RUJUK

NO
NAMA
NO.
NRP
KESA
DI AGNOSA
1
BPJS
REGISTER
TUAN
2NY3 RSUD
.4OOO2266129798
UMI
5RFA6C000.003
RSUD
7SOLIKAH
PULPITIS
8 9 10 11 C000.003
AN.
REVERSIBLE
RSI12BELLA
SITI
OOO1172173127
13 HAJAR
14
A000.134
NY.15
PULPITIS
ENIRSI
16PRIYANTI
17
SITI14
15 16
NY.
OOO2061078625
G000.019
IREVERSIBLE
HAJAR
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Y000.020
BRONCHITIS
19 20 31O7143O611285
21
OOO1830607582
RSUD
Y000.020
YON
AN.
22 ADI
23
HT
ARH-8
SDA 24
BA
+ A000.015
TINEA
25
NYYON
. 26
YUYUN
599277
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27 F000.022
28
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. 30 HT
31 32 TN.
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R000.018
391O98660569
KODIM
SUNTIK
HAJAR 330817
RSI
KB 34
FAUZI
A000.001
3
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35
BLN
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36
TN.
391O98660569
DMOOO1425680829
37RU000.002
084
+HADI
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40. SDA
D000.029
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41PERI
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RS.
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NY
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44
DKT
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45SDA46
47 48 49
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1967O214191122OO1
KODIKAL
MYALGIA
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NY
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. 51
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56KODIM
NY. 57
W000.022
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58 RS.
+59
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DKT
60 61 NY.62
63 64
ANIS
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3113O568931O91
DENPAL
ANCIETY
RSI. SITI
TN.
65 RS.
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DI
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66S000.041
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DKT
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67 RS 68
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69
62O12O
DISLOK
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A000.001
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70
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72
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73P RHINI
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NY
74. RI
75
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P000.016
76
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80 81INFLUENZA
T
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82
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85
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TI S000.053
M
86
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87SITI
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89
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93
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99
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N TN.
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31O1O75434O582
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M
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TITIS
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OOO1106087499
S000.191
3198O592OO1O7
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TIS
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S000.191
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RI DHO YON
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OOO1105500831
1972O3O91993O31OO5
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M GUPUSJA
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3196O153O3O474
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W000.019
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PULPITI S BURNS000.037
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SCOND
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NY. FIKRIYAH
31O3O6832O783
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1200 SUHENDROS000.060
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NY.FAENGGAR
+ PREDI ABETIC
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W000.037
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DYSPEPSIA W000.037
N NY. VENI OOO1702293737
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HIPERPURINE
A000.055
AVIANTI NYM000.053. HARTUTIK
HARDEOLUM NY.
HARTI DJUMI
OOO2211859269
M000.053
391O632O3O77O
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STROKE
AN. MARCELLA
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598O88
A000.001
HEMORHARGIA
P21O1O1431OO98O
NN.A000.105
MICHELLE + DM S+ TN.
HT
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OOO2076826869
D000.028
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A000.051
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34-35M 31O5O33751O984
TN.
MGK000.002
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DG LETSU WK000.002
NY.
ASTRI YULI
OOO2238915082
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62574
DERMA TITIS
31O1O75434O587
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KEL.M000.021
REFRAKSI
31OOO39399O181
D TN.D000.050
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LBP SERUMEN NY.
HAYU TAFRI
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3194O17517OO374
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S000.008
ZIYAHKB TN.
OOO1817576458
3I000.028
WILANDY
BLN PERSISTENSI
D000.013
NY. MADE GI GI
A000.018
ANDRIYANI
OOO2264308604
D000.004
PULPITI S EPILEPSUY
A000.008
TN. SUKANDAROOO1479570322
UNSPECIFIED
E000.033 NY. HJ. R000.011
CURROTAINI
DERMATITIS S000.059
NY.
1000 SULISTYOWA
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TILITIS
AN. ANABELA
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HHD
N AN. ISKARAWINDA
HT
S AN. MUHAMMAD
OOO1126017404
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KONJUNGTIVI M000.001
TIS + COMMONDCOLD
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M000.001NN. RESCA I000.024
FAADELIA
MYOPIA AN.
NURILLAH
OOO1647057846
N000.042
MYOPIA G2P1
DWI
M000.038UK
S NY30-31
OOO1899515046
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A000.008
LETKEP
TN. DRH. R000.024
PUKI ANANG
DM +FHT+ NY.
IRMA SAFITRI
OOO1899512649
A000.135
MYOPIA MYAL
R000.001
GIA
NY. INA
MYAL
OOO1843597631
S000.053
DAMAYANTI
GIA RFAS000.172
PERIODIRTIS
SDR. DENNY S000.172
CHEST
R
NN. HIMA
OOOOO98077588
Z000.004
PALA TE LARINGITIS
TUL
H000.047
I NY. SARMINI
AKUT
OOO2062968232
R000.031
RFASDR.LARINGI
N000.007
MOC. TISLUTFAN
AKUT NY.
LAURA N VULGAIS
OOO2062968232
N000.007
VERUGA NY.J000.006
HENI + POOO1840436133
ISPA
NY
J000.006
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RFA SUNTIK
TI
Y000.015
SDR.KB SATYA
1S000.084
BLN
CHRISTA
SDR. BENHARD
OOO2257435484
R000.003
HERNIA FEMORIS
M000.095 NY.COMMONDCOLD
EMA
OOO1892536817
A000.011
AN. ABIDZAR A000.011
DKA
TN. SKABIET
DJAMIL W
800 TN. ANWAR
OOO1172173127
J000.017
DKA FA GANGGUAN
J000.017
NN. SUTRA OOO1338010661
H000.010
CEMAS DEWICOMMOND
TN.
M000.071
ABDUL COLD RAHMAN
NN. EVA NY.R000.008
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M000.093
HAEMOROID LI GREAD
LIS A NYOOO1705638306
2.T000.009
SRI
G1P0-0
WAHYUNING
28-29
T000.009 DG ASMARA
AN. SAFIQAH
OOO2260452431
M000.115
MALFORMA M000.115
TIONAULIA BEROBA
OOO2260452554
NY.W000.002
NURT DIAINI
RS (AN. Y000.009
OBA FAIZAH
T MASIH N AN.
MUH.
OOO2039679944
A000.123
ADA ) DRY
ALWI EYES
A000.029
W CARIES OOO1459892114
S000.133
DENTIAN. S TIT
R000.021
ANIAISPA AN.R000.021
ISPA
RADI TYA
TN. SLAMET
OOO1459900124
R000.021
COMMOND M000.019
NY
COLD. GENIASIH
KEL.REFRAKSI
OOO1202602994
T000.004
TN. SUPRIADI
M000.008
CATARAKTN. + ZAENAL
NY. DWI AN.
OOO1851418787
S000.024
KONJUNGTIVI R000.003
FERDY
TIS GEA OOO1198848982
TN.
K000.011
HTSUTRI
KONSULTSNO J000.017
ASI
HADI OSTEO
NYB000.023
. NURUL
NY. SUNARNI
OOO2071180012
S000.007
ARTRITIS UNSPECIFIED
TN. JAYADIOOO1838397622
OSTEO
NY. DWI ARTRITI
LESTARI S NY.
600 MAFTUHATUL INFLUENZA
OOO1964542509
UNSPECIFIED MAHMUDAHOOO1838360261
HTAN. + DM JESSICA
BIPOLAR ARINITA AN.
MUHAMMAD
OOO1838360531
AFECTI VE DISORDER ABI DZAR
OOO1177153244
ANGI NY.NAANISSAH
PECTORI S AN.
S CEPALGI
DHIMAS A
ADITYA NY. SUGIYA
OOO2048282054
INFLUENZA VAGINITI TIS
OOO1785733637
AN.
I NFLUENZA
BHISMA RHINITISNY. YUYUN ALERGI
AN. M.
AHSAN
OOO1400824269
HT + COMMOND
D AN. AYUDYA COLD
OOO1372835474
TN.HTROY+ COMMOND
F NY. UMI CHASANAH COLD FA +
NY. SETYA NY
OOO1840631141
DYSPEPSIA GASTRI
. NELLU TIS
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LUDHITA HTNYGASTRITIS
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SITI YULAI
OOOOO98077588
PULPITI S NECROSI
KA AN. SYABILAS OOO1838081496
PULPANY GASTRITI
. EKA NN. S GR
VIKA CRONIC
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OOO186432063
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SDR. AHMAD OOO1482621524
MYALGIA ZAKI + HIPOTENSI
NY. YURI HARDI GMK NISUSP.
TN.
400 RACHMAD LARINGITIS
OOO1704333159
SINUSITIS BASUKI TN. OOO1542423925
AKUT
M. RIZA + HTNYSUSP.
. INSRIGOUT M TN.
AGUS H NY
OOO1963381184
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. MISNIWA
HHD OOO1865189902
+ TI
HTAN. MUSCLE
SALSABILA SPASME AN. INSULIN
JIHAN TN.
KASMONO
OOO1897930978
DM WITH UNSPECIFI
AN. BI SMA OOO1897932025
ED R COMPLICA
TN. BUDI P TION OBS.
OOO1897931507
FEBRIS FA HT + ISPA OOO2094157978
+ DYSPEPSIA ISPA SELULITIS
OOO1843597631 OOO1843597642
CLAVUS
OOO1108626017 OOO1827093341
OOO1104399483 OOO1380043124
200 OOO1105118673 OOO1108485009
OOO1105912089 OOO231O679113
OOO1103382887 OOO127938121
OOO1108467404 OOO1102179295
OOO1102341249 OOO1105960162
OOO1380803826 OOO2083162307
OOO1875895637 OOO1902687401
0 OOO1109427287 OOO2220343907
OOO1327863666 OOO1327883635
OOO1312210427 OOO1102304946
OOO1904623031 OOO1107301386
OOO1107301397 OOO1105929696
OOO1314509589 OOO2215432732
OOO1309831233 OOO1205283317
OOO1389255535 OOO1289255388
OOO1104710668 OOO1104813731
OOO1105956167 OOO1102356281
OOO1299403934 OOO1380798382
OOO1380804489 OOO1104346271
OOO2220343907 OOO1101952888 OOO
LAPORAN KUNJUNGAN PASIEN BULAN SEPTEMBER 2017
FKTP KLINIK DKT 02 SIDOARJO

NO NAMA NO. BPJS NO. REGISTER NRP KESATUAN DIAGNOSA RUJUK

1 NY. UMI SOLIKAH C000.003
2 AN. BELLA C000.003 RFA
3 NY. ENI PRIYANTI OOO2266129798 A000.134 PULPITIS REVERSIBLE
4 NY. MADE ANDRIYANI OOO1172173127 G000.019 PULPITIS IREVERSIBLE
5 AN. ADIBA OOO2061078625 Y000.020 BRONCHITIS RSUD
6 NY. YUYUN Y000.020 RSUD
7 NY. APRIL OOO1830607582 A000.015 HT + TINEA
8 TN. FAUZI OOO1656875777 F000.022 FURUNKEL
9 TN. R HADI OOO1425680829 R000.018 HT
10 NY. ERLISYAH OOO1851420159 A000.001 SUNTIK KB 3 BLN
11 NY. LILIK ISTIANAH OOO1837108923 U000.002 DM + HT
12 NY. DEBY OOO1703379194 D000.029 ABSES PERIAPIKAL
13 TN. ASWAN OOO1855834198 A000.031 MYALGIA + COMMONDCOLD
14 NY. MAKRUFAH OOO1821421179 I000.001 CEPALGIA + VERTIGO
15 NY. ANIS OOO1722702082 W000.022 ANCIETY DISORDER RSI SITI HAJAR
16 TN. IR WIYONO OOO1722702058 W000.022 DISLOK REGIO RSI SITI HAJAR
17 AN. HAFIDZ P OOO1810532539 H000.001 RHINITIS ALLERGI
14 NY. RIRIN R OOO1610957687 S000.041 INFLUENZA
15 AN. M APRIEL D OOO1851422185 A000.001 INSECTBITE
16 AN. ASYIFA P OOO1889230252 R000.010 COMMOND COLD
17 AN. JONATHAN P OOO1479174849 P000.016 FA
18 NY. CHOYDAROH OOO1106087499 M000.061 HT + DM
19 TN. MISWADI OOO1105500831 M000.061 BRONCHITIS + HT
20 NY. SRI WIJAYA OOO1259472003 S000.053 CEPALGIA + POLI METRORARGIA
21 NN. ELLEN N OOO1540140311 L000.002 CEPALGIA + FA
22 TN. FAIZAL RIZA OOO2066865221 F000.021 PULPITIS
23 NY. KRISTINA OOO2055964138 R000.027 ISPA
24 NN. IGRAWATI K OOO1326852584 S000.026 OBS. FEBRIS + PULPITIS
25 AN. MUHAMMAD ALFAREZEL OOO2064466776 E000.002 FA
26 NY. DEBI KRISTIANI OOO1703379194 D000.029 HT
27 AN. DANIAS RIDHO OOO1703379205 D000.029 TONSILITIS + STOMATITIS
28 AN. AHMAD AGEEF OOO1828037204 A000.013 TONSILITIS AKUT
29 SDR. YAYANG W OOO1702293737 S000.190 FURUNCEL AO
30 TN./ YOYOK EKA OOO2211859269 Y000.029 PULPITIS
31 AN. MOH RAFKA M OOO2258764918 M000.132 FA
32 NY. NUR FADHILAH OOO2076826869 I000.018 DM + HT
33 NN. DEWI RUSDIANA OOO2076827152 I000.018 OBS. FEBRIS + FA + TONSILITIS
34 TN. INDRA HERMANTO OOO2238915082 I000.128 TINEA CRURIS
35 TN. ANDREAS P OOO1702717659 A000.116 ISPA + GASTRITIS
36 NY. FIKRIYAH N OOO2053140647 S000.191 ABDOMEN PAIN
37 TN. SUHENDRO N OOO1817576458 S000.191 NECROSIS PULPITIS
38 SDR. ALWI HASAN OOO2264308604 S000.188 BURN OF SCOND RSUD SDA
39 NY. ENGGAR SRI W OOO1479570322 P000.006 DYSPEPSIA
40 AN. IKHSAN N OOO2249507081 A000.126 TF
41 NY. VENI AVIANTI OOO1819896366 T000.007 GE
42 NY. HARTUTIK OOO1126017404 B000.002 HT + COMMOND COLD
43 NY. HARTI DJUMI OOO2223099505 A000.002 MYALGIA
44 AN. MARCELLA P OOO1647057846 A000.136 FA
45 NN. MICHELLE S OOO1899515046 A000.062 FA
46 TN. ANTONIUS S OOO1899512649 A000.062 FA + PREDIABETIC
47 NY. RIBUT SRI M OOO1843597631 M000.001 DYSPEPSIA
48 TN. DJAMIL W OOOOO98077588 D000.013 DYSPEPSIA
49 NY. ASTRI YULI OOO2062968232 M000.038 HIPERPURINE
50 AN. AL. ZAHFRAN D OOO2062968232 W000.019 HARDEOLUM EKSTERNAL
51 TN. SUNARSO OOO1840436133 S000.037 STROKE NON HEMORHARGIA + DM + HT RSUD SDA
52 NY. HAYU TAFRIZIYAH OOO2257435484 Y000.028 G2P1-P1 UK 34-35 MG DG LETSU RSI SITI HAJAR
53 TN. WILANDY OOO1892536817 W000.011 DERMATITIS ALERGI
54 NY. MADE ANDRIYANI OOO1172173127 G000.019 KEL. REFRAKSI RSI SITI HAJAR
55 TN. SUKANDAR OOO1338010661 S000.060 LBP
56 NY. HJ. CURROTAINI OOO1454137492 S000.046 SERUMEN PROP
57 NY. SULISTYOWATI OOO1705638306 H000.060 AKSEPTOR KB 3 BLN
58 AN. ANABELA YASMIN OOO2260452431 W000.037 PERSISTENSI GIGI
59 AN. ARAWINDA S OOO2260452554 W000.037 PULPITIS
60 AN. MUHAMMAD NADIF OOO2039679944 A000.055 EPILEPSUY UNSPECIFIED RSUD SDA
61 NN. RESCA ADELIA OOO1459892114 M000.053 DERMATITIS ALERGI
62 AN. NURILLAH DWI S OOO1459900124 M000.053 TONSILITIS
63 NY. AULIA OOO1202602994 F000.017 GANGRE AKUT
64 TN. DRH. ANANG F OOO1851418787 A000.001 HHD
65 NY. IRMA SAFITRI OOO1198848982 A000.105 ISK
66 NY. INA DAMAYANTI OOO2071180012 D000.028 HT
67 SDR. DENNY R OOO1838397622 I000.007 KONJUNGTIVITIS + COMMONDCOLD
68 NN. HIMATUL I OOO1964542509 A000.051 FA
69 NY. SARMINI OOO1838360261 K000.002 MYOPIA RSI SITI HAJAR
70 SDR. MOC. LUTFAN OOO1838360531 K000.002 MYOPIA RSI SITI HAJAR
71 NY. LAURA N OOO1177153244 H000.035 G2P1 UK 30-31 LETKEP PUKI
72 NY. HENI P OOO2048282054 M000.080 DM + HT+ MYOPIA RSUD SDA
73 NY. NURIJATI OOO1785733637 M000.021 MYALGIA
74 SDR. SATYA CHRISTA OOO1400824269 D000.050 MYALGIA
75 SDR. BENHARD OOO1372835474 B000.020 RFA
76 NY. EMA OOO1840631141 S000.008 PERIODIRTIS
77 AN. ABIDZAR OOO2238917556 I000.028 CHEST PALATE
78 TN. DJAMIL W OOOOO98077588 D000.013 LARINGITIS AKUT
79 TN. ANWAR OOO1838081496 A000.018 RFA
80 NN. SUTRA DEWI OOO186432063 D000.004 LARINGITIS AKUT
81 TN. ABDUL RAHMAN OOO1482621524 A000.008 VERUGA VULGAIS + ISPA
82 NN. EVA OOO1704333159 E000.033 RFA
83 NY. LILIS A OOO1542423925 R000.011 SUNTIK KB 1 BLN
84 NY. SRI WAHYUNING ASMARA OOO1963381184 S000.059 HERNIA FEMORIS RS. DKT
85 AN. SAFIQAH AULIA OOO1865189902 S000.024 COMMONDCOLD
86 NY. NUR AINI OOO1897930978 M000.035 DKA
87 AN. FAIZAH N OOO1897932025 M000.035 SKABIET
88 AN. MUH. ALWI W OOO1897931507 M000.035 DKA
89 OOO2094157978 S000.144 FA
90 OOO1843597631 M000.001 GANGGUAN CEMAS RSI. SITI HAJAR
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 92 I000.024 HAEMOROID GREAD 2 RS DKT SDA
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94 M000.038 BEROBAT DI RS ( OBAT MASIH ADA ) RS DKT SDA
95 A000.008 DRY EYES
96 R000.024 CARIES DENTIS
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TN. AGUS H OOO1102356281 M000.008 21O1O1431OO98O OTMIL MUSCLE SPASME
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