1 31/03/2015 107726545 SUSILAH P PNS DAERAH Irritant contact dermatitis, unspecified cause

4 31/03/2015 669885221 FERY SOLIKINL PBI (APBN) Acute schizophrenia-like psychotic disorder
5 31/03/2015 670456721 MAEMUNAH P PBI (APBN) Acute gingivitis
6 31/03/2015 670545573 NINIK SETIANIP PBI (APBN) Allergic contact dermatitis, unspecified cause
7 31/03/2015 670545595 ANDRIANTO L PBI (APBN) Allergic contact dermatitis due to metals
8 31/03/2015 670555743 SARIYAH P PBI (APBN) Malaise and fatigue
9 31/03/2015 670752944 AGUS YULIANL PBI (APBN) Acute laryngopharyngitis
10 31/03/2015 1037492842 SARTONO L PBI (APBN) Acute laryngopharyngitis
13 30/03/2015 670369814 RENI LARASATP PBI (APBN) Other specified disorders of teeth and supporting s
14 30/03/2015 670721477 SUTARTI P PBI (APBN) Contraceptive management, unspecified
15 30/03/2015 670980712 SUMIATI P PBI (APBN) Contraceptive management, unspecified
16 30/03/2015 671217794 MUJIATI P PBI (APBN) Essential (primary) hypertension
22 28/03/2015 670088564 MARSIDI L PBI (APBN) Asthma, unspecified
23 28/03/2015 670542355 TUKIMIN L PBI (APBN) Myalgia
24 28/03/2015 670916632 KASIANI P PBI (APBN) Essential (primary) hypertension
25 28/03/2015 671278318 FAIZATUL M P PBI (APBN) Other single spontaneous delivery
26 28/03/2015 671515659 TUTIK P PBI (APBN) Fracture of upper limb, level unspecified
27 28/03/2015 1037493663 SUNARI L PBI (APBN) Tb lung without mention of bact or histological conf
38 27/03/2015 670671505 SUYATI P PBI (APBN) Dyspnoea
43 26/03/2015 669869831 SUNARTI P PBI (APBN) Contraceptive management, unspecified
44 26/03/2015 670276427 AHMAD MUNAL PBI (APBN) Tb lung confirm sputum microscopy with or without
45 26/03/2015 670470131 HARTUTIK P PBI (APBN) Schizophrenia, unspecified
46 26/03/2015 670732762 ANDANI WIDIAP PBI (APBN) Routine postpartum follow-up
47 26/03/2015 671281929 NANIK P PBI (APBN) Contraceptive management, unspecified
54 25/03/2015 669614501 SRI ROBANA P PBI (APBN) Headache
55 25/03/2015 670171522 ATIM P PBI (APBN) Acute nasopharyngitis [common cold]
56 25/03/2015 670290759 SITI ALINAH P PBI (APBN) Acute upper respiratory infection, unspecified
57 25/03/2015 670316049 WINARSIH P PBI (APBN) Routine postpartum follow-up
58 25/03/2015 670394619 WIJIATI P PBI (APBN) Contraceptive management, unspecified
59 25/03/2015 670466169 TATA AULIA SAP PBI (APBN) Pathological resorption of teeth
60 25/03/2015 670694264 SUPARTI P PBI (APBN) Acute nasopharyngitis [common cold]
61 25/03/2015 670711149 NURUL HAMIDP PBI (APBN) Contraceptive management, unspecified
62 25/03/2015 670735451 ANIS ZULAIKAP PBI (APBN) Contraceptive management, unspecified
63 25/03/2015 670920963 MARIATI P PBI (APBN) Acute nasopharyngitis [common cold]
64 25/03/2015 671317288 UJI SELFINA P PBI (APBN) Non-insulin-depend diabetes mellitus without comp
65 25/03/2015 671529958 RANI NUR AFIP PBI (APBN) Acute nasopharyngitis [common cold]
66 25/03/2015 672241239 JINEM P PBI (APBN) Non-insulin-depend diabetes mellitus without comp
68 25/03/2015 1037496159 SUKARTI P PBI (APBN) Essential (primary) hypertension
69 25/03/2015 1037498523 RUSMIYATI P PBI (APBN) Chronic gastritis, unspecified
70 25/03/2015 1082891902 ELY AGUSTIN P PBI (APBN) Contraceptive management, unspecified
83 24/03/2015 670359216 ENY P PBI (APBN) Contraceptive management, unspecified
84 24/03/2015 670440431 ENDAH NUR DP PBI (APBN) Unspecified diabetes mellitus with unspecified com
85 24/03/2015 670598032 NURHAYATI P PBI (APBN) Contraceptive management, unspecified
 86 24/03/2015 670600833 TUMINI P PBI (APBN) Contraceptive management, unspecified
87 24/03/2015 670649398 SUTIANI P PBI (APBN) Contraceptive management, unspecified
88 24/03/2015 670677434 DWI INDAH P P PBI (APBN) Contraceptive management, unspecified
89 24/03/2015 670760188 TRIMO L PBI (APBN) Asthma, unspecified
90 24/03/2015 670870451 DEVI RATNASP PBI (APBN) Supervision of high-risk pregnancy, unspecified
91 24/03/2015 671531916 AGUS RIYANTL PBI (APBN) Other specified disorders of teeth and supporting s
92 24/03/2015 671617866 SUMIATUN P PBI (APBN) Other specified disorders of teeth and supporting s
93 24/03/2015 1037493303 MUJIANTO L PBI (APBN) Heart failure, unspecified
94 24/03/2015 1037495046 SULASTRI P PBI (APBN) Surgical follow-up care, unspecified
95 24/03/2015 1037501605 LISTIANINGSI P PBI (APBN) Contraceptive management, unspecified
117 23/03/2015 668890765 DARMAJI L PBI (APBN) Insulin-dependent diabetes mellitus with multiple co
118 23/03/2015 668893959 SARNI L PBI (APBN) Acute upper respiratory infection, unspecified
119 23/03/2015 669602766 SULIONO L PBI (APBN) Other schizophrenia
120 23/03/2015 670666307 SRIATI P PBI (APBN) Orthopaedic follow-up care, unspecified
121 23/03/2015 670803006 SUMARSIH P PBI (APBN) Acute nasopharyngitis [common cold]
122 23/03/2015 670903446 LASMINI P PBI (APBN) Acute nasopharyngitis [common cold]
123 23/03/2015 670920309 RUSNI L PBI (APBN) Acute nasopharyngitis [common cold]
124 23/03/2015 670951923 IMAM MUSTARL PBI (APBN) Idiopathic gout
125 23/03/2015 670953385 ILMI SYAHADAL PBI (APBN) Caries of dentine
126 23/03/2015 670965074 SITI HANIFAH P PBI (APBN) Caries of dentine
127 23/03/2015 670965535 MOH MUFID AL PBI (APBN) Pathological resorption of teeth
128 23/03/2015 670965963 MUTIARA AULIP PBI (APBN) Pathological resorption of teeth
129 23/03/2015 671019952 SUTINI P PBI (APBN) Gastritis, unspecified
130 23/03/2015 671031044 ENDANG RUKIP PBI (APBN) Acute nasopharyngitis [common cold]
131 23/03/2015 671031753 RENDY DIKI L PBI (APBN) Acute nasopharyngitis [common cold]
132 23/03/2015 671187971 ANAS EFENDIL PBI (APBN) Acute nasopharyngitis [common cold]
133 23/03/2015 671398885 SUTRISNO L PBI (APBN) Orthopaedic follow-up care, unspecified
134 23/03/2015 671400189 SURATIN P PBI (APBN) Polyarthritis, unspecified, ankle/foot
135 23/03/2015 1037445849 WIDAYATI P PBI (APBN) Acute nasopharyngitis [common cold]
136 23/03/2015 1037492842 SARTONO L PBI (APBN) Acute nasopharyngitis [common cold]
137 23/03/2015 1037496677 NUR KHOLIS L PBI (APBN) Schizophrenia, unspecified
148 20/03/2015 670289308 YENI NOVITA P PBI (APBN) Tension-type headache
149 20/03/2015 671293293 TATIK SUHAR P PBI (APBN) Acute upper respiratory infection, unspecified
150 20/03/2015 671293359 LIA JANUARINP PBI (APBN) Acute upper respiratory infection, unspecified
151 20/03/2015 671417133 IMAM MOCHT L PBI (APBN) Schizophrenia, unspecified
155 19/03/2015 669885221 FERY SOLIKINL PBI (APBN) Schizophrenia, unspecified
156 19/03/2015 670327492 SRI UTAMI P PBI (APBN) Observation for suspected nervous system disorde
157 19/03/2015 670595477 PAITO GUNAWL PBI (APBN) Observation for suspected disease or condition, un
158 19/03/2015 670903637 SRI WIJI UTAMP PBI (APBN) Disorder of refraction, unspecified
159 19/03/2015 670965535 MOH MUFID AL PBI (APBN) Pathological resorption of teeth
160 19/03/2015 670965963 MUTIARA AULIP PBI (APBN) Other specified disorders of teeth and supporting s
161 19/03/2015 670966132 AZIZI RAMADGL PBI (APBN) Other specified disorders of teeth and supporting s
162 19/03/2015 671246289 NURUL KAMDIL PBI (APBN) Caries of dentine
163 19/03/2015 671246864 UMI MUSLIKA P PBI (APBN) Gastritis, unspecified
164 19/03/2015 1037493663 SUNARI L PBI (APBN) Observation for suspected disease or condition, un
174 18/03/2015 668718516 HANNA WINARP PBI (APBN) Unspecified diabetes mellitus without complications
175 18/03/2015 668895221 SUNARMI P PBI (APBN) Acute upper respiratory infection, unspecified
176 18/03/2015 668990351 ADITYA KURN L PBI (APBN) Acute nasopharyngitis [common cold]
177 18/03/2015 669616751 SUMIYARTO L PBI (APBN) Gout, unspecified
178 18/03/2015 670593227 SUWARSIH P PBI (APBN) Gout, unspecified
179 18/03/2015 670907531 SUKESI P PBI (APBN) Acute nasopharyngitis [common cold]
180 18/03/2015 671003471 IMAM MULYO L PBI (APBN) Other specified disorders of teeth and supporting s
181 18/03/2015 671031044 ENDANG RUKIP PBI (APBN) Typhoid fever
182 18/03/2015 671317492 MARDI L PBI (APBN) Examination of ears and hearing
183 18/03/2015 671515863 PUJIARTI P PBI (APBN) Pregnancy, not (yet) confirmed
184 18/03/2015 1037492853 KATENI P PBI (APBN) Congestive heart failure
198 17/03/2015 670112212 WAKIYEM P PBI (APBN) Dyspepsia
199 17/03/2015 670411967 SUMARMI P PBI (APBN) Injury of eye and orbit, unspecified
200 17/03/2015 670583406 RUJIATI P PBI (APBN) Inflammatory disease of cervix uteri
201 17/03/2015 670592147 NUR RAHMA P PBI (APBN) Typhoid fever
202 17/03/2015 670622624 RAMIATI P PBI (APBN) Acute laryngopharyngitis
203 17/03/2015 670624154 ALLEN FUK C L PBI (APBN) Acute nasopharyngitis [common cold]
204 17/03/2015 670657105 MUSRINI P PBI (APBN) Gastritis, unspecified
205 17/03/2015 670666307 SRIATI P PBI (APBN) Influenza with pneumonia, influenza virus identified
206 17/03/2015 670903637 SRI WIJI UTAMP PBI (APBN) Gastritis, unspecified
207 17/03/2015 670912863 RIANTO L PBI (APBN) Examination and observation for unspecified reaso
208 17/03/2015 670938423 CIKRAK L PBI (APBN) Thyrotoxicosis, unspecified
209 17/03/2015 670950235 DWI SEPTIANIP PBI (APBN) Acute upper respiratory infection, unspecified
210 17/03/2015 670964826 MOH LAMUJI L PBI (APBN) Disorder of refraction, unspecified
211 17/03/2015 670965074 SITI HANIFAH P PBI (APBN) Abrasion of teeth
212 17/03/2015 670968213 KRISAN DEWIP PBI (APBN) Acute nasopharyngitis [common cold]
213 17/03/2015 671249439 WINARTI P PBI (APBN) Influenza with oth resp manifest influenza virus ide
214 17/03/2015 671608293 MOHARI MS L PBI (APBN) Hyperplasia of prostate
215 17/03/2015 671621567 SRI WULANDAP PBI (APBN) Pure hypercholesterolaemia
216 17/03/2015 671621927 HAFID LAMBAL PBI (APBN) Impacted cerumen
229 16/03/2015 668709516 HARIANI P PBI (APBN) Asthma, unspecified
230 16/03/2015 668940489 SUPARNO L PBI (APBN) Hyperplasia of prostate
231 16/03/2015 669652266 AHMADI L PBI (APBN) Unilateral or unspecified femoral hernia, without ob
232 16/03/2015 670098082 SLAMET NASRL PBI (APBN) Hyperplasia of prostate
233 16/03/2015 670290759 SITI ALINAH P PBI (APBN) Bacterial infection, unspecified
234 16/03/2015 670762181 SUGINIK P PBI (APBN) Essential (primary) hypertension
235 16/03/2015 670808687 SUHARTI P PBI (APBN) Influenza with oth resp manifest influenza virus ide
236 16/03/2015 670823987 EKO HERMANL PBI (APBN) Occupational health examination
237 16/03/2015 671031044 ENDANG RUKIP PBI (APBN) Acute laryngopharyngitis
238 16/03/2015 671187971 ANAS EFENDIL PBI (APBN) Acute laryngopharyngitis
239 16/03/2015 671208254 INDRAWATI P PBI (APBN) Other single spontaneous delivery
240 16/03/2015 671208254 INDRAWATI P PBI (APBN) Other single spontaneous delivery
241 16/03/2015 671344626 MUSRIPAH P PBI (APBN) Influenza with oth resp manifest influenza virus ide
242 16/03/2015 671595939 PASHA P PBI (APBN) Pathological resorption of teeth
243 16/03/2015 672241195 RUSMANTO L PBI (APBN) Spondylolysis
244 16/03/2015 816060947 ELYSA ANGGUP PBI (APBN) Observation for suspected disease or condition, un
257 14/03/2015 668709516 HARIANI P PBI (APBN) Asthma, unspecified
258 14/03/2015 670101467 SUGIYO L PBI (APBN) Examination and observation for unspecified reaso
259 14/03/2015 670760188 TRIMO L PBI (APBN) Asthma, unspecified
260 14/03/2015 670964556 GATOT SANUSL PBI (APBN) Polyarthritis, unspecified
261 14/03/2015 670967594 DELILLAH P PBI (APBN) Acute nasopharyngitis [common cold]
262 14/03/2015 671025791 RENI NUR HIDP PBI (APBN) Acute nasopharyngitis [common cold]
263 14/03/2015 671243826 BAMBANG PRA
L PBI (APBN) Acute nasopharyngitis [common cold]
264 14/03/2015 671943352 MOH. SABIKU L PBI (APBN) Scabies
266 14/03/2015 1037494901 ERINA P PBI (APBN) Disorder of refraction, unspecified
267 14/03/2015 1037507613 ASEP YAYAN L PBI (APBN) Schizophrenia, unspecified
277 13/03/2015 670855217 TUNIK P PBI (APBN) Heart failure, unspecified
279 13/03/2015 1037493303 MUJIANTO L PBI (APBN) Heart failure, unspecified
280 13/03/2015 1037495046 SULASTRI P PBI (APBN) Surgical follow-up care, unspecified
292 12/3/2015 670304676 ADI SUKIMAN L PBI (APBN) Disorder of refraction, unspecified
293 12/3/2015 670304968 SUTIANINGSI P PBI (APBN) Laboratory examination
294 12/3/2015 670566407 YAYUK KUSNI P PBI (APBN) Teething syndrome
295 12/3/2015 670729915 EKO SUDARY L PBI (APBN) Idiopathic gout
296 12/3/2015 670753067 NIKMAH ROYAP PBI (APBN) Examination and observation for other specified re
297 12/3/2015 671110751 SULICHATIN P PBI (APBN) Gastroduodenitis, unspecified
308 11/3/2015 668738294 DITA BEKTI A P PBI (APBN) Typhoid fever
309 11/3/2015 668958737 NAINA P PBI (APBN) Supervision of high-risk pregnancy, unspecified
310 11/3/2015 669595601 SULIYEM P PBI (APBN) Paratyphoid fever, unspecified
311 11/3/2015 670327841 MARFUAH P PBI (APBN) Essential (primary) hypertension
312 11/3/2015 670456293 YUNI MEI LENIP PBI (APBN) Acute nasopharyngitis [common cold]
313 11/3/2015 670565147 PUJIANTO L PBI (APBN) Unspecified diabetes mellitus without complications
314 11/3/2015 670689145 MESINEM P PBI (APBN) Essential (primary) hypertension
315 11/3/2015 670912863 RIANTO L PBI (APBN) Observation for suspected disease or condition, un
316 11/3/2015 671003471 IMAM MULYO L PBI (APBN) Other specified disorders of teeth and supporting s
317 11/3/2015 671213507 MURJINAH P PBI (APBN) Essential (primary) hypertension
318 11/3/2015 671249439 WINARTI P PBI (APBN) Influenza with oth resp manifest influenza virus ide
319 11/3/2015 671249619 EDO HARI PR L PBI (APBN) Dental caries, unspecified
320 11/3/2015 671612444 WIJI UTAMI P PBI (APBN) Acute nasopharyngitis [common cold]
321 11/3/2015 671614413 DINDA NISA'U P PBI (APBN) Acute nasopharyngitis [common cold]
322 11/3/2015 1082886276 SETYAWAN L PBI (APBN) Headache
ermatitis, unspecified cause TIDAK
enia-like psychotic disorder TIDAK
TIDAK
ermatitis, unspecified cause TIDAK
ermatitis due to metals TIDAK
TIDAK
TIDAK
TIDAK
isorders of teeth and supporting structures TIDAK
anagement, unspecified TIDAK
anagement, unspecified TIDAK
y) hypertension TIDAK
TIDAK
TIDAK
y) hypertension TIDAK
ntaneous delivery TIDAK
r limb, level unspecified TIDAK
mention of bact or histological confirm YA
YA
anagement, unspecified TIDAK
sputum microscopy with or without culture YA
YA
YA
anagement, unspecified TIDAK
TIDAK
ngitis [common cold] TIDAK
iratory infection, unspecified TIDAK
YA
anagement, unspecified TIDAK
orption of teeth TIDAK
ngitis [common cold] TIDAK
anagement, unspecified TIDAK
anagement, unspecified TIDAK
ngitis [common cold] TIDAK
nd diabetes mellitus without complication YA
ngitis [common cold] TIDAK
nd diabetes mellitus without complication YA
y) hypertension TIDAK
YA
anagement, unspecified TIDAK
anagement, unspecified TIDAK
etes mellitus with unspecified complications YA
anagement, unspecified TIDAK
anagement, unspecified TIDAK
anagement, unspecified TIDAK
anagement, unspecified TIDAK
TIDAK
gh-risk pregnancy, unspecified YA
isorders of teeth and supporting structures TIDAK
isorders of teeth and supporting structures TIDAK
YA
p care, unspecified YA
anagement, unspecified TIDAK
nt diabetes mellitus with multiple comps YA
iratory infection, unspecified TIDAK
TIDAK
w-up care, unspecified YA
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
TIDAK
TIDAK
YA
orption of teeth TIDAK
orption of teeth TIDAK
TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
w-up care, unspecified YA
pecified, ankle/foot YA
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
YA
YA
iratory infection, unspecified TIDAK
iratory infection, unspecified TIDAK
YA
TIDAK
uspected nervous system disorder YA
uspected disease or condition, unspecified TIDAK
ction, unspecified YA
orption of teeth TIDAK
isorders of teeth and supporting structures TIDAK
isorders of teeth and supporting structures TIDAK
TIDAK
 TIDAK
uspected disease or condition, unspecified TIDAK
etes mellitus without complications YA
iratory infection, unspecified TIDAK
ngitis [common cold] TIDAK
TIDAK
TIDAK
ngitis [common cold] TIDAK
isorders of teeth and supporting structures TIDAK
TIDAK
ars and hearing YA
yet) confirmed TIDAK
YA
YA
orbit, unspecified YA
ease of cervix uteri YA
TIDAK
TIDAK
ngitis [common cold] TIDAK
TIDAK
eumonia, influenza virus identified TIDAK
TIDAK
observation for unspecified reason TIDAK
YA
iratory infection, unspecified TIDAK
ction, unspecified YA
TIDAK
ngitis [common cold] TIDAK
h resp manifest influenza virus identified TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
pecified femoral hernia, without obstruction or gangrene YA
YA
n, unspecified TIDAK
y) hypertension YA
h resp manifest influenza virus identified TIDAK
alth examination YA
TIDAK
TIDAK
ntaneous delivery TIDAK
ntaneous delivery TIDAK
h resp manifest influenza virus identified TIDAK
orption of teeth TIDAK
YA
uspected disease or condition, unspecified YA
TIDAK
observation for unspecified reason YA
TIDAK
TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
TIDAK
ction, unspecified YA
TIDAK
YA
YA
p care, unspecified YA
ction, unspecified YA
YA
TIDAK
TIDAK
observation for other specified reasons YA
, unspecified TIDAK
TIDAK
gh-risk pregnancy, unspecified YA
r, unspecified TIDAK
y) hypertension TIDAK
ngitis [common cold] TIDAK
etes mellitus without complications YA
y) hypertension TIDAK
uspected disease or condition, unspecified YA
isorders of teeth and supporting structures TIDAK
y) hypertension TIDAK
h resp manifest influenza virus identified TIDAK
TIDAK
ngitis [common cold] TIDAK
ngitis [common cold] TIDAK
TIDAK
APRIL
suku cadang
pph ps 22 68181.81818182 240674333653000.00
ppn 454545.4545455

printer
pph ps 22 134318.1818182
ppn 895454.5454545

service kendaraan
pph ps 23 68181.81818182
ppn 454545.4545455

damkar
pph ps 22 16363.63636364
ppn 109090.9090909 713552636653000.00

fotokopi
pph ps 22 34000 240273334653000

pembersih
pph ps 22 40909.09090909 713552636653000
ppn 272727.2727273

ape
pph ps22 65727.27272727
ppn 438181.8181818 713552636653000.00

belanja peralatan
rumah tangga
pph ps 22 17045.45454545 65701344653000
ppn 113636.3636364

jasa pelayanan
pph ps 21 1790946 713552636653000.00