRI SUHARNI 04/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

243.00
0441L0010224P000027 SRI SUHARNI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000027 SRI SUHARNI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000027 SRI SUHARNI 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000028 JONSON 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000028 JONSON 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0010224P000028 JONSON 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000028 JONSON 04/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

226.00
0441L0010224P000028 JONSON 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000028 JONSON 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000028 JONSON 04/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000029 HERNI PURWANTI 04/02/2024 HbA1c 7.30 % Rp. 160.000

0441L0010224P000029 HERNI PURWANTI 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000029 HERNI PURWANTI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0441L0010224P000029 HERNI PURWANTI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000029 HERNI PURWANTI 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

186.00
0441L0010224P000029 HERNI PURWANTI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000029 HERNI PURWANTI 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000029 HERNI PURWANTI 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000030 KARTIKA SARI 04/02/2024 HbA1c 9.70 % Rp. 160.000

0441L0010224P000030 KARTIKA SARI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000030 KARTIKA SARI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000030 KARTIKA SARI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000030 KARTIKA SARI 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000030 KARTIKA SARI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000030 KARTIKA SARI 04/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000030 KARTIKA SARI 04/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000031 NUR LELAWATI 04/02/2024 HbA1c 9.80 % Rp. 160.000

0441L0010224P000031 NUR LELAWATI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000031 NUR LELAWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000031 NUR LELAWATI 04/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000031 NUR LELAWATI 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000031 NUR LELAWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000031 NUR LELAWATI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000031 NUR LELAWATI 04/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

106.00
0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
145.00
0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000032 BAMBANG TRIATMAJA 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

150.00
0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

229.00
0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000033 MUCHTAR MARTHA 04/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000034 MAHANIAH 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000034 MAHANIAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000034 MAHANIAH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000034 MAHANIAH 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000034 MAHANIAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000034 MAHANIAH 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000034 MAHANIAH 04/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000035 SURYADI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000035 SURYADI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000035 SURYADI 04/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000035 SURYADI 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

204.00
0441L0010224P000035 SURYADI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000035 SURYADI 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000035 SURYADI 04/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000036 AKHER UTOYO 04/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000036 AKHER UTOYO 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

124.00
0441L0010224P000036 AKHER UTOYO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000036 AKHER UTOYO 04/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000036 AKHER UTOYO 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000036 AKHER UTOYO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000036 AKHER UTOYO 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000036 AKHER UTOYO 04/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000037 JULIARTI 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000037 JULIARTI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0010224P000037 JULIARTI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000037 JULIARTI 04/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0010224P000037 JULIARTI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000037 JULIARTI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000037 JULIARTI 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000038 DARWIN 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000038 DARWIN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000038 DARWIN 04/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000038 DARWIN 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000038 DARWIN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000038 DARWIN 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000038 DARWIN 04/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000039 HERIYANTO 04/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000039 HERIYANTO 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000039 HERIYANTO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000039 HERIYANTO 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000039 HERIYANTO 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

210.00
0441L0010224P000039 HERIYANTO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000039 HERIYANTO 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000039 HERIYANTO 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000040 MANNARIA SIANTURI 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000041 IDRUSSAMAN 04/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000041 IDRUSSAMAN 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000041 IDRUSSAMAN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000041 IDRUSSAMAN 04/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000041 IDRUSSAMAN 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0010224P000041 IDRUSSAMAN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000041 IDRUSSAMAN 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000041 IDRUSSAMAN 04/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000042 NIRWANA 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000042 NIRWANA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000042 NIRWANA 04/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000042 NIRWANA 04/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000042 NIRWANA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000042 NIRWANA 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000042 NIRWANA 04/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000043 ASRI HIJA 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

124.00
0441L0010224P000043 ASRI HIJA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000043 ASRI HIJA 04/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000043 ASRI HIJA 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000043 ASRI HIJA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000043 ASRI HIJA 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000043 ASRI HIJA 04/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000044 RESOPIN 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000044 RESOPIN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000044 RESOPIN 04/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000044 RESOPIN 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000044 RESOPIN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000044 RESOPIN 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000044 RESOPIN 04/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000045 YATNA SURATNA 04/02/2024 HbA1c 10.10 % Rp. 160.000

0441L0010224P000045 YATNA SURATNA 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000045 YATNA SURATNA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000045 YATNA SURATNA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000045 YATNA SURATNA 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000045 YATNA SURATNA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000045 YATNA SURATNA 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000045 YATNA SURATNA 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

197.00
0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000046 ALAMSYAH. ZA, SE 04/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000047 SUSISWATI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

147.00
0441L0010224P000047 SUSISWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000047 SUSISWATI 04/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000047 SUSISWATI 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000047 SUSISWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000047 SUSISWATI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000047 SUSISWATI 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000048 M. IMAM SANTOSO 04/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000049 JUNAIDIL BURDADI 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 HbA1c 6.40 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000050 YUYUN SAFITRI WAHYUNI 04/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

MOHAMMAD ANANTA NUGRAHA


0441L0010224P000051 04/02/2024 HbA1c 9.40 % Rp. 160.000
YUNUS
MOHAMMAD ANANTA NUGRAHA
0441L0010224P000051 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000
YUNUS
MOHAMMAD ANANTA NUGRAHA 122.00
0441L0010224P000051 04/02/2024 Kolesterol LDL Rp. 60.000
YUNUS mgr/dl
MOHAMMAD ANANTA NUGRAHA
0441L0010224P000051 04/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000
YUNUS
MOHAMMAD ANANTA NUGRAHA
0441L0010224P000051 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000
YUNUS
MOHAMMAD ANANTA NUGRAHA 188.00
0441L0010224P000051 04/02/2024 Kolesterol Total Rp. 45.000
YUNUS mgr/dl
MOHAMMAD ANANTA NUGRAHA
0441L0010224P000051 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000
YUNUS
MOHAMMAD ANANTA NUGRAHA
0441L0010224P000051 04/02/2024 Ureum 34.00 mgr/dl Rp. 30.000
YUNUS

0441L0010224P000052 DIAN SUARTINI 04/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000052 DIAN SUARTINI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000052 DIAN SUARTINI 04/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000052 DIAN SUARTINI 04/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000052 DIAN SUARTINI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000052 DIAN SUARTINI 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000052 DIAN SUARTINI 04/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

143.00
0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

206.00
0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000053 ANDREAS SUNARYO 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
234.00
0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

245.00
0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000054 MARIA SUHARYATI 04/02/2024 Ureum 40.00 mgr/dl Rp. 30.000

0441L0010224P000055 ARYESI FARIANY 04/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000055 ARYESI FARIANY 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000055 ARYESI FARIANY 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0010224P000055 ARYESI FARIANY 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000055 ARYESI FARIANY 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000055 ARYESI FARIANY 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000055 ARYESI FARIANY 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000055 ARYESI FARIANY 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000056 SUHARDI 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000056 SUHARDI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000056 SUHARDI 04/02/2024 Kolesterol Trigliserida 78.00 mgr/dl Rp. 50.000

0441L0010224P000056 SUHARDI 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000056 SUHARDI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000056 SUHARDI 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000056 SUHARDI 04/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000057 MISBAHAYATI 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000057 MISBAHAYATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000057 MISBAHAYATI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000057 MISBAHAYATI 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000057 MISBAHAYATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000057 MISBAHAYATI 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000057 MISBAHAYATI 04/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000058 M. DANI 04/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000058 M. DANI 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000058 M. DANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000058 M. DANI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000058 M. DANI 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000058 M. DANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000058 M. DANI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000058 M. DANI 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000059 IRWANTO 04/02/2024 HbA1c 14.00 % Rp. 160.000

0441L0010224P000059 IRWANTO 04/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000059 IRWANTO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
179.00
0441L0010224P000059 IRWANTO 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000059 IRWANTO 04/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

234.00
0441L0010224P000059 IRWANTO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000059 IRWANTO 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000059 IRWANTO 04/02/2024 Ureum 31.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000060 ERLYN KUSMINAH 04/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000061 IBNU HASAN 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000061 IBNU HASAN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000061 IBNU HASAN 04/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000061 IBNU HASAN 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000061 IBNU HASAN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000061 IBNU HASAN 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000061 IBNU HASAN 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000062 SINDRAWAN 04/02/2024 HbA1c 7.90 % Rp. 160.000

0441L0010224P000062 SINDRAWAN 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

141.00
0441L0010224P000062 SINDRAWAN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000062 SINDRAWAN 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000062 SINDRAWAN 04/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000062 SINDRAWAN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000062 SINDRAWAN 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000062 SINDRAWAN 04/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000063 rudi setiawan 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

112.00
0441L0010224P000063 rudi setiawan 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

162.00
0441L0010224P000063 rudi setiawan 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000063 rudi setiawan 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000063 rudi setiawan 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000063 rudi setiawan 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000063 rudi setiawan 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000064 LAILI ASMANI 04/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000064 LAILI ASMANI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000064 LAILI ASMANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0441L0010224P000064 LAILI ASMANI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000064 LAILI ASMANI 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000064 LAILI ASMANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000064 LAILI ASMANI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000064 LAILI ASMANI 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000065 HASMA NELI 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

108.00
0441L0010224P000065 HASMA NELI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
275.00
0441L0010224P000065 HASMA NELI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000065 HASMA NELI 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000065 HASMA NELI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000065 HASMA NELI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000065 HASMA NELI 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
149.00
0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

231.00
0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000066 TOPANDI. AMA. PD 04/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000067 NETRI YETMI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000067 NETRI YETMI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
168.00
0441L0010224P000067 NETRI YETMI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000067 NETRI YETMI 04/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

225.00
0441L0010224P000067 NETRI YETMI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000067 NETRI YETMI 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000067 NETRI YETMI 04/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

149.00
0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000068 DJULHAIDI SAMID 04/02/2024 Ureum 42.00 mgr/dl Rp. 30.000

0441L0010224P000069 KASNI WIDARTI 04/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000069 KASNI WIDARTI 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000069 KASNI WIDARTI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000069 KASNI WIDARTI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000069 KASNI WIDARTI 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

217.00
0441L0010224P000069 KASNI WIDARTI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000069 KASNI WIDARTI 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000069 KASNI WIDARTI 04/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000070 MEGA MERI, SP 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000070 MEGA MERI, SP 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000070 MEGA MERI, SP 04/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000070 MEGA MERI, SP 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

207.00
0441L0010224P000070 MEGA MERI, SP 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000070 MEGA MERI, SP 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000070 MEGA MERI, SP 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000071 TUMINI 04/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000071 TUMINI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000071 TUMINI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000071 TUMINI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000071 TUMINI 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000071 TUMINI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000071 TUMINI 04/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000071 TUMINI 04/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000072 NURAISYAH 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000072 NURAISYAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0441L0010224P000072 NURAISYAH 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000072 NURAISYAH 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000072 NURAISYAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000072 NURAISYAH 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000072 NURAISYAH 04/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000073 tjendra wati 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000073 tjendra wati 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

106.00
0441L0010224P000073 tjendra wati 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000073 tjendra wati 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000073 tjendra wati 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000073 tjendra wati 04/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000073 tjendra wati 04/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000074 DEWI KURNIA 04/02/2024 HbA1c 11.00 % Rp. 160.000

0441L0010224P000074 DEWI KURNIA 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000074 DEWI KURNIA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000074 DEWI KURNIA 04/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000074 DEWI KURNIA 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000074 DEWI KURNIA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000074 DEWI KURNIA 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000074 DEWI KURNIA 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000075 SULAIMAN 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000075 SULAIMAN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000075 SULAIMAN 04/02/2024 Kolesterol Trigliserida 72.00 mgr/dl Rp. 50.000

0441L0010224P000075 SULAIMAN 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000075 SULAIMAN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000075 SULAIMAN 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000075 SULAIMAN 04/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000076 EFA RUMIATHY 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

108.00
0441L0010224P000076 EFA RUMIATHY 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0010224P000076 EFA RUMIATHY 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000076 EFA RUMIATHY 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000076 EFA RUMIATHY 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000076 EFA RUMIATHY 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000076 EFA RUMIATHY 04/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000077 IMIN SALNA 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000077 IMIN SALNA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0010224P000077 IMIN SALNA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000077 IMIN SALNA 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000077 IMIN SALNA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000077 IMIN SALNA 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000077 IMIN SALNA 04/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000078 MARIANA 04/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000078 MARIANA 04/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000078 MARIANA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0441L0010224P000078 MARIANA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000078 MARIANA 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000078 MARIANA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000078 MARIANA 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000078 MARIANA 04/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000079 HENDRO WIDIONO 04/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000080 ZUBAIDA 04/02/2024 HbA1c 6.40 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000080 ZUBAIDA 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000080 ZUBAIDA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000080 ZUBAIDA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000080 ZUBAIDA 04/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000080 ZUBAIDA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000080 ZUBAIDA 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000080 ZUBAIDA 04/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000081 METI YULIZA 04/02/2024 HbA1c 11.80 % Rp. 160.000

0441L0010224P000081 METI YULIZA 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

171.00
0441L0010224P000081 METI YULIZA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
201.00
0441L0010224P000081 METI YULIZA 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000081 METI YULIZA 04/02/2024 Kolesterol HDL 71.00 mgr/dl Rp. 45.000

282.00
0441L0010224P000081 METI YULIZA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000081 METI YULIZA 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000081 METI YULIZA 04/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000082 SITI SAKDIAH 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000082 SITI SAKDIAH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000082 SITI SAKDIAH 04/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000082 SITI SAKDIAH 04/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000082 SITI SAKDIAH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000082 SITI SAKDIAH 04/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000082 SITI SAKDIAH 04/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000083 EFZUARNI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000083 EFZUARNI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000083 EFZUARNI 04/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000083 EFZUARNI 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000083 EFZUARNI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000083 EFZUARNI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000083 EFZUARNI 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000084 ALFUADI 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000084 ALFUADI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
117.00
0441L0010224P000084 ALFUADI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000084 ALFUADI 04/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000084 ALFUADI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000084 ALFUADI 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000084 ALFUADI 04/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000085 RAZMI GUMILANG FANJI 04/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000086 MIDARYATI 04/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000086 MIDARYATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000086 MIDARYATI 04/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000086 MIDARYATI 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000086 MIDARYATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000086 MIDARYATI 04/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000086 MIDARYATI 04/02/2024 Ureum 19.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000087 NICI APRIYANTI 04/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000087 NICI APRIYANTI 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000087 NICI APRIYANTI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000087 NICI APRIYANTI 04/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000087 NICI APRIYANTI 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000087 NICI APRIYANTI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000087 NICI APRIYANTI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000087 NICI APRIYANTI 04/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000088 RATNA SARI 04/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

161.00
0441L0010224P000088 RATNA SARI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0441L0010224P000088 RATNA SARI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000088 RATNA SARI 04/02/2024 Kolesterol HDL 66.00 mgr/dl Rp. 45.000

265.00
0441L0010224P000088 RATNA SARI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000088 RATNA SARI 04/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000088 RATNA SARI 04/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000089 APRIANIS 04/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000089 APRIANIS 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000089 APRIANIS 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000089 APRIANIS 04/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000089 APRIANIS 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000089 APRIANIS 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000089 APRIANIS 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000089 APRIANIS 04/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 HbA1c 10.90 % Rp. 160.000

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

126.00
0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Kolesterol Trigliserida 74.00 mgr/dl Rp. 50.000

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000090 DINI ALFI ZAHRA 04/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000091 HARIYANI 04/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000091 HARIYANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000091 HARIYANI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000091 HARIYANI 04/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000091 HARIYANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000091 HARIYANI 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000091 HARIYANI 04/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000092 FITRI SETIOWATI 04/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

211.00
0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000093 TAUFIQ ZAELANI 04/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000094 H.IDAMAN TATAGUNA,DRS, MH 04/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 HbA1c 9.90 % Rp. 160.000

0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
132.00
0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000095 KALBER KIFLI PANJAITAN 04/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000096 NANA MARIYANA 04/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000096 NANA MARIYANA 04/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000096 NANA MARIYANA 04/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000096 NANA MARIYANA 04/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000096 NANA MARIYANA 04/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000096 NANA MARIYANA 04/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000096 NANA MARIYANA 04/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000096 NANA MARIYANA 04/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000097 T. KABAN 05/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000097 T. KABAN 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000097 T. KABAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000097 T. KABAN 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000097 T. KABAN 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000097 T. KABAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000097 T. KABAN 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000097 T. KABAN 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 HbA1c 5.70 % Rp. 160.000

0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000098 HARTALINA BR.PERANGIN ANGIN 05/02/2024 Ureum 46.00 mgr/dl Rp. 30.000

0441L0010224P000099 IE SWAN TJENG 05/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000099 IE SWAN TJENG 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000099 IE SWAN TJENG 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000099 IE SWAN TJENG 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000099 IE SWAN TJENG 05/02/2024 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

176.00
0441L0010224P000099 IE SWAN TJENG 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000099 IE SWAN TJENG 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000099 IE SWAN TJENG 05/02/2024 Ureum 44.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000100 NURASMI M. 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000100 NURASMI M. 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0441L0010224P000100 NURASMI M. 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000100 NURASMI M. 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000100 NURASMI M. 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000100 NURASMI M. 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000100 NURASMI M. 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000101 YENNI 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000101 YENNI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000101 YENNI 05/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000101 YENNI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000101 YENNI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000101 YENNI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000101 YENNI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000102 HERMIN 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000102 HERMIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000102 HERMIN 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000102 HERMIN 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000102 HERMIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000102 HERMIN 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000102 HERMIN 05/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000103 KASNA WATI 05/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000103 KASNA WATI 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000103 KASNA WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000103 KASNA WATI 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000103 KASNA WATI 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000103 KASNA WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000103 KASNA WATI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000103 KASNA WATI 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000104 OEY LIAN HOA 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000104 OEY LIAN HOA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000104 OEY LIAN HOA 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000104 OEY LIAN HOA 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000104 OEY LIAN HOA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000104 OEY LIAN HOA 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000104 OEY LIAN HOA 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000105 UYANTI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000105 UYANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000105 UYANTI 05/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000105 UYANTI 05/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

174.00
0441L0010224P000105 UYANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000105 UYANTI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000105 UYANTI 05/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000106 SITI HAWA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000106 SITI HAWA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000106 SITI HAWA 05/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000106 SITI HAWA 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000106 SITI HAWA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000106 SITI HAWA 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000106 SITI HAWA 05/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 HbA1c 6.20 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000107 Raden TITA SUHARTATI 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000108 marda hosen 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000108 marda hosen 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000108 marda hosen 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000108 marda hosen 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000108 marda hosen 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000108 marda hosen 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000108 marda hosen 05/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000109 ERMAWATI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000109 ERMAWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000109 ERMAWATI 05/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000109 ERMAWATI 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000109 ERMAWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000109 ERMAWATI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000109 ERMAWATI 05/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000110 TAHIRUM 05/02/2024 HbA1c 7.40 % Rp. 160.000

0441L0010224P000110 TAHIRUM 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000110 TAHIRUM 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0441L0010224P000110 TAHIRUM 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000110 TAHIRUM 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000110 TAHIRUM 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000110 TAHIRUM 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000110 TAHIRUM 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000111 EMILIANA SULIYANTI 05/02/2024 Ureum 56.00 mgr/dl Rp. 30.000

0441L0010224P000112 ERLISA ANITA 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000112 ERLISA ANITA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000112 ERLISA ANITA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000112 ERLISA ANITA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000112 ERLISA ANITA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000112 ERLISA ANITA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000112 ERLISA ANITA 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000113 PUJIATI UTAMI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000114 HERLINDA SUSANTI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000115 ABD. RUSLAN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000115 ABD. RUSLAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000115 ABD. RUSLAN 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000115 ABD. RUSLAN 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000115 ABD. RUSLAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000115 ABD. RUSLAN 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000115 ABD. RUSLAN 05/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000116 MARDALENA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000116 MARDALENA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000116 MARDALENA 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000116 MARDALENA 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000116 MARDALENA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000116 MARDALENA 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000116 MARDALENA 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000117 HASNIDAR 05/02/2024 HbA1c 8.60 % Rp. 160.000

0441L0010224P000117 HASNIDAR 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000117 HASNIDAR 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000117 HASNIDAR 05/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000117 HASNIDAR 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000117 HASNIDAR 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000117 HASNIDAR 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000117 HASNIDAR 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000118 BAZARUDDIN 05/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000118 BAZARUDDIN 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000118 BAZARUDDIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
191.00
0441L0010224P000118 BAZARUDDIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000118 BAZARUDDIN 05/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000118 BAZARUDDIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000118 BAZARUDDIN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000118 BAZARUDDIN 05/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000119 YULIANNY RIBKA 05/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000120 RATNA WATI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000120 RATNA WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000120 RATNA WATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000120 RATNA WATI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000120 RATNA WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000120 RATNA WATI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000120 RATNA WATI 05/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000121 AHMAD ZAINURI 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000122 AMSINAH SARAGIH 05/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000123 HISSA ARUAN 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000123 HISSA ARUAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000123 HISSA ARUAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000123 HISSA ARUAN 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000123 HISSA ARUAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000123 HISSA ARUAN 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000123 HISSA ARUAN 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

EVA KURNIA SOBARIAH


0441L0010224P000124 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000
PRIHATINI
EVA KURNIA SOBARIAH 139.00
0441L0010224P000124 05/02/2024 Kolesterol LDL Rp. 60.000
PRIHATINI mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

EVA KURNIA SOBARIAH


0441L0010224P000124 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000
PRIHATINI
EVA KURNIA SOBARIAH
0441L0010224P000124 05/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000
PRIHATINI
EVA KURNIA SOBARIAH 208.00
0441L0010224P000124 05/02/2024 Kolesterol Total Rp. 45.000
PRIHATINI mgr/dl
EVA KURNIA SOBARIAH
0441L0010224P000124 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000
PRIHATINI
EVA KURNIA SOBARIAH
0441L0010224P000124 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000
PRIHATINI

0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000125 HENKI EKO SAPUTRA 05/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000126 AFANDY 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000126 AFANDY 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000126 AFANDY 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000126 AFANDY 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000126 AFANDY 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000126 AFANDY 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000126 AFANDY 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000127 LIE KUIJ LIEN 05/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000128 ABORONI 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000128 ABORONI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000128 ABORONI 05/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000128 ABORONI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0010224P000128 ABORONI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000128 ABORONI 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000128 ABORONI 05/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000129 GUSTI MARIA 05/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000129 GUSTI MARIA 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000129 GUSTI MARIA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000129 GUSTI MARIA 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000129 GUSTI MARIA 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000129 GUSTI MARIA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000129 GUSTI MARIA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000129 GUSTI MARIA 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000130 megawati 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000130 megawati 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000130 megawati 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000130 megawati 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000130 megawati 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000130 megawati 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000130 megawati 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000131 NURJANAH 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

113.00
0441L0010224P000131 NURJANAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0441L0010224P000131 NURJANAH 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000131 NURJANAH 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000131 NURJANAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000131 NURJANAH 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000131 NURJANAH 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000132 MOHAMMAD YUSUF 05/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000133 MAK KUN AY 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000133 MAK KUN AY 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000133 MAK KUN AY 05/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000133 MAK KUN AY 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000133 MAK KUN AY 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000133 MAK KUN AY 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000133 MAK KUN AY 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000134 SUSRIWATI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000134 SUSRIWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000134 SUSRIWATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000134 SUSRIWATI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000134 SUSRIWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000134 SUSRIWATI 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000134 SUSRIWATI 05/02/2024 Ureum 62.00 mgr/dl Rp. 30.000

0441L0010224P000135 ENI DARNI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000135 ENI DARNI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000135 ENI DARNI 05/02/2024 Kolesterol Trigliserida 76.00 mgr/dl Rp. 50.000

0441L0010224P000135 ENI DARNI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000135 ENI DARNI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000135 ENI DARNI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000135 ENI DARNI 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000136 EFNI YUNITA 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000136 EFNI YUNITA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000136 EFNI YUNITA 05/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000136 EFNI YUNITA 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000136 EFNI YUNITA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000136 EFNI YUNITA 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000136 EFNI YUNITA 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000137 MAK KUN HAN 05/02/2024 HbA1c 8.90 % Rp. 160.000

0441L0010224P000137 MAK KUN HAN 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000137 MAK KUN HAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000137 MAK KUN HAN 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000137 MAK KUN HAN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000137 MAK KUN HAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000137 MAK KUN HAN 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000137 MAK KUN HAN 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000138 MURIANA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000138 MURIANA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

157.00
0441L0010224P000138 MURIANA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000138 MURIANA 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000138 MURIANA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000138 MURIANA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000138 MURIANA 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000139 BURHANNUDIN 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000139 BURHANNUDIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
166.00
0441L0010224P000139 BURHANNUDIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000139 BURHANNUDIN 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000139 BURHANNUDIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000139 BURHANNUDIN 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000139 BURHANNUDIN 05/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000140 EMILIANA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000140 EMILIANA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000140 EMILIANA 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000140 EMILIANA 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000140 EMILIANA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000140 EMILIANA 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000140 EMILIANA 05/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000141 ROSMAINI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000141 ROSMAINI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000141 ROSMAINI 05/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000141 ROSMAINI 05/02/2024 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

178.00
0441L0010224P000141 ROSMAINI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000141 ROSMAINI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000141 ROSMAINI 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000142 ANISAH ABDUL MALIK 05/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000143 TAN SUN MIE 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000143 TAN SUN MIE 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000143 TAN SUN MIE 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000143 TAN SUN MIE 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000143 TAN SUN MIE 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000143 TAN SUN MIE 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000143 TAN SUN MIE 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000143 TAN SUN MIE 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000144 RUSMIN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000144 RUSMIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0441L0010224P000144 RUSMIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000144 RUSMIN 05/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

226.00
0441L0010224P000144 RUSMIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000144 RUSMIN 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000144 RUSMIN 05/02/2024 Ureum 52.00 mgr/dl Rp. 30.000

0441L0010224P000145 NURLELA 05/02/2024 HbA1c 7.40 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000145 NURLELA 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000145 NURLELA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000145 NURLELA 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000145 NURLELA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000145 NURLELA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000145 NURLELA 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000145 NURLELA 05/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000146 TRIA NOPHYZA 05/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000147 ANDY WIJAYA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000147 ANDY WIJAYA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000147 ANDY WIJAYA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000147 ANDY WIJAYA 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000147 ANDY WIJAYA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000147 ANDY WIJAYA 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000147 ANDY WIJAYA 05/02/2024 Ureum 40.00 mgr/dl Rp. 30.000

0441L0010224P000148 MERI SUSANTI 05/02/2024 HbA1c 7.30 % Rp. 160.000

0441L0010224P000148 MERI SUSANTI 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

104.00
0441L0010224P000148 MERI SUSANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
267.00
0441L0010224P000148 MERI SUSANTI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000148 MERI SUSANTI 05/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

209.00
0441L0010224P000148 MERI SUSANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000148 MERI SUSANTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000148 MERI SUSANTI 05/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000149 MAISURI 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000149 MAISURI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000149 MAISURI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000149 MAISURI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000149 MAISURI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000149 MAISURI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000149 MAISURI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000149 MAISURI 05/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000150 EKA JUNAINI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000150 EKA JUNAINI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0441L0010224P000150 EKA JUNAINI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000150 EKA JUNAINI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000150 EKA JUNAINI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000150 EKA JUNAINI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000150 EKA JUNAINI 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000151 M. HERMANSYAH 05/02/2024 HbA1c 10.10 % Rp. 160.000

0441L0010224P000151 M. HERMANSYAH 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000151 M. HERMANSYAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0441L0010224P000151 M. HERMANSYAH 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000151 M. HERMANSYAH 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000151 M. HERMANSYAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000151 M. HERMANSYAH 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000151 M. HERMANSYAH 05/02/2024 Ureum 64.00 mgr/dl Rp. 30.000

0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000152 DARWIS ISKANDAR 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000153 HERAWATI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000153 HERAWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000153 HERAWATI 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000153 HERAWATI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000153 HERAWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000153 HERAWATI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000153 HERAWATI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000154 HERI NAIDA 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000154 HERI NAIDA 05/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000154 HERI NAIDA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
193.00
0441L0010224P000154 HERI NAIDA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000154 HERI NAIDA 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000154 HERI NAIDA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000154 HERI NAIDA 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000154 HERI NAIDA 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000155 ERIANTO. BA 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

120.00
0441L0010224P000155 ERIANTO. BA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000155 ERIANTO. BA 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000155 ERIANTO. BA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000155 ERIANTO. BA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000155 ERIANTO. BA 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000155 ERIANTO. BA 05/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000156 SURYADI, S.PD 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000156 SURYADI, S.PD 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000156 SURYADI, S.PD 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000156 SURYADI, S.PD 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000156 SURYADI, S.PD 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000156 SURYADI, S.PD 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000156 SURYADI, S.PD 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000157 AMELIA HERLINA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000157 AMELIA HERLINA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000157 AMELIA HERLINA 05/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000157 AMELIA HERLINA 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000157 AMELIA HERLINA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000157 AMELIA HERLINA 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000157 AMELIA HERLINA 05/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000158 WIDYA RUSIANA 05/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

197.00
0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000158 WIDYA RUSIANA 05/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000159 NOPRIANTO 05/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000159 NOPRIANTO 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000159 NOPRIANTO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
165.00
0441L0010224P000159 NOPRIANTO 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000159 NOPRIANTO 05/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

237.00
0441L0010224P000159 NOPRIANTO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000159 NOPRIANTO 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000159 NOPRIANTO 05/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000160 KRISTANTI 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000160 KRISTANTI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000160 KRISTANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000160 KRISTANTI 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000160 KRISTANTI 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000160 KRISTANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000160 KRISTANTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000160 KRISTANTI 05/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Microalbuminaria 23.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Kreatinin 2.40 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000161 VERONICA KUSRIYUWANTI 05/02/2024 Ureum 86.00 mgr/dl Rp. 30.000

0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Microalbuminaria 19.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000162 YOSEPH MULYONO 05/02/2024 Ureum 59.00 mgr/dl Rp. 30.000

0441L0010224P000163 YULINAS 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

156.00
0441L0010224P000163 YULINAS 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000163 YULINAS 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000163 YULINAS 05/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

235.00
0441L0010224P000163 YULINAS 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000163 YULINAS 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000163 YULINAS 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000164 HASAN BASRI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000164 HASAN BASRI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000164 HASAN BASRI 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000164 HASAN BASRI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000164 HASAN BASRI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000164 HASAN BASRI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000164 HASAN BASRI 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000165 NYOMAN DEWI HAERIAH 05/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000166 YANI AHYANI 05/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000166 YANI AHYANI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000166 YANI AHYANI 05/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000166 YANI AHYANI 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000166 YANI AHYANI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000166 YANI AHYANI 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000166 YANI AHYANI 05/02/2024 Ureum 56.00 mgr/dl Rp. 30.000

0441L0010224P000167 ROSNIARTI 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000167 ROSNIARTI 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000167 ROSNIARTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000167 ROSNIARTI 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000167 ROSNIARTI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000167 ROSNIARTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000167 ROSNIARTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000167 ROSNIARTI 05/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000168 SUHARANIA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000168 SUHARANIA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000168 SUHARANIA 05/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000168 SUHARANIA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000168 SUHARANIA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000168 SUHARANIA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000168 SUHARANIA 05/02/2024 Ureum 20.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000169 HERLINA 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000169 HERLINA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
186.00
0441L0010224P000169 HERLINA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000169 HERLINA 05/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

226.00
0441L0010224P000169 HERLINA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000169 HERLINA 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000169 HERLINA 05/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000170 CANA WATI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000170 CANA WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000170 CANA WATI 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000170 CANA WATI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000170 CANA WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000170 CANA WATI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000170 CANA WATI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 HbA1c 9.30 % Rp. 160.000

0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000171 WIJAYA ASNAWI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000172 ERNI WATI 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000172 ERNI WATI 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000172 ERNI WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000172 ERNI WATI 05/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000172 ERNI WATI 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000172 ERNI WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000172 ERNI WATI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000172 ERNI WATI 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000173 AGUSTINA 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000173 AGUSTINA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000173 AGUSTINA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000173 AGUSTINA 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000173 AGUSTINA 05/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

207.00
0441L0010224P000173 AGUSTINA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000173 AGUSTINA 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000173 AGUSTINA 05/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000174 TJIA ALOY 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000174 TJIA ALOY 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000174 TJIA ALOY 05/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000174 TJIA ALOY 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000174 TJIA ALOY 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000174 TJIA ALOY 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000174 TJIA ALOY 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000175 ARFAN HALIM 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000175 ARFAN HALIM 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
114.00
0441L0010224P000175 ARFAN HALIM 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000175 ARFAN HALIM 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000175 ARFAN HALIM 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000175 ARFAN HALIM 05/02/2024 Kreatinin 2.10 mgr/dl Rp. 30.000

0441L0010224P000175 ARFAN HALIM 05/02/2024 Ureum 59.00 mgr/dl Rp. 30.000

0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 HbA1c 10.20 % Rp. 160.000

0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000176 PERMAI INTAN SARI 05/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000177 MUJAEMAH 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000177 MUJAEMAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000177 MUJAEMAH 05/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000177 MUJAEMAH 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000177 MUJAEMAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000177 MUJAEMAH 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000177 MUJAEMAH 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000178 HENNI YULIANTY 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000178 HENNI YULIANTY 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000178 HENNI YULIANTY 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000178 HENNI YULIANTY 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000178 HENNI YULIANTY 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000178 HENNI YULIANTY 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000178 HENNI YULIANTY 05/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000179 TEDDY ROBIN 05/02/2024 Microalbuminaria 19.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

114.00
0441L0010224P000179 TEDDY ROBIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000179 TEDDY ROBIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000179 TEDDY ROBIN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000179 TEDDY ROBIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000179 TEDDY ROBIN 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000179 TEDDY ROBIN 05/02/2024 Ureum 54.00 mgr/dl Rp. 30.000

0441L0010224P000180 KUSMI AISYAH 05/02/2024 HbA1c 9.90 % Rp. 160.000

0441L0010224P000180 KUSMI AISYAH 05/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000180 KUSMI AISYAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000180 KUSMI AISYAH 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000180 KUSMI AISYAH 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000180 KUSMI AISYAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000180 KUSMI AISYAH 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000180 KUSMI AISYAH 05/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000181 ULFAH HARUN 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000181 ULFAH HARUN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000181 ULFAH HARUN 05/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000181 ULFAH HARUN 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000181 ULFAH HARUN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000181 ULFAH HARUN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000181 ULFAH HARUN 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000182 m. tanwir 05/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000182 m. tanwir 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000182 m. tanwir 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000182 m. tanwir 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

179.00
0441L0010224P000182 m. tanwir 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000182 m. tanwir 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000182 m. tanwir 05/02/2024 Ureum 56.00 mgr/dl Rp. 30.000

0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
149.00
0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

234.00
0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000183 PONTAS PARDEDE 05/02/2024 Ureum 55.00 mgr/dl Rp. 30.000

0441L0010224P000184 loe fa tjoen 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000184 loe fa tjoen 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000184 loe fa tjoen 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000184 loe fa tjoen 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000184 loe fa tjoen 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000184 loe fa tjoen 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000184 loe fa tjoen 05/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
124.00
0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

214.00
0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000185 H. LIMAN WIJAYA 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000186 MELIANA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

129.00
0441L0010224P000186 MELIANA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000186 MELIANA 05/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000186 MELIANA 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000186 MELIANA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000186 MELIANA 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000186 MELIANA 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000187 RUTH JENNIE 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000187 RUTH JENNIE 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000187 RUTH JENNIE 05/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000187 RUTH JENNIE 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000187 RUTH JENNIE 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000187 RUTH JENNIE 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000187 RUTH JENNIE 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000188 JEPRI PARLINDUNGAN 05/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000189 YOSUA SISWANTO 05/02/2024 Ureum 52.00 mgr/dl Rp. 30.000

0441L0010224P000190 SUSANTI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000190 SUSANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
130.00
0441L0010224P000190 SUSANTI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000190 SUSANTI 05/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0010224P000190 SUSANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000190 SUSANTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000190 SUSANTI 05/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000192 culiana gunadi 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000192 culiana gunadi 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000192 culiana gunadi 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000192 culiana gunadi 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000192 culiana gunadi 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000192 culiana gunadi 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000192 culiana gunadi 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
138.00
0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000193 IRA ATIKA DANIATY BR TARIGAN 05/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000194 KENNY STEVEN 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

118.00
0441L0010224P000194 KENNY STEVEN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000194 KENNY STEVEN 05/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000194 KENNY STEVEN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000194 KENNY STEVEN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000194 KENNY STEVEN 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000194 KENNY STEVEN 05/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000195 VENI MULIAWAN 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000195 VENI MULIAWAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000195 VENI MULIAWAN 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000195 VENI MULIAWAN 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000195 VENI MULIAWAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000195 VENI MULIAWAN 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000195 VENI MULIAWAN 05/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000196 EMMI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000196 EMMI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000196 EMMI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000196 EMMI 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000196 EMMI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000196 EMMI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000196 EMMI 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000197 LIM TEK JOENG 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

157.00
0441L0010224P000197 LIM TEK JOENG 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
160.00
0441L0010224P000197 LIM TEK JOENG 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000197 LIM TEK JOENG 05/02/2024 Kolesterol HDL 63.00 mgr/dl Rp. 45.000

252.00
0441L0010224P000197 LIM TEK JOENG 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000197 LIM TEK JOENG 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000197 LIM TEK JOENG 05/02/2024 Ureum 46.00 mgr/dl Rp. 30.000

0441L0010224P000198 SANUYAH 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000198 SANUYAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000198 SANUYAH 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000198 SANUYAH 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000198 SANUYAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000198 SANUYAH 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000198 SANUYAH 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000199 RINI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000199 RINI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000199 RINI 05/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000199 RINI 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000199 RINI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000199 RINI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000199 RINI 05/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000200 SUIB RACHMAN, S.MHK 05/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000201 YUSDAH 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000201 YUSDAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000201 YUSDAH 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000201 YUSDAH 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000201 YUSDAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000201 YUSDAH 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000201 YUSDAH 05/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000202 HASTUTI 05/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000202 HASTUTI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000202 HASTUTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
147.00
0441L0010224P000202 HASTUTI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000202 HASTUTI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000202 HASTUTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000202 HASTUTI 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000202 HASTUTI 05/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000203 NAWAWI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000203 NAWAWI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000203 NAWAWI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000203 NAWAWI 05/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

222.00
0441L0010224P000203 NAWAWI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000203 NAWAWI 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000203 NAWAWI 05/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000204 YEFRIZAL 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

154.00
0441L0010224P000204 YEFRIZAL 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
168.00
0441L0010224P000204 YEFRIZAL 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000204 YEFRIZAL 05/02/2024 Kolesterol HDL 62.00 mgr/dl Rp. 45.000

250.00
0441L0010224P000204 YEFRIZAL 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000204 YEFRIZAL 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000204 YEFRIZAL 05/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000205 EVALIDIA BR GINTING 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000206 ENOS SEMBIRING 05/02/2024 Ureum 40.00 mgr/dl Rp. 30.000

0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000207 JOHAN SYAFRI 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000208 YIE MEI LAN 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000208 YIE MEI LAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000208 YIE MEI LAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000208 YIE MEI LAN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000208 YIE MEI LAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000208 YIE MEI LAN 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000208 YIE MEI LAN 05/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000209 DJONG KOK FUNG 05/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000210 SURYATI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000210 SURYATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000210 SURYATI 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000210 SURYATI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000210 SURYATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000210 SURYATI 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000210 SURYATI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000211 WILI KARTINI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000211 WILI KARTINI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000211 WILI KARTINI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000211 WILI KARTINI 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000211 WILI KARTINI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000211 WILI KARTINI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000211 WILI KARTINI 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000212 POEY CHING CHING 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000212 POEY CHING CHING 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000212 POEY CHING CHING 05/02/2024 Kolesterol Trigliserida 1.20 mgr/dl Rp. 50.000

0441L0010224P000212 POEY CHING CHING 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000212 POEY CHING CHING 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000212 POEY CHING CHING 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000212 POEY CHING CHING 05/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000213 BUDI SUNARTO 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000213 BUDI SUNARTO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000213 BUDI SUNARTO 05/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000213 BUDI SUNARTO 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000213 BUDI SUNARTO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000213 BUDI SUNARTO 05/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000213 BUDI SUNARTO 05/02/2024 Ureum 54.00 mgr/dl Rp. 30.000

0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000214 MASDA SIMANJUNTAK 05/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000215 SRI MULYANI 05/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000215 SRI MULYANI 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000215 SRI MULYANI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000215 SRI MULYANI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000215 SRI MULYANI 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000215 SRI MULYANI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000215 SRI MULYANI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000215 SRI MULYANI 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000216 MARIATI 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000216 MARIATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000216 MARIATI 05/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000216 MARIATI 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000216 MARIATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000216 MARIATI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000216 MARIATI 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000217 TATI HERAWATI 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000217 TATI HERAWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000217 TATI HERAWATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000217 TATI HERAWATI 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000217 TATI HERAWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000217 TATI HERAWATI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000217 TATI HERAWATI 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000218 A. RO'UF BASTIAN 05/02/2024 Ureum 38.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000219 DARMA TAFSIA 05/02/2024 HbA1c 6.70 % Rp. 160.000

0441L0010224P000219 DARMA TAFSIA 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000219 DARMA TAFSIA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000219 DARMA TAFSIA 05/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000219 DARMA TAFSIA 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000219 DARMA TAFSIA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000219 DARMA TAFSIA 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000219 DARMA TAFSIA 05/02/2024 Ureum 42.00 mgr/dl Rp. 30.000

0441L0010224P000220 RATNA YULITA 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000220 RATNA YULITA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000220 RATNA YULITA 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000220 RATNA YULITA 05/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

204.00
0441L0010224P000220 RATNA YULITA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000220 RATNA YULITA 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000220 RATNA YULITA 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000221 EDDY HERMAN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000221 EDDY HERMAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000221 EDDY HERMAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000221 EDDY HERMAN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000221 EDDY HERMAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000221 EDDY HERMAN 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000221 EDDY HERMAN 05/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000222 DEVI YONO 05/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000222 DEVI YONO 05/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000222 DEVI YONO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000222 DEVI YONO 05/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000222 DEVI YONO 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000222 DEVI YONO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000222 DEVI YONO 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000222 DEVI YONO 05/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000223 ARIYANTI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000223 ARIYANTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000223 ARIYANTI 05/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000223 ARIYANTI 05/02/2024 Kolesterol HDL 5.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000223 ARIYANTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000223 ARIYANTI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000223 ARIYANTI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000224 RAWA HANI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000224 RAWA HANI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000224 RAWA HANI 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000224 RAWA HANI 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000224 RAWA HANI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000224 RAWA HANI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000224 RAWA HANI 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000225 JOHAN EFFENDI 05/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000226 NURUL HUDA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000226 NURUL HUDA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000226 NURUL HUDA 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000226 NURUL HUDA 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000226 NURUL HUDA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000226 NURUL HUDA 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000226 NURUL HUDA 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000227 SUSILAWATI 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000227 SUSILAWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000227 SUSILAWATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000227 SUSILAWATI 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000227 SUSILAWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000227 SUSILAWATI 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000227 SUSILAWATI 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000228 NURYANI 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000228 NURYANI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000228 NURYANI 05/02/2024 Kolesterol Trigliserida 75.00 mgr/dl Rp. 50.000

0441L0010224P000228 NURYANI 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000228 NURYANI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000228 NURYANI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000228 NURYANI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000229 SAMSILA WARNI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000229 SAMSILA WARNI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000229 SAMSILA WARNI 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000229 SAMSILA WARNI 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000229 SAMSILA WARNI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000229 SAMSILA WARNI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000229 SAMSILA WARNI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000230 PONIMAN 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000230 PONIMAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000230 PONIMAN 05/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000230 PONIMAN 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000230 PONIMAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000230 PONIMAN 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000230 PONIMAN 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000231 PARISIT 05/02/2024 HbA1c 7.10 % Rp. 160.000

0441L0010224P000231 PARISIT 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000231 PARISIT 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
131.00
0441L0010224P000231 PARISIT 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000231 PARISIT 05/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000231 PARISIT 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000231 PARISIT 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000231 PARISIT 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000232 SUMISKAM 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

189.00
0441L0010224P000232 SUMISKAM 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000232 SUMISKAM 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000232 SUMISKAM 05/02/2024 Kolesterol HDL 70.00 mgr/dl Rp. 45.000

283.00
0441L0010224P000232 SUMISKAM 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000232 SUMISKAM 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000232 SUMISKAM 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Kolesterol Trigliserida 74.00 mgr/dl Rp. 50.000

0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

178.00
0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000233 HILDA KURNIA SARI 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000234 ROSNI WATI 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000234 ROSNI WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000234 ROSNI WATI 05/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000234 ROSNI WATI 05/02/2024 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

177.00
0441L0010224P000234 ROSNI WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000234 ROSNI WATI 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000234 ROSNI WATI 05/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000235 MASITAYANA 05/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000235 MASITAYANA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

183.00
0441L0010224P000235 MASITAYANA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000235 MASITAYANA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000235 MASITAYANA 05/02/2024 Kolesterol HDL 68.00 mgr/dl Rp. 45.000

272.00
0441L0010224P000235 MASITAYANA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000235 MASITAYANA 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000235 MASITAYANA 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000236 NURSIA WATI 05/02/2024 HbA1c 11.10 % Rp. 160.000

0441L0010224P000236 NURSIA WATI 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

142.00
0441L0010224P000236 NURSIA WATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000236 NURSIA WATI 05/02/2024 Kolesterol Trigliserida 73.00 mgr/dl Rp. 50.000

0441L0010224P000236 NURSIA WATI 05/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0010224P000236 NURSIA WATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000236 NURSIA WATI 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000236 NURSIA WATI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000237 NURPIAH 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000237 NURPIAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000237 NURPIAH 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000237 NURPIAH 05/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

174.00
0441L0010224P000237 NURPIAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000237 NURPIAH 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000237 NURPIAH 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000238 JAHURIAH 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000238 JAHURIAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000238 JAHURIAH 05/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000238 JAHURIAH 05/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000238 JAHURIAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000238 JAHURIAH 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000238 JAHURIAH 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000239 HERI HUSNITA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000239 HERI HUSNITA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000239 HERI HUSNITA 05/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000239 HERI HUSNITA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000239 HERI HUSNITA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000239 HERI HUSNITA 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000239 HERI HUSNITA 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000240 DWI PUATA 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000240 DWI PUATA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000240 DWI PUATA 05/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000240 DWI PUATA 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000240 DWI PUATA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000240 DWI PUATA 05/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000240 DWI PUATA 05/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
137.00
0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000242 ABDUL RONI INDRAWAN 05/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000243 YULIA NUR'AIN 05/02/2024 HbA1c 7.10 % Rp. 160.000

0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

160.00
0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

243.00
0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000243 YULIA NUR'AIN 05/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000244 SUSILAWATI 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

134.00
0441L0010224P000244 SUSILAWATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000244 SUSILAWATI 05/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000244 SUSILAWATI 05/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000244 SUSILAWATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000244 SUSILAWATI 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000244 SUSILAWATI 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000245 JONDEDI HIDAYAT 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000246 FAKHRURROZI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000246 FAKHRURROZI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000246 FAKHRURROZI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000246 FAKHRURROZI 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

212.00
0441L0010224P000246 FAKHRURROZI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000246 FAKHRURROZI 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000246 FAKHRURROZI 05/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000247 HAZAIRIN 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000247 HAZAIRIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000247 HAZAIRIN 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000247 HAZAIRIN 05/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000247 HAZAIRIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000247 HAZAIRIN 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000247 HAZAIRIN 05/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000248 MELIE 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000248 MELIE 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000248 MELIE 05/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000248 MELIE 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000248 MELIE 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000248 MELIE 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000248 MELIE 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000249 GUNAWAN 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000249 GUNAWAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000249 GUNAWAN 05/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000249 GUNAWAN 05/02/2024 Kolesterol HDL 44.00 mgr/dl Rp. 45.000

179.00
0441L0010224P000249 GUNAWAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000249 GUNAWAN 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000249 GUNAWAN 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000250 HILZON DAHLAN 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000250 HILZON DAHLAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000250 HILZON DAHLAN 05/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000250 HILZON DAHLAN 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000250 HILZON DAHLAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000250 HILZON DAHLAN 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000250 HILZON DAHLAN 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000251 DANIEL LEO 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000251 DANIEL LEO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000251 DANIEL LEO 05/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000251 DANIEL LEO 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000251 DANIEL LEO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000251 DANIEL LEO 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000251 DANIEL LEO 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

175.00
0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000252 MATTHEUS BONAVIANUS 05/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

148.00
0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000253 RAHMAD ZULKARNAIN 05/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

141.00
0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

213.00
0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000254 ISPEBRIWENTI 05/02/2024 Ureum 34.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000255 YUSRIL USMAN 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

186.00
0441L0010224P000255 YUSRIL USMAN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
114.00
0441L0010224P000255 YUSRIL USMAN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000255 YUSRIL USMAN 05/02/2024 Kolesterol HDL 70.00 mgr/dl Rp. 45.000

279.00
0441L0010224P000255 YUSRIL USMAN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000255 YUSRIL USMAN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000255 YUSRIL USMAN 05/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000256 ZAILANI SIREGAR 05/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000257 TAZARUDDIN 05/02/2024 HbA1c 10.50 % Rp. 160.000

0441L0010224P000257 TAZARUDDIN 05/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000257 TAZARUDDIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000257 TAZARUDDIN 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000257 TAZARUDDIN 05/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000257 TAZARUDDIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000257 TAZARUDDIN 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000257 TAZARUDDIN 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

207.00
0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000258 RADIUS PRAWIRA NEGARA 05/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
133.00
0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

226.00
0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000259 RIDWAN ANWAR 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000260 SUSENO 05/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000260 SUSENO 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000260 SUSENO 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000260 SUSENO 05/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000260 SUSENO 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000260 SUSENO 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000260 SUSENO 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000260 SUSENO 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000261 SISWAN ANSORI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000261 SISWAN ANSORI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0010224P000261 SISWAN ANSORI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000261 SISWAN ANSORI 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000261 SISWAN ANSORI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000261 SISWAN ANSORI 05/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000261 SISWAN ANSORI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000262 WARJIATI 05/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000262 WARJIATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000262 WARJIATI 05/02/2024 Kolesterol Trigliserida 74.00 mgr/dl Rp. 50.000

0441L0010224P000262 WARJIATI 05/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000262 WARJIATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000262 WARJIATI 05/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000262 WARJIATI 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 HbA1c 7.60 % Rp. 160.000

0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
210.00
0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000263 HASANUDDIN SIDIK 05/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000264 FITRA HAYANI 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000264 FITRA HAYANI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
133.00
0441L0010224P000264 FITRA HAYANI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000264 FITRA HAYANI 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000264 FITRA HAYANI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000264 FITRA HAYANI 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000264 FITRA HAYANI 05/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000265 JULIUS EFENDI 05/02/2024 HbA1c 6.20 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000265 JULIUS EFENDI 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

208.00
0441L0010224P000265 JULIUS EFENDI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
232.00
0441L0010224P000265 JULIUS EFENDI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000265 JULIUS EFENDI 05/02/2024 Kolesterol HDL 84.00 mgr/dl Rp. 45.000

338.00
0441L0010224P000265 JULIUS EFENDI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000265 JULIUS EFENDI 05/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000265 JULIUS EFENDI 05/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000266 IRDAYATI 05/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

141.00
0441L0010224P000266 IRDAYATI 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
136.00
0441L0010224P000266 IRDAYATI 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000266 IRDAYATI 05/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

206.00
0441L0010224P000266 IRDAYATI 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000266 IRDAYATI 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000266 IRDAYATI 05/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000267 NIMIAH 05/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000267 NIMIAH 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000267 NIMIAH 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000267 NIMIAH 05/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000267 NIMIAH 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000267 NIMIAH 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000267 NIMIAH 05/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000267 NIMIAH 05/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000268 DWI NOVALINA 05/02/2024 HbA1c 7.00 % Rp. 160.000

0441L0010224P000268 DWI NOVALINA 05/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000268 DWI NOVALINA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000268 DWI NOVALINA 05/02/2024 Kolesterol Trigliserida 75.00 mgr/dl Rp. 50.000

0441L0010224P000268 DWI NOVALINA 05/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000268 DWI NOVALINA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000268 DWI NOVALINA 05/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000268 DWI NOVALINA 05/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

PRIMA TOBERLINA OKTAVIANI


0441L0010224P000269 05/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000
PURBA
PRIMA TOBERLINA OKTAVIANI 118.00
0441L0010224P000269 05/02/2024 Kolesterol LDL Rp. 60.000
PURBA mgr/dl
PRIMA TOBERLINA OKTAVIANI
0441L0010224P000269 05/02/2024 Kolesterol Trigliserida 72.00 mgr/dl Rp. 50.000
PURBA
PRIMA TOBERLINA OKTAVIANI
0441L0010224P000269 05/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000
PURBA
PRIMA TOBERLINA OKTAVIANI 175.00
0441L0010224P000269 05/02/2024 Kolesterol Total Rp. 45.000
PURBA mgr/dl
PRIMA TOBERLINA OKTAVIANI
0441L0010224P000269 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000
PURBA
PRIMA TOBERLINA OKTAVIANI
0441L0010224P000269 05/02/2024 Ureum 33.00 mgr/dl Rp. 30.000
PURBA

0441L0010224P000270 A. SIWAYANTA 05/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000270 A. SIWAYANTA 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000270 A. SIWAYANTA 05/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000270 A. SIWAYANTA 05/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000270 A. SIWAYANTA 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000270 A. SIWAYANTA 05/02/2024 Kreatinin 1.90 mgr/dl Rp. 30.000

0441L0010224P000270 A. SIWAYANTA 05/02/2024 Ureum 64.00 mgr/dl Rp. 30.000

0441L0010224P000271 YUSNIDAR 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000271 YUSNIDAR 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000271 YUSNIDAR 02/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000271 YUSNIDAR 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000271 YUSNIDAR 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000271 YUSNIDAR 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000271 YUSNIDAR 02/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000272 AMINLUDIN 05/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000272 AMINLUDIN 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000272 AMINLUDIN 05/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000272 AMINLUDIN 05/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000272 AMINLUDIN 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000272 AMINLUDIN 05/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000272 AMINLUDIN 05/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000273 UCOK 05/02/2024 HbA1c 7.00 % Rp. 160.000

0441L0010224P000273 UCOK 05/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000273 UCOK 05/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000273 UCOK 05/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000273 UCOK 05/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000273 UCOK 05/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000273 UCOK 05/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000273 UCOK 05/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000274 SOTRIA WATI 02/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000274 SOTRIA WATI 02/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000274 SOTRIA WATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000274 SOTRIA WATI 02/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000274 SOTRIA WATI 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

178.00
0441L0010224P000274 SOTRIA WATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000274 SOTRIA WATI 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000274 SOTRIA WATI 02/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000275 SUBAIDA 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

121.00
0441L0010224P000275 SUBAIDA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000275 SUBAIDA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000275 SUBAIDA 02/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000275 SUBAIDA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000275 SUBAIDA 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000275 SUBAIDA 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000276 ELVIDA HUSNI 02/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000276 ELVIDA HUSNI 02/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000277 LOTMA WATI 02/02/2024 HbA1c 7.50 % Rp. 160.000

0441L0010224P000277 LOTMA WATI 02/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000277 LOTMA WATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000277 LOTMA WATI 02/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000277 LOTMA WATI 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000277 LOTMA WATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000277 LOTMA WATI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000277 LOTMA WATI 02/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000278 HAIRONI 02/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000278 HAIRONI 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000278 HAIRONI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000278 HAIRONI 02/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000278 HAIRONI 02/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000278 HAIRONI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000278 HAIRONI 02/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000278 HAIRONI 02/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000279 MAHYUDIN 02/02/2024 HbA1c 5.70 % Rp. 160.000

0441L0010224P000279 MAHYUDIN 02/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000279 MAHYUDIN 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000279 MAHYUDIN 02/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000279 MAHYUDIN 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000279 MAHYUDIN 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000279 MAHYUDIN 02/02/2024 Kreatinin 2.10 mgr/dl Rp. 30.000

0441L0010224P000279 MAHYUDIN 02/02/2024 Ureum 71.00 mgr/dl Rp. 30.000

0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000280 ZUMROTUL AINI 02/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000281 JUNAIDAH 02/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000281 JUNAIDAH 02/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000281 JUNAIDAH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
131.00
0441L0010224P000281 JUNAIDAH 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000281 JUNAIDAH 02/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

215.00
0441L0010224P000281 JUNAIDAH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000281 JUNAIDAH 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000281 JUNAIDAH 02/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000282 SUPINI 02/02/2024 HbA1c 7.90 % Rp. 160.000

0441L0010224P000282 SUPINI 02/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000282 SUPINI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000282 SUPINI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000282 SUPINI 02/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

222.00
0441L0010224P000282 SUPINI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000282 SUPINI 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000282 SUPINI 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000283 PURWANINGSIH 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000283 PURWANINGSIH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000283 PURWANINGSIH 02/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000283 PURWANINGSIH 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000283 PURWANINGSIH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000283 PURWANINGSIH 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000283 PURWANINGSIH 02/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000284 parida 02/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000284 parida 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000284 parida 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000284 parida 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000284 parida 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000284 parida 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000284 parida 02/02/2024 Ureum 18.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000285 samik ana 02/02/2024 HbA1c 8.10 % Rp. 160.000

0441L0010224P000285 samik ana 02/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000285 samik ana 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000285 samik ana 02/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000285 samik ana 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000285 samik ana 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000285 samik ana 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000285 samik ana 02/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000286 SADARIAH 02/02/2024 HbA1c 9.70 % Rp. 160.000

0441L0010224P000286 SADARIAH 02/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

149.00
0441L0010224P000286 SADARIAH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000286 SADARIAH 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000286 SADARIAH 02/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

227.00
0441L0010224P000286 SADARIAH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000286 SADARIAH 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000286 SADARIAH 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000287 SUPADMI 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000287 SUPADMI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000287 SUPADMI 02/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000287 SUPADMI 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000287 SUPADMI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000287 SUPADMI 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000287 SUPADMI 02/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000288 HASAN SUHARI 02/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000288 HASAN SUHARI 02/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

124.00
0441L0010224P000288 HASAN SUHARI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000288 HASAN SUHARI 02/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000288 HASAN SUHARI 02/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000288 HASAN SUHARI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000288 HASAN SUHARI 02/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000288 HASAN SUHARI 02/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000289 YUNIATI 02/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000289 YUNIATI 02/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000289 YUNIATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000289 YUNIATI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000289 YUNIATI 02/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000289 YUNIATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000289 YUNIATI 02/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000289 YUNIATI 02/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000290 LILI SURYANA 02/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000290 LILI SURYANA 02/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000290 LILI SURYANA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0010224P000290 LILI SURYANA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000290 LILI SURYANA 02/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

221.00
0441L0010224P000290 LILI SURYANA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000290 LILI SURYANA 02/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000290 LILI SURYANA 02/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000291 FAUZIAH 02/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000291 FAUZIAH 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000291 FAUZIAH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

111.00
0441L0010224P000291 FAUZIAH 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000291 FAUZIAH 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000291 FAUZIAH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000291 FAUZIAH 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000291 FAUZIAH 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000292 ROHENI 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000292 ROHENI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000292 ROHENI 02/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000292 ROHENI 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000292 ROHENI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000292 ROHENI 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000292 ROHENI 02/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000293 HARNI YURIANI 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000293 HARNI YURIANI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000293 HARNI YURIANI 02/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000293 HARNI YURIANI 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000293 HARNI YURIANI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000293 HARNI YURIANI 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000293 HARNI YURIANI 02/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000294 SITI JANAINI 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000294 SITI JANAINI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000294 SITI JANAINI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000294 SITI JANAINI 02/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000294 SITI JANAINI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000294 SITI JANAINI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000294 SITI JANAINI 02/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000295 ARMAWATI 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000295 ARMAWATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000295 ARMAWATI 02/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000295 ARMAWATI 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000295 ARMAWATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000295 ARMAWATI 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000295 ARMAWATI 02/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000296 UNSYAHRI 02/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000296 UNSYAHRI 02/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

108.00
0441L0010224P000296 UNSYAHRI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
145.00
0441L0010224P000296 UNSYAHRI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000296 UNSYAHRI 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000296 UNSYAHRI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000296 UNSYAHRI 02/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000296 UNSYAHRI 02/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000297 RAHAMNA 02/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000297 RAHAMNA 02/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000297 RAHAMNA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000297 RAHAMNA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000297 RAHAMNA 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000297 RAHAMNA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000297 RAHAMNA 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000297 RAHAMNA 02/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000298 hanima 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

128.00
0441L0010224P000298 hanima 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000298 hanima 02/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000298 hanima 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000298 hanima 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000298 hanima 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000298 hanima 02/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000299 ELVA ARYANI 02/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000299 ELVA ARYANI 02/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000299 ELVA ARYANI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000299 ELVA ARYANI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000299 ELVA ARYANI 02/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000299 ELVA ARYANI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000299 ELVA ARYANI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000299 ELVA ARYANI 02/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000300 Andriani 02/02/2024 HbA1c 10.50 % Rp. 160.000

0441L0010224P000300 Andriani 02/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000300 Andriani 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0010224P000300 Andriani 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000300 Andriani 02/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

230.00
0441L0010224P000300 Andriani 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000300 Andriani 02/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000300 Andriani 02/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000301 ROSIDA 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000301 ROSIDA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000301 ROSIDA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000301 ROSIDA 02/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000301 ROSIDA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000301 ROSIDA 02/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000301 ROSIDA 02/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000302 LISMI HERAWATI 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000302 LISMI HERAWATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000302 LISMI HERAWATI 02/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000302 LISMI HERAWATI 02/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000302 LISMI HERAWATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000302 LISMI HERAWATI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000302 LISMI HERAWATI 02/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000303 NISDAYENI 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000303 NISDAYENI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
187.00
0441L0010224P000303 NISDAYENI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000303 NISDAYENI 02/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000303 NISDAYENI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000303 NISDAYENI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000303 NISDAYENI 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000304 ALMUL KIAMA 02/02/2024 HbA1c 8.80 % Rp. 160.000

0441L0010224P000304 ALMUL KIAMA 02/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000304 ALMUL KIAMA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
170.00
0441L0010224P000304 ALMUL KIAMA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000304 ALMUL KIAMA 02/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000304 ALMUL KIAMA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000304 ALMUL KIAMA 02/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000304 ALMUL KIAMA 02/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000305 RICO APRIYANTO 02/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000305 RICO APRIYANTO 02/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000305 RICO APRIYANTO 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0010224P000305 RICO APRIYANTO 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000305 RICO APRIYANTO 02/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000305 RICO APRIYANTO 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000305 RICO APRIYANTO 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000305 RICO APRIYANTO 02/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000306 YETRIZAL 02/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000306 YETRIZAL 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0441L0010224P000306 YETRIZAL 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000306 YETRIZAL 02/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

233.00
0441L0010224P000306 YETRIZAL 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000306 YETRIZAL 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000306 YETRIZAL 02/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Kolesterol LDL 17.00 mgr/dl Rp. 60.000

336.00
0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Kolesterol HDL 72.00 mgr/dl Rp. 45.000

286.00
0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000307 PARNINGOTAN SITOHANG 02/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000308 AGUS RYANTI 02/02/2024 HbA1c 7.20 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000308 AGUS RYANTI 02/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000308 AGUS RYANTI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000308 AGUS RYANTI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000308 AGUS RYANTI 02/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000308 AGUS RYANTI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000308 AGUS RYANTI 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000308 AGUS RYANTI 02/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000309 KURNIASIH 02/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000309 KURNIASIH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000309 KURNIASIH 02/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000309 KURNIASIH 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000309 KURNIASIH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000309 KURNIASIH 02/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000309 KURNIASIH 02/02/2024 Ureum 68.00 mgr/dl Rp. 30.000

0441L0010224P000310 ARMEN 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000310 ARMEN 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
185.00
0441L0010224P000310 ARMEN 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000310 ARMEN 02/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0010224P000310 ARMEN 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000310 ARMEN 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000310 ARMEN 02/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000311 NUrSYAMSI 02/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000311 NUrSYAMSI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
199.00
0441L0010224P000311 NUrSYAMSI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000311 NUrSYAMSI 02/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

235.00
0441L0010224P000311 NUrSYAMSI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000311 NUrSYAMSI 02/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000311 NUrSYAMSI 02/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000312 MUINAH 02/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000312 MUINAH 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
129.00
0441L0010224P000312 MUINAH 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000312 MUINAH 02/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000312 MUINAH 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000312 MUINAH 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000312 MUINAH 02/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000313 EMILAWATI 02/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000313 EMILAWATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000313 EMILAWATI 02/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000313 EMILAWATI 02/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000313 EMILAWATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000313 EMILAWATI 02/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000313 EMILAWATI 02/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000314 NURLELA 02/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000314 NURLELA 02/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

141.00
0441L0010224P000314 NURLELA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000314 NURLELA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000314 NURLELA 02/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000314 NURLELA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000314 NURLELA 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000314 NURLELA 02/02/2024 Ureum 25.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 HbA1c 8.40 % Rp. 160.000

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000315 MUHAMMAD DARELL PANGESTU 02/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000316 ARNELIS 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000316 ARNELIS 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000316 ARNELIS 02/02/2024 Kolesterol Trigliserida 78.00 mgr/dl Rp. 50.000

0441L0010224P000316 ARNELIS 02/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000316 ARNELIS 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000316 ARNELIS 02/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000316 ARNELIS 02/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000317 SITI HUSNAWATI 02/02/2024 HbA1c 10.40 % Rp. 160.000

0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

162.00
0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
162.00
0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Kolesterol HDL 65.00 mgr/dl Rp. 45.000

259.00
0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000317 SITI HUSNAWATI 02/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000318 AZWARDI 02/02/2024 HbA1c 10.10 % Rp. 160.000

0441L0010224P000318 AZWARDI 02/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

118.00
0441L0010224P000318 AZWARDI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
146.00
0441L0010224P000318 AZWARDI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000318 AZWARDI 02/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000318 AZWARDI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000318 AZWARDI 02/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000318 AZWARDI 02/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000319 dewi sartika 02/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000319 dewi sartika 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000319 dewi sartika 02/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000319 dewi sartika 02/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000319 dewi sartika 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000319 dewi sartika 02/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000319 dewi sartika 02/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000320 MIZI FITRIANI 07/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000320 MIZI FITRIANI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000320 MIZI FITRIANI 07/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000320 MIZI FITRIANI 07/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000320 MIZI FITRIANI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000320 MIZI FITRIANI 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000320 MIZI FITRIANI 07/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000321 DASUMI 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

148.00
0441L0010224P000321 DASUMI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000321 DASUMI 07/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000321 DASUMI 07/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000321 DASUMI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000321 DASUMI 07/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000321 DASUMI 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000322 WIJI 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000322 WIJI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000322 WIJI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000322 WIJI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000322 WIJI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000322 WIJI 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000322 WIJI 07/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000323 TAMINI 07/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000323 TAMINI 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000323 TAMINI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
132.00
0441L0010224P000323 TAMINI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000323 TAMINI 07/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

211.00
0441L0010224P000323 TAMINI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000323 TAMINI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000323 TAMINI 07/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000324 kartumi 07/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000324 kartumi 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000324 kartumi 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000324 kartumi 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000324 kartumi 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000324 kartumi 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000324 kartumi 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000324 kartumi 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000325 KASMIRAH 07/02/2024 HbA1c 10.30 % Rp. 160.000

0441L0010224P000325 KASMIRAH 07/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000325 KASMIRAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000325 KASMIRAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000325 KASMIRAH 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000325 KASMIRAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000325 KASMIRAH 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000325 KASMIRAH 07/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000326 NURYANAH 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000326 NURYANAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000326 NURYANAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000326 NURYANAH 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000326 NURYANAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000326 NURYANAH 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000326 NURYANAH 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000327 WAGIRAH 07/02/2024 HbA1c 7.80 % Rp. 160.000

0441L0010224P000327 WAGIRAH 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000327 WAGIRAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000327 WAGIRAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000327 WAGIRAH 07/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000327 WAGIRAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000327 WAGIRAH 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000327 WAGIRAH 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

144.00
0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000328 SRI ENDANGSIH 07/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000329 TASRIAH 07/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000329 TASRIAH 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000329 TASRIAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
114.00
0441L0010224P000329 TASRIAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000329 TASRIAH 07/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000329 TASRIAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000329 TASRIAH 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000329 TASRIAH 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000330 PIPIN ROKHAYAH 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000331 ARYATI 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000331 ARYATI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000331 ARYATI 07/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000331 ARYATI 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000331 ARYATI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000331 ARYATI 07/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000331 ARYATI 07/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000332 HASIDAH HELMI 07/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000332 HASIDAH HELMI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0441L0010224P000332 HASIDAH HELMI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000332 HASIDAH HELMI 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000332 HASIDAH HELMI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000332 HASIDAH HELMI 07/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000332 HASIDAH HELMI 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000333 SARIYEM 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000333 SARIYEM 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000333 SARIYEM 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000333 SARIYEM 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000333 SARIYEM 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000333 SARIYEM 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000333 SARIYEM 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000334 NYI HINDUN 07/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000334 NYI HINDUN 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000334 NYI HINDUN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000334 NYI HINDUN 07/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000334 NYI HINDUN 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000334 NYI HINDUN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000334 NYI HINDUN 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000334 NYI HINDUN 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000335 ABIDIN 07/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000335 ABIDIN 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000335 ABIDIN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000335 ABIDIN 07/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000335 ABIDIN 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000335 ABIDIN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000335 ABIDIN 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000335 ABIDIN 07/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000336 MARMIN 07/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000336 MARMIN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000336 MARMIN 07/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000336 MARMIN 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000336 MARMIN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000336 MARMIN 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000336 MARMIN 07/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000337 M. YUNUS 07/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000337 M. YUNUS 07/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000337 M. YUNUS 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0010224P000337 M. YUNUS 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000337 M. YUNUS 07/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

225.00
0441L0010224P000337 M. YUNUS 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000337 M. YUNUS 07/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000337 M. YUNUS 07/02/2024 Ureum 65.00 mgr/dl Rp. 30.000

0441L0010224P000338 SUANDI 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

140.00
0441L0010224P000338 SUANDI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000338 SUANDI 07/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000338 SUANDI 07/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0010224P000338 SUANDI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000338 SUANDI 07/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000338 SUANDI 07/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000339 TARYAMIN 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000339 TARYAMIN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000339 TARYAMIN 07/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000339 TARYAMIN 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000339 TARYAMIN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000339 TARYAMIN 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000339 TARYAMIN 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000340 INASAH 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000340 INASAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000340 INASAH 07/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000340 INASAH 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000340 INASAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000340 INASAH 07/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000340 INASAH 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000341 DAJAN 07/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000341 DAJAN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000341 DAJAN 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000341 DAJAN 07/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000341 DAJAN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000341 DAJAN 07/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000341 DAJAN 07/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000342 MISRO 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000342 MISRO 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000342 MISRO 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000342 MISRO 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000342 MISRO 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000342 MISRO 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000342 MISRO 07/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000343 MAT KUSEN 07/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000343 MAT KUSEN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000343 MAT KUSEN 07/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000343 MAT KUSEN 07/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000343 MAT KUSEN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000343 MAT KUSEN 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000343 MAT KUSEN 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000344 KASRI 07/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000344 KASRI 07/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000344 KASRI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000344 KASRI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000344 KASRI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000344 KASRI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000344 KASRI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000344 KASRI 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000345 RAMAIYANA 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

126.00
0441L0010224P000345 RAMAIYANA 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000345 RAMAIYANA 07/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000345 RAMAIYANA 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000345 RAMAIYANA 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000345 RAMAIYANA 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000345 RAMAIYANA 07/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000346 M SUKI 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000346 M SUKI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000346 M SUKI 07/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000346 M SUKI 07/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000346 M SUKI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000346 M SUKI 07/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000346 M SUKI 07/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000347 YATINI 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000347 YATINI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000347 YATINI 07/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000347 YATINI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000347 YATINI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000347 YATINI 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000347 YATINI 07/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000348 TUKIJO 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000348 TUKIJO 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000348 TUKIJO 07/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000348 TUKIJO 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000348 TUKIJO 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000348 TUKIJO 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000348 TUKIJO 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000349 ROHAYATI 07/02/2024 HbA1c 9.10 % Rp. 160.000

0441L0010224P000349 ROHAYATI 07/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000349 ROHAYATI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000349 ROHAYATI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000349 ROHAYATI 07/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

230.00
0441L0010224P000349 ROHAYATI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000349 ROHAYATI 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000349 ROHAYATI 07/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000350 DARNIATI 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

112.00
0441L0010224P000350 DARNIATI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000350 DARNIATI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000350 DARNIATI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000350 DARNIATI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000350 DARNIATI 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000350 DARNIATI 07/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000351 EKA LOSARI 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000351 EKA LOSARI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000351 EKA LOSARI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000351 EKA LOSARI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000351 EKA LOSARI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000351 EKA LOSARI 07/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000351 EKA LOSARI 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000352 DULHADI 07/02/2024 HbA1c 5.90 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000352 DULHADI 07/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000352 DULHADI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000352 DULHADI 07/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000352 DULHADI 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000352 DULHADI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000352 DULHADI 07/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000352 DULHADI 07/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000353 BUYADI 07/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000353 BUYADI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000353 BUYADI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000353 BUYADI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000353 BUYADI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000353 BUYADI 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000353 BUYADI 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000354 SURATMI 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000354 SURATMI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0010224P000354 SURATMI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000354 SURATMI 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000354 SURATMI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000354 SURATMI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000354 SURATMI 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000355 SURYANI 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000355 SURYANI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0441L0010224P000355 SURYANI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000355 SURYANI 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

196.00
0441L0010224P000355 SURYANI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000355 SURYANI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000355 SURYANI 07/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000356 ISPARUDIN 07/02/2024 HbA1c 7.20 % Rp. 160.000

0441L0010224P000356 ISPARUDIN 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

152.00
0441L0010224P000356 ISPARUDIN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000356 ISPARUDIN 07/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000356 ISPARUDIN 07/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

225.00
0441L0010224P000356 ISPARUDIN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000356 ISPARUDIN 07/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000356 ISPARUDIN 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000357 SAMIDI 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000357 SAMIDI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000357 SAMIDI 07/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000357 SAMIDI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000357 SAMIDI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000357 SAMIDI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000357 SAMIDI 07/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000358 MURNI 07/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000358 MURNI 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000358 MURNI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000358 MURNI 07/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000358 MURNI 07/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000358 MURNI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000358 MURNI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000358 MURNI 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000359 CASMIAH 07/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000359 CASMIAH 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000359 CASMIAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000359 CASMIAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000359 CASMIAH 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000359 CASMIAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000359 CASMIAH 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000359 CASMIAH 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000360 FITRI ARYANI 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000360 FITRI ARYANI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000360 FITRI ARYANI 07/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000360 FITRI ARYANI 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000360 FITRI ARYANI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000360 FITRI ARYANI 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000360 FITRI ARYANI 07/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000361 WASIH 07/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000361 WASIH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000361 WASIH 07/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000361 WASIH 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000361 WASIH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000361 WASIH 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000361 WASIH 07/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000362 RANTINAH 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000362 RANTINAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000362 RANTINAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000362 RANTINAH 07/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000362 RANTINAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000362 RANTINAH 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000362 RANTINAH 07/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000363 SOLIHIN 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000363 SOLIHIN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000363 SOLIHIN 07/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000363 SOLIHIN 07/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000363 SOLIHIN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000363 SOLIHIN 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000363 SOLIHIN 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000364 RAMBAT WAHYUNINGSIH 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000365 LASMI 07/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000365 LASMI 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000365 LASMI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000365 LASMI 07/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000365 LASMI 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000365 LASMI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000365 LASMI 07/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000365 LASMI 07/02/2024 Ureum 36.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000366 TURINI 07/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000366 TURINI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000366 TURINI 07/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000366 TURINI 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000366 TURINI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000366 TURINI 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000366 TURINI 07/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000367 TUKIMAN 07/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000367 TUKIMAN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000367 TUKIMAN 07/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000367 TUKIMAN 07/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000367 TUKIMAN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000367 TUKIMAN 07/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000367 TUKIMAN 07/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000368 taryunah 07/02/2024 HbA1c 5.80 % Rp. 160.000

0441L0010224P000368 taryunah 07/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000368 taryunah 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000368 taryunah 07/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000368 taryunah 07/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000368 taryunah 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000368 taryunah 07/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000368 taryunah 07/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000369 SUMEH 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000369 SUMEH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000369 SUMEH 07/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000369 SUMEH 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

184.00
0441L0010224P000369 SUMEH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000369 SUMEH 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000369 SUMEH 07/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000370 SUHENI 07/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

150.00
0441L0010224P000370 SUHENI 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
149.00
0441L0010224P000370 SUHENI 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000370 SUHENI 07/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000370 SUHENI 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000370 SUHENI 07/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000370 SUHENI 07/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000371 SOLEKAH 07/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

150.00
0441L0010224P000371 SOLEKAH 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
194.00
0441L0010224P000371 SOLEKAH 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000371 SOLEKAH 07/02/2024 Kolesterol HDL 63.00 mgr/dl Rp. 45.000

252.00
0441L0010224P000371 SOLEKAH 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000371 SOLEKAH 07/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000371 SOLEKAH 07/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000372 TOPAN 07/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000372 TOPAN 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000372 TOPAN 07/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000372 TOPAN 07/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000372 TOPAN 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000372 TOPAN 07/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000372 TOPAN 07/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000373 BUNAIM 07/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

126.00
0441L0010224P000373 BUNAIM 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000373 BUNAIM 07/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000373 BUNAIM 07/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000373 BUNAIM 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000373 BUNAIM 07/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000373 BUNAIM 07/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000374 AGUS TRIPRIANTO 07/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000375 WIRYANTO 16/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000375 WIRYANTO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000375 WIRYANTO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000375 WIRYANTO 16/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000375 WIRYANTO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000375 WIRYANTO 16/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000375 WIRYANTO 16/02/2024 Ureum 69.00 mgr/dl Rp. 30.000

0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

237.00
0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000376 KOIDA PASARIBU 16/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000377 R. LIMBONG 16/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000377 R. LIMBONG 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000377 R. LIMBONG 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000377 R. LIMBONG 16/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0010224P000377 R. LIMBONG 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000377 R. LIMBONG 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000377 R. LIMBONG 16/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000378 IBNU SITANGGANG 16/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
116.00
0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000378 IBNU SITANGGANG 16/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000379 HAMSYAH YOHANES 16/02/2024 Ureum 33.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000380 YANUARIUS PURWOSEPUTRO 16/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000381 SRI ANGGARTUTI 16/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
181.00
0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000382 THERESIA SUNARSI 16/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000383 T. PASARIBU 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000383 T. PASARIBU 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000383 T. PASARIBU 16/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000383 T. PASARIBU 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

185.00
0441L0010224P000383 T. PASARIBU 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000383 T. PASARIBU 16/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000383 T. PASARIBU 16/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
144.00
0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000384 SONNI SIMANJUNTAK 16/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000385 SUBAGIO 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000385 SUBAGIO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
138.00
0441L0010224P000385 SUBAGIO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000385 SUBAGIO 16/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000385 SUBAGIO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000385 SUBAGIO 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000385 SUBAGIO 16/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000386 IVONE EVELINE 16/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000386 IVONE EVELINE 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000386 IVONE EVELINE 16/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000386 IVONE EVELINE 16/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000386 IVONE EVELINE 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000386 IVONE EVELINE 16/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000386 IVONE EVELINE 16/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000387 BENNY YEOCH 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

128.00
0441L0010224P000387 BENNY YEOCH 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0441L0010224P000387 BENNY YEOCH 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000387 BENNY YEOCH 16/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0010224P000387 BENNY YEOCH 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000387 BENNY YEOCH 16/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000387 BENNY YEOCH 16/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000388 R. MANIK 16/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

150.00
0441L0010224P000388 R. MANIK 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000388 R. MANIK 16/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000388 R. MANIK 16/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0010224P000388 R. MANIK 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000388 R. MANIK 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000388 R. MANIK 16/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000389 R. SIMANJUNTAK 16/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000390 SRI YANI 16/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

148.00
0441L0010224P000390 SRI YANI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
139.00
0441L0010224P000390 SRI YANI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000390 SRI YANI 16/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

235.00
0441L0010224P000390 SRI YANI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000390 SRI YANI 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000390 SRI YANI 16/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000391 SUDARMANTO 16/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000391 SUDARMANTO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0010224P000391 SUDARMANTO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000391 SUDARMANTO 16/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000391 SUDARMANTO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000391 SUDARMANTO 16/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000391 SUDARMANTO 16/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000392 abdul hadi 16/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000392 abdul hadi 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0010224P000392 abdul hadi 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000392 abdul hadi 16/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000392 abdul hadi 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000392 abdul hadi 16/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000392 abdul hadi 16/02/2024 Ureum 49.00 mgr/dl Rp. 30.000

0441L0010224P000393 IDHAM CHOLID 16/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000393 IDHAM CHOLID 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0441L0010224P000393 IDHAM CHOLID 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000393 IDHAM CHOLID 16/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000393 IDHAM CHOLID 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000393 IDHAM CHOLID 16/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000393 IDHAM CHOLID 16/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 HbA1c 10.80 % Rp. 160.000

0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

181.00
0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Kolesterol HDL 67.00 mgr/dl Rp. 45.000

269.00
0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Kreatinin 2.60 mgr/dl Rp. 30.000

0441L0010224P000394 HOTLEN BANJAR NAHOR 16/02/2024 Ureum 88.00 mgr/dl Rp. 30.000

0441L0010224P000395 DESIE NATALINA 16/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000395 DESIE NATALINA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000395 DESIE NATALINA 16/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000395 DESIE NATALINA 16/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000395 DESIE NATALINA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000395 DESIE NATALINA 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000395 DESIE NATALINA 16/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
146.00
0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

233.00
0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000396 MUR ISHANANI PRIYANSIH 16/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000397 ROMAULI SINAGA 16/02/2024 HbA1c 9.70 % Rp. 160.000

0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

210.00
0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000397 ROMAULI SINAGA 16/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000398 MARNI 16/02/2024 HbA1c 11.30 % Rp. 160.000

0441L0010224P000398 MARNI 16/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000398 MARNI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000398 MARNI 16/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000398 MARNI 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000398 MARNI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000398 MARNI 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000398 MARNI 16/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000399 HUSNI THAMRIN 16/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000400 LUSMAN GULTOM 16/02/2024 Ureum 49.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000401 TJIA KONG MAN 16/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000401 TJIA KONG MAN 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000401 TJIA KONG MAN 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000401 TJIA KONG MAN 16/02/2024 Kolesterol Trigliserida 94.00 mgr/dl Rp. 50.000

0441L0010224P000401 TJIA KONG MAN 16/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000401 TJIA KONG MAN 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000401 TJIA KONG MAN 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000401 TJIA KONG MAN 16/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000402 ANDI PURWANTO 16/02/2024 HbA1c 11.80 % Rp. 160.000

0441L0010224P000402 ANDI PURWANTO 16/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000402 ANDI PURWANTO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000402 ANDI PURWANTO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000402 ANDI PURWANTO 16/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

217.00
0441L0010224P000402 ANDI PURWANTO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000402 ANDI PURWANTO 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000402 ANDI PURWANTO 16/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000403 RANI OKTRI JUITA SARI 16/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

123.00
0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000404 MM. NURHANDAYANI 16/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000405 SUPRIYONO 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000405 SUPRIYONO 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000405 SUPRIYONO 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000405 SUPRIYONO 16/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000405 SUPRIYONO 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000405 SUPRIYONO 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000405 SUPRIYONO 16/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000406 LENI RENGGANIS 16/02/2024 HbA1c 10.80 % Rp. 160.000

0441L0010224P000406 LENI RENGGANIS 16/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000406 LENI RENGGANIS 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000406 LENI RENGGANIS 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000406 LENI RENGGANIS 16/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000406 LENI RENGGANIS 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000406 LENI RENGGANIS 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000406 LENI RENGGANIS 16/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

210.00
0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000407 MURTASIAH HIDAYATI 16/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000408 MARZUKI 16/02/2024 HbA1c 9.60 % Rp. 160.000

0441L0010224P000408 MARZUKI 16/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000408 MARZUKI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
126.00
0441L0010224P000408 MARZUKI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000408 MARZUKI 16/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000408 MARZUKI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000408 MARZUKI 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000408 MARZUKI 16/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000409 NURMALA 16/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

154.00
0441L0010224P000409 NURMALA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0441L0010224P000409 NURMALA 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000409 NURMALA 16/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

241.00
0441L0010224P000409 NURMALA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000409 NURMALA 16/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000409 NURMALA 16/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000410 KASMIATI 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000410 KASMIATI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000410 KASMIATI 16/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000410 KASMIATI 16/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000410 KASMIATI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000410 KASMIATI 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000410 KASMIATI 16/02/2024 Ureum 29.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 HbA1c 11.90 % Rp. 160.000

0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
156.00
0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

221.00
0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000411 WILUJENG SRI WAHYUNI 16/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000412 LUSIANA 16/02/2024 HbA1c 8.30 % Rp. 160.000

0441L0010224P000412 LUSIANA 16/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000412 LUSIANA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000412 LUSIANA 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000412 LUSIANA 16/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

213.00
0441L0010224P000412 LUSIANA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000412 LUSIANA 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000412 LUSIANA 16/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000413 MUSPIRAN 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000413 MUSPIRAN 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000413 MUSPIRAN 16/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000413 MUSPIRAN 16/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000413 MUSPIRAN 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000413 MUSPIRAN 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000413 MUSPIRAN 16/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

110.00
0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

221.00
0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000414 DORLAN SIDABALOK 16/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000415 SARMAULINA 16/02/2024 HbA1c 9.00 % Rp. 160.000

0441L0010224P000415 SARMAULINA 16/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000415 SARMAULINA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0010224P000415 SARMAULINA 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000415 SARMAULINA 16/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000415 SARMAULINA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000415 SARMAULINA 16/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000415 SARMAULINA 16/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000416 EMMY MEI SRIWATI 16/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000417 SURNA 16/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

159.00
0441L0010224P000417 SURNA 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000417 SURNA 16/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000417 SURNA 16/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

239.00
0441L0010224P000417 SURNA 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000417 SURNA 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000417 SURNA 16/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000418 SUMINI 16/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000418 SUMINI 16/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000418 SUMINI 16/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000418 SUMINI 16/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000418 SUMINI 16/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000418 SUMINI 16/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000418 SUMINI 16/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000419 HAMBALI 17/02/2024 HbA1c 8.90 % Rp. 160.000

0441L0010224P000419 HAMBALI 17/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000419 HAMBALI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000419 HAMBALI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000419 HAMBALI 17/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000419 HAMBALI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000419 HAMBALI 17/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000419 HAMBALI 17/02/2024 Ureum 42.00 mgr/dl Rp. 30.000

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 HbA1c 8.90 % Rp. 160.000

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

211.00
0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000420 RABIATUL ADAHUYAH 17/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 HbA1c 9.10 % Rp. 160.000

0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000421 MUHAMMAD KADRI 17/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000422 HERLENA 17/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000422 HERLENA 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000422 HERLENA 17/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000422 HERLENA 17/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000422 HERLENA 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000422 HERLENA 17/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000422 HERLENA 17/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

149.00
0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

235.00
0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000423 NOPENSI SUTIMA 17/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000424 NURBAITI 17/02/2024 HbA1c 8.90 % Rp. 160.000

0441L0010224P000424 NURBAITI 17/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

126.00
0441L0010224P000424 NURBAITI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
148.00
0441L0010224P000424 NURBAITI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000424 NURBAITI 17/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

208.00
0441L0010224P000424 NURBAITI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000424 NURBAITI 17/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000424 NURBAITI 17/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 HbA1c 9.30 % Rp. 160.000

0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000425 INDRA SYAHRIAL 17/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000426 NURBAITI 17/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

154.00
0441L0010224P000426 NURBAITI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0010224P000426 NURBAITI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000426 NURBAITI 17/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

244.00
0441L0010224P000426 NURBAITI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000426 NURBAITI 17/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000426 NURBAITI 17/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000427 KARSINI 17/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000427 KARSINI 17/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000427 KARSINI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

108.00
0441L0010224P000427 KARSINI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000427 KARSINI 17/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000427 KARSINI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000427 KARSINI 17/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000427 KARSINI 17/02/2024 Ureum 54.00 mgr/dl Rp. 30.000

0441L0010224P000428 ISKANDAR 17/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

112.00
0441L0010224P000428 ISKANDAR 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0441L0010224P000428 ISKANDAR 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000428 ISKANDAR 17/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000428 ISKANDAR 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000428 ISKANDAR 17/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000428 ISKANDAR 17/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000429 ROHANA 17/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000429 ROHANA 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000429 ROHANA 17/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000429 ROHANA 17/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000429 ROHANA 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000429 ROHANA 17/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000429 ROHANA 17/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 HbA1c 9.60 % Rp. 160.000

0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

165.00
0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Kolesterol HDL 63.00 mgr/dl Rp. 45.000

253.00
0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000430 NUR MUFIDAH KUSUMA DEWI 17/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000431 SUSANTI 17/02/2024 HbA1c 8.90 % Rp. 160.000

0441L0010224P000431 SUSANTI 17/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000431 SUSANTI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000431 SUSANTI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000431 SUSANTI 17/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000431 SUSANTI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000431 SUSANTI 17/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000431 SUSANTI 17/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000432 ROSMAWATI 17/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000432 ROSMAWATI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000432 ROSMAWATI 17/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000432 ROSMAWATI 17/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000432 ROSMAWATI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000432 ROSMAWATI 17/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000432 ROSMAWATI 17/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 HbA1c 8.40 % Rp. 160.000

0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
137.00
0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000433 MALAYATI NINGSIH 17/02/2024 Ureum 24.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000434 HUSNI THAMRIN YS 17/02/2024 Ureum 46.00 mgr/dl Rp. 30.000

0441L0010224P000435 NARUL HANIAH 17/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000435 NARUL HANIAH 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
122.00
0441L0010224P000435 NARUL HANIAH 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000435 NARUL HANIAH 17/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000435 NARUL HANIAH 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000435 NARUL HANIAH 17/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000435 NARUL HANIAH 17/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000436 SINDY WATI 17/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000436 SINDY WATI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000436 SINDY WATI 17/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000436 SINDY WATI 17/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000436 SINDY WATI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000436 SINDY WATI 17/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000436 SINDY WATI 17/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000437 ANSORI SALEH 17/02/2024 HbA1c 7.70 % Rp. 160.000

0441L0010224P000437 ANSORI SALEH 17/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000437 ANSORI SALEH 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000437 ANSORI SALEH 17/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000437 ANSORI SALEH 17/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000437 ANSORI SALEH 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000437 ANSORI SALEH 17/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000437 ANSORI SALEH 17/02/2024 Ureum 42.00 mgr/dl Rp. 30.000

0441L0010224P000438 RAMANI 17/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000438 RAMANI 17/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000438 RAMANI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000438 RAMANI 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000438 RAMANI 17/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000438 RAMANI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000438 RAMANI 17/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000438 RAMANI 17/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000439 MURSIDA 17/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000439 MURSIDA 17/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000439 MURSIDA 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000439 MURSIDA 17/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000439 MURSIDA 17/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000439 MURSIDA 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000439 MURSIDA 17/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000439 MURSIDA 17/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000440 CHALIDAH 17/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000440 CHALIDAH 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
134.00
0441L0010224P000440 CHALIDAH 17/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000440 CHALIDAH 17/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000440 CHALIDAH 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000440 CHALIDAH 17/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000440 CHALIDAH 17/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000441 ENDANG MARTINI 17/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000441 ENDANG MARTINI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000441 ENDANG MARTINI 17/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000441 ENDANG MARTINI 17/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000441 ENDANG MARTINI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000441 ENDANG MARTINI 17/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000441 ENDANG MARTINI 17/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000442 ZULYETTI 17/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000442 ZULYETTI 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000442 ZULYETTI 17/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000442 ZULYETTI 17/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000442 ZULYETTI 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000442 ZULYETTI 17/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000442 ZULYETTI 17/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000443 YOBA FRIANTI SINATRA 17/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000444 BUDI SUSANTI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

161.00
0441L0010224P000444 BUDI SUSANTI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

206.00
0441L0010224P000444 BUDI SUSANTI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000444 BUDI SUSANTI 19/02/2024 Kolesterol HDL 68.00 mgr/dl Rp. 45.000

270.00
0441L0010224P000444 BUDI SUSANTI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000444 BUDI SUSANTI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000444 BUDI SUSANTI 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000445 TOWATI 19/02/2024 HbA1c 9.20 % Rp. 160.000

0441L0010224P000445 TOWATI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

153.00
0441L0010224P000445 TOWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
137.00
0441L0010224P000445 TOWATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000445 TOWATI 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000445 TOWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000445 TOWATI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000445 TOWATI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000446 YUSNA DEWI 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000446 YUSNA DEWI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000446 YUSNA DEWI 19/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000446 YUSNA DEWI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000446 YUSNA DEWI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000446 YUSNA DEWI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000446 YUSNA DEWI 19/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000447 SUNARNI 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000447 SUNARNI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000447 SUNARNI 19/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000447 SUNARNI 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000447 SUNARNI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000447 SUNARNI 19/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000447 SUNARNI 19/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000448 WATINI 19/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000448 WATINI 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000448 WATINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000448 WATINI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
100.00
0441L0010224P000448 WATINI 19/02/2024 Kolesterol HDL Rp. 45.000
mgr/dl
211.00
0441L0010224P000448 WATINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000448 WATINI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000448 WATINI 19/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000449 RINI 19/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000449 RINI 19/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000449 RINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000449 RINI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000449 RINI 19/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000449 RINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000449 RINI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000449 RINI 19/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000450 SALIYEM 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

141.00
0441L0010224P000450 SALIYEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000450 SALIYEM 19/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000450 SALIYEM 19/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

213.00
0441L0010224P000450 SALIYEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000450 SALIYEM 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000450 SALIYEM 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000451 Paing 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000451 Paing 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000451 Paing 19/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000451 Paing 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000451 Paing 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000451 Paing 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000451 Paing 19/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000452 SURADI 19/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000452 SURADI 19/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000452 SURADI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000452 SURADI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000452 SURADI 19/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000452 SURADI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000452 SURADI 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000452 SURADI 19/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000453 MU ATIK 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000453 MU ATIK 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000453 MU ATIK 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000453 MU ATIK 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000453 MU ATIK 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000453 MU ATIK 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000453 MU ATIK 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000454 PONEM 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000454 PONEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000454 PONEM 19/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000454 PONEM 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000454 PONEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000454 PONEM 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000454 PONEM 19/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000455 SUTIYEM 19/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000455 SUTIYEM 19/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000455 SUTIYEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
218.00
0441L0010224P000455 SUTIYEM 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000455 SUTIYEM 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

241.00
0441L0010224P000455 SUTIYEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000455 SUTIYEM 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000455 SUTIYEM 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000456 SRI NGARIATI 19/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000456 SRI NGARIATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
143.00
0441L0010224P000456 SRI NGARIATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000456 SRI NGARIATI 19/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

205.00
0441L0010224P000456 SRI NGARIATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000456 SRI NGARIATI 19/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000456 SRI NGARIATI 19/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000457 JIKEM 19/02/2024 HbA1c 6.70 % Rp. 160.000

0441L0010224P000457 JIKEM 19/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000457 JIKEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
182.00
0441L0010224P000457 JIKEM 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000457 JIKEM 19/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

204.00
0441L0010224P000457 JIKEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000457 JIKEM 19/02/2024 Kreatinin 2.00 mgr/dl Rp. 30.000

0441L0010224P000457 JIKEM 19/02/2024 Ureum 72.00 mgr/dl Rp. 30.000

0441L0010224P000458 JUMARI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000458 JUMARI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000458 JUMARI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000458 JUMARI 19/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000458 JUMARI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000458 JUMARI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000458 JUMARI 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000459 RATINI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000459 RATINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
187.00
0441L0010224P000459 RATINI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000459 RATINI 19/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

206.00
0441L0010224P000459 RATINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000459 RATINI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000459 RATINI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000460 NGADINEM 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000460 NGADINEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000460 NGADINEM 19/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000460 NGADINEM 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000460 NGADINEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000460 NGADINEM 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000460 NGADINEM 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000461 NETTI HERAWATI 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000461 NETTI HERAWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000461 NETTI HERAWATI 19/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000461 NETTI HERAWATI 19/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000461 NETTI HERAWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000461 NETTI HERAWATI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000461 NETTI HERAWATI 19/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000462 Karomah 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000462 Karomah 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000462 Karomah 19/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000462 Karomah 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000462 Karomah 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000462 Karomah 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000462 Karomah 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000463 TUJAH 19/02/2024 HbA1c 7.40 % Rp. 160.000

0441L0010224P000463 TUJAH 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000463 TUJAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000463 TUJAH 19/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000463 TUJAH 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000463 TUJAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000463 TUJAH 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000463 TUJAH 19/02/2024 Ureum 44.00 mgr/dl Rp. 30.000

0441L0010224P000464 ONAH 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000464 ONAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000464 ONAH 19/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000464 ONAH 19/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000464 ONAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000464 ONAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000464 ONAH 19/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000465 NERWANI 19/02/2024 HbA1c 5.90 % Rp. 160.000

0441L0010224P000465 NERWANI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000465 NERWANI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
111.00
0441L0010224P000465 NERWANI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000465 NERWANI 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000465 NERWANI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000465 NERWANI 19/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000465 NERWANI 19/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000466 SUGIANTI 19/02/2024 HbA1c 10.60 % Rp. 160.000

0441L0010224P000466 SUGIANTI 19/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

157.00
0441L0010224P000466 SUGIANTI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000466 SUGIANTI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000466 SUGIANTI 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0010224P000466 SUGIANTI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000466 SUGIANTI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000466 SUGIANTI 19/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000467 SATINI B 19/02/2024 HbA1c 6.40 % Rp. 160.000

0441L0010224P000467 SATINI B 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000467 SATINI B 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000467 SATINI B 19/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000467 SATINI B 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000467 SATINI B 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000467 SATINI B 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000467 SATINI B 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000468 KARTINEM 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000468 KARTINEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000468 KARTINEM 19/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000468 KARTINEM 19/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000468 KARTINEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000468 KARTINEM 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000468 KARTINEM 19/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000469 ICAH 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000469 ICAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
140.00
0441L0010224P000469 ICAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000469 ICAH 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0010224P000469 ICAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000469 ICAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000469 ICAH 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000470 TUMIATI 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000470 TUMIATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000470 TUMIATI 19/02/2024 Kolesterol Trigliserida 77.00 mgr/dl Rp. 50.000

0441L0010224P000470 TUMIATI 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000470 TUMIATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000470 TUMIATI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000470 TUMIATI 19/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000471 SUMARNI 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000471 SUMARNI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000471 SUMARNI 19/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000471 SUMARNI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

185.00
0441L0010224P000471 SUMARNI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000471 SUMARNI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000471 SUMARNI 19/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000472 RUKIYEM 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

156.00
0441L0010224P000472 RUKIYEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000472 RUKIYEM 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000472 RUKIYEM 19/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

237.00
0441L0010224P000472 RUKIYEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000472 RUKIYEM 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000472 RUKIYEM 19/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000473 WINIH 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000473 WINIH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
157.00
0441L0010224P000473 WINIH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000473 WINIH 19/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

207.00
0441L0010224P000473 WINIH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000473 WINIH 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000473 WINIH 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000474 WIWIK YAYU WINARNI 19/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000475 SRI HARTATI 19/02/2024 HbA1c 6.90 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000475 SRI HARTATI 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000475 SRI HARTATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0010224P000475 SRI HARTATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000475 SRI HARTATI 19/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000475 SRI HARTATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000475 SRI HARTATI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000475 SRI HARTATI 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000476 SITI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

152.00
0441L0010224P000476 SITI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000476 SITI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000476 SITI 19/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

231.00
0441L0010224P000476 SITI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000476 SITI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000476 SITI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000477 UNASIH 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

110.00
0441L0010224P000477 UNASIH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
145.00
0441L0010224P000477 UNASIH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000477 UNASIH 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000477 UNASIH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000477 UNASIH 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000477 UNASIH 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000478 YATINAH 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

149.00
0441L0010224P000478 YATINAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
338.00
0441L0010224P000478 YATINAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000478 YATINAH 19/02/2024 Kolesterol HDL 72.00 mgr/dl Rp. 45.000

289.00
0441L0010224P000478 YATINAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000478 YATINAH 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000478 YATINAH 19/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000479 IRIANTO 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

157.00
0441L0010224P000479 IRIANTO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
343.00
0441L0010224P000479 IRIANTO 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000479 IRIANTO 19/02/2024 Kolesterol HDL 74.00 mgr/dl Rp. 45.000

298.00
0441L0010224P000479 IRIANTO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000479 IRIANTO 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000479 IRIANTO 19/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000480 RISIDA WATI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000480 RISIDA WATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000480 RISIDA WATI 19/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000480 RISIDA WATI 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000480 RISIDA WATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000480 RISIDA WATI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000480 RISIDA WATI 19/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000481 TUMIRAH 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000481 TUMIRAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
178.00
0441L0010224P000481 TUMIRAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000481 TUMIRAH 19/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000481 TUMIRAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000481 TUMIRAH 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000481 TUMIRAH 19/02/2024 Ureum 48.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000482 ARYANI 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

108.00
0441L0010224P000482 ARYANI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
136.00
0441L0010224P000482 ARYANI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000482 ARYANI 19/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

180.00
0441L0010224P000482 ARYANI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000482 ARYANI 19/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000482 ARYANI 19/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000483 SUYATNO 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000483 SUYATNO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0010224P000483 SUYATNO 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000483 SUYATNO 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000483 SUYATNO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000483 SUYATNO 19/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000483 SUYATNO 19/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000484 TOMI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

156.00
0441L0010224P000484 TOMI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000484 TOMI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000484 TOMI 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

239.00
0441L0010224P000484 TOMI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000484 TOMI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000484 TOMI 19/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000485 SEMBOL 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000485 SEMBOL 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
122.00
0441L0010224P000485 SEMBOL 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000485 SEMBOL 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000485 SEMBOL 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000485 SEMBOL 19/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000485 SEMBOL 19/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000486 JASMAN 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000486 JASMAN 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000486 JASMAN 19/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000486 JASMAN 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000486 JASMAN 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000486 JASMAN 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000486 JASMAN 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000487 CATIMAH 19/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000487 CATIMAH 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000487 CATIMAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
145.00
0441L0010224P000487 CATIMAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000487 CATIMAH 19/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000487 CATIMAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000487 CATIMAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000487 CATIMAH 19/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000488 ASNAWATI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000488 ASNAWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000488 ASNAWATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000488 ASNAWATI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000488 ASNAWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000488 ASNAWATI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000488 ASNAWATI 19/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000489 NIRWANSYAH 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000489 NIRWANSYAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000489 NIRWANSYAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000489 NIRWANSYAH 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000489 NIRWANSYAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000489 NIRWANSYAH 19/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000489 NIRWANSYAH 19/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000490 HARI ELVA PUSPITA 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000491 DESMIATI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000491 DESMIATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
197.00
0441L0010224P000491 DESMIATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000491 DESMIATI 19/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000491 DESMIATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000491 DESMIATI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000491 DESMIATI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000492 SUPARTI 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000492 SUPARTI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000492 SUPARTI 19/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000492 SUPARTI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000492 SUPARTI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000492 SUPARTI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000492 SUPARTI 19/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000493 TURIYAH 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000493 TURIYAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000493 TURIYAH 19/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000493 TURIYAH 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000493 TURIYAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000493 TURIYAH 19/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000493 TURIYAH 19/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000494 RUBINEM 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000494 RUBINEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000494 RUBINEM 19/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000494 RUBINEM 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000494 RUBINEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000494 RUBINEM 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000494 RUBINEM 19/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000495 NURJANAH 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000495 NURJANAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
314.00
0441L0010224P000495 NURJANAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000495 NURJANAH 19/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000

236.00
0441L0010224P000495 NURJANAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000495 NURJANAH 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000495 NURJANAH 19/02/2024 Ureum 24.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000496 LEGIEM 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

138.00
0441L0010224P000496 LEGIEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000496 LEGIEM 19/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000496 LEGIEM 19/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000496 LEGIEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000496 LEGIEM 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000496 LEGIEM 19/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000497 SURYATI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000497 SURYATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000497 SURYATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000497 SURYATI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000497 SURYATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000497 SURYATI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000497 SURYATI 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000498 TARYUNI 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

116.00
0441L0010224P000498 TARYUNI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
152.00
0441L0010224P000498 TARYUNI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000498 TARYUNI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000498 TARYUNI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000498 TARYUNI 19/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000498 TARYUNI 19/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000499 PONIJAH 19/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000499 PONIJAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000499 PONIJAH 19/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000499 PONIJAH 19/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

215.00
0441L0010224P000499 PONIJAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000499 PONIJAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000499 PONIJAH 19/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000500 SUMIRAH 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000500 SUMIRAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
113.00
0441L0010224P000500 SUMIRAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000500 SUMIRAH 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000500 SUMIRAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000500 SUMIRAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000500 SUMIRAH 19/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000501 RAMISAH 19/02/2024 HbA1c 8.40 % Rp. 160.000

0441L0010224P000501 RAMISAH 19/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000501 RAMISAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000501 RAMISAH 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000501 RAMISAH 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000501 RAMISAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000501 RAMISAH 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000501 RAMISAH 19/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000502 SUBARI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000502 SUBARI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000502 SUBARI 19/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000502 SUBARI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000502 SUBARI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000502 SUBARI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000502 SUBARI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000503 SARMIDAH 19/02/2024 HbA1c 7.50 % Rp. 160.000

0441L0010224P000503 SARMIDAH 19/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000503 SARMIDAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000503 SARMIDAH 19/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000503 SARMIDAH 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000503 SARMIDAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000503 SARMIDAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000503 SARMIDAH 19/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000504 UNTUNG 19/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000504 UNTUNG 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000504 UNTUNG 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000504 UNTUNG 19/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000504 UNTUNG 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000504 UNTUNG 19/02/2024 Kreatinin 1.60 mgr/dl Rp. 30.000

0441L0010224P000504 UNTUNG 19/02/2024 Ureum 56.00 mgr/dl Rp. 30.000

0441L0010224P000505 PARINI 19/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000505 PARINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
188.00
0441L0010224P000505 PARINI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000505 PARINI 19/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000505 PARINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000505 PARINI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000505 PARINI 19/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000506 SAMSIDAR 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000506 SAMSIDAR 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000506 SAMSIDAR 19/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000506 SAMSIDAR 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000506 SAMSIDAR 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000506 SAMSIDAR 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000506 SAMSIDAR 19/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000507 KARYATIK 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000507 KARYATIK 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000507 KARYATIK 19/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000507 KARYATIK 19/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000507 KARYATIK 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000507 KARYATIK 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000507 KARYATIK 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000508 SETIATI 19/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000508 SETIATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
131.00
0441L0010224P000508 SETIATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000508 SETIATI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000508 SETIATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000508 SETIATI 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000508 SETIATI 19/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000509 SABARNO 19/02/2024 HbA1c 8.60 % Rp. 160.000

0441L0010224P000509 SABARNO 19/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000509 SABARNO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000509 SABARNO 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000509 SABARNO 19/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

229.00
0441L0010224P000509 SABARNO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000509 SABARNO 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000509 SABARNO 19/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000510 MISTIAWATI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000510 MISTIAWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
127.00
0441L0010224P000510 MISTIAWATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000510 MISTIAWATI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0010224P000510 MISTIAWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000510 MISTIAWATI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000510 MISTIAWATI 19/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000511 SENEN SIPON 19/02/2024 Microalbuminaria 19.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000511 SENEN SIPON 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
142.00
0441L0010224P000511 SENEN SIPON 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000511 SENEN SIPON 19/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000511 SENEN SIPON 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000511 SENEN SIPON 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000511 SENEN SIPON 19/02/2024 Ureum 43.00 mgr/dl Rp. 30.000

0441L0010224P000512 INDRA PURNAMA 19/02/2024 Microalbuminaria 19.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000512 INDRA PURNAMA 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000512 INDRA PURNAMA 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000512 INDRA PURNAMA 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000512 INDRA PURNAMA 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000512 INDRA PURNAMA 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000512 INDRA PURNAMA 19/02/2024 Ureum 46.00 mgr/dl Rp. 30.000

0441L0010224P000513 MUJIATI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000513 MUJIATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000513 MUJIATI 19/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000513 MUJIATI 19/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000513 MUJIATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000513 MUJIATI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000513 MUJIATI 19/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000514 DENI SULASTRI 19/02/2024 HbA1c 7.10 % Rp. 160.000

0441L0010224P000514 DENI SULASTRI 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000514 DENI SULASTRI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0441L0010224P000514 DENI SULASTRI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000514 DENI SULASTRI 19/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

218.00
0441L0010224P000514 DENI SULASTRI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000514 DENI SULASTRI 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000514 DENI SULASTRI 19/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000515 MARYATI.K 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000515 MARYATI.K 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000515 MARYATI.K 19/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000515 MARYATI.K 19/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000515 MARYATI.K 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000515 MARYATI.K 19/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000515 MARYATI.K 19/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000516 HERMILAWATI 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000516 HERMILAWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
171.00
0441L0010224P000516 HERMILAWATI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000516 HERMILAWATI 19/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

222.00
0441L0010224P000516 HERMILAWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000516 HERMILAWATI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000516 HERMILAWATI 19/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000517 SITI KHODIJAH 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000517 SITI KHODIJAH 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000517 SITI KHODIJAH 19/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000517 SITI KHODIJAH 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000517 SITI KHODIJAH 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000517 SITI KHODIJAH 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000517 SITI KHODIJAH 19/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000518 ROSMAINI. R 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000518 ROSMAINI. R 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000518 ROSMAINI. R 19/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000518 ROSMAINI. R 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000518 ROSMAINI. R 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000518 ROSMAINI. R 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000518 ROSMAINI. R 19/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000519 RUBINEM 19/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000519 RUBINEM 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0441L0010224P000519 RUBINEM 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000519 RUBINEM 19/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

206.00
0441L0010224P000519 RUBINEM 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000519 RUBINEM 19/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000519 RUBINEM 19/02/2024 Ureum 48.00 mgr/dl Rp. 30.000

0441L0010224P000520 IRA APRIANI 19/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

110.00
0441L0010224P000520 IRA APRIANI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
165.00
0441L0010224P000520 IRA APRIANI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000520 IRA APRIANI 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000520 IRA APRIANI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000520 IRA APRIANI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000520 IRA APRIANI 19/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000521 ENIK 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000521 ENIK 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000521 ENIK 19/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000521 ENIK 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000521 ENIK 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000521 ENIK 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000521 ENIK 19/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000522 RINA TRISNAWATI 19/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000523 NANI SUGIERTI 19/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

114.00
0441L0010224P000523 NANI SUGIERTI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000523 NANI SUGIERTI 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000523 NANI SUGIERTI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000523 NANI SUGIERTI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000523 NANI SUGIERTI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000523 NANI SUGIERTI 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000524 REBO 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000524 REBO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000524 REBO 19/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000524 REBO 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000524 REBO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000524 REBO 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000524 REBO 19/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000525 PAINI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000525 PAINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000525 PAINI 19/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000525 PAINI 19/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000525 PAINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000525 PAINI 19/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000525 PAINI 19/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000526 TUPARMAN 19/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000526 TUPARMAN 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000526 TUPARMAN 19/02/2024 Kolesterol Trigliserida 76.00 mgr/dl Rp. 50.000

0441L0010224P000526 TUPARMAN 19/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000526 TUPARMAN 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000526 TUPARMAN 19/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000526 TUPARMAN 19/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000527 LASMINI 19/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000527 LASMINI 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000527 LASMINI 19/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000527 LASMINI 19/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

192.00
0441L0010224P000527 LASMINI 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000527 LASMINI 19/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000527 LASMINI 19/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000528 RISWO 19/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

163.00
0441L0010224P000528 RISWO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000528 RISWO 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000528 RISWO 19/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

245.00
0441L0010224P000528 RISWO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000528 RISWO 19/02/2024 Kreatinin 1.70 mgr/dl Rp. 30.000

0441L0010224P000528 RISWO 19/02/2024 Ureum 63.00 mgr/dl Rp. 30.000

0441L0010224P000529 SUKIRNO 19/02/2024 HbA1c 12.40 % Rp. 160.000

0441L0010224P000529 SUKIRNO 19/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000529 SUKIRNO 19/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
288.00
0441L0010224P000529 SUKIRNO 19/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000529 SUKIRNO 19/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000529 SUKIRNO 19/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000529 SUKIRNO 19/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000529 SUKIRNO 19/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
123.00
0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000530 HAIDIM YAUDI 21/02/2024 Ureum 24.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000531 RUSILA 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000531 RUSILA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000531 RUSILA 21/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000531 RUSILA 21/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000531 RUSILA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000531 RUSILA 21/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000531 RUSILA 21/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000532 ROBINSON 21/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000532 ROBINSON 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000532 ROBINSON 21/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000532 ROBINSON 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000532 ROBINSON 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000532 ROBINSON 21/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000532 ROBINSON 21/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000533 MOMO 21/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000533 MOMO 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000533 MOMO 21/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000533 MOMO 21/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0010224P000533 MOMO 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000533 MOMO 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000533 MOMO 21/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000534 H. HAYATI 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000534 H. HAYATI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000534 H. HAYATI 21/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000534 H. HAYATI 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

192.00
0441L0010224P000534 H. HAYATI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000534 H. HAYATI 21/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000534 H. HAYATI 21/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000535 SUKRI 21/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000535 SUKRI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000535 SUKRI 21/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000535 SUKRI 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000535 SUKRI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000535 SUKRI 21/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000535 SUKRI 21/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000536 ATIMA 21/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000536 ATIMA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000536 ATIMA 21/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000536 ATIMA 21/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000536 ATIMA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000536 ATIMA 21/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000536 ATIMA 21/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000537 MASNAH 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000537 MASNAH 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000537 MASNAH 21/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000537 MASNAH 21/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000537 MASNAH 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000537 MASNAH 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000537 MASNAH 21/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000538 NURYANA 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

130.00
0441L0010224P000538 NURYANA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000538 NURYANA 21/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000538 NURYANA 21/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000538 NURYANA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000538 NURYANA 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000538 NURYANA 21/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000539 JUNAIDI 21/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000539 JUNAIDI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000539 JUNAIDI 21/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000539 JUNAIDI 21/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000539 JUNAIDI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000539 JUNAIDI 21/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000539 JUNAIDI 21/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000540 RIANA SUNARTI 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000540 RIANA SUNARTI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000540 RIANA SUNARTI 21/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000540 RIANA SUNARTI 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000540 RIANA SUNARTI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000540 RIANA SUNARTI 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000540 RIANA SUNARTI 21/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000541 IIN KUSPAWATI 21/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000542 SAHIDA 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000542 SAHIDA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000542 SAHIDA 21/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000542 SAHIDA 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000542 SAHIDA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000542 SAHIDA 21/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000542 SAHIDA 21/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000543 SAHINUN 21/02/2024 Microalbuminaria 22.00 mgr/dl Rp. 120.000

155.00
0441L0010224P000543 SAHINUN 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000543 SAHINUN 21/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000543 SAHINUN 21/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

230.00
0441L0010224P000543 SAHINUN 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000543 SAHINUN 21/02/2024 Kreatinin 3.10 mgr/dl Rp. 30.000

0441L0010224P000543 SAHINUN 21/02/2024 Ureum 64.00 mgr/dl Rp. 30.000

0441L0010224P000544 RATNA JUITA 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000544 RATNA JUITA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000544 RATNA JUITA 21/02/2024 Kolesterol Trigliserida 89.00 mgr/dl Rp. 50.000

0441L0010224P000544 RATNA JUITA 21/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000544 RATNA JUITA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000544 RATNA JUITA 21/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000544 RATNA JUITA 21/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000545 PARIYAH 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000545 PARIYAH 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

121.00
0441L0010224P000545 PARIYAH 21/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000545 PARIYAH 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000545 PARIYAH 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000545 PARIYAH 21/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000545 PARIYAH 21/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000546 EVI APIYANTI 21/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000546 EVI APIYANTI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000546 EVI APIYANTI 21/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000546 EVI APIYANTI 21/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000546 EVI APIYANTI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000546 EVI APIYANTI 21/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000546 EVI APIYANTI 21/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000547 ALI IMRON 21/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000547 ALI IMRON 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000547 ALI IMRON 21/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000547 ALI IMRON 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000547 ALI IMRON 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000547 ALI IMRON 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000547 ALI IMRON 21/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000548 PUSPA HELVI SUPRIARTI 21/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000549 EVI SATRIANA 21/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000549 EVI SATRIANA 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000549 EVI SATRIANA 21/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000549 EVI SATRIANA 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000549 EVI SATRIANA 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000549 EVI SATRIANA 21/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000549 EVI SATRIANA 21/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000550 HERWAN SUWANDI 21/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

214.00
0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000551 SAHALIPA TUL AINI 21/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000552 SYAHROL 21/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000552 SYAHROL 21/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000552 SYAHROL 21/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000552 SYAHROL 21/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

194.00
0441L0010224P000552 SYAHROL 21/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000552 SYAHROL 21/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000552 SYAHROL 21/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000553 KHUZAINI 23/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

142.00
0441L0010224P000553 KHUZAINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000553 KHUZAINI 23/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000553 KHUZAINI 23/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

212.00
0441L0010224P000553 KHUZAINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000553 KHUZAINI 23/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000553 KHUZAINI 23/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000554 RASMITAH 23/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000554 RASMITAH 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000554 RASMITAH 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000554 RASMITAH 23/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000554 RASMITAH 23/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

209.00
0441L0010224P000554 RASMITAH 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000554 RASMITAH 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000554 RASMITAH 23/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000555 EMA LILI WATI 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000555 EMA LILI WATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000555 EMA LILI WATI 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000555 EMA LILI WATI 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000555 EMA LILI WATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000555 EMA LILI WATI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000555 EMA LILI WATI 23/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

123.00
0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000556 MUHAMMAD ZAENUDIN 23/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000557 SRI HARTATI 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000557 SRI HARTATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000557 SRI HARTATI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000557 SRI HARTATI 23/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

211.00
0441L0010224P000557 SRI HARTATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000557 SRI HARTATI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000557 SRI HARTATI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000558 SULASTRI 23/02/2024 HbA1c 7.10 % Rp. 160.000

0441L0010224P000558 SULASTRI 23/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

154.00
0441L0010224P000558 SULASTRI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
100.00
0441L0010224P000558 SULASTRI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000558 SULASTRI 23/02/2024 Kolesterol HDL 58.00 mgr/dl Rp. 45.000

232.00
0441L0010224P000558 SULASTRI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000558 SULASTRI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000558 SULASTRI 23/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000559 DARLIAWASI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000559 DARLIAWASI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000559 DARLIAWASI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000559 DARLIAWASI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

194.00
0441L0010224P000559 DARLIAWASI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000559 DARLIAWASI 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000559 DARLIAWASI 23/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000560 SUMANTO 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000560 SUMANTO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000560 SUMANTO 23/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000560 SUMANTO 23/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

204.00
0441L0010224P000560 SUMANTO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000560 SUMANTO 23/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000560 SUMANTO 23/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000561 ELI 23/02/2024 HbA1c 7.00 % Rp. 160.000

0441L0010224P000561 ELI 23/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

0441L0010224P000561 ELI 23/02/2024 Kolesterol LDL 13.00 mgr/dl Rp. 60.000

126.00
0441L0010224P000561 ELI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000561 ELI 23/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000561 ELI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000561 ELI 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000561 ELI 23/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

223.00
0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000562 PINERIA SIHOMBING 23/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000563 ROSMAWATI 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

114.00
0441L0010224P000563 ROSMAWATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000563 ROSMAWATI 23/02/2024 Kolesterol Trigliserida 78.00 mgr/dl Rp. 50.000

0441L0010224P000563 ROSMAWATI 23/02/2024 Kolesterol HDL 42.00 mgr/dl Rp. 45.000

171.00
0441L0010224P000563 ROSMAWATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000563 ROSMAWATI 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000563 ROSMAWATI 23/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000564 HAPPY ANITA 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

151.00
0441L0010224P000564 HAPPY ANITA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000564 HAPPY ANITA 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000564 HAPPY ANITA 23/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

228.00
0441L0010224P000564 HAPPY ANITA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000564 HAPPY ANITA 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000564 HAPPY ANITA 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000565 SURYANI 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000565 SURYANI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000565 SURYANI 23/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000565 SURYANI 23/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

175.00
0441L0010224P000565 SURYANI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000565 SURYANI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000565 SURYANI 23/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000566 NURIENI SIBAGARIANG 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000567 INSALUDIN 23/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000567 INSALUDIN 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000567 INSALUDIN 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000567 INSALUDIN 23/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000567 INSALUDIN 23/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000567 INSALUDIN 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000567 INSALUDIN 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000567 INSALUDIN 23/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000568 WIDODO 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000568 WIDODO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000568 WIDODO 23/02/2024 Kolesterol Trigliserida 79.00 mgr/dl Rp. 50.000

0441L0010224P000568 WIDODO 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000568 WIDODO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000568 WIDODO 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000568 WIDODO 23/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

112.00
0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Kolesterol HDL 43.00 mgr/dl Rp. 45.000

174.00
0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000569 ANCE ANDRIANI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000570 ANIK RISWIYANTI 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000571 ERLISDA OCFI SASKIA M. 23/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000572 NERA APRIANDA 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000572 NERA APRIANDA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000572 NERA APRIANDA 23/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000572 NERA APRIANDA 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000572 NERA APRIANDA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000572 NERA APRIANDA 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000572 NERA APRIANDA 23/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000573 SURNI 23/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000573 SURNI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
163.00
0441L0010224P000573 SURNI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000573 SURNI 23/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000573 SURNI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000573 SURNI 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000573 SURNI 23/02/2024 Ureum 33.00 mgr/dl Rp. 30.000

0441L0010224P000574 DEWI DAYANTI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000574 DEWI DAYANTI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000574 DEWI DAYANTI 23/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000574 DEWI DAYANTI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000574 DEWI DAYANTI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000574 DEWI DAYANTI 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000574 DEWI DAYANTI 23/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000575 ERLISA WATI 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000575 ERLISA WATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
107.00
0441L0010224P000575 ERLISA WATI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000575 ERLISA WATI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000575 ERLISA WATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000575 ERLISA WATI 23/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000575 ERLISA WATI 23/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000576 PARIDA 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000576 PARIDA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000576 PARIDA 23/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000576 PARIDA 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000576 PARIDA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000576 PARIDA 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000576 PARIDA 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

201.00
0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000577 RIA MEILANI LUBAN GAOL 23/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
293.00
0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Kolesterol HDL 66.00 mgr/dl Rp. 45.000

264.00
0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000578 ROSITA RISMAULI PARDEDE 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000579 TANWIRUL 23/02/2024 HbA1c 6.30 % Rp. 160.000

0441L0010224P000579 TANWIRUL 23/02/2024 Microalbuminaria 16.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000579 TANWIRUL 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
110.00
0441L0010224P000579 TANWIRUL 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000579 TANWIRUL 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000579 TANWIRUL 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000579 TANWIRUL 23/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000579 TANWIRUL 23/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000580 ETTY 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000580 ETTY 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000580 ETTY 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000580 ETTY 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000580 ETTY 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000580 ETTY 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000580 ETTY 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

112.00
0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
121.00
0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000581 SIGIT KAMSENO 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Kolesterol Trigliserida 85.00 mgr/dl Rp. 50.000

0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000582 EDEN HENNY SITANGGANG 23/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000583 NYI AYU NOVA SUSILAWATI 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000584 Saulatiah 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000584 Saulatiah 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000584 Saulatiah 23/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000584 Saulatiah 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000584 Saulatiah 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000584 Saulatiah 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000584 Saulatiah 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
223.00
0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Kolesterol HDL 57.00 mgr/dl Rp. 45.000

229.00
0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000585 DINAR LISARA SIMBOLON 23/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000586 Tressia Sinabang 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000586 Tressia Sinabang 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000586 Tressia Sinabang 23/02/2024 Kolesterol Trigliserida 90.00 mgr/dl Rp. 50.000

0441L0010224P000586 Tressia Sinabang 23/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000586 Tressia Sinabang 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000586 Tressia Sinabang 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000586 Tressia Sinabang 23/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000587 RENI FEBRIANI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000587 RENI FEBRIANI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000587 RENI FEBRIANI 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000587 RENI FEBRIANI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000587 RENI FEBRIANI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000587 RENI FEBRIANI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000587 RENI FEBRIANI 23/02/2024 Ureum 24.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000588 NETY HARTINI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000588 NETY HARTINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000588 NETY HARTINI 23/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000588 NETY HARTINI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000588 NETY HARTINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000588 NETY HARTINI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000588 NETY HARTINI 23/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000589 YUANITA FITRI 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000589 YUANITA FITRI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000589 YUANITA FITRI 23/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000589 YUANITA FITRI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000589 YUANITA FITRI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000589 YUANITA FITRI 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000589 YUANITA FITRI 23/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Kolesterol HDL 51.00 mgr/dl Rp. 45.000

203.00
0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000590 JUDIKA SIADARI 23/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000591 LA MENI 23/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000591 LA MENI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000591 LA MENI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000591 LA MENI 23/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000591 LA MENI 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

186.00
0441L0010224P000591 LA MENI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000591 LA MENI 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000591 LA MENI 23/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000592 VINA SETIANA 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000592 VINA SETIANA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000592 VINA SETIANA 23/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000592 VINA SETIANA 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000592 VINA SETIANA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000592 VINA SETIANA 23/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000592 VINA SETIANA 23/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000593 RIRIK JUARIAH 23/02/2024 Ureum 23.00 mgr/dl Rp. 30.000

0441L0010224P000594 DELA MARGARETA 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000594 DELA MARGARETA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000594 DELA MARGARETA 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000594 DELA MARGARETA 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000594 DELA MARGARETA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000594 DELA MARGARETA 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000594 DELA MARGARETA 23/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000596 JUNI HARTATI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

126.00
0441L0010224P000596 JUNI HARTATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000596 JUNI HARTATI 23/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000596 JUNI HARTATI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000596 JUNI HARTATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000596 JUNI HARTATI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000596 JUNI HARTATI 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000597 SYURAIANI 23/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000597 SYURAIANI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
187.00
0441L0010224P000597 SYURAIANI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000597 SYURAIANI 23/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000597 SYURAIANI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000597 SYURAIANI 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000597 SYURAIANI 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000598 NURWATI 23/02/2024 HbA1c 9.20 % Rp. 160.000

0441L0010224P000598 NURWATI 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

145.00
0441L0010224P000598 NURWATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000598 NURWATI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000598 NURWATI 23/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

222.00
0441L0010224P000598 NURWATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000598 NURWATI 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000598 NURWATI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000599 SATINEM 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000599 SATINEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
165.00
0441L0010224P000599 SATINEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000599 SATINEM 23/02/2024 Kolesterol HDL 59.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

236.00
0441L0010224P000599 SATINEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000599 SATINEM 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000599 SATINEM 23/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000600 TINO WIRYONO 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

144.00
0441L0010224P000600 TINO WIRYONO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
119.00
0441L0010224P000600 TINO WIRYONO 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000600 TINO WIRYONO 23/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

224.00
0441L0010224P000600 TINO WIRYONO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000600 TINO WIRYONO 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000600 TINO WIRYONO 23/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000601 WAGINEM 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000601 WAGINEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000601 WAGINEM 23/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000601 WAGINEM 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000601 WAGINEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000601 WAGINEM 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000601 WAGINEM 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000602 PARNI 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

104.00
0441L0010224P000602 PARNI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
189.00
0441L0010224P000602 PARNI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000602 PARNI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

189.00
0441L0010224P000602 PARNI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000602 PARNI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000602 PARNI 23/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000603 KATEMI 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

130.00
0441L0010224P000603 KATEMI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000603 KATEMI 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000

0441L0010224P000603 KATEMI 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000603 KATEMI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000603 KATEMI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000603 KATEMI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000604 SULISTIAWATI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000604 SULISTIAWATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000604 SULISTIAWATI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000604 SULISTIAWATI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000604 SULISTIAWATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000604 SULISTIAWATI 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000604 SULISTIAWATI 23/02/2024 Ureum 39.00 mgr/dl Rp. 30.000

0441L0010224P000605 SUPRAPTI 23/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

131.00
0441L0010224P000605 SUPRAPTI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
105.00
0441L0010224P000605 SUPRAPTI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000605 SUPRAPTI 23/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000605 SUPRAPTI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000605 SUPRAPTI 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000605 SUPRAPTI 23/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000606 MARTINI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000606 MARTINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000606 MARTINI 23/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000606 MARTINI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000606 MARTINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000606 MARTINI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000606 MARTINI 23/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000607 SATIJEM 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000607 SATIJEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000607 SATIJEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000607 SATIJEM 23/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

199.00
0441L0010224P000607 SATIJEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000607 SATIJEM 23/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000607 SATIJEM 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000608 TARUNO 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

121.00
0441L0010224P000608 TARUNO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000608 TARUNO 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000608 TARUNO 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000608 TARUNO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000608 TARUNO 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000608 TARUNO 23/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000609 JUASIM 23/02/2024 HbA1c 9.60 % Rp. 160.000

0441L0010224P000609 JUASIM 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000609 JUASIM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
108.00
0441L0010224P000609 JUASIM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000609 JUASIM 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000609 JUASIM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000609 JUASIM 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000609 JUASIM 23/02/2024 Ureum 36.00 mgr/dl Rp. 30.000

0441L0010224P000610 SENO 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

117.00
0441L0010224P000610 SENO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000610 SENO 23/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000610 SENO 23/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000610 SENO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000610 SENO 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000610 SENO 23/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000611 KATINI 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000611 KATINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000611 KATINI 23/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000611 KATINI 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000611 KATINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000611 KATINI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000611 KATINI 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000612 KATIKEM 23/02/2024 Microalbuminaria 18.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000612 KATIKEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000612 KATIKEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000612 KATIKEM 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000612 KATIKEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000612 KATIKEM 23/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000612 KATIKEM 23/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000613 TUKIJAN 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

146.00
0441L0010224P000613 TUKIJAN 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000613 TUKIJAN 23/02/2024 Kolesterol Trigliserida 97.00 mgr/dl Rp. 50.000

0441L0010224P000613 TUKIJAN 23/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000613 TUKIJAN 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000613 TUKIJAN 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000613 TUKIJAN 23/02/2024 Ureum 37.00 mgr/dl Rp. 30.000

0441L0010224P000614 TUKINEM 23/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000614 TUKINEM 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000614 TUKINEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000614 TUKINEM 23/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000614 TUKINEM 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000614 TUKINEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000614 TUKINEM 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000614 TUKINEM 23/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000615 PONIYO 23/02/2024 Microalbuminaria 20.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000615 PONIYO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000615 PONIYO 23/02/2024 Kolesterol Trigliserida 95.00 mgr/dl Rp. 50.000

0441L0010224P000615 PONIYO 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000615 PONIYO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000615 PONIYO 23/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000615 PONIYO 23/02/2024 Ureum 45.00 mgr/dl Rp. 30.000

0441L0010224P000616 SUTIRAH 23/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000616 SUTIRAH 23/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000616 SUTIRAH 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
109.00
0441L0010224P000616 SUTIRAH 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000616 SUTIRAH 23/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000616 SUTIRAH 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000616 SUTIRAH 23/02/2024 Kreatinin 3.10 mgr/dl Rp. 30.000

0441L0010224P000616 SUTIRAH 23/02/2024 Ureum 57.00 mgr/dl Rp. 30.000

0441L0010224P000617 TUYEM 23/02/2024 HbA1c 6.40 % Rp. 160.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000617 TUYEM 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

148.00
0441L0010224P000617 TUYEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000617 TUYEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000617 TUYEM 23/02/2024 Kolesterol HDL 56.00 mgr/dl Rp. 45.000

225.00
0441L0010224P000617 TUYEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000617 TUYEM 23/02/2024 Kreatinin 2.50 mgr/dl Rp. 30.000

0441L0010224P000617 TUYEM 23/02/2024 Ureum 63.00 mgr/dl Rp. 30.000

0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
101.00
0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000618 RIBKA BR PERANGINANGIN 23/02/2024 Ureum 35.00 mgr/dl Rp. 30.000

0441L0010224P000619 YAHMI 23/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000619 YAHMI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000619 YAHMI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0441L0010224P000619 YAHMI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000619 YAHMI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000619 YAHMI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000619 YAHMI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000619 YAHMI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000620 GIYARSINI 23/02/2024 HbA1c 10.10 % Rp. 160.000

0441L0010224P000620 GIYARSINI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

154.00
0441L0010224P000620 GIYARSINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
150.00
0441L0010224P000620 GIYARSINI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000620 GIYARSINI 23/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000

245.00
0441L0010224P000620 GIYARSINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000620 GIYARSINI 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000620 GIYARSINI 23/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000621 TUKINEM 23/02/2024 HbA1c 6.20 % Rp. 160.000

0441L0010224P000621 TUKINEM 23/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

136.00
0441L0010224P000621 TUKINEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
106.00
0441L0010224P000621 TUKINEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000621 TUKINEM 23/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000621 TUKINEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000621 TUKINEM 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000621 TUKINEM 23/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000622 ASNATUL AINI 23/02/2024 HbA1c 9.40 % Rp. 160.000

0441L0010224P000622 ASNATUL AINI 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000622 ASNATUL AINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000622 ASNATUL AINI 23/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000622 ASNATUL AINI 23/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

215.00
0441L0010224P000622 ASNATUL AINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000622 ASNATUL AINI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000622 ASNATUL AINI 23/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000623 SUYATMI 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000623 SUYATMI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000623 SUYATMI 23/02/2024 Kolesterol Trigliserida 83.00 mgr/dl Rp. 50.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000623 SUYATMI 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000623 SUYATMI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000623 SUYATMI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000623 SUYATMI 23/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000624 A. SINO 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000624 A. SINO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000624 A. SINO 23/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000624 A. SINO 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

191.00
0441L0010224P000624 A. SINO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000624 A. SINO 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000624 A. SINO 23/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 HbA1c 6.80 % Rp. 160.000

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Kolesterol LDL 99.00 mgr/dl Rp. 60.000

475.00
0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Kolesterol HDL 65.00 mgr/dl Rp. 45.000

259.00
0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000625 ENI YUTRIASTUTI 23/02/2024 Ureum 50.00 mgr/dl Rp. 30.000

0441L0010224P000626 WATINI 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

120.00
0441L0010224P000626 WATINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000626 WATINI 23/02/2024 Kolesterol Trigliserida 82.00 mgr/dl Rp. 50.000

0441L0010224P000626 WATINI 23/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

181.00
0441L0010224P000626 WATINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000626 WATINI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000626 WATINI 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000627 SALBIYAH 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000627 SALBIYAH 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
103.00
0441L0010224P000627 SALBIYAH 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000627 SALBIYAH 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000627 SALBIYAH 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000627 SALBIYAH 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000627 SALBIYAH 23/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000628 JONI PRANATA 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000628 JONI PRANATA 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000628 JONI PRANATA 23/02/2024 Kolesterol Trigliserida 72.00 mgr/dl Rp. 50.000

0441L0010224P000628 JONI PRANATA 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000628 JONI PRANATA 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000628 JONI PRANATA 23/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000628 JONI PRANATA 23/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Kolesterol Trigliserida 98.00 mgr/dl Rp. 50.000

0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000629 ROLAN SIBURIAN 23/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000630 SARNI 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

176.00
0441L0010224P000630 SARNI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
122.00
0441L0010224P000630 SARNI 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000630 SARNI 23/02/2024 Kolesterol HDL 66.00 mgr/dl Rp. 45.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

266.00
0441L0010224P000630 SARNI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000630 SARNI 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000630 SARNI 23/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000631 suyati 23/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000631 suyati 23/02/2024 Microalbuminaria 15.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000631 suyati 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
118.00
0441L0010224P000631 suyati 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000631 suyati 23/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000631 suyati 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000631 suyati 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000631 suyati 23/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000632 HERMIYATI 23/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000632 HERMIYATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000632 HERMIYATI 23/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000632 HERMIYATI 23/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

198.00
0441L0010224P000632 HERMIYATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000632 HERMIYATI 23/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000632 HERMIYATI 23/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000633 sadiman 23/02/2024 Microalbuminaria 17.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000633 sadiman 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000633 sadiman 23/02/2024 Kolesterol Trigliserida 87.00 mgr/dl Rp. 50.000

0441L0010224P000633 sadiman 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

188.00
0441L0010224P000633 sadiman 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000633 sadiman 23/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000633 sadiman 23/02/2024 Ureum 49.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000634 KATNO 23/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000634 KATNO 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
104.00
0441L0010224P000634 KATNO 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000634 KATNO 23/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000634 KATNO 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000634 KATNO 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000634 KATNO 23/02/2024 Ureum 24.00 mgr/dl Rp. 30.000

0441L0010224P000635 DORITA SIHOMBING 23/02/2024 HbA1c 6.00 % Rp. 160.000

0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Kreatinin 1.10 mgr/dl Rp. 30.000

0441L0010224P000635 DORITA SIHOMBING 23/02/2024 Ureum 30.00 mgr/dl Rp. 30.000

0441L0010224P000636 SUMINI 23/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000636 SUMINI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000636 SUMINI 23/02/2024 Kolesterol Trigliserida 80.00 mgr/dl Rp. 50.000

0441L0010224P000636 SUMINI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000636 SUMINI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000636 SUMINI 23/02/2024 Kreatinin 1.30 mgr/dl Rp. 30.000

0441L0010224P000636 SUMINI 23/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000637 TOINEM 23/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

140.00
0441L0010224P000637 TOINEM 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
112.00
0441L0010224P000637 TOINEM 23/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000637 TOINEM 23/02/2024 Kolesterol HDL 54.00 mgr/dl Rp. 45.000

216.00
0441L0010224P000637 TOINEM 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000637 TOINEM 23/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000637 TOINEM 23/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000638 SURATI 23/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

127.00
0441L0010224P000638 SURATI 23/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000638 SURATI 23/02/2024 Kolesterol Trigliserida 81.00 mgr/dl Rp. 50.000

0441L0010224P000638 SURATI 23/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

190.00
0441L0010224P000638 SURATI 23/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000638 SURATI 23/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000638 SURATI 23/02/2024 Ureum 27.00 mgr/dl Rp. 30.000

0441L0010224P000639 NURYANI 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000639 NURYANI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
155.00
0441L0010224P000639 NURYANI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000639 NURYANI 26/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

214.00
0441L0010224P000639 NURYANI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000639 NURYANI 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000639 NURYANI 26/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000640 HJ YAHUNA 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000640 HJ YAHUNA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000640 HJ YAHUNA 26/02/2024 Kolesterol Trigliserida 70.00 mgr/dl Rp. 50.000

0441L0010224P000640 HJ YAHUNA 26/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000640 HJ YAHUNA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000640 HJ YAHUNA 26/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000640 HJ YAHUNA 26/02/2024 Ureum 32.00 mgr/dl Rp. 30.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000641 INDARYANA 26/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

122.00
0441L0010224P000641 INDARYANA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000641 INDARYANA 26/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000641 INDARYANA 26/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

183.00
0441L0010224P000641 INDARYANA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000641 INDARYANA 26/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000641 INDARYANA 26/02/2024 Ureum 19.00 mgr/dl Rp. 30.000

0441L0010224P000642 NURUL RAHMI 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

129.00
0441L0010224P000642 NURUL RAHMI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000642 NURUL RAHMI 26/02/2024 Kolesterol Trigliserida 91.00 mgr/dl Rp. 50.000

0441L0010224P000642 NURUL RAHMI 26/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000642 NURUL RAHMI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000642 NURUL RAHMI 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000642 NURUL RAHMI 26/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000643 YULIANTI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000643 YULIANTI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
158.00
0441L0010224P000643 YULIANTI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000643 YULIANTI 26/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000643 YULIANTI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000643 YULIANTI 26/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000643 YULIANTI 26/02/2024 Ureum 28.00 mgr/dl Rp. 30.000

0441L0010224P000644 ROSMALA MURNI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

143.00
0441L0010224P000644 ROSMALA MURNI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000644 ROSMALA MURNI 26/02/2024 Kolesterol Trigliserida 99.00 mgr/dl Rp. 50.000

0441L0010224P000644 ROSMALA MURNI 26/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

215.00
0441L0010224P000644 ROSMALA MURNI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000644 ROSMALA MURNI 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000644 ROSMALA MURNI 26/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000645 SITI RAHMA 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

130.00
0441L0010224P000645 SITI RAHMA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000645 SITI RAHMA 26/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000645 SITI RAHMA 26/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

194.00
0441L0010224P000645 SITI RAHMA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000645 SITI RAHMA 26/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000645 SITI RAHMA 26/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000646 TRI YULIANA 26/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

115.00
0441L0010224P000646 TRI YULIANA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0010224P000646 TRI YULIANA 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000646 TRI YULIANA 26/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

186.00
0441L0010224P000646 TRI YULIANA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000646 TRI YULIANA 26/02/2024 Kreatinin 1.20 mgr/dl Rp. 30.000

0441L0010224P000646 TRI YULIANA 26/02/2024 Ureum 32.00 mgr/dl Rp. 30.000

0441L0010224P000647 YEMIATI 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

118.00
0441L0010224P000647 YEMIATI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
102.00
0441L0010224P000647 YEMIATI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000647 YEMIATI 26/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

184.00
0441L0010224P000647 YEMIATI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000647 YEMIATI 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000647 YEMIATI 26/02/2024 Ureum 25.00 mgr/dl Rp. 30.000

0441L0010224P000648 LEZI APRIALTI 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000


NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

129.00
0441L0010224P000648 LEZI APRIALTI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000648 LEZI APRIALTI 26/02/2024 Kolesterol Trigliserida 92.00 mgr/dl Rp. 50.000

0441L0010224P000648 LEZI APRIALTI 26/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

195.00
0441L0010224P000648 LEZI APRIALTI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000648 LEZI APRIALTI 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000648 LEZI APRIALTI 26/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000649 SUMARMI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

134.00
0441L0010224P000649 SUMARMI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000649 SUMARMI 26/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000649 SUMARMI 26/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

200.00
0441L0010224P000649 SUMARMI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000649 SUMARMI 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000649 SUMARMI 26/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000650 SAROHA 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

139.00
0441L0010224P000650 SAROHA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
130.00
0441L0010224P000650 SAROHA 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000650 SAROHA 26/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

220.00
0441L0010224P000650 SAROHA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000650 SAROHA 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000650 SAROHA 26/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000651 ELVI SULASTRI 26/02/2024 Microalbuminaria 14.00 mgr/dl Rp. 120.000

137.00
0441L0010224P000651 ELVI SULASTRI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
120.00
0441L0010224P000651 ELVI SULASTRI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000651 ELVI SULASTRI 26/02/2024 Kolesterol HDL 53.00 mgr/dl Rp. 45.000

214.00
0441L0010224P000651 ELVI SULASTRI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000651 ELVI SULASTRI 26/02/2024 Kreatinin 1.40 mgr/dl Rp. 30.000

0441L0010224P000651 ELVI SULASTRI 26/02/2024 Ureum 41.00 mgr/dl Rp. 30.000

0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

133.00
0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
125.00
0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Kolesterol HDL 52.00 mgr/dl Rp. 45.000

210.00
0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Kreatinin 1.00 mgr/dl Rp. 30.000

0441L0010224P000652 ASIH SULISTIANI 26/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

113.00
0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
135.00
0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Kolesterol HDL 47.00 mgr/dl Rp. 45.000

187.00
0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000653 ANDI MARDIANSYAH 26/02/2024 Ureum 21.00 mgr/dl Rp. 30.000

0441L0010224P000654 WURI SETYOWATI 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

125.00
0441L0010224P000654 WURI SETYOWATI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000654 WURI SETYOWATI 26/02/2024 Kolesterol Trigliserida 96.00 mgr/dl Rp. 50.000

0441L0010224P000654 WURI SETYOWATI 26/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

192.00
0441L0010224P000654 WURI SETYOWATI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000654 WURI SETYOWATI 26/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000654 WURI SETYOWATI 26/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000655 PARYANI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

126.00
0441L0010224P000655 PARYANI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

114.00
0441L0010224P000655 PARYANI 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000655 PARYANI 26/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

197.00
0441L0010224P000655 PARYANI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000655 PARYANI 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000655 PARYANI 26/02/2024 Ureum 20.00 mgr/dl Rp. 30.000

0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

119.00
0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Kolesterol Trigliserida 93.00 mgr/dl Rp. 50.000

0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Kolesterol HDL 45.00 mgr/dl Rp. 45.000

182.00
0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000656 ENDANG SEPTRI ZURYANI 26/02/2024 Ureum 18.00 mgr/dl Rp. 30.000

0441L0010224P000657 YAHUNA 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000657 YAHUNA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
158.00
0441L0010224P000657 YAHUNA 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000657 YAHUNA 26/02/2024 Kolesterol HDL 55.00 mgr/dl Rp. 45.000

219.00
0441L0010224P000657 YAHUNA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000657 YAHUNA 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000657 YAHUNA 26/02/2024 Ureum 22.00 mgr/dl Rp. 30.000

0441L0010224P000658 DEDE WINARNO 26/02/2024 HbA1c 6.10 % Rp. 160.000

0441L0010224P000658 DEDE WINARNO 26/02/2024 Microalbuminaria 10.00 mgr/dl Rp. 120.000

124.00
0441L0010224P000658 DEDE WINARNO 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
115.00
0441L0010224P000658 DEDE WINARNO 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000658 DEDE WINARNO 26/02/2024 Kolesterol HDL 49.00 mgr/dl Rp. 45.000

196.00
0441L0010224P000658 DEDE WINARNO 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000658 DEDE WINARNO 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000658 DEDE WINARNO 26/02/2024 Ureum 31.00 mgr/dl Rp. 30.000

0441L0010224P000659 DESI LESTARI 26/02/2024 Microalbuminaria 9.00 mgr/dl Rp. 120.000

123.00
0441L0010224P000659 DESI LESTARI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000659 DESI LESTARI 26/02/2024 Kolesterol Trigliserida 84.00 mgr/dl Rp. 50.000

0441L0010224P000659 DESI LESTARI 26/02/2024 Kolesterol HDL 46.00 mgr/dl Rp. 45.000

185.00
0441L0010224P000659 DESI LESTARI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000659 DESI LESTARI 26/02/2024 Kreatinin 0.70 mgr/dl Rp. 30.000

0441L0010224P000659 DESI LESTARI 26/02/2024 Ureum 26.00 mgr/dl Rp. 30.000

0441L0010224P000660 MAIMUNA 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

128.00
0441L0010224P000660 MAIMUNA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000660 MAIMUNA 26/02/2024 Kolesterol Trigliserida 86.00 mgr/dl Rp. 50.000

0441L0010224P000660 MAIMUNA 26/02/2024 Kolesterol HDL 48.00 mgr/dl Rp. 45.000

193.00
0441L0010224P000660 MAIMUNA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000660 MAIMUNA 26/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000660 MAIMUNA 26/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000661 UPIK HARYANI 26/02/2024 Microalbuminaria 11.00 mgr/dl Rp. 120.000

135.00
0441L0010224P000661 UPIK HARYANI 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl

0441L0010224P000661 UPIK HARYANI 26/02/2024 Kolesterol Trigliserida 88.00 mgr/dl Rp. 50.000

0441L0010224P000661 UPIK HARYANI 26/02/2024 Kolesterol HDL 50.00 mgr/dl Rp. 45.000

202.00
0441L0010224P000661 UPIK HARYANI 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000661 UPIK HARYANI 26/02/2024 Kreatinin 0.90 mgr/dl Rp. 30.000

0441L0010224P000661 UPIK HARYANI 26/02/2024 Ureum 34.00 mgr/dl Rp. 30.000

0441L0010224P000662 RATINA YULITA 26/02/2024 HbA1c 6.90 % Rp. 160.000

0441L0010224P000662 RATINA YULITA 26/02/2024 Microalbuminaria 12.00 mgr/dl Rp. 120.000

132.00
0441L0010224P000662 RATINA YULITA 26/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

232.00
0441L0010224P000662 RATINA YULITA 26/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000662 RATINA YULITA 26/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

238.00
0441L0010224P000662 RATINA YULITA 26/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000662 RATINA YULITA 26/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000662 RATINA YULITA 26/02/2024 Ureum 38.00 mgr/dl Rp. 30.000

0441L0010224P000663 MALUNA NAINI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000664 SITI AISYAH 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000665 HARNI YURIANI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000666 PURWANINGSIH 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000667 NYIMAS NURIAH 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000668 YUSNIDAR 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000669 ROHENI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000670 EMILAWATI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000671 SITI JANAINI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000672 SUHERLI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000673 HEVAR VITON 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000674 ahmad maulana 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000675 LISMI HERAWATI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000676 BUKHARI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000677 KURNIASIH 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000678 ARMEN 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000679 NUrSYAMSI 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000680 MUINAH 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000681 HERRY HUTAGALUNG 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000682 SARINA 03/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000683 MALUNA NAINI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000684 SITI AISYAH 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000685 HARNI YURIANI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000686 PURWANINGSIH 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000687 NYIMAS NURIAH 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000688 YUSNIDAR 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000689 ROHENI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000690 EMILAWATI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000691 SITI JANAINI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000692 SUHERLI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000693 HEVAR VITON 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000694 ahmad maulana 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000695 LISMI HERAWATI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000696 BUKHARI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000697 KURNIASIH 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000698 ARMEN 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000699 NUrSYAMSI 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000700 MUINAH 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000701 HERRY HUTAGALUNG 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000702 SARINA 04/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000703 MARTI NELLI 02/02/2024 Microalbuminaria 21.00 mgr/dl Rp. 120.000

158.00
0441L0010224P000703 MARTI NELLI 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
128.00
0441L0010224P000703 MARTI NELLI 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000703 MARTI NELLI 02/02/2024 Kolesterol HDL 61.00 mgr/dl Rp. 45.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

245.00
0441L0010224P000703 MARTI NELLI 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000703 MARTI NELLI 02/02/2024 Kreatinin 1.50 mgr/dl Rp. 30.000

0441L0010224P000703 MARTI NELLI 02/02/2024 Ureum 47.00 mgr/dl Rp. 30.000

0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Microalbuminaria 13.00 mgr/dl Rp. 120.000

117.00
0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Kolesterol LDL Rp. 60.000
mgr/dl
314.00
0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Kolesterol Trigliserida Rp. 50.000
mgr/dl

0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Kolesterol HDL 60.00 mgr/dl Rp. 45.000

240.00
0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Kolesterol Total Rp. 45.000
mgr/dl

0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Kreatinin 0.80 mgr/dl Rp. 30.000

0441L0010224P000704 M.R. ANDYWIRA 02/02/2024 Ureum 29.00 mgr/dl Rp. 30.000

0441L0010224P000705 ASMA LENI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000706 SURYANTI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000707 M. RIDUAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000708 HENY PUSPITA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000709 ETI BERLIANTI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000710 JUMIATUL AINI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000711 JOSEPH WADI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000712 ROJAUNA, S.AG 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000713 SUWITA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000714 SAFRIDA ARIANI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000715 TARMIZI SYAM 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000716 ELLES 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000717 WANGSIH 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000718 HARIS GUNAWAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000719 ASMA LENI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000720 SURYANTI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000721 M. RIDUAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000722 HENY PUSPITA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000723 ETI BERLIANTI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000724 JUMIATUL AINI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000725 JOSEPH WADI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000726 ROJAUNA, S.AG 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000727 SUWITA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000728 SAFRIDA ARIANI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000729 TARMIZI SYAM 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000730 ELLES 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000731 WANGSIH 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000732 HARIS GUNAWAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000733 PETRUS PETER 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000734 MEMO FERNANDO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000735 ENDI SAPUTRO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000736 HANDIKA UTAMA PUTRA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000737 RIDHO JOY KURNIAWAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000738 EDO FERNANDO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000739 RAJABSI ANDIKA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000740 M. GILLANG PRAYUDHA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000741 ASEF SANDI YUDHA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000742 TRIO SYAPUTRA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000743 BUDIONO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000744 HARNENO KASTURI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000745 ASIHTA JAYA SEMBIRING 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000746 IBRANI AKTOBELI SILABAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000747 SINTON SITANGGANG 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000748 BERMEN FENZES NAIBAHO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000749 SADA ARIHTA GINTING 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000750 BANGUN SETYO NUGROHO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000751 EDI WINARTO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000752 DARYANTO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000753 MASLIKHAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000754 MOCHAMAD IRMANSYAH 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000755 MUHYAMROFI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000756 BELSASAR SAMOSIR 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000757 ZULKIFLI YADI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000758 WAHYU SUYANTO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000759 ROBERT SAMOSIR 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000760 TRI CAHYOKO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000761 SUPRANTO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000762 GATUT SRI KUNCORO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000763 NGATMIN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000764 DEDI FORSELIN TAMBUNAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000765 EDISON SIRAIT 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000766 DEBBY WIWIN SILANGIT 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000767 AGUS FIRMANSYAH 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000768 VIVIN JUNIANTO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000769 RENDIKA PERDANA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000770 HERI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000771 ANFARIZAL GUMAY 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000772 RAHMADDAINI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000773 HARTAWAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000774 REZA MARZIANSYAH 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000775 DEDI HARYADI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000776 BENI MORISKA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000777 SURYA ADMAJA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000778 RIAN SALVARI HASIBUAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000779 AHMAD ARJUNA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000780 HELMI SYAKBANDI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000781 NURFIKRI ARDHI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000782 JUN TRI HATA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000783 YAPRIL YANDES 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000784 KABIONO 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000785 WAAS SAB 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000786 EIN HERNAWAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000787 WAHYU SUJAYADI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000788 ARI SAPUTRA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000789 DENI GUSTIAWAN 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000790 ROBI MARDANI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000791 REDO ILLAHI 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000792 SYARIF UTAMA 05/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000793 PETRUS PETER 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000794 MEMO FERNANDO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000795 ENDI SAPUTRO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000796 HANDIKA UTAMA PUTRA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000797 RIDHO JOY KURNIAWAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000798 EDO FERNANDO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000799 RAJABSI ANDIKA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000800 M. GILLANG PRAYUDHA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000801 ASEF SANDI YUDHA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000802 TRIO SYAPUTRA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000803 BUDIONO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000804 HARNENO KASTURI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000805 ASIHTA JAYA SEMBIRING 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000806 IBRANI AKTOBELI SILABAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000807 SINTON SITANGGANG 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000808 BERMEN FENZES NAIBAHO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000809 SADA ARIHTA GINTING 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000810 BANGUN SETYO NUGROHO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000811 EDI WINARTO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000812 DARYANTO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000813 MASLIKHAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000814 MOCHAMAD IRMANSYAH 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000815 MUHYAMROFI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000816 BELSASAR SAMOSIR 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000817 ZULKIFLI YADI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000818 WAHYU SUYANTO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000819 ROBERT SAMOSIR 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000820 TRI CAHYOKO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000821 SUPRANTO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000822 GATUT SRI KUNCORO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000823 NGATMIN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000824 DEDI FORSELIN TAMBUNAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000825 EDISON SIRAIT 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000826 DEBBY WIWIN SILANGIT 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000827 AGUS FIRMANSYAH 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000828 VIVIN JUNIANTO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000829 RENDIKA PERDANA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000830 HERI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000831 ANFARIZAL GUMAY 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000832 RAHMADDAINI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000833 HARTAWAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000834 REZA MARZIANSYAH 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000835 DEDI HARYADI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000836 BENI MORISKA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000837 SURYA ADMAJA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000838 RIAN SALVARI HASIBUAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000839 AHMAD ARJUNA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000840 HELMI SYAKBANDI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000841 NURFIKRI ARDHI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000842 JUN TRI HATA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000843 YAPRIL YANDES 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000844 KABIONO 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000845 WAAS SAB 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000846 EIN HERNAWAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000847 WAHYU SUJAYADI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000848 ARI SAPUTRA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000849 DENI GUSTIAWAN 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000850 ROBI MARDANI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000851 REDO ILLAHI 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000852 SYARIF UTAMA 06/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000853 AFRODI.B 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000854 YUDHA SUDIANTARA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000855 BAMBANG RUDIANSYAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000856 FREDY ADI BRATHA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000857 DENDI ESIERDI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000858 SAMUEL MARIAN 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000859 MASTER JUSUF SITORUS 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000860 JUWITO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000861 MULYONO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000862 HERI PURWANTA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000863 NASIKIN 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000864 WAHYU RUDY KISSTYANTO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000865 KUAT SANTOSA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000866 EDY NUR ISMAIL 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000867 MESI KISMOTO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000868 MURSITO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000869 DAHLAN 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000870 ALPIAN SANJAYA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000871 NOVRIANSYAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000872 HENDRA YANTO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000873 ADE CHANDRA SAPUTRA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000874 MARDIANTO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000875 FIRGO INDRAYANDI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000876 ERWIN DWI SAPUTRA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000877 MURTONO 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000878 ZIKRA MARDIAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000879 FIKA FEBRINITA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000880 VESTER VERA BR SINUHAJI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000881 LENSIANA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000882 ENI MARTINI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000883 MARLINGGA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000884 RATIH DEWI WULANSARI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000885 EKA ANDRIANI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000886 NO ELLA STEPANI HERAWATI .S 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000887 YUNTI MURANI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000888 AMALIANI BR SURBAKTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000889 BETTI LISJA SINGARIMBUN 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000890 NETA ANGGRAENI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000891 NAZIAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000892 NOVI ANGGRAINI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000893 IMAS ADAWIAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000894 NOVITA SARI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000895 KURNIAWATI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000896 yuliana 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000897 HENI PERIANSI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000898 UKI WIJAYANTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000899 HARRY APRIANI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000900 BOCI SRI RAHAYU 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000901 WIDYA ANGGANEVA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000902 VERONICA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000903 VINA AGUSTINA 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000904 HENI YUNIARTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000905 DECKY YULASTRI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000906 RHADIATUL MARDIAH 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000907 HAIRIL SYARON 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000908 IWAN SAKTIAWAN 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000909 ROLIZA FEBRIANTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000910 IRWAN TOMI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000911 HERLIYANTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000912 AFRODI.B 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000913 YUDHA SUDIANTARA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000914 BAMBANG RUDIANSYAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000915 FREDY ADI BRATHA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000916 DENDI ESIERDI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000917 SAMUEL MARIAN 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000918 MASTER JUSUF SITORUS 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000919 JUWITO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000920 MULYONO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000921 HERI PURWANTA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000922 NASIKIN 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000923 WAHYU RUDY KISSTYANTO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000924 KUAT SANTOSA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000925 EDY NUR ISMAIL 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000926 MESI KISMOTO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000927 MURSITO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000928 DAHLAN 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000929 ALPIAN SANJAYA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000930 NOVRIANSYAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000931 HENDRA YANTO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000932 ADE CHANDRA SAPUTRA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000933 MARDIANTO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000934 FIRGO INDRAYANDI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000935 ERWIN DWI SAPUTRA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000936 MURTONO 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000937 ZIKRA MARDIAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000938 FIKA FEBRINITA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000939 VESTER VERA BR SINUHAJI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000940 LENSIANA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000941 ENI MARTINI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000942 MARLINGGA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000943 RATIH DEWI WULANSARI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000944 EKA ANDRIANI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000945 NO ELLA STEPANI HERAWATI .S 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000946 YUNTI MURANI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000947 AMALIANI BR SURBAKTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000948 BETTI LISJA SINGARIMBUN 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000949 NETA ANGGRAENI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000950 SUSI SUSANTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000951 NAZIAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000952 NOVI ANGGRAINI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000953 IMAS ADAWIAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000954 NOVITA SARI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000955 KURNIAWATI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000956 yuliana 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000957 HENI PERIANSI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000958 UKI WIJAYANTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000959 HARRY APRIANI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000960 BOCI SRI RAHAYU 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000961 WIDYA ANGGANEVA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000962 VERONICA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000963 VINA AGUSTINA 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000964 HENI YUNIARTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000965 DECKY YULASTRI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000966 RHADIATUL MARDIAH 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000967 HAIRIL SYARON 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000968 ROLIZA FEBRIANTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000969 IRWAN TOMI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000970 HERLIYANTI 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000971 IWAN SAKTIAWAN 07/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P000972 SUSI SUSANTI 06/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000973 EIS HERMI DESTAMA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000974 SUWANDI LESMANA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000975 AVIEV HARVENSI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000976 DIAN HIDAYAT 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000977 SUWANDI.K 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000978 MUHAMMAD FERDIANSYAH 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000979 ANDI SULAIMAN 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000980 TONI BRENI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000981 AGUNG PURNOMO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000982 RECKY ERNANDO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000983 HENDRA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000984 EKO SUPRIYANTO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P000985 AYU LESTARI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000986 AL FURQON 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000987 AGUS WIDADA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000988 RESTI OKTA RIANI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000989 ALI AKHTAR SIREGAR 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000990 RUDI HARTONO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000991 MUDRIKA PUTRI OLIVIA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000992 ANIS MAULANA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000993 EKO KRISMANTO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000994 SRI WIDODO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000995 SYAIFUL ANWAR 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000996 DONA NAVERA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000997 ALI KHAN 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P000998 MERWA HENDY RONALDO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001000 ANTON 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001001 OKTA DEFRIANTI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001002 TRIE ZULIA NINGSIH 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001003 BRILLIAN ALFAJRY 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001004 RANGGA PANJI KESUMA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001005 FREDDY SANTOSO SAGALA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001006 FERDIKA SAPUTRA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001007 AVRIL ARYANTO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001008 AHMAD SUDIYANTO 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001009 HENDRI CHAN 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001010 JAYA ZAHANDI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001011 RONI MUHARONI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001012 MERA DESMAWATI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001013 PUJI SUCI LESTARI 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001014 DEVI CHRISDIANTY 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001015 INDAH CITRA 07/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001016 EIS HERMI DESTAMA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001017 SUWANDI LESMANA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001018 AVIEV HARVENSI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001019 DIAN HIDAYAT 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001020 SUWANDI.K 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001021 MUHAMMAD FERDIANSYAH 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001022 ANDI SULAIMAN 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001023 TONI BRENI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001024 AGUNG PURNOMO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001025 RECKY ERNANDO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001026 HENDRA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001027 EKO SUPRIYANTO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001028 AYU LESTARI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001029 AL FURQON 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001030 AGUS WIDADA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001031 RESTI OKTA RIANI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001032 ALI AKHTAR SIREGAR 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001033 RUDI HARTONO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001034 MUDRIKA PUTRI OLIVIA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001035 ANIS MAULANA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001036 EKO KRISMANTO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001037 SRI WIDODO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001038 SYAIFUL ANWAR 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001039 DONA NAVERA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001040 ALI KHAN 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001041 MERWA HENDY RONALDO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001042 ANTON 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001043 OKTA DEFRIANTI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001044 TRIE ZULIA NINGSIH 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001045 BRILLIAN ALFAJRY 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001046 RANGGA PANJI KESUMA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001047 FREDDY SANTOSO SAGALA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001048 FERDIKA SAPUTRA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001049 AVRIL ARYANTO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001050 AHMAD SUDIYANTO 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001051 HENDRI CHAN 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001052 JAYA ZAHANDI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001053 RONI MUHARONI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001054 MERA DESMAWATI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001055 PUJI SUCI LESTARI 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001056 DEVI CHRISDIANTY 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001057 INDAH CITRA 08/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001058 SETIA BAKTI 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001059 MHD. AMIN 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001060 JHON SEMERI 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001061 JAJAK 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001062 ROMI DANIS 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001063 OSCAR PRIHATINO 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001064 HERLANGGA ELVIYANTO 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001065 AMANAH HADI FIRDAUS 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001066 FRENGKI SANJAYA 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001067 NURHAYATI 12/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001068 SETIA BAKTI 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001069 MHD. AMIN 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001070 JHON SEMERI 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001071 JAJAK 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001072 ROMI DANIS 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001073 OSCAR PRIHATINO 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001074 HERLANGGA ELVIYANTO 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001075 AMANAH HADI FIRDAUS 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001076 FRENGKI SANJAYA 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001077 NURHAYATI 13/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001078 SAMSUDIN 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001079 AMBRIZAL 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001080 ERLIS HARTATI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001081 RIAN ROBSEN 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001082 BENI AZWAR 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001083 PARI INDAWATI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001084 KUNTUM DAHLIA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001085 IIS SURYATI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001086 WIDYA MELIA SARI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001087 ASMAWATI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001088 NAWIMAH 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001089 NOVIANA ANDRIYANTO. SH 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001090 NELI ASNAWATI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001091 HERNADI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001092 NETI HARIYANI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001093 SAMSUDIN 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001094 AMBRIZAL 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001095 ERLIS HARTATI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001096 RIAN ROBSEN 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001097 BENI AZWAR 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001098 PARI INDAWATI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001099 KUNTUM DAHLIA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001100 IIS SURYATI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001101 WIDYA MELIA SARI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001102 ASMAWATI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001103 NAWIMAH 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001104 NOVIANA ANDRIYANTO. SH 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001105 NELI ASNAWATI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001106 HERNADI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001107 NETI HARIYANI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001108 PUPUT YOLANDA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001109 PONI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001110 ROHANA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001111 ANDIKA SAPUTRA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001112 SEKAR WULANDARI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001113 YANITA ANGGRAENI 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001114 DHIMAZ ANDI NUGROHO 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001115 FANI CARLA ZANITA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001116 NURSELA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001117 ENI SUHELA 16/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001118 PUPUT YOLANDA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001119 PONI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001120 ROHANA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001121 ANDIKA SAPUTRA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001122 SEKAR WULANDARI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001123 YANITA ANGGRAENI 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001124 DHIMAZ ANDI NUGROHO 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001125 FANI CARLA ZANITA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001126 NURSELA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001127 ENI SUHELA 17/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001128 PONCO AGUS PRIANTO, A.MD 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001129 TIKA WIJI TIANSARI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001130 JALILAH 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001131 CINDY SHAFIRA 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001132 MEISAH ANGGRAINI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001133 PONCO AGUS PRIANTO, A.MD 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001134 TIKA WIJI TIANSARI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001135 JALILAH 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001136 CINDY SHAFIRA 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001137 MEISAH ANGGRAINI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001138 HERLENA 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001139 NOPENSI SUTIMA 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001140 NURBAITI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001141 ISKANDAR 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001142 ROHANA 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001143 ROSMAWATI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001144 HUSNI THAMRIN YS 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001145 NARUL HANIAH 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001146 SINDY WATI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001147 CHALIDAH 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001148 ENDANG MARTINI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001149 ZULYETTI 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001150 YOBA FRIANTI SINATRA 19/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001151 HERLENA 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001152 NOPENSI SUTIMA 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001153 NURBAITI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001154 ISKANDAR 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001155 ROHANA 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001156 ROSMAWATI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001157 HUSNI THAMRIN YS 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001158 NARUL HANIAH 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001159 SINDY WATI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001160 CHALIDAH 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001161 ENDANG MARTINI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001162 ZULYETTI 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001163 YOBA FRIANTI SINATRA 20/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001164 WIRYANTO 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001165 KOIDA PASARIBU 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001166 DORLAN SIDABALOK 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001167 HAMSYAH YOHANES 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001168 YANUARIUS PURWOSEPUTRO 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001169 SARMAULINA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001170 SURNA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001171 SUMINI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001172 SONNI SIMANJUNTAK 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001173 RACHMAN SITANGGANG 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001174 RAHINI SINAGA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001175 BENNY YEOCH 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001176 RUMIDA SIMALANGO 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001177 yuspin 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001178 EMMY MEI SRIWATI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001179 SUDARMANTO 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001180 abdul hadi 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001181 ROSMAINI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001182 DESIE NATALINA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001183 MUR ISHANANI PRIYANSIH 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001184 HUSNI THAMRIN 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001185 ESDINA SIMANJUNTAK 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001186 MM. NURHANDAYANI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001187 SUPRIYONO 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001188 MURTASIAH HIDAYATI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001189 NURMALA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001190 KASMIATI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001191 MUSPIRAN 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001192 WIRYANTO 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001193 KOIDA PASARIBU 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001194 DORLAN SIDABALOK 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001195 HAMSYAH YOHANES 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001196 YANUARIUS PURWOSEPUTRO 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001197 SARMAULINA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001198 SURNA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001199 SUMINI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001200 SONNI SIMANJUNTAK 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001201 RACHMAN SITANGGANG 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001202 RAHINI SINAGA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001203 BENNY YEOCH 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001204 RUMIDA SIMALANGO 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001205 yuspin 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001206 EMMY MEI SRIWATI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001207 SUDARMANTO 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001208 abdul hadi 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001209 ROSMAINI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001210 DESIE NATALINA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001211 MUR ISHANANI PRIYANSIH 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001212 HUSNI THAMRIN 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001213 ESDINA SIMANJUNTAK 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001214 MM. NURHANDAYANI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001215 SUPRIYONO 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001216 MURTASIAH HIDAYATI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001217 NURMALA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001218 KASMIATI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001219 MUSPIRAN 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001220 SALNA WATI 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001221 HARRI RESTANTO 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001222 NANDA GUMILAR 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001223 GUSDIAN DANA WIRSYAH 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001224 CINDRA SUGARA 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001225 HERU PRADINATA UTAMA PUTRA 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001226 NUREMAN JULYANSA 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001227 TAMSON GINTING 13/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001228 SALNA WATI 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001229 HARRI RESTANTO 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001230 NANDA GUMILAR 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001231 GUSDIAN DANA WIRSYAH 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001232 CINDRA SUGARA 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001233 HERU PRADINATA UTAMA PUTRA 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001234 NUREMAN JULYANSA 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001235 TAMSON GINTING 14/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001236 NETTA ELIZA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001237 MUNANDAR 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001238 IRFANIA ZIKRI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001239 ELPI SUHARA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001240 IRA ARISKA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001241 SURYA HARTINI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001242 ZULKIFLI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001243 JHON KENEDI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001244 EDI HENDRI 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001245 AGUSARI AMINTASA 20/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001246 NETTA ELIZA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001247 MUNANDAR 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001248 IRFANIA ZIKRI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001249 ELPI SUHARA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001250 IRA ARISKA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001251 SURYA HARTINI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001252 ZULKIFLI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001253 JHON KENEDI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001254 EDI HENDRI 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001255 AGUSARI AMINTASA 21/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001256 NURDAINI 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001257 AZWAR 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001258 EMYTA SURYATI 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001259 RUKMINI 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001260 EMMI FAUZIAH 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001261 NETRI YETMI 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001262 SUMIATI 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001263 YUSMARNI YUSUF 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001264 NURNINGSIH 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001265 ERLAN 22/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001266 NURDAINI 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001267 AZWAR 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001268 EMYTA SURYATI 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001269 RUKMINI 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001270 EMMI FAUZIAH 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001271 NETRI YETMI 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001272 SUMIATI 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001273 YUSMARNI YUSUF 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001274 NURNINGSIH 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001275 ERLAN 23/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001276 LISYANI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001277 RIKI WIBOWO 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001278 SISWANTO 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001279 TOIPAH 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001280 LEXY SUSANTI LUBIS 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001281 RIDWAN ANWAR 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001282 DRS E. SITANGGANG 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001283 DHITA MARDIANA 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001284 BUDI GIRIJATI SLAMET SANTOSO 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001285 MASITAYANA 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001286 SUMISKAM 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001287 MELIE 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001288 RAHMA DAHNIAR 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001289 ARIYANTI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001290 JULIUS EFENDI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001291 NAWAWI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001292 YENI ASTUTI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001293 YANTO. TH 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001294 LIM SIU KIM 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001295 SUHARANIA 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001296 SAMSILA WARNI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001297 PONIMAN 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001298 YOPAN MEGA NANDA 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001299 RENI HANDAYANI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001300 SISWAN ANSORI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001301 RINI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001302 SAPRIZAL 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001303 ZUBIR 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001304 ROMILA WATI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001305 SRI WIHIDAYATI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001306 MARLINDA MENTARI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001307 IRWAN EFFENDI SIREGAR 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001308 LILIS KURNIAWATI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001309 ERLISA ANITA 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001310 KARNELI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001311 MISWATI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001312 EVI NOVIANTI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001313 M. NUDIN 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001314 DESMI DWI HARSASI 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001315 TAMRIN 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001316 GUNAWAN 26/02/2024 Gula Darah Puasa (GDP) - Skrining DM Rp. 10.000

0441L0010224P001317 LISYANI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001318 RIKI WIBOWO 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001319 SISWANTO 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001320 TOIPAH 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001321 LEXY SUSANTI LUBIS 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001322 RIDWAN ANWAR 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001323 DRS E. SITANGGANG 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001324 DHITA MARDIANA 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001325 BUDI GIRIJATI SLAMET SANTOSO 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001326 MASITAYANA 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001327 SUMISKAM 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001328 MELIE 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001329 RAHMA DAHNIAR 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001330 ARIYANTI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001331 JULIUS EFENDI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001332 NAWAWI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001333 YENI ASTUTI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001334 YANTO. TH 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001335 LIM SIU KIM 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001336 SUHARANIA 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001337 SAMSILA WARNI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001338 PONIMAN 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001339 YOPAN MEGA NANDA 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001340 RENI HANDAYANI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001341 SISWAN ANSORI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001342 RINI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001343 SAPRIZAL 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001344 ZUBIR 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001345 ROMILA WATI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001346 SRI WIHIDAYATI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001347 MARLINDA MENTARI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001348 IRWAN EFFENDI SIREGAR 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001349 LILIS KURNIAWATI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001350 ERLISA ANITA 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001351 KARNELI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001352 MISWATI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001353 EVI NOVIANTI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001354 M. NUDIN 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001355 DESMI DWI HARSASI 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001356 TAMRIN 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001357 GUNAWAN 27/02/2024 Gula Darah Post Prandial (GDPP) - Skrining DM Rp. 10.000

0441L0010224P001358 EMA LILI WATI 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001359 NERA APRIANDA 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001360 DELA MARGARETA 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001361 SYURAIANI 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001362 ERLINDAWATI 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001363 SELLY LIHARTIANA 24/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001364 FENTI SUSANTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001365 YUNI WARTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001366 PEBI EKA RISTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001367 SALEHA FITRI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001368 MARYANI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001369 NYIMAS RATIE SISMI ANGGEVI 29/02/2024 Pelayanan Papsmear Rp. 125.000
NoKunjungan NAMA TANGGAL TINDAKAN HASIL TENAGA MEDIS BIAYA

0441L0010224P001370 WIDIA PUSPITA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001371 RURI ANGGRAINI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001372 RIFA NAZILAH 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001373 MARINI PUSPITA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001374 NUNUNG SUHAIMI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001375 LIYA YUNITA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001376 EPA SUSANTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001377 NELI HERYANTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001378 MAYLIA ISVIANSARI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001379 DWI ASTUTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001380 RITA ERYANTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001381 ANNISA OKTARINA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001382 METRIYAH SUSTI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001383 DEWI MURNI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001384 RIKA PUSPITA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001385 REPI YULIZA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001386 EFRENA 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001387 SITI HERMI 29/02/2024 Pelayanan Papsmear Rp. 125.000

0441L0010224P001388 DEWI HERLINDA 29/02/2024 Pelayanan Papsmear Rp. 125.000

Tanggal terima FPK, Tanggal, 26/03/2024


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