DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 30-08-2018 042406050818Y000212 0000228156063 FADLY L PBI (APBN) Unspecified nephritic Rujuk Lanjut
syndrome
2 30-08-2018 042406050818Y000213 0001878522412 RINI MALIA SARI P PBI (APBD) Other specified Rujuk Lanjut
postsurgical states
3 30-08-2018 042406050818Y000228 0002019749477 FITRIYANA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
4 30-08-2018 042406050818Y000227 0002019749477 FITRIYANA P PBI (APBN) Other single spontaneous Sembuh
delivery
5 30-08-2018 042406050818Y000233 0002065897271 RAHMA DEWI P PBI (APBD) Other single spontaneous Sembuh
delivery
6 30-08-2018 042406050818Y000234 0002065897271 RAHMA DEWI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
7 30-08-2018 042406050818Y000214 0002196088571 DARIYEM P PBI (APBD) Congestive heart failure Rujuk Lanjut

8 30-08-2018 042406050818Y000226 0002312744174 sarli widia P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
9 30-08-2018 042406050818Y000225 0002312744174 sarli widia P PBI (APBD) Other single spontaneous Sembuh
delivery
10 27-08-2018 042406050818Y000211 0001287171279 NURTIAH P PBI (APBD) Atherosclerotic heart Rujuk Lanjut
disease
11 27-08-2018 042406050818Y000210 0002436694042 RAISAH HAFIZA P PNS DAERAH Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

12 26-08-2018 042406050818Y000206 0000003923324 JUNDIA L PNS DAERAH Fracture of lower end of Rujuk Lanjut
radius
13 26-08-2018 042406050818Y000208 0000227862549 M. AMIN L PBI (APBN) Oesophageal varices Rujuk Lanjut

14 26-08-2018 042406050818Y000207 0000981346419 SULAIMAN L PBI (APBN) Injury, unspecified Rujuk Lanjut

15 26-08-2018 042406050818Y000209 0000981772683 M. ALISYAH L PBI (APBN) Non-insulin-dependent Rujuk Lanjut

diabetes mellitus with
neurological complications

16 26-08-2018 042406050818Y000205 0002059421916 SAMINI P PBI (APBD) Other specified pulmonary Rujuk Lanjut
heart diseases
17 21-08-2018 042406050818Y000215 0002115738573 KASMA WATI P PBI (APBN) Other single spontaneous Sembuh
delivery
18 21-08-2018 042406050818Y000216 0002115738573 KASMA WATI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
19 19-08-2018 042406050818Y000220 0001612590579 KARMILA WATI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
20 19-08-2018 042406050818Y000219 0001612590579 KARMILA WATI P PBI (APBD) Other single spontaneous Sembuh
delivery
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

21 18-08-2018 042406050818Y000174 0000197791931 SETIABUDI SEMBIRING L PNS DAERAH Headache Berobat Jalan

22 18-08-2018 042406050818Y000167 0000226450405 ISMAIL L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
23 18-08-2018 042406050818Y000166 0000226450451 NUR HAJIDJAH P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
24 18-08-2018 042406050818Y000200 0000227503462 MARHABAN L PBI (APBN) Arthritis, unspecified Berobat Jalan

25 18-08-2018 042406050818Y000196 0000227504395 MASDIANA P PBI (APBN) Dyspepsia Berobat Jalan

26 18-08-2018 042406050818Y000185 0000227509187 RINDI ARIGA L PBI (APBN) Acute periodontitis Berobat Jalan

27 18-08-2018 042406050818Y000186 0000227514745 HALIMATUS SA'DIAH P PBI (APBN) Chronic gingivitis Berobat Jalan

28 18-08-2018 042406050818Y000162 0000227529077 SYARIFSYAH L PBI (APBD) Dermatitis herpetiformis Berobat Jalan

29 18-08-2018 042406050818Y000180 0000227887716 YUSRA P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

30 18-08-2018 042406050818Y000161 0000227956476 NURDIN SALEH L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
31 18-08-2018 042406050818Y000168 0000227966962 SRI WAHYUNI P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

32 18-08-2018 042406050818Y000187 0000228012884 IBRAHIM L PBI (APBN) Pulpitis Berobat Jalan

33 18-08-2018 042406050818Y000175 0000228077943 MUHAMMAD ARIGA KUSMIRAN L PBI (APBN) Scabies Berobat Jalan

34 18-08-2018 042406050818Y000222 0000228159573 SUMAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
35 18-08-2018 042406050818Y000221 0000228159573 SUMAH P PBI (APBN) Other single spontaneous Sembuh
delivery
36 18-08-2018 042406050818Y000164 0000228256266 ABU BAKAR TABLEK L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
37 18-08-2018 042406050818Y000189 0000228638619 SULAIMAN L PBI (APBN) Conductive and Berobat Jalan
sensorineural hearing loss

38 18-08-2018 042406050818Y000202 0000981770049 ARSAT L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,

39 18-08-2018 042406050818Y000198 0001298736279 HAMIDAH P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
40 18-08-2018 042406050818Y000197 0001298736573 HUMAIRA P PBI (APBD) Myalgia Berobat Jalan

41 18-08-2018 042406050818Y000194 0001803561265 SABRI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
42 18-08-2018 042406050818Y000176 0001806607089 ZAKIAN MAULANA L PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

43 18-08-2018 042406050818Y000171 0001870477312 ROHANA P PBI (APBD) Dyspepsia Berobat Jalan

44 18-08-2018 042406050818Y000199 0001892509784 ISMAIL L PBI (APBD) Acute periodontitis Berobat Jalan

45 18-08-2018 042406050818Y000163 0001972106313 NUR P PBI (APBN) Dyspepsia Berobat Jalan

46 18-08-2018 042406050818Y000177 0001972437704 KADARIAH P PBI (APBN) Nonsuppurative otitis Berobat Jalan
media
47 18-08-2018 042406050818Y000193 0002020769199 ASMARA P PBI (APBN) Exposure to other Berobat Jalan
specified factors as an
external cause of morbidity

48 18-08-2018 042406050818Y000191 0002022842136 FITRIYANI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
49 18-08-2018 042406050818Y000195 0002024802606 HAIRUL JIKRI L PBI (APBN) Dyspepsia Berobat Jalan

50 18-08-2018 042406050818Y000192 0002061273273 SITI ZULAIKA P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
51 18-08-2018 042406050818Y000183 0002068971412 maimanah P PBI (APBD) Gingivitis and periodontal Berobat Jalan
diseases
52 18-08-2018 042406050818Y000178 0002085620681 RUWAIDA P PBI (APBD) Rheumatoid arthritis, Berobat Jalan
unspecified
53 18-08-2018 042406050818Y000165 0002086539985 HKAIRIL FITRA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
54 18-08-2018 042406050818Y000181 0002089827955 ZUPRI RAMADAN L PBI (APBD) Acute periodontitis Berobat Jalan

55 18-08-2018 042406050818Y000188 0002089829136 CUT CAHYANA P PBI (APBD) Pulpitis Berobat Jalan

56 18-08-2018 042406050818Y000173 0002196840791 SALSA BILA P PBI (APBD) Acute tonsillitis Berobat Jalan

57 18-08-2018 042406050818Y000179 0002199885838 ZUKIAH P PBI (APBD) Dyspepsia Berobat Jalan

58 18-08-2018 042406050818Y000169 0002208457168 RUSNAINI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
59 18-08-2018 042406050818Y000182 0002210662326 ULFA SARAINI P PBI (APBD) Pulpitis Berobat Jalan

60 18-08-2018 042406050818Y000172 0002210922562 BADRIK L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
61 18-08-2018 042406050818Y000201 0002236408222 NANI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
62 18-08-2018 042406050818Y000184 0002241797771 RUHMI P PBI (APBD) Pulpitis Berobat Jalan

63 18-08-2018 042406050818Y000203 0002250472533 AINI SOFYANI P PBI (APBD) Scabies Berobat Jalan

64 18-08-2018 042406050818Y000204 0002282848244 ADYTIA AL FAREZA L PBI (APBN) Nonsuppurative otitis Berobat Jalan
media
65 18-08-2018 042406050818Y000170 0002289207892 ALTHAF MUSDADIN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

66 18-08-2018 042406050818Y000190 0002479216779 HAMDAN L PBI (APBD) Rheumatoid arthritis, Berobat Jalan
unspecified
67 17-08-2018 042406050818Y000218 0001807733586 NESTI ULANDARI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
68 17-08-2018 042406050818Y000217 0001807733586 NESTI ULANDARI P PBI (APBD) Other single spontaneous Sembuh
delivery
69 16-08-2018 042406050818Y000160 0002196088558 ABDUL LATIF L PBI (APBD) Chronic obstructive Berobat Jalan
pulmonary disease,

70 16-08-2018 042406050818Y000159 0002275372811 MUSTAFA L PBI (APBD) Typhoid fever Berobat Jalan

71 15-08-2018 042406050818Y000236 0002272231361 ANISA P PBI (APBD) Other single spontaneous Berobat Jalan
delivery
72 14-08-2018 042406050818Y000142 0000208077816 JUFRI L PNS DAERAH Other postsurgical states Rujuk Lanjut

73 14-08-2018 042406050818Y000135 0000227849365 SISKA FARYANI P PBI (APBN) Pulpitis Berobat Jalan

74 14-08-2018 042406050818Y000153 0000227895129 AZHAR L PBI (APBN) Dermatitis herpetiformis Berobat Jalan

75 14-08-2018 042406050818Y000127 0000228018666 ALHUSSAINI L PBI (APBN) Congestive heart failure Berobat Jalan

76 14-08-2018 042406050818Y000130 0000228037116 MARWAN MAKRUF L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

77 14-08-2018 042406050818Y000139 0000228063767 FITRI YANI P PBI (APBN) Dyspepsia Berobat Jalan

78 14-08-2018 042406050818Y000145 0000228075952 PATIMAH P PBI (APBN) Hypertensive heart Berobat Jalan
disease
79 14-08-2018 042406050818Y000141 0000228081576 AFDALUL ZIKRI L PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
80 14-08-2018 042406050818Y000143 0000228156063 FADLY L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
81 14-08-2018 042406050818Y000147 0000228278261 NAZWA ANDRIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
82 14-08-2018 042406050818Y000133 0000228311932 KASMIATI P PBI (APBD) Headache Berobat Jalan

83 14-08-2018 042406050818Y000131 0000228390928 RIZKI RAHMI P PBI (APBN) Dyspepsia Berobat Jalan

84 14-08-2018 042406050818Y000137 0000228410188 NUR HADIJAH P PBI (APBN) Placenta praevia Rujuk Lanjut

85 14-08-2018 042406050818Y000155 0001293101436 IRMANSYAH L PBI (APBD) Dyspepsia Berobat Jalan

86 14-08-2018 042406050818Y000140 0001297960896 RISWANSYAH L PBI (APBD) Dermatitis herpetiformis Berobat Jalan

87 14-08-2018 042406050818Y000123 0001612587159 SARMIYATI P PBI (APBD) Pulpitis Berobat Jalan

88 14-08-2018 042406050818Y000136 0001792085848 NILAWATI P PNS DAERAH Pulpitis Berobat Jalan

 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

89 14-08-2018 042406050818Y000138 0001792096953 SHALEHATUL HIJJAH P PNS DAERAH Pulpitis Berobat Jalan

90 14-08-2018 042406050818Y000156 0001842240431 ISMAIL. AR L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
91 14-08-2018 042406050818Y000134 0001901493213 HADIAH P PBI (APBD) Pulpitis Berobat Jalan

92 14-08-2018 042406050818Y000124 0001959163942 KURNIA ILAHI P PBI (APBD) Headache Berobat Jalan

93 14-08-2018 042406050818Y000151 0002042967429 ZAINAL ABIDIN L PBI (APBD) Pulpitis Berobat Jalan

94 14-08-2018 042406050818Y000126 0002057570201 arida amalia P PBI (APBD) Paratyphoid fever A Berobat Jalan

95 14-08-2018 042406050818Y000149 0002057643933 RAUDALINA YOGA P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
96 14-08-2018 042406050818Y000132 0002068969353 aisyah P PBI (APBD) Pulpitis Berobat Jalan

97 14-08-2018 042406050818Y000158 0002115742184 ZANGKA RIA L PBI (APBN) Dyspepsia Berobat Jalan

98 14-08-2018 042406050818Y000146 0002196088334 SAHRUL RAMADAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
99 14-08-2018 042406050818Y000125 0002196088571 DARIYEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
100 14-08-2018 042406050818Y000129 0002223196806 ANJANI SAPITTRI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
101 14-08-2018 042406050818Y000148 0002226193514 TANAYYA TAFISA MAULA P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

102 14-08-2018 042406050818Y000128 0002233939375 JEMALIM ADAMY L PBI (APBD) Rheumatoid arthritis, Berobat Jalan
unspecified
103 14-08-2018 042406050818Y000144 0002240807141 NURUL HAFIZHAH. S P PBI (APBD) Chronic gingivitis Berobat Jalan

104 14-08-2018 042406050818Y000150 0002241798636 KATRIA NINGSIH P PBI (APBD) Pulpitis Berobat Jalan

105 14-08-2018 042406050818Y000157 0002249874281 HAYKA ADAM AGUSTIYAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
106 14-08-2018 042406050818Y000152 0002250552677 SALWA NAFISAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
107 14-08-2018 042406050818Y000154 0002463444472 nabila alfathunnisa P PBI (APBD) Nonsuppurative otitis Berobat Jalan
media
108 13-08-2018 042406050818Y000111 0000001674202 WAHYUNI ARI LINGE P PENERIMA PENSIUN Scabies Berobat Jalan
PNS
109 13-08-2018 042406050818Y000118 0000227596601 MURIADI L PBI (APBN) Acute pharyngitis Berobat Jalan

110 13-08-2018 042406050818Y000117 0000227838958 QODIRUN L PBI (APBN) Urinary tract infection, site Berobat Jalan
not specified
111 13-08-2018 042406050818Y000116 0000227841287 IMAM MULGI FARI L PBI (APBN) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

112 13-08-2018 042406050818Y000109 0000227851143 ABDUL RAHMAN L PBI (APBN) Cystitis, unspecified Berobat Jalan

113 13-08-2018 042406050818Y000120 0000228025304 FATIMAH P PBI (APBN) Other specified dermatitis Berobat Jalan

114 13-08-2018 042406050818Y000113 0000228384033 MIFTAH ARGA L PBI (APBN) Scabies Berobat Jalan

115 13-08-2018 042406050818Y000121 0001807735612 BANTA SYAM L PBI (APBD) Acute pharyngitis Berobat Jalan

116 13-08-2018 042406050818Y000122 0002020903457 DAYANI P PBI (APBN) Other postsurgical states Rujuk Lanjut

117 13-08-2018 042406050818Y000115 0002062144372 ASNAWI L PBI (APBD) Myalgia Berobat Jalan

118 13-08-2018 042406050818Y000112 0002212327225 FATIMAH P PBI (APBD) Dyspepsia Berobat Jalan

119 13-08-2018 042406050818Y000114 0002240968004 SALMIATI P PBI (APBD) Dyspepsia Berobat Jalan

120 13-08-2018 042406050818Y000224 0002279107102 WAHYU PITRI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
121 13-08-2018 042406050818Y000110 0002290576959 RISMA SEFTIA P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
122 13-08-2018 042406050818Y000119 0002307051347 WAGIANTO L PBI (APBD) Pulpitis Berobat Jalan

123 13-08-2018 042406050818Y000108 0002467365592 HARIKA.MS. L PBI (APBD) Facial nerve disorders Rujuk Lanjut

124 12-08-2018 042406050818Y000230 0001968070217 INDA WATI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
125 12-08-2018 042406050818Y000229 0001968070217 INDA WATI P PBI (APBD) Other single spontaneous Sembuh
delivery
126 10-08-2018 042406050818Y000106 0000227898977 ILAWATI P PBI (APBN) Acute periodontitis Berobat Jalan

127 10-08-2018 042406050818Y000103 0001451623206 MILA RUSMIATI P PBI (APBD) Epilepsy Rujuk Lanjut

128 10-08-2018 042406050818Y000107 0001866738453 SELFI DAMAYANTI P PBI (APBD) Cystitis Rujuk Lanjut

129 10-08-2018 042406050818Y000104 0001972410974 SAFRIWAN ZIKRI L PBI (APBN) Pulpitis Berobat Jalan

130 10-08-2018 042406050818Y000102 0002058183268 FAUSAL MUBARRAQ P PBI (APBD) Pulpitis Berobat Jalan

131 10-08-2018 042406050818Y000105 0002082912748 AHMAD YANI L PBI (APBD) Pulpitis Berobat Jalan

132 10-08-2018 042406050818Y000231 0002435629544 SUMARNI P PBI (APBD) Other single spontaneous Sembuh
delivery
133 10-08-2018 042406050818Y000232 0002435629544 SUMARNI P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy, unspecified
134 09-08-2018 042406050818Y000094 0000227650375 JULITA SOPIYANA P PBI (APBN) Inflammatory disorders of Berobat Jalan
breast
135 09-08-2018 042406050818Y000097 0000227662288 MURNIATI P PBI (APBN) Headache Berobat Jalan

136 09-08-2018 042406050818Y000092 0000977170689 HERMANSYAH L PBI (APBD) Chronic gingivitis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

137 09-08-2018 042406050818Y000087 0000981772233 KURNiADI L PBI (APBN) Schizophrenia Rujuk Lanjut

138 09-08-2018 042406050818Y000101 0001384004395 ARMAYA WATI P PBI (APBD) Dyspepsia Berobat Jalan

139 09-08-2018 042406050818Y000089 0001430006995 AHDANA ULFAH P PNS DAERAH Pulpitis Berobat Jalan

140 09-08-2018 042406050818Y000096 0001790398181 MAYANG MURNI P PBI (APBD) Visual disturbances Berobat Jalan

141 09-08-2018 042406050818Y000088 0001895907958 MAWADDAHTUL AINI P PNS PUSAT Acute gingivitis Berobat Jalan

142 09-08-2018 042406050818Y000100 0002024763063 PELDI RAHMAT RIKE L PBI (APBN) Pulpitis Berobat Jalan

143 09-08-2018 042406050818Y000090 0002042968634 SITI AMINAH P PBI (APBD) Pulpitis Berobat Jalan

144 09-08-2018 042406050818Y000098 0002050172908 MUNADHIL ISMANSYAH L PBI (APBD) Dermatitis herpetiformis Berobat Jalan

145 09-08-2018 042406050818Y000095 0002059092437 ILA P PBI (APBD) Thyrotoxicosis, Rujuk Lanjut
unspecified
146 09-08-2018 042406050818Y000099 0002115738246 SERLIANA P PBI (APBN) Pulpitis Berobat Jalan

147 09-08-2018 042406050818Y000091 0002299121212 SOPIYANDI L PBI (APBD) Acute periodontitis Berobat Jalan

148 09-08-2018 042406050818Y000093 0002454190299 AF NANI P PBI (APBD) Pulpitis Berobat Jalan

149 08-08-2018 042406050818Y000079 0000227504395 MASDIANA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
150 08-08-2018 042406050818Y000086 0000227851143 ABDUL RAHMAN L PBI (APBN) Dyspepsia Berobat Jalan

151 08-08-2018 042406050818Y000071 0000228054778 JULAIHA P PBI (APBN) Dyspepsia Berobat Jalan

152 08-08-2018 042406050818Y000081 0000228058705 RAHMAYANI P PBI (APBN) Dyspepsia Berobat Jalan

153 08-08-2018 042406050818Y000083 0000228082386 ENDIKA L PBI (APBN) Dermatitis herpetiformis Berobat Jalan

154 08-08-2018 042406050818Y000068 0000228324756 SRI JEMAT P PBI (APBN) Arthrosis, unspecified Berobat Jalan

155 08-08-2018 042406050818Y000069 0000228365695 ARI WANARA L PBI (APBN) Acute pharyngitis Berobat Jalan

156 08-08-2018 042406050818Y000070 0001826621144 SAMAH P PBI (APBD) Arthrosis, unspecified Berobat Jalan

157 08-08-2018 042406050818Y000074 0001886788596 CUT ASMAWATI P PBI (APBD) Dyspepsia Berobat Jalan

158 08-08-2018 042406050818Y000077 0001899426857 SERIFAH P PBI (APBD) Dermatitis herpetiformis Berobat Jalan

159 08-08-2018 042406050818Y000078 0002024318643 ANIDAR P PBI (APBN) Disorders of initiating and Berobat Jalan
maintaining sleep

160 08-08-2018 042406050818Y000076 0002025911057 NURMA P PBI (APBN) Supervision of normal Rujuk Lanjut
pregnancy, unspecified
161 08-08-2018 042406050818Y000072 0002083772889 SANA ULLAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

162 08-08-2018 042406050818Y000073 0002090560138 RUKIAH P PBI (APBD) Arthrosis, unspecified Berobat Jalan

163 08-08-2018 042406050818Y000082 0002124936066 SILPA MAINA P PBI (APBN) Acute pharyngitis Berobat Jalan

164 08-08-2018 042406050818Y000075 0002196838866 JUMADI L PBI (APBD) Supervision of normal Rujuk Lanjut
pregnancy, unspecified
165 08-08-2018 042406050818Y000084 0002251154878 AYU LESTARI P PBI (APBD) Dermatitis herpetiformis Berobat Jalan

166 08-08-2018 042406050818Y000085 0002271760997 RONI ALFAH REJA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
167 08-08-2018 042406050818Y000080 0002327346933 wildan diara L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

168 07-08-2018 042406050818Y000067 0000227840376 RINA P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and

169 07-08-2018 042406050818Y000065 0000228638619 SULAIMAN L PBI (APBN) Other acquired Rujuk Lanjut
abnormalities of ear

170 07-08-2018 042406050818Y000064 0001424517366 DARMAWAN L PBI (APBD) Malignant neoplasm of Rujuk Lanjut
lateral wall of nasopharynx

171 07-08-2018 042406050818Y000066 0002195902383 AISAH P PBI (APBD) Chronic obstructive Rujuk Lanjut
pulmonary disease,

172 06-08-2018 042406050818Y000063 0000209127172 MUHAMMAD ANISUL ISLAM L PNS DAERAH Discontinuity and Rujuk Lanjut
dislocation of ear ossicles
173 06-08-2018 042406050818Y000062 0002043865563 PATIMAH P PBI (APBD) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
174 05-08-2018 042406050818Y000223 0000228037061 SANTI MAHBENGI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
175 04-08-2018 042406050818Y000060 0000003923324 JUNDIA L PNS DAERAH Motor- or Berobat Jalan
nonmotor-vehicle accident,

176 04-08-2018 042406050818Y000018 0000227446852 M. YUSUF L PBI (APBN) Dyspepsia Berobat Jalan

177 04-08-2018 042406050818Y000055 0000227503462 MARHABAN L PBI (APBN) Arthritis, unspecified Berobat Jalan

178 04-08-2018 042406050818Y000054 0000227504395 MASDIANA P PBI (APBN) Dyspepsia Berobat Jalan

179 04-08-2018 042406050818Y000029 0000227663065 SUS DAYANTI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

180 04-08-2018 042406050818Y000014 0000227670265 CUT MUTIA P PBI (APBN) Pulpitis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

181 04-08-2018 042406050818Y000042 0000227769186 JHONI IBRAHIM L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and

182 04-08-2018 042406050818Y000022 0000227797828 SARINAH P PBI (APBN) Myalgia Berobat Jalan

183 04-08-2018 042406050818Y000023 0000227799393 INTAN SHOLEHA P PBI (APBN) Dyspepsia Berobat Jalan

184 04-08-2018 042406050818Y000017 0000227851143 ABDUL RAHMAN L PBI (APBN) Myalgia Berobat Jalan

185 04-08-2018 042406050818Y000024 0000227887716 YUSRA P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

186 04-08-2018 042406050818Y000025 0000227888728 SAMSUAR L PBI (APBN) Dermatitis herpetiformis Berobat Jalan

187 04-08-2018 042406050818Y000056 0000227919712 KARIM L PBI (APBN) Myalgia Berobat Jalan

188 04-08-2018 042406050818Y000039 0000227956476 NURDIN SALEH L PBI (APBN) Dyspepsia Berobat Jalan

189 04-08-2018 042406050818Y000040 0000227979011 RAHMAWATI SINAGA P PBI (APBN) Gastritis, unspecified Berobat Jalan

190 04-08-2018 042406050818Y000033 0000228030401 RIDUAN KARI L PBI (APBN) Headache Berobat Jalan

191 04-08-2018 042406050818Y000041 0000228075952 PATIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
192 04-08-2018 042406050818Y000048 0000228104458 NANDA L PBI (APBN) Dermatitis herpetiformis Berobat Jalan

193 04-08-2018 042406050818Y000061 0000228156164 UMI SALAMAH P PBI (APBN) Motorcycle rider injured in Berobat Jalan
noncollision transport
accident, unspecified
motorcycle rider, traffic
accident
194 04-08-2018 042406050818Y000038 0000228256266 ABU BAKAR TABLEK L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
195 04-08-2018 042406050818Y000053 0000228376631 IWAN BAGA L PBI (APBN) Low back pain Berobat Jalan

196 04-08-2018 042406050818Y000059 0000228383976 HARISA FITRI P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

197 04-08-2018 042406050818Y000049 0000228434962 RESTUNIKA SAPUTRA L PBI (APBN) Dermatitis herpetiformis Berobat Jalan

198 04-08-2018 042406050818Y000052 0000228435219 CHAIRANI P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

199 04-08-2018 042406050818Y000043 0000981774898 SAHARUDIN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
200 04-08-2018 042406050818Y000026 0001306919441 JAMILAH P PBI (APBD) Embedded and impacted Rujuk Lanjut
teeth
201 04-08-2018 042406050818Y000021 0001384800996 juraini P PBI (APBD) Allergic rhinitis, Berobat Jalan
unspecified
202 04-08-2018 042406050818Y000051 0001451623206 MILA RUSMIATI P PBI (APBD) Epilepsy, unspecified Berobat Jalan

203 04-08-2018 042406050818Y000016 0001808519872 SAMIRIL.ASH L PBI (APBD) Dermatitis herpetiformis Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

204 04-08-2018 042406050818Y000044 0001826621144 SAMAH P PBI (APBD) Headache Berobat Jalan

205 04-08-2018 042406050818Y000050 0001866738453 SELFI DAMAYANTI P PBI (APBD) Urinary tract infection, site Berobat Jalan
not specified
206 04-08-2018 042406050818Y000028 0001879684839 SERI WATI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and

207 04-08-2018 042406050818Y000013 0001886708801 SAPARUDDIN L PNS DAERAH Thyrotoxicosis, Rujuk Lanjut
unspecified
208 04-08-2018 042406050818Y000020 0001966204675 NASARUDIN L PBI (APBD) Dermatitis herpetiformis Berobat Jalan

209 04-08-2018 042406050818Y000027 0001972106357 RASIMAH P PBI (APBN) Dyspepsia Berobat Jalan

210 04-08-2018 042406050818Y000030 0002024384837 NIRWANA HASAN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
211 04-08-2018 042406050818Y000034 0002045707626 neli yusra P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and

212 04-08-2018 042406050818Y000035 0002048014146 MAYLANI PUTRI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and

213 04-08-2018 042406050818Y000057 0002054568295 SARI P PBI (APBD) Unspecified diabetes Berobat Jalan
mellitus without

214 04-08-2018 042406050818Y000015 0002055267573 fauziah P PBI (APBD) Dyspepsia Berobat Jalan

215 04-08-2018 042406050818Y000031 0002074030378 RUSMIATI P PBI (APBD) Headache Berobat Jalan

216 04-08-2018 042406050818Y000036 0002196088571 DARIYEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
217 04-08-2018 042406050818Y000058 0002210836678 nadya putri P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
218 04-08-2018 042406050818Y000047 0002253355446 DORAN GIRSANG L PEKERJA MANDIRI Asthma, unspecified Berobat Jalan

219 04-08-2018 042406050818Y000037 0002307051854 SITI MARFUAH P PBI (APBD) Dyspepsia Berobat Jalan

220 04-08-2018 042406050818Y000032 0002307052102 HERU ANGGARA L PBI (APBD) Myalgia Berobat Jalan

221 04-08-2018 042406050818Y000045 0002308782666 SHOPIATUL HASANAH P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and

222 04-08-2018 042406050818Y000046 0002314523182 BITA MARSHALINA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and

223 04-08-2018 042406050818Y000019 0002443442139 KHUMAYRA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : LHOKSEUMAWE - 0103

FKTP : Ramung - 04240605

224 03-08-2018 042406050818Y000010 0000003875488 RASIMAH P PNS DAERAH Thyrotoxicosis Rujuk Lanjut
[hyperthyroidism]
225 03-08-2018 042406050818Y000011 0001272335229 IDA WATI P PBI (APBD) Insulin-dependent Rujuk Lanjut
diabetes mellitus with

226 03-08-2018 042406050818Y000009 0001482298604 ARMANSYAH L PBI (APBD) Hypertensive heart and Rujuk Lanjut
renal disease with

227 03-08-2018 042406050818Y000012 0001842240431 ISMAIL. AR L PBI (APBD) Other and unspecified Rujuk Lanjut
gastroenteritis and colitis

228 02-08-2018 042406050818Y000008 0001826621144 SAMAH P PBI (APBD) Balanitis in diseases Rujuk Lanjut
classified elsewhere
229 01-08-2018 042406050818Y000001 0000227881798 RISDAH P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy, unspecified
230 01-08-2018 042406050818Y000004 0000227886118 PUTRI P PBI (APBN) Dermatitis herpetiformis Berobat Jalan

231 01-08-2018 042406050818Y000006 0001790398181 MAYANG MURNI P PBI (APBD) Visual disturbances Rujuk Lanjut

232 01-08-2018 042406050818Y000003 0001843067169 WARDIANA P PBI (APBD) Gastritis, unspecified Berobat Jalan

233 01-08-2018 042406050818Y000005 0001866738453 SELFI DAMAYANTI P PBI (APBD) Calculus of kidney and Rujuk Lanjut
ureter
234 01-08-2018 042406050818Y000007 0002090993433 PIT ITAWARI P PBI (APBD) Embedded and impacted Rujuk Lanjut
teeth
235 01-08-2018 042406050818Y000002 0002307052102 HERU ANGGARA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and