SAJUL18 Dikonversi

Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601

NO TANGGAL NO KUNJUNGAN NO KARTU
1 31-07-2018 170406010718Y000561 0000122843171
2 31-07-2018 170406010718Y000563 0000123702625
3 31-07-2018 170406010718Y000572 0000889928842
4 31-07-2018 170406010718Y000571 0000889992764
5 31-07-2018 170406010718Y000570 0000890617972
6 31-07-2018 170406010718Y000564 0000890674277
7 31-07-2018 170406010718Y000568 0000890765291
8 31-07-2018 170406010718Y000558 0001269910967
9 31-07-2018 170406010718Y000559 0001280774283
10 31-07-2018 170406010718Y000560 0001796551615
11 31-07-2018 170406010718Y000562 0002220765129
12 31-07-2018 170406010718Y000566 0002235454154
13 31-07-2018 170406010718Y000567 0002304843478
14 31-07-2018 170406010718Y000569 0002309476781
15 31-07-2018 170406010718Y000565 0002324358573
16 30-07-2018 170406010718Y000517 0000123029032
17 30-07-2018 170406010718Y000524 0000123452943
18 30-07-2018 170406010718Y000521 0000889681588
19 30-07-2018 170406010718Y000539 0000889953546
20 30-07-2018 170406010718Y000537 0000889971309
21 30-07-2018 170406010718Y000543 0000889991662
22 30-07-2018 170406010718Y000536 0000890053525
23 30-07-2018 170406010718Y000535 0000890055472

NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
ZAINUDDIN L PNS DAERAH Necrosis of pulp
AMSIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus without
YANA P PBI (APBN) Contraceptive management,

unspecified
WAHIDAH P PBI (APBN) Leukoplakia of vagina
SITI RAHMAWATI P PBI (APBN) Contraceptive management,

unspecified
SARINAH P PBI (APBN) Dyspepsia
MARDIANA P PBI (APBN) Dyspepsia
ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart disease
HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Pulpitis
SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp
RUSNANI P PEKERJA MANDIRI Essential (primary) hypertension
BARKIAH P PNS DAERAH Gastritis, unspecified
DEWI KARMILAWATI P PEKERJA MANDIRI Cough
HASBIANNOR L PEKERJA MANDIRI Essential (primary) hypertension
SAYYIDATI KHADIJAH P PEKERJA MANDIRI Cough
AHMADI L PNS DAERAH End-stage renal disease
SITI MULIA P PENERIMA PENSIUN TNI Gout
M RAMADHANI L PBI (APBN) Epilepsy
ST FATIMAH P PBI (APBN) Contraceptive management,

unspecified
BARKATI SIMBARA L PBI (APBN) Dyspepsia
ST ASIAH P PBI (APBN) Contraceptive management,

unspecified
MARIANA P PBI (APBN) Cough
NABIL ASLAMI L PBI (APBN) Cough

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24 30-07-2018 170406010718Y000531 0000890313906
25 30-07-2018 170406010718Y000534 0000890561733
26 30-07-2018 170406010718Y000533 0000890804608
27 30-07-2018 170406010718Y000525 0000891005624
28 30-07-2018 170406010718Y000519 0000891511446
29 30-07-2018 170406010718Y000516 0000975900565
30 30-07-2018 170406010718Y000529 0000978029818
31 30-07-2018 170406010718Y000541 0001065413788
32 30-07-2018 170406010718Y000542 0001182333161
33 30-07-2018 170406010718Y000530 0001266035848
34 30-07-2018 170406010718Y000538 0001266036219
35 30-07-2018 170406010718Y000520 0001279182374
36 30-07-2018 170406010718Y000528 0001433414924
37 30-07-2018 170406010718Y000522 0001546154008
38 30-07-2018 170406010718Y000540 0001642884118
39 30-07-2018 170406010718Y000518 0001868732335
40 30-07-2018 170406010718Y000526 0001902576161
41 30-07-2018 170406010718Y000515 0001974870775
42 30-07-2018 170406010718Y000514 0002057401539
43 30-07-2018 170406010718Y000523 0002252866072
44 30-07-2018 170406010718Y000527 0002265929111
45 30-07-2018 170406010718Y000532 0002283613885

SYARNIAH P PBI (APBN) Essential (primary) hypertension
SURIADI L PBI (APBN) Other disorders of urinary system
NORMA P PBI (APBN) Gastritis and duodenitis
NORMA FATMAWATI P PBI (APBN) Hypotension, unspecified
RUSPUDIANSYAH L PBI (APBN) Stroke, not specified as

haemorrhage or infarction
FATHUL JANNAH P PENERIMA PENSIUN TNI Insulin-dependent diabetes
mellitus with
RUSMIATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
SYAIBAH P PBI (APBN) Contraceptive management,

unspecified
RIZKY AMALIAH P PEGAWAI SWASTA Antenatal screening, unspecified
MASTAYAH P PEKERJA MANDIRI Allergic contact dermatitis
MURNIATI SARI P PEKERJA MANDIRI Contraceptive management,

unspecified
AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy
SABARIAH P PEKERJA MANDIRI Gout
M. IHSAN RAMADHANI L PEGAWAI SWASTA Caries of dentine
NOOR LINDA SARI P PEGAWAI SWASTA Antenatal screening, unspecified
ALWI SALEH L PEKERJA MANDIRI Parkinson's disease
RINI ANDRIATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified
NASRULLAH L PBI (APBN) Undifferentiated schizophrenia
RABIAH P PENERIMA PENSIUN PNS Senile incipient cataract
NURUL PURNAMA SARI P PEKERJA MANDIRI Necrosis of pulp
NURSIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
ARESA ARYANI P PEGAWAI SWASTA Cough

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46 28-07-2018 170406010718Y000499 0000122621141
47 28-07-2018 170406010718Y000544 0000122654801
48 28-07-2018 170406010718Y000545 0000122717766
49 28-07-2018 170406010718Y000546 0000122718791
50 28-07-2018 170406010718Y000547 0000122718824
51 28-07-2018 170406010718Y000548 0000122718971
52 28-07-2018 170406010718Y000549 0000122718982
53 28-07-2018 170406010718Y000550 0000122718993
54 28-07-2018 170406010718Y000551 0000122719037
55 28-07-2018 170406010718Y000552 0000122719094
56 28-07-2018 170406010718Y000553 0000122719195
57 28-07-2018 170406010718Y000554 0000122719509
58 28-07-2018 170406010718Y000500 0000123587021
59 28-07-2018 170406010718Y000555 0000204782804
60 28-07-2018 170406010718Y000508 0000889839314
61 28-07-2018 170406010718Y000498 0000890054842
62 28-07-2018 170406010718Y000503 0000890465016
63 28-07-2018 170406010718Y000506 0000890678632
64 28-07-2018 170406010718Y000511 0000890678709
65 28-07-2018 170406010718Y000495 0000891073743
66 28-07-2018 170406010718Y000512 0000891668665
67 28-07-2018 170406010718Y000493 0000975900565

KAMARUDDIN L PNS DAERAH Heart failure, unspecified
ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure
ADTRI KORNIATI P PNS DAERAH Examination of blood pressure
DENI ELFENI P PNS DAERAH Examination of blood pressure
DEWI ESTIKA SARI P PNS DAERAH Routine general health check-up of

sports teams
FARIDAWATY P PNS DAERAH Examination of blood pressure
FAULIAH P PNS DAERAH Examination of blood pressure
BURHANUDDIN L PNS DAERAH Examination of blood pressure
MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure
HERTATI P PNS DAERAH Examination of blood pressure
MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure
SUNARNI P PNS DAERAH Examination of blood pressure
ITA AS P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by

unspecified
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure
RUSMIYATI P PBI (APBN) Malaise and fatigue
MUHAMMAD FAISAL L PBI (APBN) Influenza due to other identified

influenza virus
RUSMINAH P PBI (APBN) Essential (primary) hypertension
WIWI ARIYANI P PBI (APBN) Cough
NOOR MULYANI P PBI (APBN) Cough
ANWAR HADIMI L PBI (APBN) Stroke, not specified as

MUJAIMAH P PBI (APBN) Contraceptive management,
unspecified
FATHUL JANNAH P PENERIMA PENSIUN TNI Moderate depressive episode
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68 28-07-2018 170406010718Y000502 0000978029818
69 28-07-2018 170406010718Y000510 0001266035848
70 28-07-2018 170406010718Y000496 0001266035848
71 28-07-2018 170406010718Y000501 0001266036219
72 28-07-2018 170406010718Y000556 0001298136914
73 28-07-2018 170406010718Y000497 0001441794846
74 28-07-2018 170406010718Y000505 0001827797466
75 28-07-2018 170406010718Y000507 0001883400502
76 28-07-2018 170406010718Y000509 0002053007019
77 28-07-2018 170406010718Y000557 0002207775701
78 28-07-2018 170406010718Y000504 0002291525008
79 28-07-2018 170406010718Y000494 0002454246077
80 28-07-2018 170406010718Y000513 0002473614112
81 27-07-2018 170406010718Y000485 0000122816169
82 27-07-2018 170406010718Y000481 0000123313689
83 27-07-2018 170406010718Y000482 0000889839314
84 27-07-2018 170406010718Y000480 0000891218417
85 27-07-2018 170406010718Y000488 0001065673618
86 27-07-2018 170406010718Y000484 0001868732335
87 27-07-2018 170406010718Y000487 0001902576161
88 27-07-2018 170406010718Y000490 0002063050446
89 27-07-2018 170406010718Y000489 0002074503947

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension
MASTAYAH P PEKERJA MANDIRI Gastritis, unspecified
MASTAYAH P PEKERJA MANDIRI Gingivitis and periodontal diseases
MURNIATI SARI P PEKERJA MANDIRI Suppurative and unspecified otitis

media
MAHWATI P PEKERJA MANDIRI Examination of blood pressure
ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension
MUHAMMAD NABIL L PEGAWAI SWASTA Cough
ROHANI P PEKERJA MANDIRI Malaise and fatigue
BAHRAN L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure
putri humaira P PBI (APBN) Cough
ZAIRIFANI L PEGAWAI SWASTA Syphilis, unspecified
bayi ny YULIANA SAFITRI P PEGAWAI SWASTA Fever, unspecified
SARTINI P PNS DAERAH Essential (primary) hypertension
ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes

mellitus with
RUSMIYATI P PBI (APBN) Acquired absence of other organs
TABRI L PBI (APBN) Gout
riska HASANAH P PBI (APBN) Allergic contact dermatitis
ALWI SALEH L PEKERJA MANDIRI Hyperlipidaemia, unspecified
RINI ANDRIATI P PEKERJA MANDIRI Essential (primary) hypertension
HANIFAH P PEKERJA MANDIRI Pulp degeneration
AMIRA KANNISA ZHAFIRA P PNS PUSAT Cough

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90 27-07-2018 170406010718Y000483 0002080695475
91 27-07-2018 170406010718Y000492 0002251470666
92 27-07-2018 170406010718Y000491 0002263889193
93 27-07-2018 170406010718Y000486 0002461056557
94 26-07-2018 170406010718Y000399 0000122756591
95 26-07-2018 170406010718Y000402 0000123205544
96 26-07-2018 170406010718Y000383 0000123587021
97 26-07-2018 170406010718Y000391 0000193834923
98 26-07-2018 170406010718Y000380 0000889343537
99 26-07-2018 170406010718Y000382 0000890005836
100 26-07-2018 170406010718Y000389 0000890212026
101 26-07-2018 170406010718Y000388 0000890450109
102 26-07-2018 170406010718Y000379 0000890630695
103 26-07-2018 170406010718Y000384 0000890683503
104 26-07-2018 170406010718Y000386 0000890843826
105 26-07-2018 170406010718Y000385 0000891675696
106 26-07-2018 170406010718Y000387 0001437091402
107 26-07-2018 170406010718Y000377 0001867295812
108 26-07-2018 170406010718Y000390 0002206784924
109 26-07-2018 170406010718Y000381 0002211317605
110 26-07-2018 170406010718Y000378 0002434225994

MULIYADI L PEKERJA MANDIRI Other and unspecified
hydronephrosis
FARHAN KHAZIN L PNS PUSAT Pulpitis
SITI SALAMAH P PEKERJA MANDIRI Contraceptive management,

unspecified
SA'DA SHALATIAH P PEGAWAI PEMERINTAH Cough
DENGAN PERJANJIAN
ABDUL HADI L PENERIMA PENSIUN PNS Headache
RUKIAH. P PNS DAERAH Essential (primary) hypertension
ITA AS P PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus without
RICKY HARIS SANDI, A.MD L PNS PUSAT Other and unspecified diseases of
pulp and
MUHAMMAD PIRMANSYAH L PBI (APBN) Scabies
ALAN L PBI (APBN) Non-insulin-dependent diabetes

mellitus without
SYARIFUDINOOR L PBI (APBN) Essential (primary) hypertension
NOOR EFFENDI L PBI (APBN) Dyspepsia
MISLIWATI P PBI (APBN) Urticaria
LAILA HIDAYATI P PBI (APBN) Hyperlipidaemia, unspecified
KHAIRUDIN L PBI (APBN) Other chronic obstructive

pulmonary disease
SALASIAH P PBI (APBN) Conjunctivitis
ABD HAMID L PEKERJA MANDIRI Dyspepsia
ASRI L PEKERJA MANDIRI Heart failure, unspecified
RIKA P PEKERJA MANDIRI Contraceptive management,

unspecified
NOR ASIAH P PEKERJA MANDIRI Essential (primary) hypertension
YUNI L PEKERJA MANDIRI Neurofibromatosis (nonmalignant)

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111 25-07-2018 170406010718Y000371 0000122688584
112 25-07-2018 170406010718Y000364 0000122718993
113 25-07-2018 170406010718Y000363 0000122728915
114 25-07-2018 170406010718Y000365 0000123189243
115 25-07-2018 170406010718Y000375 0000206240455
116 25-07-2018 170406010718Y000395 0000887612646
117 25-07-2018 170406010718Y000368 0000889498552
118 25-07-2018 170406010718Y000366 0000890002124
119 25-07-2018 170406010718Y000393 0000890454396
120 25-07-2018 170406010718Y000376 0000890490159
121 25-07-2018 170406010718Y000369 0000890495572
122 25-07-2018 170406010718Y000372 0001280774283
123 25-07-2018 170406010718Y000360 0001306752142
124 25-07-2018 170406010718Y000367 0001307796309
125 25-07-2018 170406010718Y000394 0001381946973
126 25-07-2018 170406010718Y000374 0001443525816
127 25-07-2018 170406010718Y000370 0001657157692
128 25-07-2018 170406010718Y000392 0001816967057
129 25-07-2018 170406010718Y000373 0001867189779

HALIMAH P PNS PUSAT Diarrhoea and gastroenteritis of
presumed infectious origin
BURHANUDDIN L PNS DAERAH Heart failure, unspecified
ASUN B L PENERIMA PENSIUN PNS Other specified disorders of

muscle, lower leg
MISRAN L PNS DAERAH Non-insulin-dependent diabetes
mellitus without
YUZHIRNA NAJMI HASANAH P PNS DAERAH Cough
RIZA NORJANAH P PBI (APBN) Antenatal screening, unspecified
NORHANA P PBI (APBN) Hyperlipidaemia, unspecified
GUSNAWATI P PBI (APBN) Dyspepsia
BAINAH P PBI (APBN) Contraceptive management,

unspecified
SITI WAHIDAH P PBI (APBN) Tuberculosis of lung, confirmed by
unspecified
FATIMAH P PBI (APBN) Cough
HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Diarrhoea and gastroenteritis of

MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction
ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
RINA MISLAWATI P PEGAWAI PEMERINTAH Antenatal screening, unspecified

DENGAN PERJANJIAN
nurul ma rifah P PEKERJA MANDIRI Influenza due to other identified

influenza virus
IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension
ARIE ANDRIANTO L PEGAWAI SWASTA Other and unspecified diseases of

pulp and
halimatus sadiah P PEKERJA MANDIRI Headache

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130 25-07-2018 170406010718Y000362 0001881338117
131 25-07-2018 170406010718Y000361 0002301407076
132 24-07-2018 170406010718Y000350 0000122620127
133 24-07-2018 170406010718Y000342 0000148656216
134 24-07-2018 170406010718Y000343 0000195495761
135 24-07-2018 170406010718Y000354 0000889498552
136 24-07-2018 170406010718Y000344 0000889798239
137 24-07-2018 170406010718Y000348 0000890338937
138 24-07-2018 170406010718Y000356 0000890678632
139 24-07-2018 170406010718Y000359 0000891044673
140 24-07-2018 170406010718Y000349 0001094262467
141 24-07-2018 170406010718Y000347 0001182009071
142 24-07-2018 170406010718Y000346 0001316257479
143 24-07-2018 170406010718Y000353 0001318164388
144 24-07-2018 170406010718Y000341 0001478814906
145 24-07-2018 170406010718Y000358 0001484006861
146 24-07-2018 170406010718Y000355 0001623246017
147 24-07-2018 170406010718Y000351 0001821515725
148 24-07-2018 170406010718Y000357 0002084192313
149 24-07-2018 170406010718Y000345 0002098846214
150 24-07-2018 170406010718Y000352 0002198613418
151 23-07-2018 170406010718Y000319 0000122606177

JURNIAH P PEKERJA MANDIRI End-stage renal disease
JUWAIRIYAH P PEKERJA MANDIRI Undifferentiated schizophrenia
HARTINAH P PNS DAERAH Essential (primary) hypertension
LAILA RAHMI, A.MA P PNS DAERAH Other benign neoplasm of

connective and other soft
RAHIMAH P PENERIMA PENSIUN PNS Essential (primary) hypertension
NORHANA P PBI (APBN) Gout
M. SAIRI L PBI (APBN) Inguinal hernia
SYARKAWI L PBI (APBN) Cough
WIWI ARIYANI P PBI (APBN) Contraceptive management,

unspecified
JALIAH P PBI (APBN) Antenatal screening, unspecified
M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Non-insulin-dependent diabetes

mellitus without
MUHAMMAD SAYED AFRIZAL L PEGAWAI SWASTA Conjunctivitis
ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as

TANKASIANI L PEKERJA MANDIRI Headache
PANDI ARIADI L PEKERJA MANDIRI Heart failure, unspecified
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Contraceptive management,

unspecified
MUHAMMAD RAYHAN L PEGAWAI SWASTA Impacted cerumen
FARIDAH P PEKERJA MANDIRI Essential (primary) hypertension
SUPARMI P PEGAWAI SWASTA Antenatal screening, unspecified
TIA YUNITA P PEKERJA MANDIRI Acute gingivitis
RAHMA WATI P PEKERJA MANDIRI Essential (primary) hypertension
SURIANI L PNS DAERAH Other chronic obstructive

pulmonary disease
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152 23-07-2018 170406010718Y000401 0000122654801
153 23-07-2018 170406010718Y000332 0000122654801
154 23-07-2018 170406010718Y000325 0000122718903
155 23-07-2018 170406010718Y000398 0000122756591
156 23-07-2018 170406010718Y000317 0000123115105
157 23-07-2018 170406010718Y000333 0000123161793
158 23-07-2018 170406010718Y000335 0000123287253
159 23-07-2018 170406010718Y000338 0000124564544
160 23-07-2018 170406010718Y000336 0000166492383
161 23-07-2018 170406010718Y000326 0000206927987
162 23-07-2018 170406010718Y000337 0000889457152
163 23-07-2018 170406010718Y000334 0000890316033
164 23-07-2018 170406010718Y000318 0000890395468
165 23-07-2018 170406010718Y000397 0000890465016
166 23-07-2018 170406010718Y000321 0000890513302
167 23-07-2018 170406010718Y000316 0000890712426
168 23-07-2018 170406010718Y000322 0000890834578
169 23-07-2018 170406010718Y000400 0000891557223
170 23-07-2018 170406010718Y000320 0001381991128
171 23-07-2018 170406010718Y000315 0001389842087
172 23-07-2018 170406010718Y000328 0001808362462
173 23-07-2018 170406010718Y000323 0001857673214

ERNAWATI P PENERIMA PENSIUN PNS Allergic contact dermatitis
ERNAWATI P PENERIMA PENSIUN PNS Necrosis of pulp
ENDAH HARYANI, A.MKEB P PNS DAERAH Disorder of refraction, unspecified
ABDUL HADI L PENERIMA PENSIUN PNS Myalgia
BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Senile cataract, unspecified
ELYA WAHYUNI P PNS DAERAH Gout
MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified
ABDUL GAFAR L PENERIMA PENSIUN POLRI Essential (primary) hypertension
AISYAH P PENERIMA PENSIUN TNI Dyspepsia
MUHAMMAD HUSNI THAMRIN, SE L PNS DAERAH Disorder of refraction, unspecified
A.ANSARI L PBI (APBN) Cough
ERNAWATI P PBI (APBN) Essential (primary) hypertension
A MULYAKIN L PBI (APBN) Residual schizophrenia
AMAT YANI L PBI (APBN) Undifferentiated schizophrenia
JUMSIAH P PBI (APBN) Pre-eclampsia, unspecified
ILMI L PBI (APBN) Chronic myeloid leukaemia
SITI AISYAH P PBI (APBN) Headache
ABDUL HADI L PEKERJA MANDIRI Other intervertebral disc disorders
MARTA P PEKERJA MANDIRI Vitreous haemorrhage
yanti P PEKERJA MANDIRI Essential (primary) hypertension
alya sairina P PEKERJA MANDIRI Epilepsy

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174 23-07-2018 170406010718Y000331 0001860287635
175 23-07-2018 170406010718Y000314 0001904156392
176 23-07-2018 170406010718Y000330 0002093457723
177 23-07-2018 170406010718Y000396 0002220897115
178 23-07-2018 170406010718Y000327 0002220897115
179 23-07-2018 170406010718Y000339 0002229571541
180 23-07-2018 170406010718Y000329 0002252866072
181 23-07-2018 170406010718Y000324 0002438267624
182 23-07-2018 170406010718Y000340 0002469003581
183 21-07-2018 170406010718Y000312 0000122606188
184 21-07-2018 170406010718Y000403 0000122654801
185 21-07-2018 170406010718Y000404 0000122695571
186 21-07-2018 170406010718Y000405 0000122717766
187 21-07-2018 170406010718Y000406 0000122718791
188 21-07-2018 170406010718Y000407 0000122718971
189 21-07-2018 170406010718Y000408 0000122718982
190 21-07-2018 170406010718Y000409 0000122718993
191 21-07-2018 170406010718Y000410 0000122719026
192 21-07-2018 170406010718Y000411 0000122719037
193 21-07-2018 170406010718Y000412 0000122719094
194 21-07-2018 170406010718Y000413 0000122719195

RUSGIATI P PEKERJA MANDIRI Essential (primary) hypertension
SALMAN L PEKERJA MANDIRI Heart failure, unspecified
HARI LISWATI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI End-stage renal disease
JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI Chronic gingivitis
SITI SARAH P PEKERJA MANDIRI Stroke, not specified as

NURUL PURNAMA SARI P PEKERJA MANDIRI Necrosis of pulp
RAISA ASPIAN P PEKERJA MANDIRI Acute pharyngitis, unspecified
MAHDINI L PEKERJA MANDIRI Essential (primary) hypertension
BARKIAH P PNS DAERAH Tuberculosis of lung, confirmed by

unspecified
ERNI RAHMI P PNS DAERAH Examination of blood pressure
ADTRI KORNIATI P PNS DAERAH Examination of blood pressure
H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

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195 21-07-2018 170406010718Y000414 0000122719206
196 21-07-2018 170406010718Y000415 0000122719509
197 21-07-2018 170406010718Y000306 0000122757939
198 21-07-2018 170406010718Y000309 0000123587021
199 21-07-2018 170406010718Y000416 0000167797361
200 21-07-2018 170406010718Y000417 0000204782804
201 21-07-2018 170406010718Y000308 0000890042231
202 21-07-2018 170406010718Y000310 0000890202284
203 21-07-2018 170406010718Y000300 0000890236337
204 21-07-2018 170406010718Y000303 0000890512986
205 21-07-2018 170406010718Y000313 0000890681038
206 21-07-2018 170406010718Y000305 0000890843826
207 21-07-2018 170406010718Y000299 0001266035848
208 21-07-2018 170406010718Y000311 0001433414924
209 21-07-2018 170406010718Y000302 0001545838018
210 21-07-2018 170406010718Y000304 0002053007019
211 21-07-2018 170406010718Y000418 0002207775701
212 21-07-2018 170406010718Y000301 0002263639689
213 21-07-2018 170406010718Y000307 0002436711669
214 20-07-2018 170406010718Y000287 0000162190945
215 20-07-2018 170406010718Y000290 0000166492383

NOOR ASLIANI P PNS DAERAH Examination of blood pressure
RUSNIAH, HJ P PENERIMA PENSIUN PNS Spondylolysis

unspecified
RENI, AM.KEB P PNS DAERAH Examination of blood pressure
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure
KHAIRIADI L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
NOOR SYARIFAH P PBI (APBN) Acute upper respiratory infection,
unspecified
ATIKAH P PBI (APBN) Acute upper respiratory infection,
unspecified
JALEHA P PBI (APBN) Spondylolysis
BAHJAH P PBI (APBN) Essential (primary) hypertension
KHAIRUDIN L PBI (APBN) Essential (primary) hypertension
MASTAYAH P PEKERJA MANDIRI Influenza, virus not identified
SABARIAH P PEKERJA MANDIRI Spondylolysis
M. FARHAN ZIDDAN L PEGAWAI SWASTA Allergic contact dermatitis

unspecified
HAMDANI L PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
SANIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by
unspecified
ABU BAKAR SIDIK L PENERIMA PENSIUN PNS Cough
AISYAH P PENERIMA PENSIUN TNI Dyspepsia

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216 20-07-2018 170406010718Y000294 0000889828108
217 20-07-2018 170406010718Y000291 0000890656042
218 20-07-2018 170406010718Y000292 0000890675965
219 20-07-2018 170406010718Y000289 0000890804608
220 20-07-2018 170406010718Y000293 0000890811099
221 20-07-2018 170406010718Y000285 0001320165718
222 20-07-2018 170406010718Y000288 0001389842087
223 20-07-2018 170406010718Y000298 0001796551615
224 20-07-2018 170406010718Y000297 0001816970951
225 20-07-2018 170406010718Y000295 0001857673214
226 20-07-2018 170406010718Y000286 0001868732335
227 20-07-2018 170406010718Y000419 0002098846214
228 20-07-2018 170406010718Y000296 0002438267624
229 19-07-2018 170406010718Y000282 0000122756725
230 19-07-2018 170406010718Y000281 0000122829849
231 19-07-2018 170406010718Y000421 0000193834923
232 19-07-2018 170406010718Y000422 0000890017211
233 19-07-2018 170406010718Y000425 0000890310778
234 19-07-2018 170406010718Y000420 0000890804834
235 19-07-2018 170406010718Y000278 0000891218417
236 19-07-2018 170406010718Y000277 0000891219633

MUHAMMAD AMRULLAH L PBI (APBN) Acute haemorrhagic gastritis
MASRANI L PBI (APBN) Influenza, virus not identified
ARSYAD L PBI (APBN) Essential (primary) hypertension
NORMA P PBI (APBN) Cough
RUSNANI P PBI (APBN) Unspecified maternal hypertension
MUHAMMAD NAAFI' AHMADI L PNS DAERAH Disorder of refraction, unspecified
MARTA P PEKERJA MANDIRI Examination of blood pressure
SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp
MIRZA DAFI RAMADHAN L PEGAWAI SWASTA Pulpitis
alya sairina P PEKERJA MANDIRI Epilepsy
ALWI SALEH L PEKERJA MANDIRI Essential (primary) hypertension
TIA YUNITA P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
RAISA ASPIAN P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
AS'ARI ISFANI L PENERIMA PENSIUN PNS Glaucoma, unspecified
SARNIAH P PENERIMA PENSIUN PNS Senile cataract, unspecified
RICKY HARIS SANDI, A.MD L PNS PUSAT Other and unspecified diseases of
pulp and
AMAH P PBI (APBN) Contraceptive management,

unspecified
RUSMIATI P PBI (APBN) Contraceptive management,
unspecified
SITI RAUDATULJANAH P PBI (APBN) Other and unspecified diseases of
pulp and
TABRI L PBI (APBN) Essential (primary) hypertension
BAHRUDIN L PBI (APBN) Benign neoplasm of bronchus and

lung
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237 19-07-2018 170406010718Y000283 0001065673618
238 19-07-2018 170406010718Y000284 0001267501601
239 19-07-2018 170406010718Y000280 0001275574116
240 19-07-2018 170406010718Y000423 0001442206901
241 19-07-2018 170406010718Y000426 0001786622196
242 19-07-2018 170406010718Y000279 0001960739897
243 19-07-2018 170406010718Y000424 0002449352193
244 18-07-2018 170406010718Y000264 0000122606177
245 18-07-2018 170406010718Y000262 0000123452943
246 18-07-2018 170406010718Y000272 0000123740054
247 18-07-2018 170406010718Y000260 0000123741832
248 18-07-2018 170406010718Y000266 0000889900716
249 18-07-2018 170406010718Y000268 0000889956854
250 18-07-2018 170406010718Y000261 0000890073944
251 18-07-2018 170406010718Y000427 0000890074754
252 18-07-2018 170406010718Y000270 0000890495572
253 18-07-2018 170406010718Y000263 0000890630695
254 18-07-2018 170406010718Y000267 0000890679058
255 18-07-2018 170406010718Y000274 0000890728839
256 18-07-2018 170406010718Y000428 0001279655572
257 18-07-2018 170406010718Y000430 0001382175786
258 18-07-2018 170406010718Y000275 0001443518504

riska HASANAH P PBI (APBN) Dermatitis, unspecified
ASRANI L PEKERJA MANDIRI Dyspepsia
ABDUL HALIM HAQ L PEKERJA MANDIRI Low back pain, lumbosacral region
RISMA SUSANTI P PEKERJA MANDIRI Antenatal screening, unspecified
SRI YULIANTI P PEKERJA MANDIRI Contraceptive management,

unspecified
CHAIRIANI FARIDA P PEKERJA MANDIRI Cough
RIO RIZKI RAMADHAN L PEKERJA MANDIRI Fever of other and unknown origin
SURIANI L PNS DAERAH Essential (primary) hypertension
SITI MULIA P PENERIMA PENSIUN TNI Spondylolysis
MASTIKAWATI P PNS DAERAH Spondylolysis
SUPIATI P PNS DAERAH Disorder of refraction, unspecified
NURUL ANISA P PBI (APBN) Cough
BAHRUL BASRI L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
IDHAM L PBI (APBN) Essential (primary) hypertension
BAHRAH P PBI (APBN) Contraceptive management,

unspecified
FATIMAH P PBI (APBN) Essential (primary) hypertension
MISLIWATI P PBI (APBN) Essential (primary) hypertension
ACHMAD RAMADHAN L PBI (APBN) Acute upper respiratory infection,

unspecified
NORIDAH P PBI (APBN) Acute upper respiratory infection,
unspecified
NURUN NAJMI P PEKERJA MANDIRI Contraceptive management,
unspecified
M.NADHIF RAZAN EL DANESH L PNS DAERAH Other and unspecified diseases of
pulp and
NASRUDDIN L PEKERJA MANDIRI Essential (primary) hypertension

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259 18-07-2018 170406010718Y000265 0001548389698
260 18-07-2018 170406010718Y000269 0001791969311
261 18-07-2018 170406010718Y000431 0001797527327
262 18-07-2018 170406010718Y000432 0001797531704
263 18-07-2018 170406010718Y000276 0001960739897
264 18-07-2018 170406010718Y000429 0002252866072
265 18-07-2018 170406010718Y000271 0002258139846
266 18-07-2018 170406010718Y000273 0002261401323
267 17-07-2018 170406010718Y000249 0000122707001
268 17-07-2018 170406010718Y000257 0000122707135
269 17-07-2018 170406010718Y000256 0000123587021
270 17-07-2018 170406010718Y000258 0000889394747
271 17-07-2018 170406010718Y000252 0000890689746
272 17-07-2018 170406010718Y000247 0000890792188
273 17-07-2018 170406010718Y000253 0000891511446
274 17-07-2018 170406010718Y000254 0000891513347
275 17-07-2018 170406010718Y000251 0001262527492
276 17-07-2018 170406010718Y000250 0001266044051
277 17-07-2018 170406010718Y000259 0001796064467
278 17-07-2018 170406010718Y000255 0001827797466
279 17-07-2018 170406010718Y000248 0002122994597
280 17-07-2018 170406010718Y000246 0002220897115

MIRDA BANJARIAH P PEGAWAI SWASTA Conjunctivitis
isrina P PEKERJA MANDIRI Premature rupture of membranes,

unspecified
SITI FATIMAH P PEGAWAI PEMERINTAH Other and unspecified diseases of
DENGAN PERJANJIAN pulp and
NUR FAJRINA RUSMADINI P PEGAWAI PEMERINTAH NON Other and unspecified diseases of
PNS pulp and
CHAIRIANI FARIDA P PEKERJA MANDIRI Essential (primary) hypertension
NURUL PURNAMA SARI P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
BARSIAH P PEKERJA MANDIRI Headache
SUPARMAN L PEKERJA MANDIRI Essential (primary) hypertension
SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral
SITI FATIMAH P PENERIMA PENSIUN TNI Acute haemorrhagic gastritis

unspecified
HASAN L PBI (APBN) Decubitus ulcer
MUHAMMAD NABIL FUAD L PBI (APBN) Cough
SAHRI L PBI (APBN) Injury of eye and orbit
RUSPUDIANSYAH L PBI (APBN) Essential (primary) hypertension
NOOR SAMINTAN P PBI (APBN) Headache
HARYANTI LESTARI P PEKERJA MANDIRI Acute haemorrhagic gastritis
RAHMANI L PBI (APBD) Heart failure, unspecified
RUSMINI P PEKERJA MANDIRI Dyspepsia
MUHAMMAD NABIL L PEGAWAI SWASTA Cough
RABIATUL ADAWIYAH P PBI (APBN) Necrosis of pulp
JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI End-stage renal disease

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281 16-07-2018 170406010718Y000229 0000123329542
282 16-07-2018 170406010718Y000245 0000889426923
283 16-07-2018 170406010718Y000232 0000889491813
284 16-07-2018 170406010718Y000236 0000889930056
285 16-07-2018 170406010718Y000575 0000890013352
286 16-07-2018 170406010718Y000230 0000890465016
287 16-07-2018 170406010718Y000226 0000890662151
288 16-07-2018 170406010718Y000437 0000890739033
289 16-07-2018 170406010718Y000438 0000890767427
290 16-07-2018 170406010718Y000244 0000891030699
291 16-07-2018 170406010718Y000242 0000891557223
292 16-07-2018 170406010718Y000234 0000891639358
293 16-07-2018 170406010718Y000240 0001280773822
294 16-07-2018 170406010718Y000434 0001280774283
295 16-07-2018 170406010718Y000435 0001437900041
296 16-07-2018 170406010718Y000433 0001443525816
297 16-07-2018 170406010718Y000225 0001443525816
298 16-07-2018 170406010718Y000238 0001446999906
299 16-07-2018 170406010718Y000239 0001540734772
300 16-07-2018 170406010718Y000436 0001545838029
301 16-07-2018 170406010718Y000237 0001794111851

CHAIRUL ANWAR L PNS DAERAH Dislocation of ankle joint
SALASIAH P PBI (APBN) Acute upper respiratory infections

of multiple and
SRI MALINI P PBI (APBN) Cough
MULIATI P PBI (APBN) Headache
HELDAWATI P PBI (APBN) Contraceptive management,

unspecified
M.ARIYANTO L PBI (APBN) Gastric ulcer, chronic or

unspecified with
HAMIDAH P PBI (APBN) Contraceptive management,

unspecified
MURSIDAH P PBI (APBN) Contraceptive management,
unspecified
NIKMAH P PBI (APBN) Dyspepsia
SITI AISYAH P PBI (APBN) Fever of other and unknown origin
FATMAWATI P PBI (APBN) Cough
ZAINUDDIN SAHBANA L PEKERJA MANDIRI Gingivitis and periodontal diseases
HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
SAMSUL MUHYAR L PEKERJA MANDIRI Disturbances in tooth eruption
nurul ma rifah P PEKERJA MANDIRI Other and unspecified diseases of

pulp and
nurul ma rifah P PEKERJA MANDIRI Epilepsy, unspecified
RAHIMAH P PEKERJA MANDIRI Cough
Wahyu Wijayanti P PEGAWAI SWASTA Suppurative and unspecified otitis

media
M. NUR FAKHRIZAL ZAIDAN L PEGAWAI SWASTA Pulp degeneration
NOOR AIDA P PEKERJA MANDIRI Gastritis, unspecified

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302 16-07-2018 170406010718Y000243 0001821515725
303 16-07-2018 170406010718Y000228 0001868732335
304 16-07-2018 170406010718Y000227 0002043588442
305 16-07-2018 170406010718Y000439 0002063050446
306 16-07-2018 170406010718Y000233 0002093722468
307 16-07-2018 170406010718Y000231 0002265929111
308 16-07-2018 170406010718Y000241 0002301474104
309 16-07-2018 170406010718Y000235 0002327159338
310 15-07-2018 170406010718Y000224 0000122719509
311 14-07-2018 170406010718Y000185 0000122598483
312 14-07-2018 170406010718Y000186 0000122606188
313 14-07-2018 170406010718Y000442 0000122654801
314 14-07-2018 170406010718Y000443 0000122695571
315 14-07-2018 170406010718Y000444 0000122718791
316 14-07-2018 170406010718Y000445 0000122718971
317 14-07-2018 170406010718Y000446 0000122718982
318 14-07-2018 170406010718Y000447 0000122718993
319 14-07-2018 170406010718Y000440 0000122719026
320 14-07-2018 170406010718Y000441 0000122719037
321 14-07-2018 170406010718Y000448 0000122719195

FARIDAH P PEKERJA MANDIRI Essential (primary) hypertension
ALWI SALEH L PEKERJA MANDIRI Gout
JUHRI L PEKERJA MANDIRI Chronic ischaemic heart disease,

unspecified
HANIFAH P PEKERJA MANDIRI Antenatal screening, unspecified
MANSYAH L PEKERJA MANDIRI Acute pharyngitis, unspecified
NURSIAH P PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
YULIANA SAFITRI P PEGAWAI SWASTA Pre-eclampsia, unspecified
ADINDA ANJANI P PBI (APBN) Diarrhoea and gastroenteritis of

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease

unspecified
ERNI RAHMI P PNS DAERAH Examination of blood pressure

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322 14-07-2018 170406010718Y000449 0000122719206
323 14-07-2018 170406010718Y000450 0000122719432
324 14-07-2018 170406010718Y000451 0000122719509
325 14-07-2018 170406010718Y000195 0000123421228
326 14-07-2018 170406010718Y000191 0000162918178
327 14-07-2018 170406010718Y000189 0000204782804
328 14-07-2018 170406010718Y000454 0000889305963
329 14-07-2018 170406010718Y000187 0000889926276
330 14-07-2018 170406010718Y000193 0000890526745
331 14-07-2018 170406010718Y000201 0000890656042
332 14-07-2018 170406010718Y000207 0000890805611
333 14-07-2018 170406010718Y000202 0000891005624
334 14-07-2018 170406010718Y000188 0000891667225
335 14-07-2018 170406010718Y000190 0000891668665
336 14-07-2018 170406010718Y000198 0001065414284
337 14-07-2018 170406010718Y000196 0001065414317
338 14-07-2018 170406010718Y000206 0001078411318
339 14-07-2018 170406010718Y000199 0001266035848
340 14-07-2018 170406010718Y000452 0001441794846
341 14-07-2018 170406010718Y000194 0001484006861
342 14-07-2018 170406010718Y000203 0002053007019

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure
ACHMAD NOOR L PENERIMA PENSIUN PNS Acute pharyngitis
NOOR BAINAH P PENERIMA PENSIUN TNI Residual schizophrenia
SITI PATIMAH P PENERIMA PENSIUN PNS Cough
MAULIDANI L PBI (APBN) Pulp degeneration
ERNA P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
HANA FEBRIANTI P PBI (APBN) Cough
MASRANI L PBI (APBN) Acute upper respiratory infections

of multiple and
UTUH AINI L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
NORMA FATMAWATI P PBI (APBN) Malaise and fatigue
M. SAIPUL MUTHALIB L PBI (APBN) Acute upper respiratory infection,

unspecified
MUJAIMAH P PBI (APBN) Acute upper respiratory infection,
unspecified
LATIFAH P PBI (APBN) Essential (primary) hypertension
AHMAD NAZORI L PBI (APBN) Allergic contact dermatitis
RUSTINI P PNS PUSAT Other disorders of breast
MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Spondylolysis

unspecified
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343 14-07-2018 170406010718Y000455 0002122994608
344 14-07-2018 170406010718Y000192 0002124150535
345 14-07-2018 170406010718Y000197 0002201121461
346 14-07-2018 170406010718Y000200 0002204292003
347 14-07-2018 170406010718Y000453 0002207775701
348 14-07-2018 170406010718Y000205 0002308025171
349 14-07-2018 170406010718Y000204 0002310985901
350 13-07-2018 170406010718Y000178 0000122605626
351 13-07-2018 170406010718Y000460 0000122605637
352 13-07-2018 170406010718Y000462 0000123114969
353 13-07-2018 170406010718Y000182 0000123302812
354 13-07-2018 170406010718Y000461 0000889364597
355 13-07-2018 170406010718Y000456 0000889763624
356 13-07-2018 170406010718Y000574 0000889907534
357 13-07-2018 170406010718Y000184 0000889944107
358 13-07-2018 170406010718Y000457 0000890005836
359 13-07-2018 170406010718Y000183 0000890561733
360 13-07-2018 170406010718Y000181 0000890619175
361 13-07-2018 170406010718P000577 0000890749574
362 13-07-2018 170406010718Y000463 0000891241018

RABIATUL HUDA P PBI (APBN) Other and unspecified diseases of
pulp and
FAHRIYAH P PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
NIKMAH P PEKERJA MANDIRI Examination of blood pressure
ANIDA YUSPA P PEGAWAI PEMERINTAH Spondylolysis

DENGAN PERJANJIAN
THAIBAH P PEKERJA MANDIRI Dyspepsia
HENDRA L PEGAWAI SWASTA Varicella without complication
MUHAIMIN L PENERIMA PENSIUN PNS Parkinson's disease
HJ. SYUFIAH UHIN P PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus without
AINI P PNS DAERAH Hyperlipidaemia, unspecified
SUBONO L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular

disease, so
MARDIKAYAH P PBI (APBN) Asthma, unspecified
SETIA BUDI L PBI (APBN) Stroke, not specified as

NOOR AIDA P PBI (APBN) Contraceptive management,
unspecified
SITI SARAH P PBI (APBN) Rheumatism, unspecified

mellitus without
SURIADI L PBI (APBN) Other disorders of urinary system
RIFKY WAHYUDI L PBI (APBN) Pulpitis
RAUDAH P PBI (APBN) Complications of anaesthesia

during the
MUNAWARAH P PBI (APBN) Contraceptive management,

unspecified
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363 13-07-2018 170406010718Y000459 0000891542575
364 13-07-2018 170406010718Y000458 0001446999906
365 13-07-2018 170406010718Y000180 0001796551615
366 13-07-2018 170406010718Y000179 0002304844108
367 12-07-2018 170406010718Y000173 0000122849267
368 12-07-2018 170406010718Y000167 0000889455251
369 12-07-2018 170406010718Y000169 0000889498552
370 12-07-2018 170406010718Y000177 0000889498899
371 12-07-2018 170406010718Y000172 0000889782355
372 12-07-2018 170406010718Y000163 0000889823586
373 12-07-2018 170406010718Y000464 0000890053525
374 12-07-2018 170406010718Y000165 0000890340423
375 12-07-2018 170406010718Y000161 0000890342234
376 12-07-2018 170406010718Y000576 0000890454587
377 12-07-2018 170406010718Y000171 0000890490159
378 12-07-2018 170406010718Y000166 0000890512986
379 12-07-2018 170406010718Y000162 0000890799434
380 12-07-2018 170406010718Y000170 0000891540786
381 12-07-2018 170406010718Y000174 0000977274977
382 12-07-2018 170406010718Y000465 0001065416725
383 12-07-2018 170406010718Y000176 0001266035848

LAGINEM P PBI (APBN) Gout
RAHIMAH P PEKERJA MANDIRI Hypotension, unspecified
SITI AMINAH P PEKERJA MANDIRI Caries of dentine
SITI RAHMAH P PEKERJA MANDIRI Diarrhoea and gastroenteritis of

MEGAWATI P PNS DAERAH Diseases of pulp and periapical

tissues
MA'UNAH P PBI (APBN) Essential (primary) hypertension
NORHANA P PBI (APBN) Follicular cyst of ovary
KEISYA ANDIANANDA P PBI (APBN) Conjunctivitis
JAMIAH P PBI (APBN) Motorcycle rider injured in collision

with pedestrian or animal,
unspecified motorcycle rider, traffic
accident
FATMAWATI P PBI (APBN) Essential (primary) hypertension
MARIANA P PBI (APBN) Antenatal screening, unspecified
SITI FATIMAH P PBI (APBN) Spondylolysis
AYU ANGGRAINI P PBI (APBN) Acute pharyngitis
PITRIYAH P PBI (APBN) Contraceptive management,

unspecified
SITI WAHIDAH P PBI (APBN) Cough
JALEHA P PBI (APBN) Diarrhoea and gastroenteritis of

SAERAINA P PBI (APBN) Cough
YANTO L PBI (APBN) Cough
DADANG SEPTIYANGGA L PNS DAERAH Typhoid fever
SALASIAH P PBI (APBN) Antenatal screening, unspecified
MASTAYAH P PEKERJA MANDIRI Essential (primary) hypertension

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384 12-07-2018 170406010718Y000466 0001437094067
385 12-07-2018 170406010718Y000175 0001548389709
386 12-07-2018 170406010718Y000164 0001974874037
387 12-07-2018 170406010718Y000168 0002231648234
388 12-07-2018 170406010718Y000160 0002465205759
389 11-07-2018 170406010718Y000145 0000889948372
390 11-07-2018 170406010718Y000150 0000889956854
391 11-07-2018 170406010718Y000151 0000889957045
392 11-07-2018 170406010718Y000157 0000890786946
393 11-07-2018 170406010718Y000153 0000890811977
394 11-07-2018 170406010718Y000149 0000890843826
395 11-07-2018 170406010718Y000159 0000890844636
396 11-07-2018 170406010718Y000148 0001065413788
397 11-07-2018 170406010718Y000158 0001065673618
398 11-07-2018 170406010718Y000154 0001266790937
399 11-07-2018 170406010718Y000147 0001291256717
400 11-07-2018 170406010718Y000155 0001664277298
401 11-07-2018 170406010718Y000152 0001825643171
402 11-07-2018 170406010718Y000156 0002124150535
403 11-07-2018 170406010718Y000146 0002304843478
404 10-07-2018 170406010718Y000144 0000122654801
405 10-07-2018 170406010718Y000123 0000122707034

RISDA ARIYANI P PEKERJA MANDIRI Antenatal screening, unspecified
INTAN CAMELIA SARI P PEGAWAI SWASTA Influenza, virus not identified
SYVA ANITA JAHWA P PBI (APBN) Disorder of refraction, unspecified
NURJANAH P PEGAWAI SWASTA Allergic contact dermatitis
ARBAINAH P PEKERJA MANDIRI Haemorrhoids
M. NAUPAL L PBI (APBN) Acute upper respiratory infection,

unspecified
BAHRUL BASRI L PBI (APBN) Essential (primary) hypertension
LAMISAH P PBI (APBN) Essential (primary) hypertension
SITI AISYAH P PBI (APBN) Essential (primary) hypertension
MISBATUN NI'MAH P PBI (APBN) Spondylolysis
KHAIRUDIN L PBI (APBN) Essential (primary) hypertension
RUDIANSYAH L PEGAWAI SWASTA Cutaneous abscess, furuncle and

carbuncle
SYAIBAH P PBI (APBN) Other postsurgical states
riska HASANAH P PBI (APBN) Allergic contact dermatitis
RAISYA AMELIA RAMADHANI P KEPOLISIAN RI Acute tonsillitis
M ARBA'I L PEKERJA MANDIRI Essential (primary) hypertension
RAUDAHKERTA P PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
MUCHRI DAHLAN L PEKERJA MANDIRI Dyspepsia
FAHRIYAH P PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
DEWI KARMILAWATI P PEKERJA MANDIRI Influenza, virus not identified
ERNAWATI P PENERIMA PENSIUN PNS Necrosis of pulp
M. MAKI L PENERIMA PENSIUN TNI Non-insulin-dependent diabetes

mellitus with
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406 10-07-2018 170406010718Y000125 0000122707045
407 10-07-2018 170406010718Y000133 0000122807709
408 10-07-2018 170406010718Y000132 0000123029032
409 10-07-2018 170406010718Y000126 0000123189243
410 10-07-2018 170406010718Y000140 0000123205533
411 10-07-2018 170406010718Y000130 0000123318865
412 10-07-2018 170406010718Y000134 0000124564544
413 10-07-2018 170406010718Y000141 0000124977071
414 10-07-2018 170406010718Y000137 0000889364272
415 10-07-2018 170406010718Y000470 0000889971658
416 10-07-2018 170406010718Y000128 0000890343235
417 10-07-2018 170406010718Y000469 0000890454587
418 10-07-2018 170406010718Y000135 0000890505191
419 10-07-2018 170406010718Y000468 0000890555253
420 10-07-2018 170406010718Y000129 0000890825084
421 10-07-2018 170406010718Y000573 0000891639358
422 10-07-2018 170406010718P000578 0000895294956
423 10-07-2018 170406010718Y000138 0001460053989
424 10-07-2018 170406010718Y000124 0001868732335
425 10-07-2018 170406010718Y000139 0001902576161
426 10-07-2018 170406010718Y000143 0002051544914
427 10-07-2018 170406010718Y000131 0002051545162
428 10-07-2018 170406010718Y000467 0002078223535

ROHANI P PENERIMA PENSIUN TNI Other hyperlipidaemia
AHYANI L PNS DAERAH Impacted teeth
AHMADI L PNS DAERAH End-stage renal disease
MISRAN L PNS DAERAH Disorder of refraction, unspecified
RASIDI L PNS DAERAH Essential (primary) hypertension
MUHAMMAD MUKRI, H L PNS PUSAT Hyperplasia of prostate
ABDUL GAFAR L PENERIMA PENSIUN POLRI Acute upper respiratory infection,

unspecified
GRISSELDA MOLEKA P PNS PUSAT Essential (primary) hypertension
LIDIA WATI P PBI (APBN) Prolonged pregnancy
NORMAKLIPAH P PBI (APBN) Contraceptive management,

unspecified
SAMSIAH P PBI (APBN) Hyperparathyroidism, unspecified
PITRIYAH P PBI (APBN) Contraceptive management,

unspecified
RAUDAH P PBI (APBN) Impacted cerumen
SUTIMAH P PBI (APBN) Contraceptive management,

unspecified
MASMURAH P PBI (APBN) Blighted ovum and
nonhydatidiform mole
FATMAWATI P PBI (APBN) Contraceptive management,
unspecified
DEWI LESTARI P PBI (APBN) Antenatal screening
M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension
ALWI SALEH L PEKERJA MANDIRI Dyspepsia
MUSLIH, H L PEKERJA MANDIRI Necrosis of pulp
NAIMAH, HJ P PEKERJA MANDIRI Tuberculosis of spine
FERRY TROMBINE L PEKERJA MANDIRI Other and unspecified diseases of

pulp and
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429 10-07-2018 170406010718Y000142 0002093457723
430 10-07-2018 170406010718Y000136 0002448044684
431 10-07-2018 170406010718Y000127 0002464618612
432 09-07-2018 170406010718Y000120 0000122740244
433 09-07-2018 170406010718Y000112 0000122757276
434 09-07-2018 170406010718Y000472 0000123147819
435 09-07-2018 170406010718Y000121 0000123161793
436 09-07-2018 170406010718Y000471 0000889787665
437 09-07-2018 170406010718Y000115 0000889900716
438 09-07-2018 170406010718Y000102 0000889950172
439 09-07-2018 170406010718Y000118 0000890030597
440 09-07-2018 170406010718Y000113 0000890340423
441 09-07-2018 170406010718Y000114 0000890555253
442 09-07-2018 170406010718Y000116 0000890633002
443 09-07-2018 170406010718Y000117 0000890787159
444 09-07-2018 170406010718Y000109 0000891218417
445 09-07-2018 170406010718Y000111 0000891219633
446 09-07-2018 170406010718Y000104 0001284365136
447 09-07-2018 170406010718Y000103 0001290766375
448 09-07-2018 170406010718Y000107 0001313876002
449 09-07-2018 170406010718Y000474 0001786622196

HARI LISWATI P PEKERJA MANDIRI Gout
MARIYANI P PEKERJA MANDIRI Dyspepsia
NUR RISKI P PEKERJA MANDIRI Hydrocephalus, unspecified
ASLAMIYAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus without
HJ. MURNI P PENERIMA PENSIUN PNS Allergic contact dermatitis
NISA ABDINA P PNS DAERAH Antenatal screening, unspecified
ELYA WAHYUNI P PNS DAERAH Hyperlipidaemia, unspecified
MHIDAYATULLAH AKBAR L PBI (APBN) Other and unspecified diseases of

pulp and
NURUL ANISA P PBI (APBN) Cough
M. MAULANA L PBI (APBN) Hyperparathyroidism, unspecified
HANIPAH P PBI (APBN) Essential (primary) hypertension
SITI FATIMAH P PBI (APBN) Hyperlipidaemia, unspecified
SUTIMAH P PBI (APBN) Acute upper respiratory infection,

unspecified
HASAN BASRI L PBI (APBN) Acute upper respiratory infection,
unspecified
RAMLI L PBI (APBN) Essential (primary) hypertension
TABRI L PBI (APBN) Spondylolysis
BAHRUDIN L PBI (APBN) Cough
MASDIANA P PEGAWAI SWASTA Unspecified abortion, incomplete,

without
MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia
MUKHTAR L PEKERJA MANDIRI Hyperplasia of prostate
SRI YULIANTI P PEKERJA MANDIRI Antenatal screening, unspecified

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450 09-07-2018 170406010718Y000106 0001793642095
451 09-07-2018 170406010718Y000108 0001884491561
452 09-07-2018 170406010718Y000119 0001889939777
453 09-07-2018 170406010718Y000473 0002063050446
454 09-07-2018 170406010718Y000122 0002071356513
455 09-07-2018 170406010718Y000110 0002286718806
456 09-07-2018 170406010718Y000105 0002446508878
457 07-07-2018 170406010718Y000101 0000122654801
458 07-07-2018 170406010718Y000211 0000122718791
459 07-07-2018 170406010718Y000212 0000122718971
460 07-07-2018 170406010718Y000213 0000122718982
461 07-07-2018 170406010718Y000214 0000122718993
462 07-07-2018 170406010718Y000215 0000122719026
463 07-07-2018 170406010718Y000216 0000122719037
464 07-07-2018 170406010718Y000217 0000122719094
465 07-07-2018 170406010718Y000218 0000122719149
466 07-07-2018 170406010718Y000219 0000122719151
467 07-07-2018 170406010718Y000220 0000122719195
468 07-07-2018 170406010718Y000221 0000122719206
469 07-07-2018 170406010718Y000222 0000122719432
470 07-07-2018 170406010718Y000223 0000122719509

KASPIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus with
nur aliyah sabrina P PEKERJA MANDIRI Diarrhoea and gastroenteritis of

SAPIAH P PEKERJA MANDIRI Cough
HANIFAH P PEKERJA MANDIRI Antenatal screening, unspecified
MUHAMMAD ARSYADUL HAKIM L PEKERJA MANDIRI Malaise and fatigue
FEBRIYANDI L PEGAWAI SWASTA Allergic contact dermatitis
SILA ARIANTI P PEKERJA MANDIRI Prolonged pregnancy
ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified
INA MAHLIANI P PNS DAERAH Examination of blood pressure
JOHNY RAMOON L PNS PUSAT Examination of blood pressure
SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

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471 07-07-2018 170406010718Y000477 0000167797361
472 07-07-2018 170406010718Y000095 0000200312019
473 07-07-2018 170406010718Y000097 0000204782804
474 07-07-2018 170406010718Y000093 0000890823778
475 07-07-2018 170406010718Y000100 0000891608681
476 07-07-2018 170406010718Y000475 0001079647222
477 07-07-2018 170406010718Y000099 0001094262467
478 07-07-2018 170406010718Y000088 0001263163318
479 07-07-2018 170406010718Y000090 0001266035253
480 07-07-2018 170406010718Y000091 0001266035848
481 07-07-2018 170406010718Y000092 0001286581386
482 07-07-2018 170406010718Y000478 0001441794846
483 07-07-2018 170406010718Y000089 0001870716442
484 07-07-2018 170406010718Y000098 0002053007019
485 07-07-2018 170406010718Y000476 0002078223535
486 07-07-2018 170406010718Y000094 0002201165987
487 07-07-2018 170406010718Y000479 0002207775701
488 07-07-2018 170406010718Y000096 0002208053913
489 07-07-2018 170406010718Y000087 0002235454154
490 06-07-2018 170406010718Y000075 0000122824855

RENI, AM.KEB P PNS DAERAH Examination of blood pressure
ERNAWATI P PNS DAERAH Examination of blood pressure
SITI PATIMAH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
MUSA L PBI (APBN) Cough
ANI P PBI (APBN) Acute pharyngitis
ADITYA RAMADHANI L PNS PUSAT Dental caries, unspecified
M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Non-insulin-dependent diabetes

mellitus with
RAJUDDIN NOOR L PEKERJA MANDIRI Undifferentiated schizophrenia
AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites
MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SITI MARIYAM L PNS DAERAH Sequelae of cerebral infarction
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
MARDANITA SARI P PEKERJA MANDIRI Guillain-Barre syndrome

unspecified
FERRY TROMBINE L PEKERJA MANDIRI Other and unspecified diseases of

pulp and
MAIMUNAH P PBI (APBD) Headache
AHMAD SAIFULLAH L PEKERJA MANDIRI Naevus, non-neoplastic

unspecified
NOORLENA P PNS DAERAH Mixed anxiety and depressive

disorder
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491 06-07-2018 170406010718Y000085 0000123209379
492 06-07-2018 170406010718Y000082 0000123329542
493 06-07-2018 170406010718Y000081 0000889829098
494 06-07-2018 170406010718Y000076 0000889957045
495 06-07-2018 170406010718Y000079 0000891216281
496 06-07-2018 170406010718Y000084 0000978029818
497 06-07-2018 170406010718Y000086 0001267501601
498 06-07-2018 170406010718Y000080 0001426981814
499 06-07-2018 170406010718Y000083 0002200021187
500 06-07-2018 170406010718Y000078 0002209303541
501 06-07-2018 170406010718Y000077 0002235454154
502 05-07-2018 170406010718Y000073 0000123587021
503 05-07-2018 170406010718Y000065 0000206613821
504 05-07-2018 170406010718Y000208 0000889935658
505 05-07-2018 170406010718Y000209 0000889981389
506 05-07-2018 170406010718Y000072 0000890057259
507 05-07-2018 170406010718Y000062 0000890495572
508 05-07-2018 170406010718Y000074 0000890843826
509 05-07-2018 170406010718Y000071 0000891219633
510 05-07-2018 170406010718Y000210 0000891581927
511 05-07-2018 170406010718Y000061 0001328026138
512 05-07-2018 170406010718Y000067 0001380784746

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus with
CHAIRUL ANWAR L PNS DAERAH Hyperplasia of prostate
ARSUNI L PBI (APBN) Hyperparathyroidism, unspecified
LAMISAH P PBI (APBN) Dyspepsia
ANA MULLIANA P PBI (APBN) Influenza, virus not identified
RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension
ASRANI L PEKERJA MANDIRI Atherosclerotic cardiovascular

disease, so
BAHRUDDIN NOOR L PEKERJA MANDIRI Undifferentiated schizophrenia
ANAL P PEKERJA MANDIRI Dyspepsia
ZAKARIYA S L PEKERJA MANDIRI Allergic contact dermatitis
BARKIAH P PNS DAERAH Allergic contact dermatitis
ITA AS P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
EMILIA P PNS DAERAH Hearing loss, unspecified
RAHMAWATI P PBI (APBN) Antenatal screening, unspecified
JARIAH P PBI (APBN) Contraceptive management,

unspecified
MUHAMMAD TAUFIK L PBI (APBN) Essential (primary) hypertension
FATIMAH P PBI (APBN) Acute haemorrhagic gastritis
KHAIRUDIN L PBI (APBN) Acute pharyngitis, unspecified
BAHRUDIN L PBI (APBN) Cough
YULIANTI P PBI (APBN) Contraceptive management,

unspecified
SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

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513 05-07-2018 170406010718Y000063 0001442208317
514 05-07-2018 170406010718Y000068 0001821515725
515 05-07-2018 170406010718Y000066 0002122994632
516 05-07-2018 170406010718Y000070 0002124150535
517 05-07-2018 170406010718Y000069 0002286718806
518 05-07-2018 170406010718Y000064 0002293560178
519 05-07-2018 170406011217Y000326 0002293560538
520 04-07-2018 170406010718Y000045 0000122653631
521 04-07-2018 170406010718Y000057 0000158013213
522 04-07-2018 170406010718Y000053 0000889426923
523 04-07-2018 170406010718Y000060 0000889684738
524 04-07-2018 170406010718Y000052 0000889755862
525 04-07-2018 170406010718Y000055 0000890465016
526 04-07-2018 170406010718Y000059 0001078411318
527 04-07-2018 170406010718Y000050 0001271566315
528 04-07-2018 170406010718Y000056 0001286578293
529 04-07-2018 170406010718Y000047 0001451368113
530 04-07-2018 170406010718Y000049 0001476737897
531 04-07-2018 170406010718Y000046 0001481294035
532 04-07-2018 170406010718Y000054 0001548389698

SHAFA ASRIFAH L PEKERJA MANDIRI Suppurative and unspecified otitis
media
FARIDAH P PEKERJA MANDIRI Other disorders of urinary system
HAMIDAH P PBI (APBN) Stage I decubitus ulcer and

pressure area
FAHRIYAH P PBI (APBN) Acute upper respiratory infections
of multiple and
FEBRIYANDI L PEGAWAI SWASTA Allergic contact dermatitis
IRHAN, H L PEKERJA MANDIRI Essential (primary) hypertension
NORHAYATI, HJ P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without
SANIAH H KACIL P PNS PUSAT Senile cataract, unspecified
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Essential (primary) hypertension
SALASIAH P PBI (APBN) Cough
AULIANA NOOR PARADIPA P PBI (APBN) Diarrhoea and gastroenteritis of

SAM'AH P PBI (APBN) Dyspepsia
RUSTINI P PNS PUSAT Stroke, not specified as

NURUL JANNAH P PEKERJA MANDIRI Low back pain
MAHFUD L PNS DAERAH Atherosclerotic heart disease
DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified
HILMAH P PEKERJA MANDIRI Carcinoma in situ of breast,

unspecified
supiyah P PEKERJA MANDIRI Carcinoma in situ of breast,
unspecified
MIRDA BANJARIAH P PEGAWAI SWASTA Acute upper respiratory infection,
unspecified
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533 04-07-2018 170406010718Y000048 0002195291417
534 04-07-2018 170406010718Y000051 0002229564835
535 04-07-2018 170406010718Y000058 0002309476781
536 03-07-2018 170406010718Y000040 0000122740244
537 03-07-2018 170406010718Y000044 0000122745982
538 03-07-2018 170406010718Y000038 0000123054974
539 03-07-2018 170406010718Y000019 0000123177565
540 03-07-2018 170406010718Y000020 0000123177587
541 03-07-2018 170406010718Y000024 0000889830178
542 03-07-2018 170406010718Y000036 0000890005836
543 03-07-2018 170406010718Y000039 0000890212026
544 03-07-2018 170406010718Y000028 0000890313906
545 03-07-2018 170406010718Y000037 0000890650427
546 03-07-2018 170406010718Y000027 0000890786946
547 03-07-2018 170406010718Y000022 0000890872716
548 03-07-2018 170406010718Y000025 0001081098854
549 03-07-2018 170406010718Y000035 0001269910967
550 03-07-2018 170406010718Y000023 0001271566315
551 03-07-2018 170406010718Y000043 0001385980176
552 03-07-2018 170406010718Y000029 0001451642679
553 03-07-2018 170406010718Y000026 0001770759887
554 03-07-2018 170406010718Y000041 0001930384686

MASKUPAH P PENERIMA PENSIUN PNS Paralytic ileus and intestinal
obstruction
YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate
HASBIANNOR L PEKERJA MANDIRI Essential (primary) hypertension
ASLAMIYAH P PENERIMA PENSIUN PNS Essential (primary) hypertension
MARIANA P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
KIBA SIMANJUNTAK P PNS PUSAT Acute upper respiratory infection,

unspecified
JULI EKA NUGRAHENI, SP, S.PD P PNS DAERAH Disorder of refraction, unspecified
NASYWA MAHARANI Y. P PNS DAERAH Disorder of refraction, unspecified
FITRIANI P PBI (APBN) Ganglion

mellitus with
SYARIFUDINOOR L PBI (APBN) Essential (primary) hypertension
SYARNIAH P PBI (APBN) Cough
MUJALIFAH P PBI (APBN) Antenatal screening, unspecified
SITI AISYAH P PBI (APBN) Essential (primary) hypertension
NOORJANAH P PBI (APBN) End-stage renal disease
AISYATUR RIFQI AMALIYA P PNS PUSAT Disturbances in tooth eruption
ENDANG JUMIATI P PEGAWAI SWASTA Contraceptive management,

unspecified
NURUL JANNAH P PEKERJA MANDIRI Caries of dentine
RUSMAH P PEKERJA MANDIRI Examination of blood pressure
A. ARBANI L PEKERJA MANDIRI Allergic contact dermatitis
FAZRIANNOOR L PEGAWAI SWASTA Spondylolysis
EDY RAHMADI L PEGAWAI SWASTA Early syphilis

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555 03-07-2018 170406010718Y000034 0002240179222
556 03-07-2018 170406010718Y000042 0002290778302
557 03-07-2018 170406010718Y000021 0002454894573
558 02-07-2018 170406010718Y000013 0000122620127
559 02-07-2018 170406010718Y000011 0000122707045
560 02-07-2018 170406010718Y000030 0000122719037
561 02-07-2018 170406010718Y000001 0000122757276
562 02-07-2018 170406010718Y000006 0000123093268
563 02-07-2018 170406010718Y000002 0000202391043
564 02-07-2018 170406010718Y000033 0000890002629
565 02-07-2018 170406010718Y000010 0000890450109
566 02-07-2018 170406010718Y000003 0000890791738
567 02-07-2018 170406010718Y000018 0000891603865
568 02-07-2018 170406010718Y000012 0001065413777
569 02-07-2018 170406010718Y000016 0001065413788
570 02-07-2018 170406010718Y000017 0001262674675
571 02-07-2018 170406010718Y000005 0001265731211
572 02-07-2018 170406010718Y000007 0001481549793
573 02-07-2018 170406010718Y000004 0001484479225
574 02-07-2018 170406010718Y000009 0001551459712

PANDI L PEKERJA MANDIRI Dyspepsia
SELAMAT L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
BY NY MARIA ULFAH L PEKERJA MANDIRI Hydrocephalus, unspecified
HARTINAH P PNS DAERAH Essential (primary) hypertension
ROHANI P PENERIMA PENSIUN TNI Essential (primary) hypertension
MAHDIATUL WAHDAH P PNS DAERAH Acute pharyngitis, unspecified
HJ. MURNI P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
RUDY ANWARI L PNS DAERAH Chronic viral hepatitis B without

delta-agent
KARMAH P PNS DAERAH Essential (primary) hypertension
SITI KHADIJAH P PBI (APBN) Contraceptive management,

unspecified
NOOR EFFENDI L PBI (APBN) Dyspepsia
SALAMIAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus with
JAUHAR LATIFAH P PBI (APBN) Necrosis of pulp
HAMRUL L PBI (APBN) Dyspepsia
SYAIBAH P PBI (APBN) Other postsurgical states
Muhammad YUSRIFANSYAH L PEKERJA MANDIRI Dyspepsia
JUMAINAH P PEKERJA MANDIRI Undifferentiated schizophrenia
RAZAKIAH P PEKERJA MANDIRI Insulin-dependent diabetes

mellitus with peripheral circulatory
aminah P PEKERJA MANDIRI Essential (primary) hypertension
SYARWANI ABDAN L PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
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575 02-07-2018 170406010718Y000008 0001902576161
576 02-07-2018 170406010718Y000031 0002063050446
577 02-07-2018 170406010718Y000014 0002201121461
578 02-07-2018 170406010718Y000015 0002204292003
579 02-07-2018 170406010718Y000032 0002442650466

HANIFAH P PEKERJA MANDIRI Contraceptive management,

unspecified
NIKMAH P PEKERJA MANDIRI Essential (primary) hypertension
ANIDA YUSPA P PEGAWAI PEMERINTAH Dyspepsia

DENGAN PERJANJIAN
AMINAH P PEKERJA MANDIRI Antenatal screening, unspecified

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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

1 31-07-2018 170406010718Y000561 0000122843171

2 31-07-2018 170406010718Y000563 0000123702625

3 31-07-2018 170406010718Y000572 0000889928842

4 31-07-2018 170406010718Y000571 0000889992764

5 31-07-2018 170406010718Y000570 0000890617972

6 31-07-2018 170406010718Y000564 0000890674277

7 31-07-2018 170406010718Y000568 0000890765291

8 31-07-2018 170406010718Y000558 0001269910967

9 31-07-2018 170406010718Y000559 0001280774283

10 31-07-2018 170406010718Y000560 0001796551615

11 31-07-2018 170406010718Y000562 0002220765129

12 31-07-2018 170406010718Y000566 0002235454154

13 31-07-2018 170406010718Y000567 0002304843478

14 31-07-2018 170406010718Y000569 0002309476781

15 31-07-2018 170406010718Y000565 0002324358573

16 30-07-2018 170406010718Y000517 0000123029032

17 30-07-2018 170406010718Y000524 0000123452943

18 30-07-2018 170406010718Y000521 0000889681588

19 30-07-2018 170406010718Y000539 0000889953546

20 30-07-2018 170406010718Y000537 0000889971309

21 30-07-2018 170406010718Y000543 0000889991662

22 30-07-2018 170406010718Y000536 0000890053525

23 30-07-2018 170406010718Y000535 0000890055472

AMSIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

YANA P PBI (APBN) Contraceptive management,

SITI RAHMAWATI P PBI (APBN) Contraceptive management,

MARDIANA P PBI (APBN) Dyspepsia

ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart disease

HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Pulpitis

SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp

RUSNANI P PEKERJA MANDIRI Essential (primary) hypertension

BARKIAH P PNS DAERAH Gastritis, unspecified

DEWI KARMILAWATI P PEKERJA MANDIRI Cough

HASBIANNOR L PEKERJA MANDIRI Essential (primary) hypertension

SAYYIDATI KHADIJAH P PEKERJA MANDIRI Cough

AHMADI L PNS DAERAH End-stage renal disease

SITI MULIA P PENERIMA PENSIUN TNI Gout

M RAMADHANI L PBI (APBN) Epilepsy

ST FATIMAH P PBI (APBN) Contraceptive management,

ST ASIAH P PBI (APBN) Contraceptive management,

NABIL ASLAMI L PBI (APBN) Cough

25 30-07-2018 170406010718Y000534 0000890561733

26 30-07-2018 170406010718Y000533 0000890804608

27 30-07-2018 170406010718Y000525 0000891005624

28 30-07-2018 170406010718Y000519 0000891511446

29 30-07-2018 170406010718Y000516 0000975900565

30 30-07-2018 170406010718Y000529 0000978029818

31 30-07-2018 170406010718Y000541 0001065413788

32 30-07-2018 170406010718Y000542 0001182333161

33 30-07-2018 170406010718Y000530 0001266035848

34 30-07-2018 170406010718Y000538 0001266036219

35 30-07-2018 170406010718Y000520 0001279182374

36 30-07-2018 170406010718Y000528 0001433414924

37 30-07-2018 170406010718Y000522 0001546154008

38 30-07-2018 170406010718Y000540 0001642884118