REGISTER SURAT JAMINAN PESERTA JAMKESDA RAJAL RSUD MUNTILAN KABUPATEN MAGELANG

BULAN SEPTEMBER 2017 Jl. Kartini No. 13, Muntilan 56411 | Telp. (0293) 587017 Fax. (0293) 587017

S.J.P Surat Dinkes

Nama Peserta Alamat Tanggal Lahir Jenis Kelamin No RM Diagnosa Awal Poli Kelas Tanggal Masuk
Nomor Tanggal Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13

SJKD17090001 9/4/2017 441.91/5753/21/2017 8/9/2017 MUJIYATI BLEDER, NGADIHARJO, BOROBUDUR 1/4/1981 Perempuan 173500 DISPEPSIA Penyakit Dalam 9/4/2017
SJKD17090002 9/4/2017 441.91/6370/21/2017 9/3/2017 KHOLIDAH NGADIRETNO, TAMANAGUNG, MUNTILAN 1/24/1972 Perempuan 285070 HEMIPLEGIA Syaraf 9/4/2017
SJKD17090003 9/4/2017 441.91/6182/21/2017 8/24/2017 SUMARNI JABAN, BUMIHARJO, BOROBUDUR 9/7/1974 Perempuan 31550 STT REGIO Bedah 9/4/2017
SJKD17090004 9/4/2017 441.91/5971/21/2017 8/16/2017 SUPARTI DAWUNGAN, NGADIREJO, SALAMAN 8/1/1962 Perempuan 286465 MENOMEMORAGIA Penyakit Dalam 9/4/2017
SJKD17090005 9/4/2017 441.91/6319/21/2017 8/30/2017 ENI SUSMIYATI MANTINGAN, MANTINGAN, SALAM 12/1/1979 Perempuan 125115 GLOUKOMA Mata 9/4/2017
SJKD17090006 9/4/2017 441.91/6379/21/2017 9/4/2017 KERNI SOBLEMEN, BANYUROTO, SAWANGAN 12/31/1965 Perempuan 285032 CHF Penyakit Dalam 9/4/2017
SJKD17090007 9/4/2017 441.91/6366/21/2017 9/2/2017 GIBRAN AHMAD PANGESTU KARANGWATU, PUCUNGREJO, MUNTILAN 11/21/2015 LakI-laki 276358 OBS KEJANG DEMAM Anak 9/4/2017
SJKD17090008 9/4/2017 441.91/6019/21/2017 8/19/2017 SUWARNI GUWO, SEWUKAN, DUKUN 5/2/1962 Perempuan 157469 MIOMA UTERI KIA 9/4/2017
SJKD17090009 9/4/2017 441.91/5662/21/2017 8/5/2017 ENNI ISTININGSIH LINGK NGENTAK I, SAWITAN, MUNGKID 6/27/1991 Perempuan 167146 OED THT 9/4/2017
SJKD17090010 9/4/2017 441.91/6083/21/2017 8/22/2017 RANIA TRI HAPSARI PLANDI, PASURUHAN, MERTOYUDAN 9/29/2001 Perempuan 122067 OBS STT Bedah 9/4/2017
SJKD17090011 9/4/2017 441.91/6087/21/2017 8/22/2017 DIDIN FARID MUCHLIS KADISONO, GANTANG, SAWANGAN 7/5/1999 LakI-laki 276624 POST REMOVAL IMPLANT ULNA ORTOPHEDI 9/4/2017
SJKD17090012 9/4/2017 441.91/6382/21/2017 9/4/2017 FAIZAL ARDHANI KENITEN, KEJI, MUNTILAN 6/6/2009 LakI-laki 287616 LIMPADENOPATI Anak 9/4/2017
SJKD17090013 9/4/2017 441.91/6389/21/2017 9/4/2017 MUSTIKA GUNUNG LEMAH TAWANG, GONDOWANGI, SAWANGA 2/14/1968 Perempuan 036890 SINUSITIS THT 9/4/2017
SJKD17090014 9/5/2017 441.91/5673/21/2017 8/7/2017 YATIMAH KAWIRAN, RAMBEANAK, MUNGKID 12/31/1962 Perempuan 251024 DM Penyakit Dalam 9/5/2017
SJKD17090015 9/5/2017 441.91/5883/21/2017 8/14/2017 SITI ROKHIMAH LEGOKSARI, BOJONG, MUNGKID 8/19/1964 Perempuan 277202 HT Penyakit Dalam 9/5/2017
SJKD17090016 9/5/2017 441.91/6307/21/2017 8/29/2017 SUPRIYATI LEMPONG, TEGALRANDU, SERUMBUNG 6/5/11987 Perempuan 285700 CHOLELITIASIS Penyakit Dalam 9/5/2017
SJKD17090017 9/5/2017 441.91/6403/21/2017 9/4/2017 BUDI ASTUTI TAMBAKAN, SEDAYU, MUNTILAN 7/14/1957 Perempuan 272943 FRACKTUR ORTOPHEDI 9/5/2017
SJKD17090018 9/5/2017 441.91/5865/21/2017 8/14/2017 ROHMADI PELUSAN, KEJI, MUNTILAN 7/14/1955 LakI-laki 284351 TBC Penyakit Dalam 9/5/2017
SJKD17090019 9/5/2017 441.91/6347/21/2017 8/31/2017 KARTO KUSMIN GRAWAH, NGADIPURO, DUKUN 12/31/1945 LakI-laki 159241 HT Syaraf 9/5/2017
SJKD17090020 9/5/2017 441.91/6067/21/2017 8/22/2017 KAELANI KARNGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 LBP FISIOTERAPHI 9/5/2017
SJKD17090021 9/5/2017 441.91/6408/21/2017 9/4/2017 NANA SUKRANA BABADAN, BUTUH, SAWANGAN 4/17/1975 LakI-laki 281929 HT Syaraf 9/5/2017
SJKD17090022 9/5/2017 441.91/5907/21/2017 8/15/2017 ISROWIYAH KURAHAN, KARANGREJO, BOROBUDUR 9/28/1961 Perempuan 237736 HT Syaraf 9/5/2017
SJKD17090023 9/5/2017 441.91/6399/21/2017 9/4/2017 WANTIYEM PEDEN, BATURONO, SALAMAN 3/3/1971 Perempuan 237569 HT Syaraf 9/5/2017
SJKD17090024 9/5/2017 441.91/6195/21/2017 8/25/2017 SAMRODIN SARAGAN, RAMBEANAK, MUNGKID 2/23/1966 LakI-laki 218284 FRACKTUR ORTOPHEDI 9/5/2017
SJKD17090025 9/5/2017 441.91/6430/21/2017 9/5/2017 SUCIATI GROWONG, PUCUNGREJO, MUNTILAN 4/24/1964 Perempuan 082183 HT Syaraf 9/5/2017
SJKD17090026 9/5/2017 441.91/6429/21/2017 9/5/2017 SUPANGAT BRONTOKAM, DANUREJO, MERTOYUDAN 8/9/1956 LakI-laki 287067 BRONKOPENOMIA Penyakit Dalam 9/5/2017
SJKD17090027 9/5/2017 441.91/6426/21/2017 9/5/2017 SUTARMAN GUNUNG MUJIL, KEBONSARI, BOROBUDUR 2/18/1967 LakI-laki 287694 FRACKTUR ORTOPHEDI 9/5/2017
SJKD17090028 9/5/2017 441.91/6410/21/2017 9/4/2017 SITI ROKANAH KANGGAN, WRINGINPUTIH, BOROBUDUR 6/6/1974 Perempuan 238112 COLIC ABD Penyakit Dalam 9/5/2017
SJKD17090029 9/5/2017 441.91/6435/21/2017 9/5/2017 MUJIYATI BLEDER, NGADIHARJO, BOROBUDUR 1/4/1981 Perempuan 173500 TOMOR OVARI KIA 9/5/2017
SJKD17090030 9/5/2017 441.91/6432/21/2017 9/5/2017 AISYAH AYUDA INARA SEMAWUNG, SEDAYU, MUNTILAN 8/27/2017 Perempuan 281081 KDK Anak 9/5/2017
SJKD17090031 9/5/2017 441.91/6433/21/2017 9/5/2017 SURYATI SALAKAN, KALISALAK,SALAMAN 2/9/1973 Perempuan 241627 HT Syaraf 9/5/2017
SJKD17090032 9/5/2017 441.91/6438/21/2017 9/5/2017 SRI REJEKI PARE, BLONDO, MUNGKID 12/17/1972 Perempuan 274730 COLIC ABD IGD 9/4/2017
SJKD17090033 9/6/2017 441.91/5732/21/2017 8/8/2017 HARYANTI BLANGKUNAN UTARA, PABELAN, MUNGKID 10/18/1966 Perempuan 279890 HT Syaraf 9/6/2017
SJKD17090034 9/6/2017 441.91/5731/21/2017 8/8/2017 MAKNO BLANGKUNAN UTARA, PABELAN, MUNGKID 2/20/1961 LakI-laki 274980 DM Penyakit Dalam 9/6/2017
SJKD17090035 9/6/2017 441.91/6262/21/2017 8/28/2017 TRISIYAM KERTEN, CANDIREJO, BOROBUDUR 7/22/1958 Perempuan 028323 HT Penyakit Dalam 9/6/2017
SJKD17090036 9/6/2017 441.91/5733/21/2017 8/8/2017 SARYATI GUNUNG LEMAH JUNUTAN, GONDOWANGI, SAWANG 12/31/1957 Perempuan 258994 HT Penyakit Dalam 9/6/2017
SJKD17090037 9/6/2017 441.91/5757/21/2017 8/9/2017 AYIMAH MENDUT 1, MENDUT, MUNGKID 12/29/1955 Perempuan 254708 HT Syaraf 9/6/2017
SJKD17090038 9/6/2017 441.91/5842/21/2017 8/12/2017 PRAPTO MIHARJO TLATAR, KROGOWANAN, SAWANGAN 12/31/1941 LakI-laki 250192 CHF Penyakit Dalam 9/6/2017
SJKD17090039 9/6/2017 441.91/6458/21/2017 9/6/2017 ISMIYAH ONGGOSORO, GIRITENGAH, BOROBUDUR 3/23/1975 Perempuan 240769 HIPERTIROID Penyakit Dalam 9/6/2017
SJKD17090040 9/6/2017 441.91/6073/21/2017 8/22/2017 KHARISA WINNI LARASATI NGANTEN, NGAWEN, MUNTILAN 6/16/2014 Perempuan 286953 OBS MR Anak 9/6/2017
SJKD17090041 9/6/2017 441.91/5954/21/2017 8/16/2017 SUGIYANTO BAKALAN, TAMANAGUNG, MUNTILAN 11/14/1969 LakI-laki 285711 ULCUS DM Bedah 9/6/2017
SJKD17090042 9/6/2017 441.91/6462/21/2017 9/6/2017 ROCHMAT MINGKING, SUKORINI, MUNTILAN 3/2/1963 Perempuan 044872 HNP Syaraf 9/6/2017
SJKD17090043 9/6/2017 441.91/5841/21/2017 8/12/2017 ICHA NANIFUDIN AFFANDI TROJAYAN, PAREMONO, MUNGKID 3/24/2008 Perempuan 163047 EPILEPSI Anak 9/6/2017
SJKD17090044 9/6/2017 441.91/5679/21/2017 8/7/2017 NAFSIYAH SEMAWUNG, SEDAYU, MUNTILAN 7/1/1963 Perempuan 149275 CEPALGIA Syaraf 9/6/2017
SJKD17090045 9/6/2017 441.91/6469/21/2017 9/6/2017 SUTRAS GRATAN RT 02/01 SAWANGAN 12/31/1967 Perempuan 259453 BRONKITIS Penyakit Dalam 9/6/2017
SJKD17090046 9/6/2017 441.91/5744/21/2017 8/8/2017 TUKIMA FAJARUDIN BLAMBANGAN RT 07/07 BLABAK 4/7/1940 LakI-laki 146468 HERMIPLAGIA Syaraf 9/6/2017
SJKD17090047 9/6/2017 441.91/6083/21/2017 8/22/2017 RANIA TRI HAPSARI PLANDI, PASURUHAN, MERTOYUDAN 9/29/2001 Perempuan 122067 OBS STT Anak 9/6/2017
SJKD17090048 9/6/2017 441.91/6479/21/2017 9/6/2017 ARTI SUGIARTI SEMAWE, SUKORINI, MUNTILAN 1/5/1977 Perempuan 287195 OSTEOARTERITIS Syaraf 9/6/2017
SJKD17090049 9/7/2017 441.91/6385/21/2017 9/4/2017 RUSTARI TRENTEN, CANDIMULYO 8/24/1966 Perempuan 246414 HT Penyakit Dalam 9/7/2017
SJKD17090050 9/7/2017 441.91/6459/21/2017 9/6/2017 WASIAT MARDIANI TEGALSARI, JUMOYO, SALAM 2/14/1958 Perempuan 252163 DM Penyakit Dalam 9/7/2017
SJKD17090051 9/7/2017 441.91/6481/21/2017 9/6/2017 WAHYUNINGSIH SIGUG, SAWANGAN 10/11/1970 Perempuan 283722 DM Penyakit Dalam 9/7/2017
SJKD17090052 9/7/2017 441.91/6477/21/2017 9/6/2017 NGADIYEM TEGALANCAR, KRADENAN, SRUMBUNG 6/12/1975 Perempuan 242458 CHF Penyakit Dalam 9/7/2017
SJKD17090053 9/7/2017 441.91/6067/21/2017 8/22/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 HNP ORTOPHEDI 9/7/2017
SJKD17090054 9/7/2017 441.91/5992/21/2017 8/18/2017 JAZIROH BUTUH, SENDEN, MUNGKID 6/21/1963 Perempuan 187301 HT Penyakit Dalam 9/7/2017
SJKD17090055 9/7/2017 441.91/5722/21/2017 8/8/2017 SAPARI GEMPOL, JUMOYO, MUNTILAN 6/9/1965 LakI-laki 183947 HT Syaraf 9/7/2017
SJKD17090056 9/7/2017 441.91/6410/21/2017 9/4/2017 SITI ROKANAH KANGGAN, WRINGINPUTIH, BOROBUDUR 6/6/1974 Perempuan 238112 COLIC ABD Penyakit Dalam 9/7/2017
SJKD17090057 9/7/2017 441.91/6452/21/2017 9/6/2017 JULIANO MUGUEL ZAENURI SEMAKEN, PUCUNGREJO, MUNTILAN 12/10/2015 LakI-laki 252292 HEMAPERESIS Anak 9/7/2017
SJKD17090058 9/7/2017 441.91/6393/21/2017 9/4/2017 MIFTAKHUS SURURI JAMBLANG, KALIABU, SALAMAN 8/18/1985 LakI-laki 089594 CARIES GIGI 9/7/2017
SJKD17090059 9/7/2017 441.91/6426/21/2017 9/5/2017 SUTARMAN GUNUNG MUJIL, KEBONSARI, BOROBUDUR 2/18/1967 LakI-laki 287694 FRACKTUR ORTOPHEDI 9/7/2017
SJKD17090060 9/7/2017 441.91/6473/21/2017 9/6/2017 SARIYAH KARANGTENGAH, TANJUNG, MUNTILAN 5/16/1958 Perempuan 287813 GLAUCOMA Mata 9/7/2017
SJKD17090061 9/7/2017 441.91/6482/21/2017 9/6/2017 SAEFUDIN JLEGONG, KLEGEN, GRABAG 8/12/1986 LakI-laki 287816 HILD Bedah 9/7/2017
SJKD17090062 9/7/2017 441.916489/21/2017 9/7/2017 FAJAR DWI YILIANTI PEDEN RT 12/04 SALAM 12/26/2013 LakI-laki 208832 OBSES KDK Anak 9/7/2017
SJKD17090063 9/7/2017 441.91/5785/21/2017 8/10/2017 ISTIYAH SEMAWUNG RT 04/17 MUNTILAN 8/22/1982 Perempuan 133399 OB THT 9/7/2017
SJKD17090064 9/7/2017 441.91/6490/21/2017 9/7/2017 NGATINEM KAMAL RT 04/01 BOROBUDUR 5/7/1978 Perempuan 135599 FETAL DIASE KIA 9/7/2017
SJKD17090065 9/8/2017 441.91/6498/21/2017 9/7/2017 SUYONO KLATAKAN, GONDOWANGI, SAWANGAN 12/31/1962 LakI-laki 257017 EPILEPSI Syaraf 9/7/2017
SJKD17090066 9/8/2017 441.91/6465/21/2017 9/7/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/26/1956 LakI-laki 287639 ABDOMINAL PAIN Bedah 9/7/2017
SJKD17090067 9/7/2017 441.91/5783/21/2017 8/10/2017 SUKAYAH SARAN, GONDOSULI, MUNTILAN 7/1/1958 Perempuan 256194 DM FISIOTERAPHI 9/7/2017
SJKD17090068 9/7/2017 441.91/6511/21/2017 9/8/2017 FARZAN AHZA ARGANI KARANGSARI, NGARGORETNO, SALAMAN 9/19/2015 LakI-laki 287314 DEMAM THYPOID Anak 9/7/2017
SJKD17090069 9/7/2017 441.91/5971/21/2017 8/16/2017 SUPARTI DAWUNGAN, NGADIREJO, SALAMAN 8/1/1962 Perempuan 286465 PROLAPS UTERI KIA 9/7/2017
SJKD17090070 9/7/2017 441.91/6471/21/2017 9/6/2017 SITI WINARNI SRIWEDARI, SRIWEDARI, MUNTILAN 6/13/1984 Perempuan 262586 OBS KISTA MAMAE Bedah 9/7/2017
SJKD17090071 9/9/2017 441.91/6216/21/2017 8/26/2017 TARFINGAH SIMPING, PAREMONO, MUNGKID 12/31/1959 Perempuan 277972 HIPERTENSI SEKUNDER Syaraf 9/7/2017
SJKD17090072 9/9/2017 441.91/6516/21/2017 9/8/2017 NURHAYATI SEMAKEN, PUCUNGREJO, MUNTILAN 9/5/1969 Perempuan 076893 DM Penyakit Dalam 9/9/2017
SJKD17090073 9/9/2017 441.91/6491/21/2017 9/7/2017 NURCHAMIT LINGK NGENTAK I, SAWITAN, MUNGKID 9/30/1968 LakI-laki 283682 DM Penyakit Dalam 9/9/2017
SJKD17090074 9/9/2017 441.91/6527/21/2017 9/8/2017 MUHAMMAD AFDHOLUL IKHSAN KARANGANYAR, BANYUBIRU, DUKUN 5/29/2010 LakI-laki 232002 KDS Anak 9/9/2017
SJKD17090075 9/9/2017 441.91/6067/21/2017 8/22/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 SPONDILOSIS FISIOTERAPHI 9/9/2017
SJKD17090076 9/9/2017 441.91/6071/21/2017 8/22/2017 IBNU FURQON DANGGAN, NGRAJEK, MUNGKID 5/3/2001 LakI-laki 062091 PENDENGARAN BERKURANG THT 9/9/2017
SJKD17090077 9/9/2017 441.91/6072/21/2017 8/22/2017 ULINUHA ZAIDA RIFQA DANGGAN, NGRAJEK, MUNGKID 2/10/2012 Perempuan 248476 PENDENGARAN BERKURANG THT 9/9/2017
SJKD17090078 9/9/2017 441.91/5829/21/2017 8/12/2017 MUANIK MUDAL, SAWANGAN, SAWANGAN 12/10/1972 Perempuan 276851 NEOROPATHY Syaraf 9/9/2017
SJKD17090079 9/9/2017 441.91/6505/21/2017 9/7/2017 SUMIYATINAH SAWITAN I, SAWITAN, MUNGKID 5/6/1968 Perempuan 287878 DISPEPSIA Penyakit Dalam 9/9/2017
SJKD17090080 9/9/2017 441.91/5929/21/2017 8/15/2017 MUHAMMAD IQBAL MIFTAKHUDIN DOWO, PAREMONO, MUNGKID 3/31/2001 LakI-laki 178791 GLAUCOMA Mata 9/9/2017
SJKD17090081 9/9/2017 441.91/6533/21/2017 9/9/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/26/1956 LakI-laki 287639 MASSA PALPEBRA SUPERIOR Mata 9/9/2017
SJKD17090082 9/9/2017 441.91/6073/21/2017 8/22/2017 KHARISA WINNI LARASATI NGANTEN, NGAWEN, MUNTILAN 6/16/2014 Perempuan 286953 DEV DELANY FISIOTERAPHI 9/9/2017
SJKD17090083 9/9/2017 441.91/6489/21/2017 9/7/2017 FAJAR DWI YULIANTO PEDEN, BATURONO, SALAMAN 12/26/2013 LakI-laki 208832 OBS KDK Anak 9/9/2017
SJKD17090084 9/9/2017 441.91/6517/21/2017 9/8/2017 ALBI MUGHNI TROJAYAN, PAREMONO, MUNGKID 1/17/2016 LakI-laki 253799 KDS Anak 9/9/2017
SJKD17090085 9/9/2017 441.91/6543/21/2017 9/9/2017 NGAJILAH GLAGAH 2, BANJARNEGORO, MERTOYUDAN 2/2/1966 Perempuan 287836 COMBUSIO IGD 9/9/2017
SJKD17090086 9/11/2017 441.91/6555/21/2017 9/9/2017 MUHAMAD SYAMSI TANGGULANGIN, GIRIKULON, SECANG 6/12/1976 LakI-laki 279281 DM Penyakit Dalam 9/11/2017
SJKD17090087 9/11/2017 441.91/5861/21/2017 8/14/2017 SITI ALFIYAH KIYUDAN, SAWANGAN 12/28/1958 Perempuan 158037 HT Syaraf 9/11/2017
SJKD17090088 9/11/2017 441.91/5860/21/2017 8/14/2017 SITI FATIMAH KIYUDAN, SAWANGAN 8/15/1951 Perempuan 256223 HT Syaraf 9/11/2017
SJKD17090089 9/11/2017 441.91/6540/21/2017 9/9/2017 SUMIYATI NGENTAK 1, SAWITAN, MUNGKID 10/9/1955 Perempuan 280639 DECOMP Penyakit Dalam 9/11/2017
SJKD17090090 9/11/2017 441.91/6010/21/2017 8/19/2017 DAKELAN DUREN, JATI, SAWANGAN 6/16/1968 LakI-laki 269847 FRACKTUR ORTOPHEDI 9/11/2017
SJKD17090091 9/11/2017 441.91/6539/21/2017 9/9/2017 SARMINI NGASINAN, KEMBANGLIMUS, BOROBUDUR 6/12/1969 Perempuan 147548 DM Penyakit Dalam 9/11/2017
SJKD17090092 9/11/2017 441.91/5910/21/2017 8/15/2017 MARTOREJO BUTUH, MAJAKSINGI, BOROBUDUR 10/5/1935 LakI-laki 091833 HT Penyakit Dalam 9/11/2017
SJKD17090093 9/11/2017 441.91/6533/21/2017 9/9/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/26/1956 LakI-laki 287639 REFRAKSI Mata 9/11/2017
SJKD17090094 9/11/2017 441.91/6109/21/2017 8/23/2017 HENING FEBRIANA PATRAN, CANDIREJO, BOROBUDUR 1/18/2008 Perempuan 286959 CISTA KIA 9/11/2017
SJKD17090095 9/11/2017 441.91/6536/21/2017 9/9/2017 ALDI RAGIL SAPUTRA TEGALSARI, BOJONG, MUNGKID 7/15/2003 LakI-laki 220587 CKR Bedah 9/11/2017
SJKD17090096 9/11/2017 441.91/6307/21/2017 8/29/2017 SUPRIYATI LEMPONG, TEGALRANDU, SERUMBUNG 5/6/1987 Perempuan 285700 CHOLELITIASIS Bedah 9/11/2017
SJKD17090097 9/11/2017 441.91/6535/21/2017 9/9/2017 NURODIN PAREMONO, MUNGKID 8/13/1969 LakI-laki 123134 HT Syaraf 9/11/2017
SJKD17090098 9/11/2017 441.91/6343/21/2017 311/8/2017 SULAMI TANJUNGSARI, MUNGKID 5/5/1964 Perempuan 063071 HT Penyakit Dalam 9/11/2017
SJKD17090099 9/11/2017 441.91/6087/21/2017 8/22/2017 DIDIN FARID MUCHLIS KADISONO, GANTANG, SAWANGAN 7/5/1999 LakI-laki 276624 FRACKTUR ORTOPHEDI 9/11/2017
SJKD17090100 9/11/2017 441.91/6042/21/2017 8/21/2017 KHOIRIYAH JAMBEAN, MENAYU, MUNTILAN 2/29/1968 Perempuan 286819 REFRAKSI Mata 9/11/2017
SJKD17090101 9/11/2017 441.91/6542/21/2017 9/9/2017 MAKMUM PARE, BLONDO, MUNGKID 7/15/1938 LakI-laki 150048 CHF Penyakit Dalam 9/11/2017
SJKD17090102 9/11/2017 441.91/5972/21/2017 8/16/2017 RIFQI ZAKWAN NADIM SEMAWUNG, SEDAYU, MUNTILAN 8/20/2009 LakI-laki 286818 LIPOMA Anak 9/11/2017
SJKD17090103 9/11/2017 441.91/6545/21/2017 9/9/2017 NARIYAH SENDAREN 2, KARANGREJO, BOROBUDUR 12/31/1970 Perempuan 287558 BRONKITIS Penyakit Dalam 9/11/2017
SJKD17090104 9/11/2017 441.91/6554/21/2017 9/9/2017 CHISFIRUL AZIS SEMAWUNG RT 01/176 MUNTILAN 4/30/2001 LakI-laki 261020 RADANG LIDAH Penyakit Dalam 9/11/2017
SJKD17090105 9/12/2017 441.91/6576/21/2017 9/11/2017 NEILY MUFIDAH SRIGENTAN, WRINGINPUTIH, BOROBUDUR 1/24/1986 Perempuan 287563 HAMIL PEB KIA 9/12/2017
SJKD17090106 9/12/2017 441.91/6403/21/2017 9/4/2017 BUDI ASTUTI TAMBAKAN, SEDAYU, MUNTILAN 7/14/1957 Perempuan 272943 POST REMOVAL IMPLANT H2 ORTOPHEDI 9/12/2017
SJKD17090107 9/12/2017 441.91/5866/21/2017 8/14/2017 SARTINI NGLASEMAN, NGRAJEK, MUNGKID 5/3/1965 Perempuan 263806 CHF Penyakit Dalam 9/12/2017
SJKD17090108 9/12/2017 441.91/6574/21/2017 9/11/2017 NUROHMAN TOSAREN, KRADENAN, SRUMBUNG 1/17/1967 LakI-laki 16395 CF CLAVICULA ORTOPHEDI 9/12/2017
SJKD17090109 9/12/2017 441.91/6067/21/2017 8/22/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 SPONDILOSIS FISIOTERAPHI 9/12/2017
SJKD17090110 9/12/2017 441.91/6591/21/2017 9/11/2017 JAZIROH BUTUH, SENDEN, MUNGKID 6/21/1963 Perempuan 187301 KATARAK Mata 9/12/2017
SJKD17090111 9/12/2017 441.91/6553/21/2017 9/9/2017 DESTU ADI NUGROHO GUPIT, KEBONSARI, BOROBUDUR 7/1/2007 LakI-laki 287057 COMBUSIO Bedah 9/12/2017
SJKD17090112 9/12/2017 441.91/6578/21/2017 9/11/2017 KOLIMAH BLANGKUNAN UTARA, PABELAN, MUNGKID 3/1/1948 Perempuan 039525 BRONKITIS Penyakit Dalam 9/12/2017
SJKD17090113 9/12/2017 441.91/6436/21/2017 9/5/2017 RANIA TRI HAPSARI PLANDI, PASURUHAN, MERTOYUDAN 9/29/2001 Perempuan 122067 BENJOLAN DI LEHER Anak 9/12/2017
SJKD17090114 9/12/2017 441.91/6575/21/2017 9/11/2017 ERNI SEPTIYANTI MUNAWAROH JETIS, NGADIREJO, SALAMAN 9/4/1992 Perempuan 261347 TB Penyakit Dalam 9/12/2017
SJKD17090115 9/13/2017 441.91/5954/21/2017 8/16/2017 SUGIYANTO BAKALAN, TAMANAGUNG, MUNTILAN 11/14/1968 LakI-laki 285711 ULCUS DM Bedah 9/13/2017
SJKD17090116 9/13/2017 441.91/5921/21/2017 8/15/2017 ERNI SULISTIANINGTIAS SIGUG, SAWANGAN 6/14/1972 Perempuan 178982 PPOK Penyakit Dalam 9/13/2017
REGISTER SURAT JAMINAN PESERTA JAMKESDA RAJAL RSUD MUNTILAN KABUPATEN MAGELANG
BULAN SEPTEMBER 2017 Jl. Kartini No. 13, Muntilan 56411 | Telp. (0293) 587017 Fax. (0293) 587017

S.J.P Surat Dinkes

Nama Peserta Alamat Tanggal Lahir Jenis Kelamin No RM Diagnosa Awal Poli Kelas Tanggal Masuk
Nomor Tanggal Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13

SJKD17090117 9/13/2017 441.91/6505/21/2017 9/7/2017 SUMIYATINAH SAWITAN I, SAWITAN, MUNGKID 5/6/1968 Perempuan 287878 DISPEPSIA Penyakit Dalam 9/13/2017
SJKD17090118 9/13/2017 441.91/6602/21/2017 9/11/2017 SUMARNI JABAN, BUMIHARJO, BOROBUDUR 6/7/1974 Perempuan 031550 FAM Bedah 9/13/2017
SJKD17090119 9/13/2017 441.91/6573/21/2017 9/11/2017 SITI ZAENAB JETAK 1, MUNGKID 3/3/1965 Perempuan 272126 HT Syaraf 9/13/2017
SJKD17090120 9/13/2017 441.91/6634/21/2017 9/12/2017 SUPARTINAH PADAN, KEJI, MUNTILAN 6/14/1957 Perempuan 287239 GASTRITIS Penyakit Dalam 9/13/2017
SJKD17090121 9/13/2017 441.91/6640/21/2017 9/13/2017 SRI BUDIATI GADINGAN, BOJONG, MUNGKID 6/12/1960 Perempuan 246650 DM Penyakit Dalam 9/13/2017
SJKD17090122 9/13/2017 441.91/6630/21/2017 9/12/2017 FARIS FUAD MUSTAQIM SURODADI, GONDOWANGI, SAWANGAN 12/26/2005 LakI-laki 288003 LIMPADINITIS Bedah 9/13/2017
SJKD17090123 9/13/2017 441.91/5928/21/2017 8/15/2017 SLAMET ISTOHRI KETAWANG, BANJAREJO, KALIANGKRIK 11/4/1975 LakI-laki 280648 HT Syaraf 9/13/2017
SJKD17090124 9/13/2017 441.91/6646/21/2017 9/13/2017 SUHADARI KALANGAN, ADIKARTO, MUNTILAN 7/27/1968 LakI-laki 263337 DM Penyakit Dalam 9/13/2017
SJKD17090125 9/13/2017 441.91/6641/21/2017 9/13/2017 NUNIK ZUNIYATI JAPUN 2, PAREMONO, MUNGKID 9/22/1985 Perempuan 174976 COLIC ABD IGD 9/12/2017
SJKD17090126 9/13/2017 441.91/6643/21/2017 9/13/2017 AQILAH AL ATSARIYAH MERTAN, PAREMONO, MUNGKID 8/11/2014 Perempuan 288154 CORPAL HIDUNG THT 9/13/2017
SJKD17090127 9/13/2017 441.91/6636/21/2017 9/12/2017 WIDARTIMAH PLALANGAN, KETUNGGENG, DUKUN 12/19/1974 Perempuan 287930 ISK IGD 9/10/2017
SJKD17090128 9/14/2017 441.91/6128/21/2017 8/23/2017 PANI SELOSARI, WATES, DUKUN 12/31/1962 Perempuan 281075 FRACKTUR ORTOPHEDI 9/14/2017
SJKD17090129 9/14/2017 441.91/6497/21/2017 9/7/2017 NUR ISTIYAH GROWONG, PUCUNGREJO, MUNTILAN 6/3/1953 Perempuan 275847 DM Penyakit Dalam 9/14/2017
SJKD17090130 9/14/2017 441.91/5993/21/2017 8/18/2017 SUGIYANTO BAKALAN, TAMANAGUNG, MUNTILAN 11/14/1968 LakI-laki 285711 ULCUS DM Bedah 9/14/2017
SJKD17090131 9/14/2017 441.91/6659/21/2017 9/13/2017 NINING AMINAH KLODRAN, TIRTO, SALAM 12/13/1977 Perempuan 152934 ANEMIA Penyakit Dalam 9/14/2017
SJKD17090132 9/14/2017 441.91/6656/21/2017 9/13/2017 SUKISMAN DAWANG, BLONGKENG, NGLUWAR 5/15/1956 LakI-laki 259595 IHD Penyakit Dalam 9/14/2017
SJKD17090133 9/14/2017 441.91/6262/21/2017 9/2/2017 TRISIYAM KERTEN, CANDIREJO, BOROBUDUR 7/22/1958 Perempuan 028323 CEPALGIA Syaraf 9/14/2017
SJKD17090134 9/14/2017 441.91/6649/21/2017 9/13/2017 SITI NUR BUDIARTI BENGAN KIDUL, MANGUNSARI, SAWANGAN 12/4/1983 Perempuan 207515 HAMIL KIA 9/14/2017
SJKD17090135 9/14/2017 441.91/6597/21/2017 9/11/2017 YAMIYATI SEMAWE, SUKORINI, MUNTILAN 9/27/1975 Perempuan 288170 INKONTINENSIA URINE Syaraf 9/14/2017
SJKD17090136 9/14/2017 441.91/6654/21/2017 9/13/2017 MUKTI YUWANA JETIS, NGAWEN, MUNTILAN 2/16/1980 LakI-laki 287776 SNH Syaraf 9/14/2017
SJKD17090137 9/14/2017 441.91/5915/21/2017 8/15/2017 AZRA RIZQIA BUNGA COWOR, BUTUH, SAWANGAN 7/6/2015 Perempuan 278213 TBC Anak 9/14/2017
SJKD17090138 9/14/2017 441.91/6504/21/2017 9/7/2017 ANGGRI LARASATI SEMAWE, SUKORINI, MUNTILAN 3/8/1997 Perempuan 167868 DEPRESI Jiwa 9/14/2017
SJKD17090139 9/14/2017 441.91/6083/21/2017 8/22/2017 RANIA TRI HAPSARI PLANDI, PASURUHAN, MERTOYUDAN 9/29/2001 Perempuan 122067 STT Bedah 9/14/2017
SJKD17090140 9/14/2017 441.91/6676/21/2017 9/14/2017 NUNIK ZUNIYATI JAPUN 2, PAREMONO, MUNGKID 9/22/1985 Perempuan 174976 COLIC ABD Penyakit Dalam 9/14/2017
SJKD17090141 9/14/2017 441.91/6677/21/2017 9/14/2017 SUTARJO NGLAWISAN, TAMANAGUNG, MUNTILAN 12/31/1952 LakI-laki 085851 LIMPADENOPATI Bedah 9/14/2017
SJKD17090142 9/14/2017 441.91/6533/21/2017 9/9/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/26/1956 LakI-laki 287639 KISTA DERMOID Mata 9/14/2017
SJKD17090143 9/15/2017 441.91/6539/21/2017 9/9/2017 SARMINI NGASINAN, KEMBANGLIMUS, BOROBUDUR 6/12/1969 Perempuan 147548 FRACKTUR ORTOPHEDI 9/15/2017
SJKD17090144 9/15/2017 441.91/6024/21/2017 8/19/2017 MARJIYAT TANJUNGSARI, MUNGKID 12/30/1967 Perempuan 279119 DM Penyakit Dalam 9/15/2017
SJKD17090145 9/15/2017 441.91/6602/21/2017 9/11/2017 SUMARNI JABAN, BUMIHARJO, BOROBUDUR 6/7/1974 Perempuan 031550 FAM Bedah 9/15/2017
SJKD17090146 9/15/2017 441.91/6695/21/2017 9/14/2017 SUDIN RAMBEANAK 2, RAMBEANAK, MUNGKID 10/1/1983 LakI-laki 279921 DM Penyakit Dalam 9/15/2017
SJKD17090147 9/15/2017 441.91/6679/21/2017 9/14/2017 MARYATUN JAPUN 1, PAREMONO, MUNGKID 4/14/1951 Perempuan 287670 STEMI Penyakit Dalam 9/15/2017
SJKD17090148 9/15/2017 441.91/6371/21/2017 9/2/2017 AHMAD KHOIRUDIN SUSUKAN, SUKOREJO, TEGALREJO 9/6/2011 LakI-laki 247758 SN Anak 9/15/2017
SJKD17090149 9/15/2017 441.91/6706/21/2017 9/15/2017 SLAMET WINDUSAJAN, WONOLELO, SAWANGAN 12/30/1983 LakI-laki 287676 DISPNEU Penyakit Dalam 9/15/2017
SJKD17090150 9/15/2017 441.91/6670/21/2017 9/14/2017 RONA SUKARMAR PUTERA MANDRAN, BRINGIN, SRUMBUNG 2/5/2000 LakI-laki 284325 GLAUCOMA Mata 9/15/2017
SJKD17090151 9/15/2017 441.91/6683/21/2017 9/14/2017 LINA VERA SARI KEDUNG KERANG, MERTOYUDAN 2/28/1993 Perempuan 288151 TONSIL THT 9/15/2017
SJKD17090152 9/15/2017 441.91/6716/21/2017 9/15/2017 NURUL IMRONIAH GONDAANGAN KIDUL, PAKUNDEN, NGLUWAR 8/18/1979 Perempuan 080428 MASSA Bedah 9/15/2017
SJKD17090153 9/16/2017 441.91/6533/21/2017 9/9/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/20/1956 LakI-laki 287639 REFRAKSI Mata 9/16/2017
SJKD17090154 9/16/2017 441.91/6067/21/2017 8/22/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 SPONDILOSIS FISIOTERAPHI 9/16/2017
SJKD17090155 9/16/2017 441.91/6714/05/2017 9/15/2017 SAEFUDIN JLEGONG, KLEGEN, GRABAG 8/12/1986 LakI-laki 287816 HILD Bedah 9/16/2017
SJKD17090156 9/16/2017 441.91/6711/21/2017 9/15/2017 SUKAYAH SARAN, GONDOSULI, MUNTILAN 7/1/1958 Perempuan 256194 SNH FISIOTERAPHI 9/16/2017
SJKD17090157 9/16/2017 441.91/6714/21/2017 9/15/2017 AMANDA NINDA PUTRI KARANGAN, BONDOWOSO, MERTOYUDAN 12/17/2007 Perempuan 246853 EPILEPSI Anak 9/16/2017
SJKD17090158 9/16/2017 441.91/6705/21/2017 9/15/2017 BY NY NEILY MUFIDAH SRIGENTAN, WRINGINPUTIH, BOROBUDUR 9/6/2017 LakI-laki 287743 NS Anak 9/16/2017
SJKD17090159 9/18/2017 441.91/6496/21/2017 9/7/2017 WAKHID SUBEKTI GROWONG, PUCUNGREJO, MUNTILAN 12/31/1977 LakI-laki 259062 CHF Penyakit Dalam 9/18/2017
SJKD17090160 9/18/2017 441.91/6751/21/2017 9/16/2017 ROCHANI SEMPON, KEJI, MUNTILAN 10/10/1944 Perempuan 257262 CHF Penyakit Dalam 9/18/2017
SJKD17090161 9/18/2017 441.91/6750/21/2017 9/16/2017 TAQIYYA AHYA ARKANIA GROWONG, PUCUNGREJO, MUNTILAN 9/9/2016 Perempuan 279550 ANEMIA Anak 9/18/2017
SJKD17090162 9/18/2017 441.91/6735/21/2017 9/16/2017 NGATIJAN LINGK TLATAR, MUNTILAN 7/1/1945 LakI-laki 287657 CHF Penyakit Dalam 9/18/2017
SJKD17090163 9/18/2017 441.91/6738/21/2017 9/16/2017 SUPARTI DAWUNGAN, NGADIREJO, SALAMAN 8/1/1962 Perempuan 286465 PROLAPS UTERI KIA 9/18/2017
SJKD17090164 9/18/2017 441.91/6744/21/2017 9/16/2017 PANGGIH PANGESTU PAGER, BATEH, CANDIMULYO 8/13/2013 LakI-laki 288027 GARNULOMA TELINGA THT 9/18/2017
SJKD17090165 9/18/2017 441.91/6746/21/2017 9/16/2017 SUMIRAH GAMOL 1, PAREMONO, MUNGKID 12/31/1950 Perempuan 163909 HT Syaraf 9/18/2017
SJKD17090166 9/18/2017 441.91/6747/21/2017 9/16/2017 NGATIJEM SRIWEDARI, SRIWEDARI, MUNTILAN 11/5/1950 Perempuan 273823 HT Penyakit Dalam 9/18/2017
SJKD17090167 9/18/2017 441.91/6393/21/2017 9/4/2017 MIFTAKHUS SURURI JAMBLANG, KALIABU, SALAMAN 8/18/1985 LakI-laki 089594 GP GIGI 9/18/2017
SJKD17090168 9/18/2017 441.91/6763/21/2017 9/18/2017 AMANAH WATES, BANYUBIRU, DUKUN 11/10/1964 Perempuan 159423 HT Penyakit Dalam 9/18/2017
SJKD17090169 9/19/2017 441.91/4801/21/2017 9/18/2017 FATIMAH TZANIA AZ ZAHRA KAUMAN MUNTILAN MUNTILAN 7/1/2012 Perempuan 206411 ABSES MANUS DEXTRA Bedah 9/19/2017
SJKD17090170 9/19/2017 441.91/6704/21/2017 9/15/2017 NEILY MUFIDAH SRIGENTAN, WRINGINPUTIH, BOROBUDUR 1/24/1986 Perempuan 287563 PEB KIA 9/19/2017
SJKD17090171 9/19/2017 441.91/6403/21/2017 9/4/2017 BUDI ASTUTI TAMBAKAN, SEDAYU, MUNTILAN 7/14/1957 Perempuan 272943 FRACKTUR ORTOPHEDI 9/19/2017
SJKD17090172 9/19/2017 441.91/6771/21/2017 9/18/2017 KISWANTO KAMAL, GIRITENGAH, BOROBUDUR 7/3/1954 LakI-laki 255585 CHF Penyakit Dalam 9/19/2017
SJKD17090173 9/19/2017 441.91/6736/21/2017 9/18/2017 WARSIYAH GATAK LAMAT, PUCUNGREJO, MUNTILAN 9/13/1957 Perempuan 288035 CHF Penyakit Dalam 9/19/2017
SJKD17090174 9/19/2017 441.91/6761/21/2017 9/18/2017 MUJIYANTO BIYETAN, SAWITAN, MUNGKID 31/121965 LakI-laki 254600 COMBUSIO Bedah 9/19/2017
SJKD17090175 9/19/2017 441.91/4800/21/2017 9/18/2017 SITI MUDJAYANAH GLAGAH 1, BANJARNEGORO, MERTOYUDAN 12/31/1959 Perempuan 281992 CHF Penyakit Dalam 9/19/2017
SJKD17090176 9/19/2017 441.91/6772/21/2017 9/18/2017 SRIYAH KALLIPUCUNG TENGAH, KALIREJO, SALAMAN 5/28/1955 Perempuan 279617 STROKE IGD 9/16/2017
SJKD17090177 9/19/2017 441.91/4811/21/2017 9/19/2017 ASIH KEREKAN, CANDIREJO, BOROBUDUR 7/13/1962 Perempuan 288370 KATARAK Mata 9/19/2017
SJKD17090178 9/19/2017 441.91/6648/21/2017 9/13/2017 SOFIYAH SROWOL, PROGOWATI, MUNGKID 6/27/1970 Perempuan 270209 HT Syaraf 9/19/2017
SJKD17090179 9/19/2017 441.91/6782/21/2017 9/18/2017 HERI SUSANTO NGLEMPONG, SUCEN, SALAM 9/8/1993 LakI-laki 180234 ASMA Penyakit Dalam 9/19/2017
SJKD17090180 9/19/2017 441.91/6792/21/2017 9/18/2017 MUHADI BENDOSARI GEDE, SALAM 8/31/1948 LakI-laki 234231 CHF Penyakit Dalam 9/19/2017
SJKD17090181 9/19/2017 441.91/6736/21/2017 9/16/2017 SITI INSIYAH CITROGATEN TEGAL, SALAM 6/3/1971 Perempuan 173735 HT Syaraf 9/19/2017
SJKD17090182 9/19/2017 441.91/4812/21/2017 9/19/2017 KHUSNUL HADI TEMANGGAL 1, BUMIREJO, KALIANGKRIK 10/13/1986 LakI-laki 241966 DM Penyakit Dalam 9/19/2017
SJKD17090183 9/19/2017 441.91/4810/21/2017 9/18/2017 SLAMET DULMAJID BLONDO 1, BLONDO, MUNGKID 8/8/1966 LakI-laki 179173 VERTIGO Syaraf 9/19/2017
SJKD17090184 9/19/2017 441.91/6839/21/2017 9/19/2017 ENI FRITRIANA KALI TENGAH RT 18/05 TEGAL REJO 2/19/1997 Perempuan 288046 SC KIA 9/19/2017
SJKD17090185 9/19/2017 441.91/5931/21/2017 9/19/2017 MUH SALAM SIDIKAN KEJI MTL 7/24/1977 LakI-laki 228646 TETANUS IGD 9/18/2017
SJKD17090186 9/20/2017 441.91/6854/21/2017 9/19/2017 SOFIYATI GRAWAH, NGADIPURO, DUKUN 4/10/1964 Perempuan 287733 DM Penyakit Dalam 9/20/2017
SJKD17090187 9/20/2017 441.91/6816/21/2017 9/19/2017 BY NY SRI RAHAYU NINGSIH DONGKELAN, PLOSOGEDE, NGLUWAR 9/15/2017 LakI-laki 288195 BBLC Anak 9/20/2017
SJKD17090188 9/20/2017 441.91/6505/21/2017 9/7/2017 SUMIYATINAH SAWITAN I, SAWITAN, MUNGKID 5/6/1968 Perempuan 287878 DISPEPSIA Penyakit Dalam 9/20/2017
SJKD17090189 9/20/2017 441.91/6843/21/2017 9/19/2017 SUWITO BANAR, DEYANGAN, MERTOYUDAN 12/31/1946 LakI-laki 234155 CHF Penyakit Dalam 9/20/2017
SJKD17090190 9/20/2017 441.91/6078/21/2017 8/22/2017 SITI MUTIAH SEMAWUNG, SEDAYU, MUNTILAN 12/31/1961 Perempuan 286196 DM Penyakit Dalam 9/20/2017
SJKD17090191 9/20/2017 441.91/6711/21/2017 9/15/2017 SUKAYAH SARAN, GONDOSULI, MUNTILAN 7/1/1958 Perempuan 256194 DM Penyakit Dalam 9/20/2017
SJKD17090192 9/20/2017 441.91/6602/21/2017 9/11/2017 SUMARNI JABAN, BUMIHARJO, BOROBUDUR 5/7/1974 Perempuan 031550 FAM Bedah 9/20/2017
SJKD17090193 9/20/2017 441.91/6826/21/2017 9/19/2017 SITI NUR BUDIARTI BENGAN KIDUL, MANGUNSARI, SAWANGAN 12/4/1983 Perempuan 207515 PPS KIA 9/20/2017
SJKD17090194 9/20/2017 441.91/6827/21/2017 9/19/2017 BY NY SITI NUR BUDIARTI DENGAN KIDUL, MANGUNSARI, SAWANGAN 9/16/2017 LakI-laki 288220 BBLB Anak 9/20/2017
SJKD17090195 9/20/2017 441.91/6781/21/2017 9/18/2017 MUSYAROFAH KALIPUCUNG WETAN, KALIREJO, SALAMAN 9/20/1996 Perempuan 287901 POST SC KIA 9/20/2017
SJKD17090196 9/20/2017 441.91/6841/21/2017 9/19/2017 FARIS FUAD MUSTAQIM SURODADI, GONDOWANGI, SAWANGAN 12/26/2005 LakI-laki 288003 LIMPADENOPATI Bedah 9/20/2017
SJKD17090197 9/20/2017 441.91/6308/21/2017 9/18/2017 OCHA MARWA SALVINA PUTRI TAMBAKAN, SEDAYU, MUNTILAN 9/5/2014 Perempuan 287995 FEBRIS Penyakit Dalam 9/20/2017
SJKD17090198 9/20/2017 441.91/6861/21/2017 9/19/2017 NABILA AZKIA MAULIDA KENDAL,RAMBEANAK, MUNGKID 6/29/2009 Perempuan 287895 GE Anak 9/20/2017
SJKD17090199 9/20/2017 441.91/6869/21/2017 9/20/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 SPONDILOSIS Penyakit Dalam 9/20/2017
SJKD17090200 9/20/2017 441.91/6393/21/2017 9/4/2017 MIFTAKHUS SURURI JAMBLANG, KALIABU, SALAMAN 8/18/1985 LakI-laki 089594 CARIES GIGI 9/20/2017
SJKD17090201 9/20/2017 441.91/6870/21/2017 9/20/2017 YURIYATI KARANGGONDANG, BOJONG, MUNGKID 10/9/1961 Perempuan 264376 CHF Penyakit Dalam 9/20/2017
SJKD17090202 9/20/2017 441.91/6873/21/2017 9/20/2017 AGUS SURAHMAN WATES, BANYUBIRU, DUKUN 8/17/1977 LakI-laki 288138 TYPOID Penyakit Dalam 9/20/2017
SJKD17090203 9/20/2017 441.91/6410/21/2017 9/4/2017 SITI ROKANAH KANGGAN, WRINGINPUTIH, BOROBUDUR 6/6/1974 Perempuan 238112 COLIC ABD Penyakit Dalam 9/20/2017
SJKD17090204 9/20/2017 441.91/6829/21/2017 9/19/2017 SAROJI PUJI UTOMO WUNI, SEWUKAN, DUKUN 11/21/1943 LakI-laki 213846 HT Penyakit Dalam 9/20/2017
SJKD17090205 9/20/2017 441.91/6822/21/2017 9/19/2017 TUMINEM GULING,PAKUNDEN,NGLUWAR 12/31/1945 Perempuan 174520 CHF Penyakit Dalam 9/20/2017
SJKD17090206 9/20/2017 441.91/6073/21/2017 8/22/2017 KHARISA WINNI LARASATI NGANTEN, NGAWEN, MUNTILAN 6/16/2014 Perempuan 286953 MR FISIOTERAPHI 9/20/2017
SJKD17090207 9/22/2017 441.91/6784/21/2017 9/18/2017 SUGIYANTO BAKALAN, TAMANAGUNG, MUNTILAN 11/14/1968 LakI-laki 285711 ULKUS DM Bedah 9/22/2017
SJKD17090208 9/22/2017 441.91/6881/21/2017 9/20/2017 NGARIFATUN LOSARI, KALIABU, SALAMAN 3/3/1956 Perempuan 288527 GANGLION Bedah 9/22/2017
SJKD17090209 9/22/2017 441.91/6517/21/2017 9/8/2017 ALBI ALMUGHNI TROJAYAN, PAREMONO, MUNGKID 1/17/2016 LakI-laki 253799 EPILEPSI Anak 9/22/2017
SJKD17090210 9/22/2017 441.91/6912/21/2017 9/22/2017 FARIS FUAD MUSTAQIM SURODADI, GONDOWANGI, SAWANGAN 12/26/2005 LakI-laki 288003 POST EXISI Bedah 9/22/2017
SJKD17090211 9/22/2017 441.91/6906/21/2017 9/22/2017 SURADI SEDAYU, MUNTILAN 3/2/1946 LakI-laki 283396 POLIP THT 9/22/2017
SJKD17090212 9/22/2017 441.91/6909/21/2017 9/22/2017 FAJAR DWI YULIANTO PEDEN, BATURONO, SALAMAN 12/26/2013 LakI-laki 208832 KDK Anak 9/22/2017
SJKD17090213 9/22/2017 441.91/6473/21/2017 9/6/2017 SARIYAH KARANGTENGAH, TANJUNG, MUNTILAN 5/16/1958 Perempuan 287813 GLAUCOMA Mata 9/22/2017
SJKD17090214 9/22/2017 441.91/66903/21/2017 9/20/2017 MALIK ALFATAH HAQI SRIKUWE UTARA, AMBARTAWANG, MUNGKID 7/12/2002 LakI-laki 281851 GLAUCOMA Mata 9/22/2017
SJKD17090215 9/22/2017 441.91/6922/21/2017 9/22/2017 RAMINAH KIRINGAN, KALEGAN, BANDONGAN 10/28/1958 Perempuan 270249 HT Syaraf 9/22/2017
SJKD17090216 9/23/2017 441.91/6929/21/2017 9/22/2017 SUMARIYAH SLEDEKAN, SRIWEDARI, SALAMAN 7/18/1980 Perempuan 287927 POST SC KIA 9/23/2017
SJKD17090217 9/23/2017 441.91/6714/21/2017 9/15/2017 SAEFUDIN JLEGONG, KLEGEN, GRABAG 8/12/1986 LakI-laki 287816 HILL Bedah 9/23/2017
SJKD17090218 9/23/2017 441.91/6533/21/2017 9/9/2017 R HARSAYA BALEREJO, MUNTILAN, MUNTILAN 9/26/1956 LakI-laki 287639 MASSA Mata 9/23/2017
SJKD17090219 9/23/2017 441.91/6869/21/2017 9/20/2017 KAELANI KARANGGONDANG, BOJONG, MUNGKID 12/31/1955 LakI-laki 271795 SPONDILOSIS FISIOTERAPHI 9/23/2017
SJKD17090220 9/23/2017 441.91/6925/21/2017 9/22/2017 JARWONO KLODRAN, DEYANGAN, MERTOYUDAN 12/31/1950 LakI-laki 283425 HERNIA Bedah 9/23/2017
SJKD17090221 9/23/2017 441.91/6926/21/2017 22/09/2017 MUSTAKIMAH SALAKAN, KALISALAK,SALAMAN 6/20/1968 Perempuan 133653 HT Syaraf 9/23/2017
SJKD17090222 9/23/2017 441.91/6891/21/2017 20/09/2017 DESWITA FIRDHA KARANGGONDANG, BOJONG, MUNGKID 12/6/1997 Perempuan 288133 ABD PAIN Bedah 9/23/2017
SJKD17090223 9/23/2017 441.91/6910/21/2017 22/09/2017 HARWATI PADAN, KEJI, MUNTILAN 4/4/1959 Perempuan 288605 REFRAKSI Mata 9/23/2017
SJKD17090224 9/23/2017 441.91/6744/21/2017 16/09/2017 PANGGIH PANGESTU PAGER, BATEH, CANDIMULYO 8/13/2013 LakI-laki 288027 POST OP THT 9/23/2017
SJKD17090225 9/23/2017 441.91/6941/21/2017 23/09/2017 SUNADI SRIKUWE SELATAN, AMBARTAWANG, MUNGKID 10/7/1964 LakI-laki 194266 FEBRIS IGD 9/22/2017
SJKD17090226 9/23/2017 441.91/6756/21/2017 16/09/2017 ABDUL KHOLIQ BLONDO 1, BLONDO, MUNGKID 6/27/1956 LakI-laki 288617 HERNIA Bedah 9/23/2017
SJKD17090227 9/23/2017 441.91/6924/21/2017 9/22/2017 RANIA TRI HAPSARI PLANDI, PASURUHAN, MERTOYUDAN 9/29/2001 Perempuan 122067 LIMPADINITIS Bedah 9/23/2017
SJKD17090228 9/25/2017 441.91/6961/21/2017 9/23/2017 HENING FEBRIANA PATRAN, CANDIREJO, BOROBUDUR 2/1/2020 Perempuan 286959 KISTOMA OVARI KIA 9/23/2017
SJKD17090229 9/25/2017 441.91/6964/21/2017 9/23/2017 KHOIRIYAH JAMBEAN, MENAYU, MUNTILAN 2/29/1968 Perempuan 286819 REFRAKSI Mata 9/23/2017
SJKD17090230 9/25/2017 441.91/6953/21/2017 9/23/2017 NURHAYATI SEMAKEN, PUCUNGREJO, MUNTILAN 9/5/1969 Perempuan 76893 SNH Syaraf 9/23/2017
SJKD17090231 9/25/2017 441.91/6956/21/2017 9/23/2017 DAKELAN DUREN, JATI, SAWANGAN 6/16/1963 LakI-laki 269847 CF DISTAL ORTOPHEDI 9/23/2017
REGISTER SURAT JAMINAN PESERTA JAMKESDA RAJAL RSUD MUNTILAN KABUPATEN MAGELANG
BULAN SEPTEMBER 2017 Jl. Kartini No. 13, Muntilan 56411 | Telp. (0293) 587017 Fax. (0293) 587017

S.J.P Surat Dinkes

Nama Peserta Alamat Tanggal Lahir Jenis Kelamin No RM Diagnosa Awal Poli Kelas Tanggal Masuk
Nomor Tanggal Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13

SJKD17090232 9/25/2017 441.91/6815/21/2017 9/19/2017 SRI RAHAYU NINGSIH DONGKELAN, PLOSOGEDE, NGLUWAR 9/25/1990 Perempuan 160492 POST SC KIA 9/23/2017
SJKD17090233 9/25/2017 441.91/6245/21/2017 7/28/2017 MUNJIAT KARANGMALANG WRINGINPUTIH BRD 5/11/1968 LakI-laki 265216 CHF Penyakit Dalam 9/23/2017
SJKD17090234 9/25/2017 441.91/6963/21/2017 9/23/2017 SUPRIH BANJARAN KARANGANYAR BRBDR 12/15/1959 LakI-laki 287852 PNEUMONIA Penyakit Dalam 9/23/2017
SJKD17090235 9/25/2017 441.91/6919/21/2017 9/22/2017 SUHADARI KALANGAN, ADIKARTO, MUNTILAN 7/27/1968 LakI-laki 263337 DM Penyakit Dalam 9/23/2017
SJKD17090236 9/25/2017 441.91/6220/21/2017 7/26/2017 PRIHARTONO NGLAMPU PUCANGANOM SRUMBUNG 8/28/1966 LakI-laki 244031 CHF Penyakit Dalam 9/23/2017
SJKD17090237 9/25/2017 441.91/6300/21/2017 7/29/2017 SEPI DAMINI CLEBUNG SORONALAN SAWANGAN 12/31/1958 Perempuan 177253 CHF Penyakit Dalam 9/23/2017
SJKD17090238 9/25/2017 441.91/6967/21/2017 9/23/2017 PRIYANTO NGLULANG KROGOWANAN SAWANGAN 5/20/1959 LakI-laki 251423 ANEMIA Penyakit Dalam 9/23/2017
SJKD17090239 9/25/2017 441.91/6907/21/2017 9/22/2017 PONIYEM MUTIHAN GUNUNGPRING MUNTILAN 12/31/1960 Perempuan 258823 DM Penyakit Dalam 9/23/2017
SJKD17090240 9/25/2017 441.91/6965/21/2017 9/23/2017 WAHYU NUR HASAN NAMPIK BUMIREJO MUNGKID 11/14/1995 LakI-laki 288540 OBS FEBRIS Penyakit Dalam 9/23/2017
SJKD17090241 9/25/2017 441.91/6991/21/2017 9/25/2017 MARDIYANTO KALIPUCUNG TENGAH, KALIREJO, SALAMAN 6/10/1977 LakI-laki 288519 VL IGD 9/23/2017
SJKD17090242 9/25/2017 441.91/6762/21/2017 9/18/2017 MARSIDAH NGENTAK 1, SAWITAN, MUNGKID 12/11/1954 Perempuan 224875 HIPERTENSI Penyakit Dalam 9/23/2017
SJKD17090243 9/25/2017 441.91/6979/21/2017 9/23/2017 KARSONO GERANGAN SRIWEDARI MUNTILAN 9/7/1943 LakI-laki 240048 KOLIK ABDOMEN IGD 9/23/2017
SJKD17090244 9/25/2017 441.91/6683/21/2017 9/14/2017 LINA VERA SARI KEDUNG KERANG, MERTOYUDAN 2/28/1993 Perempuan 288151 TONSITIS THT 9/23/2017
SJKD17090245 9/23/2017 441.91/7002/21/2017 9/25/2017 AGNEA ANGELICA SUSUKAN RT 03/02 BOROBUDUR 4/19/2007 Perempuan 286956 OBS POST Mata 9/23/2017
SJKD17090246 9/23/2017 441.91/6140/21/2017 9/23/2017
SJKD17090247 9/23/2017 441.91/6170/21/2017 9/23/2017
SJKD17090248 9/23/2017 441.91/5438/21/2017 9/23/2017
SJKD17090249 9/23/2017 441.91/5971/21/2017 9/23/2017
SJKD17090250 9/23/2017 441.91/6164/21/2017 9/23/2017
SJKD17090251 9/23/2017 441.91/5936/21/2017 9/23/2017
SJKD17090252 9/23/2017 441.91/6161/21/2017 9/23/2017
SJKD17090253 9/23/2017 441.91/6177/21/2017 9/23/2017
SJKD17090254 9/23/2017 441.91/5662/21/2017 9/23/2017
SJKD17090255 9/23/2017 441.91/6189/21/2017 9/23/2017
SJKD17090256 9/23/2017 441.91/6067/21/2017 9/23/2017
SJKD17090257 9/23/2017 441.91/5783/21/2017 9/23/2017
SJKD17090258 9/23/2017 441.91/5971/21/2017 9/23/2017
SJKD17090259 9/23/2017 441.91/6206/21/2017 9/23/2017
SJKD17090260 9/23/2017 441.91/6210/21/2017 9/23/2017
SJKD17090261 9/23/2017 441.91/6157/21/2017 9/23/2017
SJKD17090262 9/23/2017 441.91/5972/21/2017 9/23/2017
SJKD17090263 9/23/2017 441.91/5753/21/2017 9/23/2017
SJKD17090264 9/23/2017 441.91/6211/21/2017 9/23/2017
SJKD17090265 9/23/2017 441.91/5497/21/2017 9/23/2017
SJKD17090266 9/23/2017 441.91/6207/21/2017 9/23/2017
SJKD17090267 9/23/2017 441.91/6217/21/2017 9/23/2017
SJKD17090268 9/23/2017 441.91/6109/21/2017 9/23/2017
SJKD17090269 9/23/2017 441.91/6220/21/2017 9/23/2017
SJKD17090270 9/23/2017 441.91/5473/21/2017 9/23/2017
SJKD17090271 9/23/2017 441.91/5971/21/2017 9/23/2017
SJKD17090272 9/23/2017 441.91/5641/21/2017 9/23/2017
SJKD17090273 9/23/2017 441.91/6201/21/2017 9/23/2017
SJKD17090274 9/23/2017 441.91/5638/21/2017 9/23/2017
SJKD17090275 9/23/2017 441.91/5931/21/2017 9/23/2017
SJKD17090276 9/23/2017 441.91/6042/21/2017 9/23/2017
SJKD17090277 9/23/2017 441.91/6237/21/2017 9/23/2017
SJKD17090278 9/23/2017 441.91/6246/21/2017 9/23/2017
SJKD17090279 9/23/2017 441.91/6087/21/2017 9/23/2017
SJKD17090280 9/23/2017 441.91/5548/21/2017 9/23/2017
SJKD17090281 9/23/2017 441.91/5947/21/2017 9/23/2017
SJKD17090282 9/23/2017 441.91/6076/21/2017 9/23/2017
SJKD17090283 9/23/2017 441.91/6262/21/2017 9/23/2017
SJKD17090284 9/23/2017 441.91/5752/21/2017 9/23/2017
SJKD17090285 9/23/2017 441.91/6067/21/2017 9/23/2017
SJKD17090286 9/23/2017 441.91/6269/21/2017 9/23/2017
SJKD17090287 9/23/2017 441.91/6254/21/2017 9/23/2017
SJKD17090288 9/23/2017 441.91/5558/21/2017 9/23/2017
SJKD17090289 9/23/2017 441.91/6182/21/2017 9/23/2017
SJKD17090290 9/23/2017 441.91/6238/21/2017 9/23/2017
SJKD17090291 9/23/2017 441.91/6053/21/2017 9/23/2017
SJKD17090292 9/23/2017 441.91/6032/21/2017 9/23/2017
SJKD17090293 9/23/2017 441.91/62131/21/2017 9/23/2017
SJKD17090294 9/23/2017 441.91/6245/21/2017 9/23/2017
SJKD17090295 9/23/2017 441.91/6286/21/2017 9/23/2017
SJKD17090296 9/23/2017 441.91/6300/21/2017 9/23/2017
SJKD17090297 9/23/2017 441.91/5924/21/2017 9/23/2017
SJKD17090298 9/23/2017 441.91/5589/21/2017 9/23/2017
SJKD17090299 9/23/2017 441.91/6308/21/2017 9/23/2017
SJKD17090300 9/23/2017 441.91/627421/2017 9/23/2017
SJKD17090301 9/23/2017 441.91/6073/21/2017 9/23/2017
SJKD17090302 9/23/2017 441.91/6318/21/2017 9/23/2017
SJKD17090303 9/23/2017 441.91/6286/21/2017 9/23/2017
SJKD17090304 9/23/2017 441.91/6050/21/2017 9/23/2017
SJKD17090305 9/23/2017 441.91/6195/21/2017 9/23/2017
SJKD17090306 9/23/2017 441.91/6343/21/2017 9/23/2017
SJKD17090307 9/1/2017 441.91/6301/21/2017 9/23/2017
SJKD17090308 9/1/2017 441.91/6344/21/2017 9/23/2017
SJKD17090309 9/1/2017 441.91/6358/21/2017 9/23/2017
SJKD17090310 9/1/2017 441.91/6337/21/2017 9/23/2017
SJKD17090311 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090312 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090313 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090314 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090315 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090316 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090317 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090318 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090319 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090320 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090321 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090322 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090323 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090324 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090325 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090326 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090327 9/1/2017 441.91/6246/21/2017 9/23/2017
SJKD17090328 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090329 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090330 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090331 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090332 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090333 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090334 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090335 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090336 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090337 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090338 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090339 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090340 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090341 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090342 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090343 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090344 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090345 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090346 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090347 9/1/2017 441.91/6246/21/2017 9/1/2017
REGISTER SURAT JAMINAN PESERTA JAMKESDA RAJAL RSUD MUNTILAN KABUPATEN MAGELANG
BULAN SEPTEMBER 2017 Jl. Kartini No. 13, Muntilan 56411 | Telp. (0293) 587017 Fax. (0293) 587017

S.J.P Surat Dinkes

Nama Peserta Alamat Tanggal Lahir Jenis Kelamin No RM Diagnosa Awal Poli Kelas Tanggal Masuk
Nomor Tanggal Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13

SJKD17090348 9/1/2017 441.91/6246/21/2017 9/1/2017

SJKD17090349 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090350 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090351 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090352 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090353 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090354 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090355 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090356 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090357 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090358 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090359 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090360 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090361 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090362 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090363 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090364 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090365 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090366 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090367 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090368 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090369 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090370 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090371 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090372 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090373 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090374 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090375 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090376 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090377 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090378 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090379 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090380 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090381 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090382 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090383 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090384 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090385 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090386 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090387 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090388 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090389 9/1/2017 441.91/6246/21/2017 9/1/2017
SJKD17090390 7/28/2017 441.91/6246/21/2017 9/1/2017
SJKD17090391 7/28/2017 441.91/6246/21/2017 9/1/2017
SJKD17090392 7/28/2017 441.91/6246/21/2017 9/1/2017
SJKD17090393 7/28/2017 441.91/6246/21/2017 9/1/2017
SJKD17090394 7/28/2017 441.91/6246/21/2017 9/1/2017
SJKD17090395 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090396 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090397 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090398 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090399 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090400 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090401 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090402 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090403 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090404 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090405 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090406 7/26/2017 441.91/6246/21/2017 9/1/2017
SJKD17090407 7/26/2017 441.91/6246/21/2017
SJKD17090408 7/26/2017 441.91/6246/21/2017
SJKD17090409 7/26/2017 441.91/6246/21/2017
SJKD17090410 7/26/2017 441.91/6246/21/2017
SJKD17090411 7/26/2017 441.91/6246/21/2017
SJKD17090412 7/26/2017 441.91/6246/21/2017
SJKD17090413 7/26/2017 441.91/6246/21/2017
SJKD17090414 7/26/2017 441.91/6246/21/2017
SJKD17090415 7/26/2017 441.91/6246/21/2017
SJKD17090416 7/26/2017 441.91/6246/21/2017
SJKD17090417 7/26/2017 441.91/6246/21/2017
SJKD17090418 7/26/2017 441.91/6246/21/2017
SJKD17090419 7/26/2017 441.91/6246/21/2017
SJKD17090420 7/26/2017 441.91/6246/21/2017
SJKD17090421 7/26/2017 441.91/6246/21/2017
SJKD17090422 7/26/2017 441.91/6246/21/2017
SJKD17090423 7/26/2017 441.91/6246/21/2017
SJKD17090424 7/26/2017 441.91/6246/21/2017
SJKD17090425 7/26/2017 441.91/6246/21/2017
SJKD17090426 7/26/2017 441.91/6246/21/2017
SJKD17090427 7/26/2017 441.91/6246/21/2017
SJKD17090428 7/26/2017 441.91/6246/21/2017
SJKD17090429 7/26/2017 441.91/6246/21/2017
SJKD17080430 7/26/2017 441.91/6246/21/2017
SJKD17060431 7/26/2017 441.91/6246/21/2017
SJKD17060432 7/26/2017 441.91/6246/21/2017
SJKD17060433 7/26/2017 441.91/6246/21/2017
SJKD17060434 7/26/2017 441.91/6246/21/2017
SJKD17060435 7/26/2017 441.91/6246/21/2017
SJKD17060436 7/26/2017 441.91/6246/21/2017
SJKD17060437 7/26/2017 441.91/6246/21/2017
SJKD17060438 441.91/6246/21/2017
SJKD17060439 441.91/6246/21/2017
SJKD17060440 441.91/2478/21/2017
 SURATJAMINANPELAYANANPESERTA
JAMKESDAKABUPATENMAGELANG
RAWATJALAN
RSUDMUNTILANKABUPATENMAGELANG

NomorSJP : SJKD17090245 Tanggal :9/23/2017

No.SuratJaminanDinkes : 441.91/7002/21/2017 No.RekamMedik :286956
TanggalSurat : 25September2017 DiagnosaAwal :OBSPOST
NamaPeserta : AGNEAANGELICA Poli :Mata
TanggalLahir : 19April2007 Kelas :0
JenisKelamin : Perempuan TanggalMasuk :23September2017
Alamat : SUSUKANRT03/02BOROBUDUR
PetugasJamkesda,

Lembar Putih : Untuk Tagihan Pelayanan RS

Lembar Merah : Untuk Bangsal IRMA
Lembar Kuning & Hijau : Untuk Arsip IPJK