Amprahan Bulanan

AMPRAHAN BULAN APRIL 2023
NO AMPRAHAN SATUAN JUMLAH

1 tissue dus 1
2 polpen box 3
3 pengharum semprot pcs 3
4 pengharum ac pcs 3
5 baygon semprot pcs 3
6 amplop besar box 2
7 stiki note pcs 2
8 gunting pcs 1
9 spidol pcs 2
10 tinta stempel pcs 1
11 lakban bening pcs 2
12 isi steples besar pcs 2
13 isi steples kecil pcs 2
14 kertas hvs A4 pcs 2
15 kertas HVS F4 pcs 2
16 buku double folio besar pcs 2
17 buku double folio kecil pcs 2
18 cutter pcs 1
19 isi cutter pcs 2
20 sunlight pcs 2
21 bateri tensi pasang 4
22 beteri spo2 pasang 4
23 sabun mandi pcs 1
24 sampo pcs 1
25 lem kertas pcs 1
DATA PASIEN RUJUKAN KE IGD RS UNRAM BULAN JANUARI 2024
NO RM NAMA USIA TANGGAL RUJUK RUJUKAN
MUHAMMAD KALIEF
KLINIK UNIVERSITAS
1 63212 ARSHAKA 1 Th 1/2/2024
MATARAM
DHIYAURRAHMAN
2 87792 RAZIQ AHMADI 22 Th 1/2/2024 KR TALIWANG
3 87816 BAIQ EMA AINI 23 Th 1/2/2024 PEJERUK
4 71978 I NENGAH NIRANTARA 38 Th 1/2/2024 TANJUNG KARANG
NI NYOMAN
5 56379 67 Th 1/2/2024 KR TALIWANG
SUARDANI
KARINA ARSYILA KLINIK UNIVERSITAS

6 79753 7 Bl 1/3/2024
MADANI MATARAM
BAYI NY . AMIRAH
7 66493 MUHAMMAD UMAR 8 Bl 1/3/2024 PAGESANGAN
MIRADI
8 67772 USMAN 75 Th 1/3/2024 DASAN AGUNG
9 22020 Pathurahman 57 Th 1/3/2024 KARANG PULE
10 87823 LALU AHMAD RAMLI 81 Th 1/3/2024 PRAYA
11 14866 HARIZAL 49 Th 1/3/2024 Klinik Nafaral Medika
KLINIK UNIVERSITAS
12 87836 ADELIA LISA OKTARISA 21 Th 1/4/2024
MATARAM
13 85938 BAIQ DEFI NOPITASARI 32 Th 1/4/2024 KLINIK POLDA NTB
BAGAS NURRAHMAD
14 87835 9 Th 1/4/2024 SELAPARANG
KURNIAWAN
KLINIK UNIVERSITAS
15 12092 HERMAWATI 33 Th 1/4/2024
MATARAM
16 66073 EVI SUSANTI 19 Th 1/4/2024 Batu Lanteh

LALU AHMAD LUTFI
17 16400 33 Th 1/4/2024 DAREK
GALUTAMA,S.Kep
MUH. MIFTAHUL
18 73483 15 Th 1/4/2024 TANJUNG KARANG
AKBAR
KLINIK UNIVERSITAS
19 35968 MUHAMAD TARMIZI 27 Th 1/4/2024
MATARAM
ABYADH ABDILLAH
20 74872 5 Th 1/4/2024 LABUAPI
SAFEER
21 29383 Ir.IDRUS ALKAFF 68 Th 1/4/2024 JEMBER KIDUL
22 73166 HAROMAIN JAHRI 69 Th 1/5/2024 DASAN AGUNG
23 87851 FADHIL ISNAN SYAKIEF 12 Th 1/5/2024 Sumbawa
dr. I Gusti Ayu Rai

24 87849 WINI LESTARI 26 Th 1/5/2024
Astarini
KLINIK UNIVERSITAS
25 4200 LIA AUDINA 27 Th 1/6/2024
MATARAM
26 49240 NURHAYATI 37 Th 1/6/2024 TANJUNG KARANG
PUTRI SARI USWATUN KLINIK UNIVERSITAS

27 13716 30 Th 1/6/2024
HASANAH MATARAM
28 62078 SUMARNI 61 Th 1/6/2024 TANJUNG KARANG
29 31775 MASNI 50 Th 1/6/2024 TANJUNG KARANG

RS UNIVERSITAS
30 79732 I NYOMAN SUDARMA 46 Th 1/6/2024 MATARAM - KOTA
MATARAM
31 87859 M.Alif Syaifullah 20 Th 1/6/2024 Penanae
32 87858 SRIWATI 36 Th 1/6/2024 KARANG PULE

33 58925 Anggit gigih marhadi 30 Th 1/6/2024 PEJERUK
34 87852 NURUL LAILI RANUM 27 Th 1/6/2024 TANJUNG KARANG
35 87860 SULHIYATI 28 Th 1/6/2024 LABUAPI
36 53117 FAIZZA MUHLIS 11 Th 1/6/2024 PAGESANGAN
MUHAMMAD
37 45886 1 Th 1/6/2024 PENIMBUNG
ZHAFRAN MUSTAMIR
38 31764 MAKNAH 48 Th 1/6/2024 BATUNYALA
dr. R ARY YANUAR R,

39 87853 SYAMSUL ARIF 49 Th 1/6/2024
M.SI (JST)
KLINIK KIMIA FARMA

40 87863 SYAKIRA 13 Th 1/7/2024
189
41 87859 M.Alif Syaifullah 20 Th 1/7/2024 Penanae
42 79353 HERI SUSANTO 47 Th 1/7/2024 TANJUNG KARANG
KLINIK PRATAMA ASY

43 45938 SETYANINGSIH 68 Th 1/7/2024
SYIFA
44 66336 SAKIRIN 58 Th 1/7/2024 PAGESANGAN
KLINIK PRATAMA ASY

45 44743 Fanisha Shinta Dewi 18 Th 1/7/2024
SYIFA
46 20782 FAHRI REZA 37 Th 1/7/2024 dr. Wiwik Nurlaela
M Fadhilah
47 95438 20 Th 1/7/2024 Klinik Catur Warga
Abdurrahman Al farisi
48 87865 EKA PEBRIANI 34 Th 1/7/2024 CILILIN
KLINIK UNIVERSITAS
49 13940 IKA MULIANI 32 Th 1/7/2024
MATARAM
MUHAMMAD KENZIE
ADLAN ARDHANI
51 20017 MAINAH 62 Th 1/7/2024 GUNUNGSARI
52 87862 DEWI FATIMAH 38 Th 1/7/2024 PAGESANGAN

53 61309 NURMAH 52 Th 1/7/2024 CAKRANEGARA
54 87861 MUHAMMAD 70 Th 1/7/2024 TANJUNG KARANG
55 21828 MUSTAIN 46 Th 1/7/2024 TANJUNG KARANG
LINDA EKAYANTI
56 51114 34 Th 1/7/2024 AMPENAN
ULANDARI, SE.
BY.NY ANIN DIANI/

57 68518 NADHIF ARFAN 7 Bl 1/7/2024 TANJUNG KARANG
ALFARIZQI
58 87866 Wagiman Cahyadi 20 Th 1/7/2024 TANJUNG KARANG
59 87878 ANDINI NAVA LIBNA 13 Th 1/8/2024 PAGESANGAN
KLINIK UNIVERSITAS
60 34970 DRS. H. MUTAWALLI 59 Th 1/8/2024
MATARAM
ALFANDI SAPUTRA
61 51733 (BAYI NYONYA 2 Th 1/8/2024 dr. H. Sabaruddin
ARMIYATI)
62 87893 SUCI HUSNAIDA 19 Th 1/8/2024 TANJUNG KARANG
KLINIK UNIVERSITAS
63 53698 HJ. PATMI RIANI 69 Th 1/8/2024
MATARAM
64 87896 NURUL HIKMAH 20 Th 1/8/2024 KOPANG
JERRY ZONDAGRI
65 25467 56 Th 1/8/2024 dr. Evi Yuniarti, MPH
HANING
KLINIK UNIVERSITAS
66 13557 ROHANA IMTIHANAH 63 Th 1/9/2024
MATARAM
DINA WITA
67 27631 39 Th 1/9/2024 KLINIK AN-NUR
NOURGIANA
68 36681 ANDIKA KURNIAWAN 16 Th 1/9/2024 PAGESANGAN
GUSNALDY ALIF dr. A. A. Gede Kosala

69 87941 9 Th 1/9/2024
SAFUTRA Putra
70 87940 NABILA SAMRI YULISA 20 Th 1/9/2024 TANJUNG KARANG
71 87898 LIA ISTIANA 18 Th 1/9/2024 KURIPAN
72 65953 ZAERINA AZIZAH 21 Th 1/10/2024 SAKRA

RS UNIVERSITAS
73 11170 HAIKAL AMRU 18 Th 1/10/2024 MATARAM - KOTA
MATARAM
RS UNIVERSITAS
MUHAMMAD SAHIL
74 65447 9 Bl 1/10/2024 MATARAM - KOTA
MOELLA
MATARAM
75 87956 TAUFAN HIDAYAT 22 Th 1/10/2024 TANJUNG KARANG
76 87957 SITI MAYMUNAH 46 Th 1/10/2024 MATARAM

MUHAMMAD HIFZIN
77 48179 3 Th 1/10/2024 DASAN AGUNG
NIZAM
BAIQ IKE ANDANI
78 12289 MIWARSUMA, 32 Th 1/10/2024 dr. Ita Patriani
S.KEP.NERS
79 53754 ni nengah novita sari 22 Th 1/10/2024 TANJUNG KARANG
80 59204 HJ SURAS DIANA 63 Th 1/10/2024 PRINGGARATA
81 87961 DWI RINI SUPRAPTI 63 Th 1/10/2024 PAGESANGAN
82 53655 SUHAEDI 29 Th 1/11/2024 MENINTING
83 48989 SATARUDIN 54 Th 1/11/2024 TANJUNG KARANG
84 71969 ELYANA UTAMI 19 Th 1/11/2024 TANJUNG KARANG
85 79296 SAPI`I 65 Th 1/11/2024 PAGESANGAN
KLINIK WIRA
86 55514 TITIEN GEMILANG 63 Th 1/11/2024
SANTOSA
BENING SALSABILA KLINIK UNIVERSITAS

87 69435 19 Th 1/11/2024
DWI ANJANINGRUM MATARAM
88 57404 SUMIATI 26 Th 1/11/2024 EYAT MAYANG
89 87969 SAEFUDIN ZUHRI 42 Th 1/11/2024 KARANG PULE
KLINIK UNIVERSITAS
90 46208 AHMAD ALI FAUZI 5 Th 1/11/2024
MATARAM
91 87982 RIFANDI 18 Th 1/11/2024 TANJUNG KARANG

92 64100 NURLAELA 36 Th 1/11/2024 KARANG PULE
93 16716 BAIQ DAMIA INARA 7 Th 1/11/2024 Klinik Alumni Agung
94 25623 RAINAH 49 Th 1/12/2024 DASAN AGUNG

95 88011 LINDA APRILIANI 27 Th 1/12/2024 KLINIK POLDA NTB
KLINIK PRATAMA ASY
96 23277 CEDIN ATMAJA 67 Th 1/12/2024
SYIFA
97 88007 rifan fardian 1 Th 1/12/2024 AMPENAN
98 33330 FIKRI HANDAYANI 31 Th 1/12/2024 PAGESANGAN
AGHNIA KHALISA
99 87993 4 Th 1/12/2024 dr. Arsi Wahyuni
AZZAHRA
ABU BAKAR KLINIK WIRA
100 46719 58 Th 1/12/2024
MULAHELLA SANTOSA
101 85403 HURIAH 49 Th 1/12/2024 PAGESANGAN
102 71969 ELYANA UTAMI 19 Th 1/12/2024 TANJUNG KARANG
KLINIK UNIVERSITAS
103 13938 AHMAD FAWAID 32 Th 1/13/2024
MATARAM
ANNISA AQILA KLINIK UNIVERSITAS

104 70382 3 Th 1/13/2024
AZZAHRA MATARAM
105 88021 SRI WIDIANTI 26 Th 1/13/2024 KLINIK ARTA MEDIKA
NI MADE OKTI
106 51191 43 Th 1/13/2024 MATARAM
MEGAYANI
BAYI NYONYA
107 46007 1 Th 1/13/2024 KARANG PULE
FAUZIATI
KLINIK PRATAMA ASY
108 909125 Farida Ulfah 43 Th 1/13/2024
SYIFA
MUHAMMAD RIZKI KLINIK DR.
109 34234 2 Th 1/14/2024
HADIRA SUWONDO
110 88025 SYAMSUDDIN 68 Th 1/14/2024 TANJUNG KARANG
111 88024 IKHSAN ASSIDIQ 15 Th 1/14/2024 MENINTING

KLINIK WIRA
112 88022 HERANI ZAKIYAH 35 Th 1/14/2024
SANTOSA
113 68374 RADI AH 57 Th 1/14/2024 MENINTING
114 67210 RONA PRAMESARI 20 Th 1/14/2024 LENDANG NANGKA

TALITA ZAHRA
115 88027 6 Th 1/15/2024 PAGESANGAN
HAERANI
dr. Hj. Dewi Madusari
116 29232 SRI NUR FATMAWATI 50 Th 1/15/2024
Alimin
ARGA ANDIKA JAYENG

117 88028 20 Th 1/15/2024 SELAPARANG
RIZKY FAJRI RIDHO
118 88026 ERNI S. TULUNG 21 Th 1/15/2024 KARANG PULE

119 88048 GUNAWAN 32 Th 1/15/2024 GERUNG

120 46719 58 Th 1/15/2024
MULAHELLA SANTOSA
121 88051 ARDIANSYAH 30 Th 1/15/2024 Ranggo
dr. Putu Purnama

122 79837 SYAFRUDDIN NUR 58 Th 1/15/2024
Suardjaya
123 44244 ROHAN 75 Th 1/15/2024 MATARAM
RUQAYYAH ASNA
KLINIK UNIVERSITAS
124 71561 FARADISA 2 Th 1/15/2024
MATARAM
ALMUNAWWARAH
KLINIK UNIVERSITAS
125 66723 faizah 19 Th 1/15/2024
MATARAM
126 88057 BAHTIAR RIFAI 40 Th 1/16/2024 KLINIK ARTA MEDIKA
Ir. SAPTONO
WASPODO,M.Si
128 87957 SITI MAYMUNAH 46 Th 1/16/2024 MATARAM
KLINIK KIMIA FARMA

129 53709 SURJANI 70 Th 1/16/2024
189
KLINIK UNIVERSITAS
130 65562 ilyaz fariz al fayyadh 6 Th 1/16/2024
MATARAM
131 88072 SYAKILA ZILVANIA 1 Th 1/16/2024 Klinik Catur Warga

KLINIK PRATAMA ASY
132 88073 SEMAH 75 Th 1/16/2024
SYIFA

133 46719 58 Th 1/16/2024
MULAHELLA SANTOSA
134 88052 SUKMIAN 50 Th 1/16/2024 dr. H. Sabaruddin
HAGIA SHOFIA NUR

135 65116 10 Bl 1/16/2024 PRAYA
AZKIA
136 73642 INDRA OKTA SASTIKA 41 Th 1/16/2024 PAGESANGAN
KEYSHA CLAUDYA
137 88071 4 Th 1/16/2024 AMPENAN
ASSYAFA
138 88100 YAZID 13 Th 1/17/2024 MENINTING
139 88025 SYAMSUDDIN 68 Th 1/17/2024 TANJUNG KARANG
KLINIK UNIVERSITAS
140 60344 NURUL HASANAH 31 Th 1/17/2024
MATARAM
KLINIK UNIVERSITAS
141 63144 SRI NURMALASARI 44 Th 1/17/2024
MATARAM
KLINIK UNIVERSITAS
142 68162 CANDRA WIJAYA 43 Th 1/17/2024
MATARAM
143 25019 HJ. RUBIATI 60 Th 1/17/2024 dr. H. Sabaruddin
FRANGKY ABRAHAM KPRJ RUMAH

144 63951 59 Th 1/17/2024
PANGKEY KESEMBUHAN
Muhammad Ghifari
145 87911 21 Th 1/17/2024 SELONG
Rifansha
ADISTYA REVOLISTA
146 88099 20 Th 1/17/2024 MANTANG
AZZAHRO

147 29232 SRI NUR FATMAWATI 50 Th 1/17/2024
Alimin
148 43831 KHALISA IZZATUNNISA 2 Th 1/18/2024 PUYUNG
149 88113 ASPI MULIANADI 44 Th 1/18/2024 CAKRANEGARA
151 32816 YAHYA 62 Th 1/18/2024 PAGESANGAN
152 79154 ELMAYANA 27 Th 1/18/2024 KARANG PULE
153 88120 HAIRUNNISWAH 33 Th 1/18/2024 dr. Wiwik Nurlaela
ANGGI ASTRIANA
154 88122 20 Th 1/18/2024 RENSING
PUTRI
KENAN NADHIF AL KLINIK UNIVERSITAS

155 64147 1 Th 1/18/2024
HIKAM MATARAM
156 38935 EMILIA KONTESA 22 Th 1/19/2024 Kilo
157 84970 RUSNIATI 62 Th 1/19/2024 PEJERUK
BAYU HARIYANTO
PUTRO
NI LUH AYU ANGGIANI KLINIK UNIVERSITAS

159 3990 34 Th 1/19/2024
PUTRI MATARAM
160 29378 ROHANI SAYUTI 39 Th 1/19/2024 dr. Wiwik Nurlaela
KLINIK PRATAMA ASY

161 42858 ENDANG SRI HARTATI 52 Th 1/19/2024
SYIFA
162 88123 MUDAHAR 54 Th 1/19/2024 KARANG PULE
163 66598 KARISMA PUTRI 20 Th 1/19/2024 MUNCAN
ALUNA ASSYIFA
164 73912 1 Th 1/19/2024 dr. H. Sabaruddin
ADDIIN
165 88130 YASMIN NABILA 9 Th 1/19/2024 PAGESANGAN

KLINIK KIMIA FARMA
166 88137 IIN INDASYAH 47 Th 1/19/2024
189
SHALIHAH CINTIA KLINIK PRATAMA ASY
167 49239 7 Th 1/20/2024
HUMAIRAH SYIFA
KLINIK UNIVERSITAS
168 13940 IKA MULIANI 32 Th 1/20/2024
MATARAM
169 69612 AULIA MARLAILI 12 Th 1/20/2024 MATARAM
KLINIK UNIVERSITAS
170 68588 RENI ARFILIANI 23 Th 1/20/2024
MATARAM
ADIBA AMELIA
MAFAZA
KLINIK UNIVERSITAS
172 13557 ROHANA IMTIHANAH 63 Th 1/20/2024
MATARAM
173 69348 HAMZAH M AMIN 69 Th 1/20/2024 dr. Evi Yuniarti, MPH
M MAULANA
ALQARANI
175 62631 SITI NURLAELA 53 Th 1/21/2024 SESELA
176 38427 abizer razqa 5 Th 1/21/2024 PAGESANGAN
177 58979 AHMAT SAPRI 65 Th 1/21/2024 TANJUNG KARANG
178 88149 RASTI RATNA AYUDIA 8 Th 1/21/2024 PEJERUK
KLINIK UNIVERSITAS
179 16025 AMINAH 31 Th 1/21/2024
MATARAM
180 38291 ABDURROHMAN 16 Th 1/21/2024 Klinik Alumni Agung
KLINIK UNIVERSITAS
181 88153 ABDUL AZIZ 14 Th 1/21/2024
MATARAM
182 88152 SITI KAMARIAH 28 Th 1/21/2024 DASAN AGUNG
183 44244 ROHAN 75 Th 1/21/2024 MATARAM
184 88151 IRA HIKMATUL AINI 17 Th 1/21/2024 DAREK

KLINIK UNIVERSITAS
185 48294 ARFAN GILLARDINO 2 Th 1/21/2024
MATARAM
KLINIK UNIVERSITAS
186 68876 MOH. RIADUS SOLIHIN 31 Th 1/21/2024
MATARAM
187 75330 ERNA BURHANI 44 Th 1/21/2024 PEJERUK

KLINIK PRATAMA ASY
188 87208 ROSIDAWATI 49 Th 1/21/2024
SYIFA
KLINIK KIMIA FARMA
189 57055 SULHAN APRIANDI 26 Th 1/21/2024
189
dr. H. Husin Fahmi,
190 74185 SRI HARTINI 66 Th 1/21/2024
MPH
191 55241 DINIAYU PRINA SANTRI 31 Th 1/22/2024 PAGESANGAN
MUHAMMAD
192 68393 15 Th 1/22/2024 dr. Triadi Hernawanto
FARRAAS
193 74318 NENY HUSNAINI ZAIN 25 Th 1/22/2024 AIKMEL
RS UNIVERSITAS
194 22092 MAS UT 51 Th 1/22/2024 MATARAM - KOTA
MATARAM
ASSYAUQIE LALLANA
IBRAHIM
196 79801 DAFFA RIZHAN SYAQIL 2 Th 1/22/2024 DASAN AGUNG
197 88173 YATI KISWAN 34 Th 1/22/2024 KARANG PULE
198 37429 AYUMI RAHMAWATI 4 Th 1/22/2024 TANJUNG KARANG
KLINIK UNIVERSITAS
199 60811 AINUL YAQIN 30 Th 1/22/2024
MATARAM
MUHAMMAD QOSIM KLINIK UNIVERSITAS

200 36164 6 Th 1/22/2024
IMAD ALMUNAWWAR MATARAM
201 14312 dr LINA NURBAITI 41 Th 1/22/2024 PRAYA
202 59472 PURKON 70 Th 1/23/2024 TANJUNG KARANG

MUHAMMAD SAHIL
203 65447 10 Bl 1/23/2024 MENINTING
MOELLA
204 88149 RASTI RATNA AYUDIA 8 Th 1/23/2024 PEJERUK

M. ARIO PUTRA KLINIK PRATAMA ASY
205 52858 19 Th 1/23/2024
FERDIAN PRATAMA SYIFA
206 45054 ALFINA OKRITA LAWRA 21 Th 1/23/2024 Orong Telu
207 48377 ROHMI HANDAYANI 31 Th 1/23/2024 TANJUNG KARANG
208 88194 PADLAH 52 Th 1/23/2024 TANJUNG KARANG

209 44238 SJAEFUDDIN 53 Th 1/24/2024
Alimin
BAYI NY.YANA
210 49739 MARIANA(OLIVIA 1 Th 1/24/2024 dr. Agustinus Sutanto
ZAHRA N.)
211 57817 ZAHRAH 54 Th 1/24/2024 PAGESANGAN
212 11988 MUNAAH 56 Th 1/24/2024 DASAN AGUNG
KLINIK UNIVERSITAS
213 60811 AINUL YAQIN 30 Th 1/24/2024
MATARAM
214 56247 Riana 23 Th 1/24/2024 Utan
215 68869 UWAIS QORNI 7 Bl 1/24/2024 KARANG PULE
SHOFIYA ROHANA
216 88209 15 Th 1/24/2024 Klinik Alumni Agung
ADRI NURCAHYADI
217 88211 MUHIBUDDIN 44 Th 1/24/2024 dr. H. Sabaruddin
218 84821 HAWA EFRA NAFIZAH 6 Bl 1/24/2024 AMPENAN
219 88218 KARTINI 28 Th 1/24/2024 PAGESANGAN

220 18486 DIANA ULFA 27 Th 1/24/2024 MENINTING
RAFA ANNISA FATIRA

ADHIMA

222 35299 ZULFIANA 59 Th 1/25/2024
Alimin
223 58384 DELISHA ISMAYANI 2 Th 1/25/2024 PAGESANGAN

224 88220 PAIZAH 58 Th 1/25/2024 KARANG PULE
226 88229 NURJANAH 58 Th 1/25/2024 KR TALIWANG
MUHAMMAD KAUSAR
ABDULLOH
228 13212 BAIQ FATMIATI 60 Th 1/25/2024 MATARAM
KLINIK UNIVERSITAS
229 14179 TITIAN WAENI 27 Th 1/25/2024
MATARAM
BAYI NY . AMIRAH
230 66493 MUHAMMAD UMAR 9 Bl 1/25/2024 PAGESANGAN
MIRADI
MUHAMMAD ARIF
ARROSID
MUHAMMAD RASYID
AL HAMID
233 24451 HIDAYATNI 34 Th 1/27/2024 MENINTING
KLINIK UNIVERSITAS
234 51859 QURRATUL AENUN 20 Th 1/27/2024
MATARAM
KLINIK PRATAMA ASY

235 88259 FERRY KURAHMAN 45 Th 1/27/2024
SYIFA
I NENGAH ANGGARA
236 66308 9 Th 1/27/2024 PAGESANGAN
WIGUNA
237 88258 HERNIATI 42 Th 1/27/2024 PAGESANGAN
238 45001 NAJAMUDIN 48 Th 1/27/2024 PAGESANGAN
239 27610 MAHRUP 73 Th 1/27/2024 TANJUNG KARANG
KLINIK UNIVERSITAS
240 56449 Ali Ramzi 22 Th 1/27/2024
MATARAM
THALITA AMEERA KLINIK UNIVERSITAS
241 40745 3 Th 1/27/2024
SHAZFA MATARAM
242 45861 DARU JATUN AULIA 20 Th 1/27/2024 SEMBALUN
KLINIK UNIVERSITAS
243 10654 SALSABILA AZZAHRA 8 Th 1/27/2024
MATARAM
244 68935 NADITA APRILIA 23 Th 1/27/2024 Bolo
245 62803 AHMAD 73 Th 1/28/2024 KARANG PULE

KLINIK KIMIA FARMA
246 34535 LALU RAYAN ZHAFIR 12 Th 1/28/2024
189
MUHAMMAD ZIDAN
247 32508 7 Th 1/28/2024 PEJERUK
AL FARIZI
KLINIK UNIVERSITAS
248 60837 DANI SEPYUNADI 30 Th 1/28/2024
MATARAM
249 88262 LENEM 60 Th 1/28/2024 SENGKOL
ATHAYA ZILDAN KLINIK UNIVERSITAS

250 25698 6 Th 1/28/2024
MARDIANSYAH MATARAM
251 79199 FARIDAH 70 Th 1/28/2024 TANJUNG KARANG

252 88261 DAHAN 63 Th 1/28/2024 SENGKOL
KLINIK UNIVERSITAS
253 46761 NASRUL MUBARRAK 37 Th 1/29/2024
MATARAM
KLINIK UNIVERSITAS
254 74235 BY.NY BQ MEGAWATI 5 Bl 1/29/2024
MATARAM
KAORY SAGITA RIZKY

255 86841 18 Th 1/29/2024 Labuhan Badas
ILAHI
KLINIK UNIVERSITAS
256 10407 IMAM SAEKONI 56 Th 1/29/2024
MATARAM
NAYAKA ERA HUSADA

257 88277 ENI CENDRAWATI 40 Th 1/29/2024
(JST)
BAYI NYONYA
KLINIK UNIVERSITAS
258 61774 ZUHRIANI/MUHAMMA 1 Th 1/29/2024
MATARAM
D JAKFAR A.A
I KOMANG
259 48375 11 Th 1/29/2024 PAGESANGAN
NADIARTHA WIJAYA
260 88283 ASIAH 43 Th 1/29/2024 JEMBATAN KEMBAR
261 88078 H. MAHSUN 64 Th 1/29/2024 DAREK
LISA ANTRY
NAWANGSARI
263 88271 ROBY FAJRIAN 27 Th 1/29/2024 PAGESANGAN
FATIH GAIZHAM
264 69533 1 Th 1/29/2024 PAGESANGAN
RAMDHAN
KLINIK WIRA
265 48952 HANAFI 71 Th 1/29/2024
SANTOSA
266 73308 MELVA DWI SAPUTRI 23 Th 1/29/2024 Lunyuk
KLINIK UNIVERSITAS
267 59685 GITA SASMITA 26 Th 1/29/2024
MATARAM
SYAUMI RAHMAWATI
268 53331 28 Th 1/30/2024 AMPENAN
ANJASARI
269 46142 PUTU GILANG ADITYA 14 Th 1/30/2024 MATARAM
DIENUNA RAHARJA
271 88284 JANUARTA KUSUMA 15 Th 1/30/2024 TANJUNG KARANG
CANDRAGITA
272 68421 HAFADAH 50 Th 1/30/2024 KARANG PULE

ABRISAM ZAYYAN
273 65350 1 Th 1/30/2024 AMPENAN
KURNIAWAN
KLINIK KIMIA FARMA

274 30742 NI WAYAN SUARTINI 36 Th 1/30/2024
189
KLINIK UNIVERSITAS
275 60811 AINUL YAQIN 30 Th 1/30/2024
MATARAM
FARAH CATRI
WULANDARI
277 88295 AZRIL 43 Th 1/30/2024 KARANG PULE
RS UNIVERSITAS
278 88296 NARENDRA ARI NARA 26 Hr 1/30/2024 MATARAM - KOTA
MATARAM
RS UNIVERSITAS
279 905351 Uswatun Hasanah 21 Th 1/31/2024 MATARAM - KOTA
MATARAM
280 57238 Rendra Antoni 52 Th 1/31/2024 dr. Ita Patriani
281 88297 SAIFUL ANAS 20 Th 1/31/2024 Sape
282 66510 FATIMAH 54 Th 1/31/2024 dr. Evi Yuniarti, MPH
KLINIK WIRA
283 48952 HANAFI 71 Th 1/31/2024
SANTOSA
RS UNIVERSITAS
284 46142 PUTU GILANG ADITYA 14 Th 1/31/2024 MATARAM - KOTA
MATARAM
KLINIK PRATAMA ASY
285 73100 TSANIA PUTRI HANIFA 16 Th 1/31/2024
SYIFA
KLINIK UNIVERSITAS
286 14033 MUHAMMAD HIDIR 30 Th 1/31/2024
MATARAM
287 67203 YUSUF AL BANNA 1 Th 1/31/2024 KARANG PULE

N JANUARI 2024
TUJUAN KODE DIAGNOSA
IGD J21 Acute bronchiolitis
Observation for other

IGD Z03.8 suspected diseases and
conditions
Gastro-oesophageal
IGD K21
reflux disease
Angina pectoris,
IGD I20.9
unspecified

conditions
IGD R50.9 Fever, unspecified
Gastroenteritis and
IGD A09.9 colitis of unspecified
origin
IGD I50.0 Congestive heart failure
IGD J20 Acute bronchitis

conditions
Crushing injury and

traumatic amputation
IGD T14.7
of unspecified body
region
Acute upper respiratory

IGD J06.9
infection, unspecified
Thyrotoxicosis
IGD E05
[hyperthyroidism]

conditions
IGD K30 Dyspepsia
IGD K30 Dyspepsia
Foreign body in
IGD T18.1
oesophagus
Other and unspecified

IGD R10.4
abdominal pain

IGD R10.4
abdominal pain
Superficial injury of
IGD T14.0 unspecified body
region

IGD R10.4
abdominal pain
IGD R53 Malaise and fatigue

conditions

conditions
IGD R51 Headache
IGD R33 Retention of urine

Other peripheral
IGD H81.3
vertigo
Other peripheral
IGD H81.3
vertigo

conditions
Urinary tract infection,

IGD N39.0
site not specified

Gastroenteritis and
origin
Cervicocranial
IGD M53.0
syndrome

conditions
Gastro-oesophageal
IGD K21.9 reflux disease without
oesophagitis
IGD K30 Dyspepsia

Injury of unspecified
IGD T14
body region
Other peripheral
IGD H81.3
vertigo
Other gastroenteritis
IGD A09 and colitis of infectious
and unspecified origin
IGD K30 Dyspepsia
IGD H60 Otitis externa

IGD H60 Otitis externa
Hyperglycaemia,
IGD R73.9
unspecified
IGD K30 Dyspepsia
IGD I50 Heart failure
IGD K30 Dyspepsia
Other peripheral
IGD H81.3
vertigo

IGD R10.4
abdominal pain
Gastroenteritis and
origin
region

conditions
IGD K30 Dyspepsia

conditions
Gastroenteritis and
origin

conditions
IGD G44.2 Tension-type headache
IGD R11 Nausea and vomiting

IGD K30 Dyspepsia
Gastro-oesophageal
IGD K21
reflux disease
IGD K30 Dyspepsia
Unspecified nephritic
IGD N05.9
syndrome, unspecified
Pneumonia,
IGD J18.9
unspecified

conditions
IGD K30 Dyspepsia
Mild hyperemesis
IGD O21.0
gravidarum

Insulin-dependent
IGD E10
diabetes mellitus
IGD K30 Dyspepsia
Other specified
IGD M62.81 disorders of muscle,
shoulder
IGD R51 Headache

conditions
IGD H81.4 Vertigo of central origin
IGD K30 Dyspepsia

Sprain and strain of
IGD S93.4
ankle
IGD K30 Dyspepsia
IGD K30 Dyspepsia

IGD K30 Dyspepsia
IGD K30 Dyspepsia

IGD K30 Dyspepsia
IGD K30 Dyspepsia

IGD K30 Dyspepsia
IGD J45 Asthma
IGD K30 Dyspepsia
IGD K30 Dyspepsia

IGD R51 Headache
Cutaneous abscess,
IGD L02.9 furuncle and carbuncle,
unspecified

IGD R10.4
abdominal pain
IGD K30 Dyspepsia
IGD K30 Dyspepsia

Gastroenteritis and
origin
IGD K30 Dyspepsia

conditions
Tuberculosis of other
IGD A18
organs
IGD T14
body region
IGD K30 Dyspepsia


IGD R10.4
abdominal pain
Other peripheral
IGD H81.3
vertigo
IGD K30 Dyspepsia

IGD R10.4
abdominal pain
IGD K59.0 Constipation
IGD K30 Dyspepsia
IGD T14
body region
Other peripheral
IGD H81.3
vertigo

IGD R10.4
abdominal pain
Essential (primary)
IGD I10
hypertension

IGD R10.4
abdominal pain
IGD J45.9 Asthma, unspecified

Gastro-oesophageal
IGD K21.0 reflux disease with
oesophagitis

IGD R10.4
abdominal pain
IGD K30 Dyspepsia

conditions
Gastroenteritis and
origin
IGD T14
body region

IGD R10.4
abdominal pain

IGD R10.4
abdominal pain
Follow-up examination
after unspecified
IGD Z08.9
treatment for
malignant neoplasm
Foreign body in
IGD T19.9 genitourinary tract,
part unspecified
IGD H81.4 Vertigo of central origin
Essential (primary)
IGD I10
hypertension
IGD K30 Dyspepsia

conditions
Gastroenteritis and
origin
IGD R07.3 Other chest pain
Observation for
IGD Z03.9 suspected disease or
condition, unspecified
IGD R04.2 Haemoptysis

Gastroenteritis and
origin

conditions
Allergic contact
IGD L23.9 dermatitis, unspecified
cause

IGD J06.9
IGD K30 Dyspepsia

conditions
IGD I84 Haemorrhoids
Gastro-oesophageal
IGD K21
reflux disease
Essential (primary)
IGD I10
hypertension
IGD K30 Dyspepsia

conditions

Acute bronchitis,
IGD J20.9
unspecified

Gastroenteritis and
origin

IGD J06.9
Gastro-oesophageal
IGD K21
reflux disease
IGD K30 Dyspepsia
IGD K30 Dyspepsia

IGD J45 Asthma
Hyperglycaemia,
IGD R73.9
unspecified
Burn of first degree,
IGD T30.1 body region
unspecified
IGD J45 Asthma
Other specified
noninfective
IGD K52.8
gastroenteritis and
colitis
IGD T14
body region
IGD K30 Dyspepsia
Other peripheral
IGD H81.3
vertigo
IGD K30 Dyspepsia

IGD T14
body region
IGD K30 Dyspepsia
IGD K30 Dyspepsia

conditions
Heart failure,
IGD I50.9
unspecified
IGD J20 Acute bronchitis
Fever of other and

IGD R50
unknown origin
IGD K30 Dyspepsia
Convulsions, not
IGD R56
elsewhere classified

IGD R10.4
abdominal pain
IGD D64.9 Anaemia, unspecified
IGD J45 Asthma
region
IGD K30 Dyspepsia

IGD R10.4
abdominal pain

Allergic contact
IGD L23
dermatitis
IGD K30 Dyspepsia

region
IGD A01.0 Typhoid fever

conditions
region
Gastroenteritis and
origin


IGD R10.4
abdominal pain
IGD K30 Dyspepsia
Gastroenteritis and
origin
Gastroenteritis and
origin
Thyrotoxicosis
IGD E05
[hyperthyroidism]
Cutaneous abscess,
IGD L02.9 furuncle and carbuncle,
unspecified
Rubella [German
IGD B06
measles]
IGD I20 Angina pectoris
Other specified
IGD M62.81 disorders of muscle,
shoulder

IGD N39.0
site not specified

IGD N39.0
site not specified
Gastro-oesophageal
IGD K21.9 reflux disease without
oesophagitis
Gastro-oesophageal
IGD K21
reflux disease
IGD K30 Dyspepsia

region
IGD G44.2 Tension-type headache
Gastro-oesophageal
IGD K21
reflux disease
IGD J45 Asthma
IGD J45 Asthma
Gastro-oesophageal
IGD K21
reflux disease
IGD I50 Heart failure
Gastroenteritis and
origin
Essential (primary)
IGD I10
hypertension

IGD N39.0
site not specified
IGD K30 Dyspepsia

IGD K30 Dyspepsia
IGD J45 Asthma
IGD K30 Dyspepsia
IGD K30 Dyspepsia
IGD J45 Asthma

conditions
IGD D64.9 Anaemia, unspecified
Gastroenteritis and
origin
IGD K30 Dyspepsia
Gastroenteritis and
origin
Gastroenteritis and
origin
Gastroenteritis and
origin
IGD R10.0 Acute abdomen
Other gastroenteritis
IGD A09 and colitis of infectious
and unspecified origin

conditions
IGD K30 Dyspepsia
Gastroenteritis and
origin

IGD K30 Dyspepsia
Essential (primary)
IGD I10
hypertension
Bacterial sepsis of
IGD P36.9
newborn, unspecified

Other headache
IGD G44
syndromes

conditions
Gastroenteritis and
origin
Pneumonia,
IGD J18.9
unspecified
IGD L50 Urticaria

Gastroenteritis and
origin
PASIEN IGD RAWAT JALAN
NO RM NAMA STATUS PEMBAYARAN
1 46142 PUTU GILANG ADITYA (14 Th) BPJS KESEHATAN
2 73100 TSANIA PUTRI HANIFA (16 Th) BPJS KESEHATAN
3 14033 MUHAMMAD HIDIR (30 Th) BPJS KESEHATAN
4 67203 YUSUF AL BANNA (1 Th) BPJS KESEHATAN
5 13302 AULYA INTAN WAHYUNINGTYAS (28 Th) BPJS KESEHATAN
6 57238 Rendra Antoni (52 Th) BPJS KESEHATAN

7 66510 FATIMAH (54 Th) BPJS KESEHATAN
8 27610 MAHRUP (73 Th) BPJS KESEHATAN
9 88297 SAIFUL ANAS (20 Th) BPJS KESEHATAN
10 46100 FARAH CATRI WULANDARI (27 Th) BPJS KESEHATAN
11 30742 NI WAYAN SUARTINI (36 Th) BPJS KESEHATAN
12 60811 AINUL YAQIN (30 Th) BPJS KESEHATAN
14 46142 PUTU GILANG ADITYA (14 Th) BPJS KESEHATAN
15 68421 HAFADAH (50 Th) BPJS KESEHATAN
16 65350 ABRISAM ZAYYAN KURNIAWAN (1 Th) BPJS KESEHATAN
17 13909 ABDUL HANAN (29 Th) BPJS KESEHATAN
18 88283 ASIAH (43 Th) BPJS KESEHATAN
19 48952 HANAFI (71 Th) BPJS KESEHATAN
BAYI NYONYA ZUHRIANI/MUHAMMAD

20 61774 BPJS KESEHATAN
JAKFAR A.A (1 Th)
21 88078 H. MAHSUN (64 Th) BPJS KESEHATAN
22 48375 I KOMANG NADIARTHA WIJAYA (11 Th) BPJS KESEHATAN
23 73308 MELVA DWI SAPUTRI (23 Th) BPJS KESEHATAN

24 69533 FATIH GAIZHAM RAMDHAN (1 Th) BPJS KESEHATAN
25 88277 ENI CENDRAWATI (40 Th) BPJS KESEHATAN
26 46761 NASRUL MUBARRAK (37 Th) BPJS KESEHATAN
27 10407 IMAM SAEKONI (56 Th) BPJS KESEHATAN
28 88271 ROBY FAJRIAN (27 Th) BPJS KESEHATAN
29 74235 BY.NY BQ MEGAWATI (5 Bl) BPJS KESEHATAN
30 59685 GITA SASMITA (26 Th) BPJS KESEHATAN
31 11280 LISA ANTRY NAWANGSARI (33 Th) BPJS KESEHATAN
32 86841 KAORY SAGITA RIZKY ILAHI (18 Th) BPJS KESEHATAN
33 79199 FARIDAH (70 Th) BPJS KESEHATAN
34 34535 LALU RAYAN ZHAFIR (12 Th) BPJS KESEHATAN
35 88262 LENEM (60 Th) BPJS KESEHATAN
36 60837 DANI SEPYUNADI (30 Th) BPJS KESEHATAN
37 25698 ATHAYA ZILDAN MARDIANSYAH (6 Th) BPJS KESEHATAN
38 53828 ARDIAN GANDI SUGARA (20 Th) UMUM

39 68935 NADITA APRILIA (23 Th) BPJS KESEHATAN
41 88259 FERRY KURAHMAN (45 Th) BPJS KESEHATAN
42 88258 HERNIATI (42 Th) BPJS KESEHATAN
43 45861 DARU JATUN AULIA (20 Th) BPJS KESEHATAN
44 40745 THALITA AMEERA SHAZFA (3 Th) BPJS KESEHATAN
45 24451 HIDAYATNI (34 Th) BPJS KESEHATAN
46 10654 SALSABILA AZZAHRA (8 Th) BPJS KESEHATAN
47 66308 I NENGAH ANGGARA WIGUNA (9 Th) BPJS KESEHATAN
48 51859 QURRATUL AENUN (20 Th) BPJS KESEHATAN
49 45001 NAJAMUDIN (48 Th) BPJS KESEHATAN
50 57638 SYARIFAH ASYIFATUZ ZAHRAH (1 Th) UMUM
51 56449 Ali Ramzi (22 Th) BPJS KESEHATAN
52 88247 PUJI ENDANG SUSMIATI (48 Th) UMUM
53 88246 HASNA MAULIDINA (3 Bl) UMUM
54 74994 MUHAMMAD ARIF ARROSID (18 Th) BPJS KESEHATAN
55 88230 NUSAIBA (16 Th) UMUM
56 46352 NURUL FADILAH (15 Th) UMUM
57 88229 NURJANAH (58 Th) BPJS KESEHATAN
58 85938 BAIQ DEFI NOPITASARI (32 Th) BPJS KESEHATAN
59 88227 RISDA AULIA (27 Th) UMUM
60 13212 BAIQ FATMIATI (60 Th) BPJS KESEHATAN
61 35299 ZULFIANA (59 Th) BPJS KESEHATAN
62 88224 MUHAMMAD KAUSAR ABDULLOH (7 Th) BPJS KESEHATAN
63 14179 TITIAN WAENI (27 Th) BPJS KESEHATAN

64 88222 M. ARIF RAHMAN HAKIM (25 Th) UMUM
65 58384 DELISHA ISMAYANI (2 Th) BPJS KESEHATAN
66 88220 PAIZAH (58 Th) BPJS KESEHATAN
67 36629 RAFA ANNISA FATIRA ADHIMA (16 Th) BPJS KESEHATAN
BAYI NY . AMIRAH MUHAMMAD UMAR

MIRADI (9 Bl)
69 84821 HAWA EFRA NAFIZAH (6 Bl) BPJS KESEHATAN
70 88218 KARTINI (28 Th) BPJS KESEHATAN
72 88211 MUHIBUDDIN (44 Th) BPJS KESEHATAN
73 44238 SJAEFUDDIN (53 Th) BPJS KESEHATAN
SHOFIYA ROHANA ADRI NURCAHYADI (15
Th)
75 68869 UWAIS QORNI (7 Bl) BPJS KESEHATAN
76 57817 ZAHRAH (54 Th) BPJS KESEHATAN
BAYI NY.YANA MARIANA(OLIVIA ZAHRA
N.) (1 Th)
78 11988 MUNAAH (56 Th) BPJS KESEHATAN
79 18486 DIANA ULFA (27 Th) BPJS KESEHATAN
80 88194 PADLAH (52 Th) BPJS KESEHATAN
81 45054 ALFINA OKRITA LAWRA (21 Th) BPJS KESEHATAN
M. ARIO PUTRA FERDIAN PRATAMA (19
Th)
83 48377 ROHMI HANDAYANI (31 Th) BPJS KESEHATAN
84 88193 ZITA AFIAT FITRIYAH (7 Th) UMUM
85 88149 RASTI RATNA AYUDIA (8 Th) BPJS KESEHATAN
86 59472 PURKON (70 Th) BPJS KESEHATAN
87 88188 SULTHAN SYAHIR MAHASIN (4 Th) UMUM
88 65447 MUHAMMAD SAHIL MOELLA (10 Bl) BPJS KESEHATAN
89 55241 DINIAYU PRINA SANTRI (31 Th) BPJS KESEHATAN
90 88173 YATI KISWAN (34 Th) BPJS KESEHATAN
MUHAMMAD QOSIM IMAD
ALMUNAWWAR (6 Th)
92 29421 PRAMA EKO WICAKSONO (32 Th) UMUM
93 79801 DAFFA RIZHAN SYAQIL (2 Th) BPJS KESEHATAN
94 14312 dr LINA NURBAITI (41 Th) BPJS KESEHATAN
96 79876 NADIA NAZMI MUSFIRAH (20 Th) BPJS KESEHATAN
97 71423 NABILA AIRA ALMASHYRA (1 Th) UMUM
98 74318 NENY HUSNAINI ZAIN (25 Th) BPJS KESEHATAN
99 68393 MUHAMMAD FARRAAS (15 Th) BPJS KESEHATAN
100 49177 ASSYAUQIE LALLANA IBRAHIM (3 Th) BPJS KESEHATAN
101 37429 AYUMI RAHMAWATI (4 Th) BPJS KESEHATAN
102 88154 TRIFIA AZZOHRA (19 Th) UMUM
103 44709 I GEDE RISHI VINAYA (8 Th) UMUM
104 57055 SULHAN APRIANDI (26 Th) BPJS KESEHATAN
105 88153 ABDUL AZIZ (14 Th) BPJS KESEHATAN
106 88152 SITI KAMARIAH (28 Th) BPJS KESEHATAN
107 88151 IRA HIKMATUL AINI (17 Th) BPJS KESEHATAN
108 38427 abizer razqa (5 Th) BPJS KESEHATAN
109 75330 ERNA BURHANI (44 Th) BPJS KESEHATAN
110 68876 MOH. RIADUS SOLIHIN (31 Th) BPJS KESEHATAN
111 48294 ARFAN GILLARDINO (2 Th) BPJS KESEHATAN
112 44244 ROHAN (75 Th) BPJS KESEHATAN
113 88149 RASTI RATNA AYUDIA (8 Th) BPJS KESEHATAN
114 62631 SITI NURLAELA (53 Th) BPJS KESEHATAN
115 38291 ABDURROHMAN (16 Th) BPJS KESEHATAN
116 74185 SRI HARTINI (66 Th) BPJS KESEHATAN
117 87208 ROSIDAWATI (49 Th) BPJS KESEHATAN
118 16025 AMINAH (31 Th) BPJS KESEHATAN
119 21288 M MAULANA ALQARANI (12 Th) BPJS KESEHATAN
120 68588 RENI ARFILIANI (23 Th) BPJS KESEHATAN
121 49239 SHALIHAH CINTIA HUMAIRAH (7 Th) BPJS KESEHATAN
122 13940 IKA MULIANI (32 Th) BPJS KESEHATAN
123 74521 ADIBA AMELIA MAFAZA (2 Th) BPJS KESEHATAN
124 69348 HAMZAH M AMIN (69 Th) BPJS KESEHATAN
125 13557 ROHANA IMTIHANAH (63 Th) BPJS KESEHATAN
126 69612 AULIA MARLAILI (12 Th) BPJS KESEHATAN
127 84970 RUSNIATI (62 Th) BPJS KESEHATAN
128 66598 KARISMA PUTRI (20 Th) BPJS KESEHATAN
129 88137 IIN INDASYAH (47 Th) BPJS KESEHATAN
130 71639 BAYU HARIYANTO PUTRO (39 Th) BPJS KESEHATAN
131 3990 NI LUH AYU ANGGIANI PUTRI (34 Th) BPJS KESEHATAN
132 38935 EMILIA KONTESA (22 Th) BPJS KESEHATAN
133 7288 INTANG LAILANI (29 Th) BPJS KESEHATAN
134 88123 MUDAHAR (54 Th) BPJS KESEHATAN
135 29378 ROHANI SAYUTI (39 Th) BPJS KESEHATAN
136 79154 ELMAYANA (27 Th) BPJS KESEHATAN
138 88122 ANGGI ASTRIANA PUTRI (20 Th) BPJS KESEHATAN
139 88120 HAIRUNNISWAH (33 Th) BPJS KESEHATAN
140 64147 KENAN NADHIF AL HIKAM (1 Th) BPJS KESEHATAN
141 43831 KHALISA IZZATUNNISA (2 Th) BPJS KESEHATAN
142 88113 ASPI MULIANADI (44 Th) BPJS KESEHATAN
143 32816 YAHYA (62 Th) BPJS KESEHATAN
144 88025 SYAMSUDDIN (68 Th) BPJS KESEHATAN
145 63951 FRANGKY ABRAHAM PANGKEY (59 Th) BPJS KESEHATAN
146 88100 YAZID (13 Th) BPJS KESEHATAN

147 88099 ADISTYA REVOLISTA AZZAHRO (20 Th) BPJS KESEHATAN
148 25019 HJ. RUBIATI (60 Th) BPJS KESEHATAN
149 63144 SRI NURMALASARI (44 Th) BPJS KESEHATAN
150 68162 CANDRA WIJAYA (43 Th) BPJS KESEHATAN
151 29232 SRI NUR FATMAWATI (50 Th) BPJS KESEHATAN
152 60344 NURUL HASANAH (31 Th) BPJS KESEHATAN
153 87911 Muhammad Ghifari Rifansha (21 Th) BPJS KESEHATAN
154 65562 ilyaz fariz al fayyadh (6 Th) BPJS KESEHATAN
155 73642 INDRA OKTA SASTIKA (41 Th) BPJS KESEHATAN
156 87957 SITI MAYMUNAH (46 Th) BPJS KESEHATAN
157 88073 SEMAH (75 Th) BPJS KESEHATAN
158 88072 SYAKILA ZILVANIA (1 Th) BPJS KESEHATAN
159 88071 KEYSHA CLAUDYA ASSYAFA (4 Th) BPJS KESEHATAN
160 53709 SURJANI (70 Th) BPJS KESEHATAN
161 88069 Ir. SAPTONO WASPODO,M.Si (61 Th) BPJS KESEHATAN
162 88057 BAHTIAR RIFAI (40 Th) BPJS KESEHATAN
163 46719 ABU BAKAR MULAHELLA (58 Th) BPJS Kesehatan
164 88052 SUKMIAN (50 Th) BPJS KESEHATAN
165 88048 GUNAWAN (32 Th) BPJS KESEHATAN
166 88051 ARDIANSYAH (30 Th) BPJS KESEHATAN
167 44244 ROHAN (75 Th) BPJS KESEHATAN
169 29232 SRI NUR FATMAWATI (50 Th) BPJS KESEHATAN
170 66723 faizah (19 Th) BPJS KESEHATAN
RUQAYYAH ASNA FARADISA
ALMUNAWWARAH (2 Th)
ARGA ANDIKA JAYENG RIZKY FAJRI RIDHO
(20 Th)
173 79837 SYAFRUDDIN NUR (58 Th) BPJS KESEHATAN
174 88027 TALITA ZAHRA HAERANI (6 Th) BPJS KESEHATAN
175 88026 ERNI S. TULUNG (21 Th) BPJS KESEHATAN
176 88025 SYAMSUDDIN (68 Th) BPJS KESEHATAN
177 34234 MUHAMMAD RIZKI HADIRA (2 Th) BPJS KESEHATAN
178 88024 IKHSAN ASSIDIQ (15 Th) BPJS KESEHATAN
179 67210 RONA PRAMESARI (20 Th) BPJS KESEHATAN
180 88023 DEMY AFIYA RESTIYAH (26 Th) UMUM
181 88022 HERANI ZAKIYAH (35 Th) BPJS KESEHATAN
182 68374 RADI AH (57 Th) BPJS KESEHATAN
183 46007 BAYI NYONYA FAUZIATI (1 Th) BPJS KESEHATAN
184 51191 NI MADE OKTI MEGAYANI (43 Th) BPJS KESEHATAN
185 13938 AHMAD FAWAID (32 Th) BPJS KESEHATAN
186 70382 ANNISA AQILA AZZAHRA (3 Th) BPJS KESEHATAN
187 88021 SRI WIDIANTI (26 Th) BPJS KESEHATAN
188 909125 Farida Ulfah (43 Th) BPJS KESEHATAN
189 33330 FIKRI HANDAYANI (31 Th) BPJS KESEHATAN
190 25623 RAINAH (49 Th) BPJS KESEHATAN
191 88011 LINDA APRILIANI (27 Th) BPJS KESEHATAN
192 85403 HURIAH (49 Th) BPJS KESEHATAN
193 71969 ELYANA UTAMI (19 Th) BPJS KESEHATAN
194 88007 rifan fardian (1 Th) BPJS KESEHATAN
195 23277 CEDIN ATMAJA (67 Th) BPJS KESEHATAN
197 87993 AGHNIA KHALISA AZZAHRA (4 Th) BPJS KESEHATAN
198 87982 RIFANDI (18 Th) BPJS KESEHATAN
199 46208 AHMAD ALI FAUZI (5 Th) BPJS KESEHATAN
200 64100 NURLAELA (36 Th) BPJS KESEHATAN
BENING SALSABILA DWI ANJANINGRUM
(19 Th)
202 71969 ELYANA UTAMI (19 Th) BPJS KESEHATAN
204 57404 SUMIATI (26 Th) BPJS KESEHATAN
205 55514 TITIEN GEMILANG (63 Th) BPJS KESEHATAN
206 48989 SATARUDIN (54 Th) BPJS KESEHATAN
207 16716 BAIQ DAMIA INARA (7 Th) BPJS KESEHATAN
208 53655 SUHAEDI (29 Th) BPJS KESEHATAN
209 87969 SAEFUDIN ZUHRI (42 Th) BPJS KESEHATAN
210 61358 IDA LESTARI (22 Th) UMUM
211 65953 ZAERINA AZIZAH (21 Th) BPJS KESEHATAN
212 87961 DWI RINI SUPRAPTI (63 Th) BPJS KESEHATAN
213 59204 HJ SURAS DIANA (63 Th) BPJS KESEHATAN
214 87960 Moh Fauzan Azim (33 Th) UMUM
215 87959 AINAYA SALSYABILA (21 Th) UMUM
216 87958 ELPETIANA YULIA HANDIKA (25 Th) UMUM
217 53754 ni nengah novita sari (22 Th) BPJS KESEHATAN
218 87957 SITI MAYMUNAH (46 Th) BPJS KESEHATAN
BAIQ IKE ANDANI MIWARSUMA,
S.KEP.NERS (32 Th)
220 48179 MUHAMMAD HIFZIN NIZAM (3 Th) BPJS KESEHATAN
221 87946 MUHAMMAD KHAIRI ANWAR (26 Th) UMUM
222 36681 ANDIKA KURNIAWAN (16 Th) BPJS KESEHATAN
223 87945 INGKE NURAHMANIA (19 Th) BPJS KESEHATAN
224 87944 TASYA ASKALANI (18 Th) UMUM
225 87943 INDANA ZULFANIA ZAHRANI (22 Th) UMUM
226 87941 GUSNALDY ALIF SAFUTRA (9 Th) BPJS KESEHATAN
227 87940 NABILA SAMRI YULISA (20 Th) BPJS KESEHATAN
228 87939 AYU SEKAR PRAMITASARI (16 Th) UMUM
229 60585 HJ. SG RAI KARTINI ,SH (73 Th) BPJS KESEHATAN
230 27631 DINA WITA NOURGIANA (39 Th) BPJS KESEHATAN
231 13557 ROHANA IMTIHANAH (63 Th) BPJS KESEHATAN
232 87898 LIA ISTIANA (18 Th) BPJS KESEHATAN
233 87896 NURUL HIKMAH (20 Th) BPJS KESEHATAN
234 87895 SUBUTIAH (47 Th) BPJS KESEHATAN
235 29723 MAYA ATRI KOMALASARI (33 Th) UMUM
236 87893 SUCI HUSNAIDA (19 Th) BPJS KESEHATAN
237 87889 MEIRA PRASTINI (24 Th) UMUM
238 34970 DRS. H. MUTAWALLI (59 Th) BPJS KESEHATAN
239 25467 JERRY ZONDAGRI HANING (56 Th) BPJS KESEHATAN
240 87878 ANDINI NAVA LIBNA (13 Th) BPJS KESEHATAN
ALFANDI SAPUTRA (BAYI NYONYA
ARMIYATI) (2 Th)
242 87866 Wagiman Cahyadi (20 Th) BPJS KESEHATAN
243 87859 M.Alif Syaifullah (20 Th) BPJS KESEHATAN
244 87865 EKA PEBRIANI (34 Th) BPJS KESEHATAN
245 20782 FAHRI REZA (37 Th) BPJS KESEHATAN
246 87864 BAIQ SALSYABILA ANANDA (21 Th) UMUM
247 66336 SAKIRIN (58 Th) BPJS KESEHATAN
248 21828 MUSTAIN (46 Th) BPJS KESEHATAN
249 95438 M Fadhilah Abdurrahman Al farisi (20 Th) BPJS KESEHATAN

MUHAMMAD KENZIE ADLAN ARDHANI
(10 Th)
251 900680 I Gusti Ayu Ratna Kumala Dewi Adi (21 Th) UMUM
252 13940 IKA MULIANI (32 Th) BPJS KESEHATAN

BY.NY ANIN DIANI/ NADHIF ARFAN
ALFARIZQI (7 Bl)
254 87863 SYAKIRA (13 Th) BPJS KESEHATAN
255 87862 DEWI FATIMAH (38 Th) BPJS KESEHATAN
256 44743 Fanisha Shinta Dewi (18 Th) BPJS KESEHATAN
257 79353 HERI SUSANTO (47 Th) BPJS KESEHATAN
258 87861 MUHAMMAD (70 Th) BPJS KESEHATAN
259 45938 SETYANINGSIH (68 Th) BPJS KESEHATAN
260 20017 MAINAH (62 Th) BPJS KESEHATAN
261 58110 NYIMAS ALVIRA FAHRIANTY (21 Th) UMUM
262 51114 LINDA EKAYANTI ULANDARI, SE. (34 Th) BPJS KESEHATAN
263 87860 SULHIYATI (28 Th) BPJS KESEHATAN

264 31775 MASNI (50 Th) BPJS KESEHATAN
265 31764 MAKNAH (48 Th) BPJS KESEHATAN
266 87859 M.Alif Syaifullah (20 Th) BPJS KESEHATAN
267 4200 LIA AUDINA (27 Th) BPJS KESEHATAN
268 87858 SRIWATI (36 Th) BPJS KESEHATAN
269 87857 NAJIB BARAJA (68 Th) UMUM
270 45886 MUHAMMAD ZHAFRAN MUSTAMIR (1 Th) BPJS KESEHATAN
271 53117 FAIZZA MUHLIS (11 Th) BPJS KESEHATAN

272 49240 NURHAYATI (37 Th) BPJS KESEHATAN
273 58925 Anggit gigih marhadi (30 Th) BPJS KESEHATAN
274 62078 SUMARNI (61 Th) BPJS KESEHATAN
275 87853 SYAMSUL ARIF (49 Th) BPJS KESEHATAN
276 13716 PUTRI SARI USWATUN HASANAH (30 Th) BPJS KESEHATAN
277 87852 NURUL LAILI RANUM (27 Th) BPJS KESEHATAN

278 87851 FADHIL ISNAN SYAKIEF (12 Th) BPJS KESEHATAN
279 73166 HAROMAIN JAHRI (69 Th) BPJS KESEHATAN
280 87849 WINI LESTARI (26 Th) BPJS KESEHATAN
281 12092 HERMAWATI (33 Th) BPJS KESEHATAN
282 87836 ADELIA LISA OKTARISA (21 Th) BPJS KESEHATAN
283 74872 ABYADH ABDILLAH SAFEER (5 Th) BPJS KESEHATAN
285 87835 BAGAS NURRAHMAD KURNIAWAN (9 Th) BPJS KESEHATAN
286 35968 MUHAMAD TARMIZI (27 Th) BPJS KESEHATAN

LALU AHMAD LUTFI GALUTAMA,S.Kep (33
Th)
288 29383 Ir.IDRUS ALKAFF (68 Th) BPJS KESEHATAN
289 66073 EVI SUSANTI (19 Th) BPJS KESEHATAN
290 73483 MUH. MIFTAHUL AKBAR (15 Th) BPJS KESEHATAN
291 87828 NANDALIKA FEBRIA (27 Th) UMUM
292 87823 LALU AHMAD RAMLI (81 Th) BPJS KESEHATAN
293 14866 HARIZAL (49 Th) BPJS KESEHATAN
294 67772 USMAN (75 Th) BPJS KESEHATAN
BAYI NY . AMIRAH MUHAMMAD UMAR
MIRADI (8 Bl)
296 79753 KARINA ARSYILA MADANI (7 Bl) BPJS KESEHATAN
297 22020 Pathurahman (57 Th) BPJS KESEHATAN
MUHAMMAD KALIEF ARSHAKA
DHIYAURRAHMAN (1 Th)
299 71978 I NENGAH NIRANTARA (38 Th) BPJS KESEHATAN
300 87816 BAIQ EMA AINI (23 Th) BPJS KESEHATAN
301 56379 NI NYOMAN SUARDANI (67 Th) BPJS KESEHATAN
302 87792 RAZIQ AHMADI (22 Th) BPJS KESEHATAN
JENIS TINDAKAN
NON TRAUMA
NON TRAUMA
NON TRAUMA
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NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
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NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
NON TRAUMA
PASIEN IGD RAWAT INAP
NO RM NAMA STATUS PEMBAYARAN
1 53698 HJ. PATMI RIANI (69 Th) BPJS KESEHATAN
2 42858 ENDANG SRI HARTATI (52 Th) BPJS KESEHATAN
3 48952 HANAFI (71 Th) BPJS KESEHATAN
MUHAMMAD RAFATAR ABRISYAM

(10 Bl)
MUHAMMAD RASYID AL HAMID (6
Th)
6 79732 I NYOMAN SUDARMA (46 Th) BPJS KESEHATAN
7 61309 NURMAH (52 Th) BPJS KESEHATAN
8 87956 TAUFAN HIDAYAT (22 Th) BPJS KESEHATAN
9 79296 SAPI`I (65 Th) BPJS KESEHATAN

10 58979 AHMAT SAPRI (65 Th) BPJS KESEHATAN
11 22092 MAS UT (51 Th) BPJS KESEHATAN
12 56247 Riana (23 Th) BPJS KESEHATAN
13 88261 DAHAN (63 Th) BPJS KESEHATAN
14 62803 AHMAD (73 Th) BPJS KESEHATAN
15 88295 AZRIL (43 Th) BPJS KESEHATAN
16 65447 MUHAMMAD SAHIL MOELLA (9 Bl) BPJS KESEHATAN
17 11170 HAIKAL AMRU (18 Th) BPJS KESEHATAN
18 65116 HAGIA SHOFIA NUR AZKIA (10 Bl) BPJS KESEHATAN
19 88130 YASMIN NABILA (9 Th) BPJS KESEHATAN
20 73912 ALUNA ASSYIFA ADDIIN (1 Th) BPJS KESEHATAN
21 88244 HUMAIRA ALIFA SUARNO (1 Th) UMUM
22 32508 MUHAMMAD ZIDAN AL FARIZI (7 Th) BPJS KESEHATAN
DIENUNA RAHARJA JANUARTA

KUSUMA CANDRAGITA (15 Th)
SYAUMI RAHMAWATI ANJASARI (28
Th)
25 88296 NARENDRA ARI NARA (26 Hr) BPJS KESEHATAN
D RAWAT INAP
RUANG DIAGNOSA
Other and unspecified abdominal
I A bed 1 KELAS I (LANGKO)
pain
I E bed 2 KELAS I (PANJITILAR) HEART FAILURE
Other forms of chronic ischaemic
II A bed 3 KELAS II (LANGKO)
heart disease
II M AN bed 4 KELAS II ANAK
Acute bronchiolitis
(MANDALIKA)
II M AN bed 1 KELAS II ANAK
- Fever, unspecified
(MANDALIKA)
III C bed 4 KELAS III (LANGKO) - Benign neoplasm of prostate
III D bed 2 KELAS III (LANGKO) CHF

Gastroenteritis and colitis of
III D bed 6 KELAS III (LANGKO)
unspecified origin
III C bed 4 KELAS III (LANGKO) HEART FAILURE
III C bed 5 KELAS III (LANGKO) Hyperglycaemia, unspecified
III D bed 7 KELAS III (LANGKO) Pulmonary oedema
III C bed 2 KELAS III (LANGKO) typoid fever
III D bed 6 KELAS III (LANGKO) Congestive heart failure
Gastroenteritis and colitis of
III C bed 5 KELAS III (LANGKO)
unspecified origin
III D bed 8 KELAS III (LANGKO) ABDOMONAL PAINT
III M AN bed 2 KELAS III ANAK
PNEUMONIA
(MANDALIKA)
III M AN bed 7 KELAS III ANAK Purpura and other haemorrhagic
(MANDALIKA) conditions
Pneumonia, organism unspecified
(MANDALIKA)
Fever, unspecified
(MANDALIKA)
Pneumonia, unspecified
(MANDALIKA)
III M AN bed 7 KELAS III ANAK Other unspecified gastroenteritis

(MANDALIKA) and colitis of infectious origin

(MANDALIKA)
III M bed 1 KELAS III ANAK
(MANDALIKA)
Typhoid and paratyphoid fevers
(MANDALIKA)
NICU 02 NICU SEPSIS

Amprahan Bulanan

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AMPRAHAN BULAN APRIL 2023

NO AMPRAHAN SATUAN JUMLAH

2 87792 RAZIQ AHMADI 22 Th 1/2/2024 KR TALIWANG

3 87816 BAIQ EMA AINI 23 Th 1/2/2024 PEJERUK

4 71978 I NENGAH NIRANTARA 38 Th 1/2/2024 TANJUNG KARANG

KARINA ARSYILA KLINIK UNIVERSITAS

8 67772 USMAN 75 Th 1/3/2024 DASAN AGUNG

9 22020 Pathurahman 57 Th 1/3/2024 KARANG PULE

10 87823 LALU AHMAD RAMLI 81 Th 1/3/2024 PRAYA

11 14866 HARIZAL 49 Th 1/3/2024 Klinik Nafaral Medika

13 85938 BAIQ DEFI NOPITASARI 32 Th 1/4/2024 KLINIK POLDA NTB

16 66073 EVI SUSANTI 19 Th 1/4/2024 Batu Lanteh

21 29383 Ir.IDRUS ALKAFF 68 Th 1/4/2024 JEMBER KIDUL

22 73166 HAROMAIN JAHRI 69 Th 1/5/2024 DASAN AGUNG

23 87851 FADHIL ISNAN SYAKIEF 12 Th 1/5/2024 Sumbawa

dr. I Gusti Ayu Rai

26 49240 NURHAYATI 37 Th 1/6/2024 TANJUNG KARANG

PUTRI SARI USWATUN KLINIK UNIVERSITAS

28 62078 SUMARNI 61 Th 1/6/2024 TANJUNG KARANG

29 31775 MASNI 50 Th 1/6/2024 TANJUNG KARANG

32 87858 SRIWATI 36 Th 1/6/2024 KARANG PULE

34 87852 NURUL LAILI RANUM 27 Th 1/6/2024 TANJUNG KARANG

35 87860 SULHIYATI 28 Th 1/6/2024 LABUAPI

36 53117 FAIZZA MUHLIS 11 Th 1/6/2024 PAGESANGAN

38 31764 MAKNAH 48 Th 1/6/2024 BATUNYALA

dr. R ARY YANUAR R,

KLINIK KIMIA FARMA

41 87859 M.Alif Syaifullah 20 Th 1/7/2024 Penanae

42 79353 HERI SUSANTO 47 Th 1/7/2024 TANJUNG KARANG

KLINIK PRATAMA ASY

44 66336 SAKIRIN 58 Th 1/7/2024 PAGESANGAN

KLINIK PRATAMA ASY

46 20782 FAHRI REZA 37 Th 1/7/2024 dr. Wiwik Nurlaela

48 87865 EKA PEBRIANI 34 Th 1/7/2024 CILILIN

51 20017 MAINAH 62 Th 1/7/2024 GUNUNGSARI

52 87862 DEWI FATIMAH 38 Th 1/7/2024 PAGESANGAN

55 21828 MUSTAIN 46 Th 1/7/2024 TANJUNG KARANG

BY.NY ANIN DIANI/

58 87866 Wagiman Cahyadi 20 Th 1/7/2024 TANJUNG KARANG

59 87878 ANDINI NAVA LIBNA 13 Th 1/8/2024 PAGESANGAN

64 87896 NURUL HIKMAH 20 Th 1/8/2024 KOPANG

GUSNALDY ALIF dr. A. A. Gede Kosala

70 87940 NABILA SAMRI YULISA 20 Th 1/9/2024 TANJUNG KARANG

71 87898 LIA ISTIANA 18 Th 1/9/2024 KURIPAN

72 65953 ZAERINA AZIZAH 21 Th 1/10/2024 SAKRA

75 87956 TAUFAN HIDAYAT 22 Th 1/10/2024 TANJUNG KARANG

76 87957 SITI MAYMUNAH 46 Th 1/10/2024 MATARAM

79 53754 ni nengah novita sari 22 Th 1/10/2024 TANJUNG KARANG

80 59204 HJ SURAS DIANA 63 Th 1/10/2024 PRINGGARATA

81 87961 DWI RINI SUPRAPTI 63 Th 1/10/2024 PAGESANGAN

82 53655 SUHAEDI 29 Th 1/11/2024 MENINTING

83 48989 SATARUDIN 54 Th 1/11/2024 TANJUNG KARANG

84 71969 ELYANA UTAMI 19 Th 1/11/2024 TANJUNG KARANG

85 79296 SAPI`I 65 Th 1/11/2024 PAGESANGAN

BENING SALSABILA KLINIK UNIVERSITAS

89 87969 SAEFUDIN ZUHRI 42 Th 1/11/2024 KARANG PULE

91 87982 RIFANDI 18 Th 1/11/2024 TANJUNG KARANG

93 16716 BAIQ DAMIA INARA 7 Th 1/11/2024 Klinik Alumni Agung

94 25623 RAINAH 49 Th 1/12/2024 DASAN AGUNG

ANNISA AQILA KLINIK UNIVERSITAS

105 88021 SRI WIDIANTI 26 Th 1/13/2024 KLINIK ARTA MEDIKA

111 88024 IKHSAN ASSIDIQ 15 Th 1/14/2024 MENINTING

113 68374 RADI AH 57 Th 1/14/2024 MENINTING