DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG

008509050221P000 26-02-2021 26-02-2021

1 0000310345637 IMAM ANDAWI L PBI (APBN) Rheumatism, unspecified Berobat Jalan
455 00:00 20:21
008509050221P000 26-02-2021 26-02-2021 Essential (primary)
2 0000310449677 MARONI L PBI (APBN) Berobat Jalan
462 00:00 20:26 hypertension
008509050221P000 26-02-2021 26-02-2021 Acute nasopharyngitis
3 0000310450241 DAYATI P PBI (APBN) Berobat Jalan
459 00:00 20:24 [common cold]
008509050221P000 26-02-2021 26-02-2021
4 0000310451286 RUSMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
458 00:00 20:23
008509050221P000 26-02-2021 26-02-2021
5 0000310452333 HIDAYAT L PBI (APBN) Cough Berobat Jalan
460 00:00 20:25
008509050221P000 26-02-2021 26-02-2021 Acute nasopharyngitis
6 0000310453064 ASMAYU P PBI (APBN) Berobat Jalan
461 00:00 20:26 [common cold]
008509050221P000 26-02-2021 26-02-2021 Stomatitis and related
7 0000310453209 RICE APRIANA P PBI (APBN) Berobat Jalan
463 00:00 20:27 lesions
Examination and
008509050221P000 26-02-2021 26-02-2021 PEGAWAI
8 0000310456192 TOMI SAPUTRA L encounter for Berobat Jalan
464 00:00 20:27 SWASTA
administrative purposes
008509050221P000 26-02-2021 26-02-2021 Exanthematic febrile
9 0000310457441 RAFLI KURNIAWAN L PBI (APBN) Berobat Jalan
465 00:00 20:28 disease (MEXICO)
008509050221P000 26-02-2021 26-02-2021
10 0000310457676 SAILAN L PBI (APBN) Allergic contact dermatitis Berobat Jalan
466 00:00 20:29
008509050221P000 26-02-2021 26-02-2021 Exanthematic febrile
11 0000311093065 KURNANDES L PBI (APBN) Berobat Jalan
453 00:00 20:19 disease (MEXICO)
008509050221P000 26-02-2021 26-02-2021 Acute nasopharyngitis
12 0000311438349 ADITIYA GUNA L PBI (APBN) Berobat Jalan
454 00:00 20:20 [common cold]
008509050221P000 26-02-2021 26-02-2021 Essential (primary)
13 0001296134987 LATIPA P PNS DAERAH Berobat Jalan
457 00:00 20:22 hypertension
PEGAWAI
PEMERINTAH
008509050221P000 26-02-2021 26-02-2021 Acute appendicitis, other
14 0002254780552 KHAIRANI AZIZAH P DENGAN Rujuk Vertikal
434 00:00 11:40 and unspecified
PERJANJIAN
KERJA
008509050221P000 26-02-2021 26-02-2021 PEKERJA Insulin-dependent Diabetes Diabetes
15 0002319297928 HUSNI P Berobat Jalan
433 00:00 10:28 MANDIRI diabetes mellitus Mellitus Mellitus
008509050221P000 26-02-2021 26-02-2021 PEKERJA
16 0002491396997 LUKMAN L Gastritis, unspecified Berobat Jalan
456 00:00 20:21 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 26-02-2021 26-02-2021 Delivery by caesarean

17 0002670550953 YUNI YARTATI P PBI (APBD) Rujuk Vertikal
432 00:00 10:06 section, unspecified
008509050221P000 26-02-2021 26-02-2021
18 0002670561066 ZAMRI VARIS L PBI (APBD) Other otitis externa Rujuk Vertikal
452 00:00 13:23
008509050221P000 25-02-2021 26-02-2021
19 0000310442591 ASNADI L PBI (APBN) Atopic dermatitis Berobat Jalan
443 00:00 11:49
008509050221P000 25-02-2021 26-02-2021
20 0000310442703 AISA NETA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
442 00:00 11:48
008509050221P000 25-02-2021 26-02-2021 Acute nasopharyngitis
21 0000310443221 NUR ERLINDA P PBI (APBN) Berobat Jalan
444 00:00 11:49 [common cold]
008509050221P000 25-02-2021 26-02-2021 Acute nasopharyngitis
22 0000310443614 JUMADI L PBI (APBN) Berobat Jalan
445 00:00 11:50 [common cold]
008509050221P000 25-02-2021 26-02-2021
23 0000310443805 SITI MAERAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
446 00:00 11:51
008509050221P000 25-02-2021 26-02-2021 Exanthematic febrile
24 0000310443939 FINDI ASTUTI P PBI (APBN) Berobat Jalan
447 00:00 11:51 disease (MEXICO)
008509050221P000 25-02-2021 26-02-2021
25 0000310446674 EMILIA FRASISKA P PBI (APBN) Myalgia Berobat Jalan
448 00:00 11:52
008509050221P000 25-02-2021 26-02-2021 Exanthematic febrile
26 0000310446764 DENIS ANGGARA L PBI (APBN) Berobat Jalan
449 00:00 11:53 disease (MEXICO)
008509050221P000 25-02-2021 26-02-2021 PEGAWAI
27 0000310633424 PAIS L Pulpitis Berobat Jalan
440 00:00 11:47 SWASTA
008509050221P000 25-02-2021 26-02-2021
28 0000311057919 IBNU HAJAR L PBI (APBN) Gastritis, unspecified Berobat Jalan
435 00:00 11:45
008509050221P000 25-02-2021 26-02-2021
29 0000311070396 ARMANSYAH L PBI (APBN) Other dermatitis Berobat Jalan
438 00:00 11:46
008509050221P000 25-02-2021 26-02-2021 Acute upper respiratory
30 0000311075256 MARLISA P PBI (APBD) Berobat Jalan
436 00:00 11:45 infection, unspecified
008509050221P000 25-02-2021 26-02-2021 Exanthematic febrile
31 0000311144455 LUSI ADISTI P PBI (APBN) Berobat Jalan
437 00:00 11:45 disease (MEXICO)
008509050221P000 25-02-2021 26-02-2021 Stomatitis and related
32 0000990345519 WARDI L PBI (APBN) Berobat Jalan
450 00:00 11:54 lesions
008509050221P000 25-02-2021 26-02-2021 Essential (primary)
33 0000990345521 NURJANAH P PBI (APBN) Berobat Jalan
451 00:00 11:55 hypertension
Examination and
008509050221P000 25-02-2021 26-02-2021
34 0000990345982 ISKI ZALIMAN L PBI (APBN) encounter for Berobat Jalan
439 00:00 11:46
administrative purposes
008509050221P000 25-02-2021 26-02-2021
35 0001296134381 SAIDI L PNS DAERAH Gastritis, unspecified Berobat Jalan
441 00:00 11:48
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 24-02-2021 25-02-2021

36 0000028772346 ASNAINI P PNS PUSAT Gastritis, unspecified Berobat Jalan
422 00:00 21:38
008509050221P000 24-02-2021 25-02-2021 PENERIMA
37 0000163755538 HASANAH P Other dermatitis Berobat Jalan
425 00:00 21:42 PENSIUN PNS
008509050221P000 24-02-2021 25-02-2021
38 0000309859907 LENI SARI P PBI (APBN) Pulpitis Berobat Jalan
417 00:00 21:32
008509050221P000 24-02-2021 25-02-2021
39 0000310130526 HABIBI L PBI (APBN) Schizophrenia Berobat Jalan
431 00:00 21:48
008509050221P000 24-02-2021 25-02-2021
40 0000311079778 DAHILI L PBI (APBN) Rheumatism, unspecified Berobat Jalan
418 00:00 21:33
008509050221P000 24-02-2021 25-02-2021 Stomatitis and related
41 0000311122451 RESMITA P PBI (APBN) Berobat Jalan
430 00:00 21:46 lesions
008509050221P000 24-02-2021 25-02-2021 Acute upper respiratory
42 0001514030005 AFRILIANSYAH L PBI (APBD) Berobat Jalan
423 00:00 21:39 infection, unspecified
008509050221P000 24-02-2021 25-02-2021 PEKERJA Essential (primary)
43 0001822115597 elmi P Berobat Jalan Hipertensi Hipertensi
426 00:00 21:43 MANDIRI hypertension
008509050221P000 24-02-2021 25-02-2021 PEGAWAI
44 0002237586366 ISWADI L Rheumatism, unspecified Berobat Jalan
421 00:00 21:37 SWASTA
008509050221P000 24-02-2021 25-02-2021 PEKERJA Essential (primary)
45 0002428788036 SARNUBI L Berobat Jalan
419 00:00 21:35 MANDIRI hypertension
008509050221P000 24-02-2021 25-02-2021 PEKERJA Acute nasopharyngitis
46 0002428788374 HADIDA P Berobat Jalan
420 00:00 21:36 MANDIRI [common cold]
008509050221P000 24-02-2021 24-02-2021
47 0002670535721 NURAIDA P PBI (APBD) Calculus of kidney Rujuk Vertikal
396 00:00 10:26
008509050221P000 24-02-2021 25-02-2021 Exanthematic febrile
48 0002670542065 SATRIA PUTRA KELANA L PBI (APBD) Berobat Jalan
429 00:00 21:45 disease (MEXICO)
008509050221P000 24-02-2021 25-02-2021 Exanthematic febrile
49 0002670550558 ANITA P PBI (APBN) Berobat Jalan
427 00:00 21:43 disease (MEXICO)
008509050221P000 24-02-2021 25-02-2021
50 0002670554834 NING YA P PBI (APBD) Allergic contact dermatitis Berobat Jalan
424 00:00 21:41
008509050221P000 24-02-2021 24-02-2021 Bacterial meningitis,
51 0002670568053 EDWIN ARIANSYAH L PBI (APBD) Rujuk Vertikal
395 00:00 09:37 unspecified
008509050221P000 24-02-2021 25-02-2021 Acute nasopharyngitis
52 0002762385287 ISNAINI P PBI (APBD) Berobat Jalan
428 00:00 21:44 [common cold]
008509050221P000 23-02-2021 25-02-2021
53 0000310601924 RUSIANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
416 00:00 21:30
008509050221P000 23-02-2021 25-02-2021 Acute upper respiratory
54 0000310603948 DEWI INDRIYANI P PBI (APBN) Berobat Jalan
415 00:00 21:29 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 23-02-2021 25-02-2021 Acute nasopharyngitis

55 0000310671325 LINDA YANTI P PBI (APBN) Berobat Jalan
410 00:00 20:44 [common cold]
008509050221P000 23-02-2021 23-02-2021
56 0001510059328 KUMALA TUTI P PBI (APBD) Vertigo of central origin Rujuk Vertikal
355 00:00 11:05
008509050221P000 23-02-2021 25-02-2021
57 0001514091464 AYU SARI P PBI (APBD) Schizophrenia Berobat Jalan
414 00:00 21:29
008509050221P000 23-02-2021 25-02-2021 Acute nasopharyngitis
58 0002127220277 CLARA P PBI (APBN) Berobat Jalan
413 00:00 21:28 [common cold]
008509050221P000 23-02-2021 25-02-2021 PEKERJA Acute upper respiratory
59 0002267338566 GIO ANTONIO L Berobat Jalan
409 00:00 20:43 MANDIRI infection, unspecified
008509050221P000 23-02-2021 25-02-2021 Exanthematic febrile
60 0002480353885 burso L PBI (APBN) Berobat Jalan
407 00:00 20:41 disease (MEXICO)
008509050221P000 23-02-2021 25-02-2021 Acute upper respiratory
61 0002670542728 RISDA AMALIA P PBI (APBD) Berobat Jalan
412 00:00 21:27 infection, unspecified
008509050221P000 23-02-2021 25-02-2021
62 0002670547634 RUSTINI P PBI (APBD) Gastritis, unspecified Berobat Jalan
408 00:00 20:42
008509050221P000 23-02-2021 25-02-2021
63 0002670549557 SAWIRAN L PBI (APBD) Gastritis, unspecified Berobat Jalan
411 00:00 21:26
Examination and
008509050221P000 22-02-2021 23-02-2021
64 0000029028464 ROZAKI ASRO L PNS DAERAH encounter for Berobat Jalan
323 00:00 08:57
administrative purposes
008509050221P000 22-02-2021 23-02-2021 PENERIMA Exanthematic febrile
65 0000029080653 BETTI P Berobat Jalan
306 00:00 08:27 PENSIUN PNS disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021
66 0000310077235 SOLIHIN L PBI (APBN) Allergic contact dermatitis Berobat Jalan
318 00:00 08:47
008509050221P000 22-02-2021 23-02-2021
67 0000310087361 MARGA L PBI (APBN) Rheumatism, unspecified Berobat Jalan
330 00:00 09:19
008509050221P000 22-02-2021 23-02-2021 Essential (primary)
68 0000310143104 ROGAYA P PBI (APBN) Berobat Jalan
337 00:00 09:29 hypertension
008509050221P000 22-02-2021 23-02-2021
69 0000310305014 JAUYA P PBI (APBN) Gastritis, unspecified Berobat Jalan
327 00:00 09:07
008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile
70 0000310306678 REVA LISA MARELIA P PBI (APBN) Berobat Jalan
326 00:00 09:01 disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021 Acute upper respiratory
71 0000310306735 REVILIA RISKIANA P PBI (APBN) Berobat Jalan
328 00:00 09:17 infection, unspecified
008509050221P000 22-02-2021 23-02-2021
72 0000310389939 SUSILAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
341 00:00 09:35
008509050221P000 22-02-2021 23-02-2021
73 0000310391054 ANISA PUJIYANTI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
351 00:00 09:50
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile

74 0000310396623 MEGA APRILIA P PBI (APBN) Berobat Jalan
350 00:00 09:49 disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021
75 0000310397938 AGUS IMAM AL FALAH L PBI (APBN) Gastritis, unspecified Berobat Jalan
349 00:00 09:48
Examination and
008509050221P000 22-02-2021 23-02-2021
76 0000310402866 MARNANI P PBI (APBN) encounter for Berobat Jalan
343 00:00 09:38
administrative purposes
008509050221P000 22-02-2021 23-02-2021 Acute upper respiratory
77 0000310403452 RAMADON L PBI (APBN) Berobat Jalan
342 00:00 09:37 infection, unspecified
008509050221P000 22-02-2021 23-02-2021
78 0000310477645 LARA ARMANSYAH L PBI (APBN) Allergic contact dermatitis Berobat Jalan
314 00:00 08:41
008509050221P000 22-02-2021 23-02-2021 PEGAWAI Acute upper respiratory
79 0000310611014 DIO PRATAMA L Berobat Jalan
329 00:00 09:18 SWASTA infection, unspecified
008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile
80 0000311081793 LATIPAH P PBI (APBN) Berobat Jalan
354 00:00 09:55 disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021
81 0000311083751 ENDRI EDWARSAH L PBI (APBN) Cough Berobat Jalan
353 00:00 09:53
008509050221P000 22-02-2021 23-02-2021 Stomatitis and related
82 0000311084133 SOPIYAH P PBI (APBN) Berobat Jalan
352 00:00 09:52 lesions
008509050221P000 22-02-2021 23-02-2021
83 0000311093008 RUKIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
307 00:00 08:29
008509050221P000 22-02-2021 23-02-2021
84 0000311172682 HARDONO KARNO L PBI (APBN) Gastritis, unspecified Berobat Jalan
315 00:00 08:42

Diarrhoea and
008509050221P000 22-02-2021 23-02-2021
85 0000990345262 RAHMA KHAIRUNISA P PBI (APBD) gastroenteritis of Berobat Jalan
340 00:00 09:33
presumed infectious origin

008509050221P000 22-02-2021 23-02-2021

86 0000990345273 A. SAFE'I L PBI (APBN) Gastritis, unspecified Berobat Jalan
348 00:00 09:47
008509050221P000 22-02-2021 23-02-2021
87 0000990345284 ERNAWATI P PBI (APBN) Other dermatitis Berobat Jalan
347 00:00 09:45
008509050221P000 22-02-2021 23-02-2021
88 0000990345306 MARDIANA P PBI (APBN) Allergic contact dermatitis Berobat Jalan
346 00:00 09:43
008509050221P000 22-02-2021 23-02-2021 Acute upper respiratory
89 0000990345317 YUNI ASTUTI P PBI (APBN) Berobat Jalan
345 00:00 09:42 infection, unspecified
008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile
90 0000990345328 HABI BURROHMAN L PBI (APBN) Berobat Jalan
344 00:00 09:40 disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021
91 0000990345879 NINGYA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
339 00:00 09:32
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 22-02-2021 23-02-2021

92 0000990346329 SAMIA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
335 00:00 09:26
008509050221P000 22-02-2021 23-02-2021
93 0000990346331 GUNAWAN L PBI (APBN) Cough Berobat Jalan
334 00:00 09:25
008509050221P000 22-02-2021 23-02-2021
94 0000990346397 SUKIMAN L PBI (APBN) Cough Berobat Jalan
332 00:00 09:22
008509050221P000 22-02-2021 23-02-2021
95 0001514176907 RIANSYAH L PBI (APBD) Other dermatitis Berobat Jalan
309 00:00 08:32
008509050221P000 22-02-2021 23-02-2021 PEKERJA
96 0001850586412 SAKDIAH P Conjunctivitis Berobat Jalan
322 00:00 08:55 MANDIRI

Diarrhoea and
008509050221P000 22-02-2021 23-02-2021
97 0001852113328 YELLY YUNIZA P PBI (APBD) gastroenteritis of Berobat Jalan
310 00:00 08:33
presumed infectious origin

008509050221P000 22-02-2021 23-02-2021 PEKERJA

98 0002213194858 SYAMSIAH P Pulpitis Berobat Jalan
338 00:00 09:30 MANDIRI
PEGAWAI
PEMERINTAH
008509050221P000 22-02-2021 23-02-2021
99 0002254780045 AHMAD BURSO L DENGAN Pulpitis Berobat Jalan
312 00:00 08:37
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
008509050221P000 22-02-2021 23-02-2021 Acute nasopharyngitis
100 0002254789978 DINAA ALIYYAH P DENGAN Berobat Jalan
317 00:00 08:45 [common cold]
PERJANJIAN
KERJA
008509050221P000 22-02-2021 23-02-2021 PEGAWAI Acute nasopharyngitis
101 0002463957202 FAIS BUKHORI MUSLIM L Berobat Jalan
308 00:00 08:30 SWASTA [common cold]
008509050221P000 22-02-2021 22-02-2021 PEKERJA
102 0002465160017 AMINAH P Heart failure, unspecified Rujuk Vertikal
290 00:00 13:46 MANDIRI
008509050221P000 22-02-2021 23-02-2021 PEKERJA
103 0002482942926 MARLINA P Myalgia Berobat Jalan
331 00:00 09:21 MANDIRI
008509050221P000 22-02-2021 23-02-2021 Stomatitis and related
104 0002607553214 HENDRI L PBI (APBN) Berobat Jalan
319 00:00 08:49 lesions
008509050221P000 22-02-2021 23-02-2021 Stomatitis and related
105 0002611388261 HERLITA P PBI (APBD) Berobat Jalan
313 00:00 08:38 lesions
008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile
106 0002670401349 INDAH SARI P PBI (APBD) Berobat Jalan
316 00:00 08:44 disease (MEXICO)
008509050221P000 22-02-2021 23-02-2021
107 0002670544618 KARYAWATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
336 00:00 09:28
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 22-02-2021 23-02-2021

108 0002670553203 ROMIN JONO L PBI (APBD) Rheumatism, unspecified Berobat Jalan
321 00:00 08:51
008509050221P000 22-02-2021 23-02-2021
109 0002670553214 YAUMA P PBI (APBD) Conjunctivitis Berobat Jalan
320 00:00 08:50
008509050221P000 22-02-2021 23-02-2021
110 0002670559582 MARIAM P PBI (APBD) Pulpitis Berobat Jalan
333 00:00 09:23
008509050221P000 22-02-2021 23-02-2021
111 0002741490472 SYARIPUDIN L PBI (APBD) Myalgia Berobat Jalan
325 00:00 09:00
008509050221P000 22-02-2021 23-02-2021 Essential (primary)
112 0002741490606 MURDIA P PBI (APBD) Berobat Jalan Hipertensi
324 00:00 08:59 hypertension
008509050221P000 22-02-2021 23-02-2021 Exanthematic febrile
113 0002941734846 OKAN TRY KUSUMA L PBI (APBD) Berobat Jalan
311 00:00 08:36 disease (MEXICO)
008509050221P000 19-02-2021 19-02-2021 Essential (primary)
114 0000029122525 WASNA P PNS DAERAH Berobat Jalan Hipertensi
193 00:00 20:55 hypertension
Other heart disorders in
008509050221P000 19-02-2021 19-02-2021
115 0000209156894 HAJIA MELIANA P PBI (APBD) diseases classified Rujuk Vertikal
156 00:00 10:04
elsewhere
008509050221P000 19-02-2021 19-02-2021
116 0000310087361 MARGA L PBI (APBN) Other anaemias Berobat Jalan
204 00:00 21:03
008509050221P000 19-02-2021 19-02-2021
117 0000310421867 DESI ANDRIYANI P PBI (APBN) Pulpitis Berobat Jalan
201 00:00 21:00
008509050221P000 19-02-2021 19-02-2021
118 0000310492653 SAILA P PBI (APBN) Gastritis, unspecified Berobat Jalan
188 00:00 20:50
008509050221P000 19-02-2021 19-02-2021
119 0000311145208 SALMINI YATI P PBI (APBN) Pulpitis Berobat Jalan
195 00:00 20:56
008509050221P000 19-02-2021 19-02-2021 Acute upper respiratory
120 0000311311844 ZALFA REGINA PUTRI P PBI (APBD) Berobat Jalan
192 00:00 20:55 infection, unspecified
008509050221P000 19-02-2021 19-02-2021
121 0000990345969 ANIK L PBI (APBN) Allergic contact dermatitis Berobat Jalan
207 00:00 21:04
008509050221P000 19-02-2021 19-02-2021 Essential (primary)
122 0000990346329 SAMIA P PBI (APBN) Berobat Jalan
205 00:00 21:03 hypertension
008509050221P000 19-02-2021 19-02-2021
123 0000990346882 JAMILA P PBI (APBN) Gastritis, unspecified Berobat Jalan
197 00:00 20:58
008509050221P000 19-02-2021 19-02-2021 Acute upper respiratory
124 0001514044225 SUMIANA P PBI (APBD) Berobat Jalan
198 00:00 20:58 infection, unspecified
008509050221P000 19-02-2021 19-02-2021 Acute upper respiratory
125 0001850826633 NIA ZAHIRA P PNS DAERAH Berobat Jalan
199 00:00 20:59 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

PEGAWAI
PEMERINTAH
008509050221P000 19-02-2021 19-02-2021
126 0002254784771 SUMARLI SEREGAR L DENGAN Myalgia Berobat Jalan
194 00:00 20:56
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
008509050221P000 19-02-2021 19-02-2021 Exanthematic febrile
127 0002254785052 RIZKI WIRANSYAH L DENGAN Berobat Jalan
189 00:00 20:53 disease (MEXICO)
PERJANJIAN
KERJA
008509050221P000 19-02-2021 19-02-2021
128 0002670396445 SIYAH TRI WAHYU P PBI (APBD) Allergic contact dermatitis Berobat Jalan
196 00:00 20:57
008509050221P000 19-02-2021 19-02-2021
129 0002670541413 CIK NANI P PBI (APBD) Gastritis, unspecified Berobat Jalan
202 00:00 21:01
008509050221P000 19-02-2021 19-02-2021 Stomatitis and related
130 0002670551706 SITI AMNA P PBI (APBD) Berobat Jalan
203 00:00 21:02 lesions
008509050221P000 19-02-2021 19-02-2021
131 0002670554856 ELITA P PBI (APBD) Gastritis, unspecified Berobat Jalan
190 00:00 20:53

Diarrhoea and
008509050221P000 19-02-2021 19-02-2021
132 0002670556948 SANIJA P PBI (APBD) gastroenteritis of Berobat Jalan
200 00:00 20:59
presumed infectious origin

General examination and

008509050221P000 19-02-2021 19-02-2021 investigation of persons
133 0002670563305 ATIKA P PBI (APBD) Berobat Jalan
206 00:00 21:04 without complaint and
reported diagnosis
008509050221P000 19-02-2021 19-02-2021 Acute upper respiratory
134 0003051626826 MASLINDA P PBI (APBD) Berobat Jalan
191 00:00 20:54 infection, unspecified
008509050221P000 18-02-2021 19-02-2021 Acute upper respiratory
135 0000029028431 SUNAR L PNS DAERAH Berobat Jalan
215 00:00 21:14 infection, unspecified
008509050221P000 18-02-2021 19-02-2021
136 0000309615581 NUR AINI P PBI (APBN) Pulpitis Berobat Jalan
237 00:00 21:41
008509050221P000 18-02-2021 19-02-2021
137 0000309628912 MARNIATI P PBI (APBN) Cough Berobat Jalan
239 00:00 21:42
008509050221P000 18-02-2021 19-02-2021
138 0000309939682 ELIYANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
216 00:00 21:27
008509050221P000 18-02-2021 19-02-2021 Acute upper respiratory
139 0000310416647 LUSIANA P PBI (APBN) Berobat Jalan
232 00:00 21:38 infection, unspecified
008509050221P000 18-02-2021 19-02-2021
140 0000310422508 LENI MARLINA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
231 00:00 21:37
008509050221P000 18-02-2021 19-02-2021
141 0000310425996 BAINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
230 00:00 21:37
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 18-02-2021 19-02-2021

142 0000310571392 MARDIANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
212 00:00 21:11
008509050221P000 18-02-2021 19-02-2021
143 0000310572652 AYU ASHARI P PBI (APBN) Schizophrenia Berobat Jalan
211 00:00 21:11
008509050221P000 18-02-2021 19-02-2021 Exanthematic febrile
144 0000310632399 ISTI HANA P PBI (APBN) Berobat Jalan
225 00:00 21:32 disease (MEXICO)

Diarrhoea and
008509050221P000 18-02-2021 19-02-2021
145 0000310639127 KARSIAH P PBI (APBN) gastroenteritis of Berobat Jalan
223 00:00 21:31
presumed infectious origin

008509050221P000 18-02-2021 19-02-2021 Stomatitis and related

146 0000311029615 BARONI L PBI (APBN) Berobat Jalan
210 00:00 21:10 lesions
008509050221P000 18-02-2021 19-02-2021
147 0000311175639 ASMAYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
217 00:00 21:28
008509050221P000 18-02-2021 19-02-2021
148 0000311270826 PATMA WITA P PBI (APBN) Other dermatitis Berobat Jalan
238 00:00 21:41
008509050221P000 18-02-2021 19-02-2021 Exanthematic febrile
149 0000311271636 FAUZIA P PBI (APBN) Berobat Jalan
236 00:00 21:40 disease (MEXICO)
008509050221P000 18-02-2021 19-02-2021
150 0000311271783 HOTISA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
234 00:00 21:39
008509050221P000 18-02-2021 19-02-2021 Essential (primary)
151 0000311487715 SOPIAN L PBI (APBN) Berobat Jalan Hipertensi
233 00:00 21:38 hypertension
PEGAWAI
PEMERINTAH
008509050221P000 18-02-2021 19-02-2021
152 0000990350425 SOPIANI P DENGAN Myalgia Berobat Jalan
235 00:00 21:39
PERJANJIAN
KERJA
008509050221P000 18-02-2021 19-02-2021 PEGAWAI
153 0001507202111 MASRIDA P Rheumatism, unspecified Berobat Jalan
221 00:00 21:30 SWASTA
008509050221P000 18-02-2021 19-02-2021
154 0001980536646 WALIDA P PBI (APBN) Gastritis, unspecified Berobat Jalan
208 00:00 21:07
008509050221P000 18-02-2021 19-02-2021 PEKERJA
155 0002482942926 MARLINA P Gastritis, unspecified Berobat Jalan
224 00:00 21:32 MANDIRI
008509050221P000 18-02-2021 19-02-2021 Acute upper respiratory
156 0002632579165 DHANI ADEL REINATA L PBI (APBN) Berobat Jalan
227 00:00 21:34 infection, unspecified
008509050221P000 18-02-2021 19-02-2021
157 0002670395815 SANTO L PBI (APBD) Other dermatitis Berobat Jalan
214 00:00 21:13
008509050221P000 18-02-2021 19-02-2021
158 0002670534472 SOBIRIN L PBI (APBD) Myalgia Berobat Jalan
213 00:00 21:12
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 18-02-2021 19-02-2021

159 0002670540265 DERI SAPUTRA L PBI (APBD) Cough Berobat Jalan
219 00:00 21:29
008509050221P000 18-02-2021 19-02-2021 Acute upper respiratory
160 0002670542392 DIRGA ALI SYA'BAN L PBI (APBD) Berobat Jalan
220 00:00 21:29 infection, unspecified
008509050221P000 18-02-2021 19-02-2021 Essential (primary)
161 0002670544618 KARYAWATI P PBI (APBD) Berobat Jalan
222 00:00 21:30 hypertension
008509050221P000 18-02-2021 19-02-2021 Acute upper respiratory
162 0002670553934 HERNI TATI P PBI (APBD) Berobat Jalan
209 00:00 21:08 infection, unspecified
008509050221P000 18-02-2021 19-02-2021
163 0002670559582 MARIAM P PBI (APBD) Rheumatism, unspecified Berobat Jalan
226 00:00 21:34
008509050221P000 18-02-2021 19-02-2021
164 0002670563294 TARMIZI L PBI (APBD) Rheumatism, unspecified Berobat Jalan
229 00:00 21:36
008509050221P000 18-02-2021 19-02-2021
165 0002670567118 IRAWATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
228 00:00 21:36
008509050221P000 18-02-2021 19-02-2021 PEKERJA Stomatitis and related
166 0002746753457 SYUKRI L Berobat Jalan
218 00:00 21:28 MANDIRI lesions
008509050221P000 17-02-2021 25-02-2021
167 0000029225777 PRONI L PNS DAERAH Gastritis, unspecified Berobat Jalan
399 00:00 20:26
008509050221P000 17-02-2021 19-02-2021
168 0000309597581 ANDIKA ARYANSYAH L PBI (APBN) Pulpitis Berobat Jalan
175 00:00 13:17
008509050221P000 17-02-2021 19-02-2021
169 0000309607119 SUPIA P PBI (APBN) Myalgia Berobat Jalan
176 00:00 13:18
008509050221P000 17-02-2021 19-02-2021
170 0000309620316 YAMNA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
171 00:00 13:12
008509050221P000 17-02-2021 19-02-2021
171 0000309625007 MELSI P PBI (APBN) Allergic contact dermatitis Berobat Jalan
177 00:00 13:19
008509050221P000 17-02-2021 19-02-2021 Stomatitis and related
172 0000309642017 ELY KUSMIRAN P PBI (APBN) Berobat Jalan
173 00:00 13:16 lesions
008509050221P000 17-02-2021 19-02-2021 Acute upper respiratory
173 0000309643683 KUSNAWATI P PBI (APBN) Berobat Jalan
172 00:00 13:15 infection, unspecified
008509050221P000 17-02-2021 25-02-2021
174 0000310103921 ABDULLAH L PBI (APBN) Gastritis, unspecified Berobat Jalan
398 00:00 20:24
008509050221P000 17-02-2021 19-02-2021
175 0000310326579 JUMARTATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
178 00:00 13:20
008509050221P000 17-02-2021 19-02-2021
176 0000310326849 RAPITA P PBI (APBN) Pulpitis Berobat Jalan
179 00:00 13:25
008509050221P000 17-02-2021 21-02-2021 Stomatitis and related
177 0000310329538 NIKO L PBI (APBN) Berobat Jalan
247 00:00 11:52 lesions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 17-02-2021 21-02-2021

178 0000310330708 DULJANI L PBI (APBN) Gastritis, unspecified Berobat Jalan
248 00:00 11:55
008509050221P000 17-02-2021 21-02-2021 Essential (primary)
179 0000310332251 RAWA IDA P PBI (APBN) Berobat Jalan Hipertensi
249 00:00 12:00 hypertension
008509050221P000 17-02-2021 21-02-2021
180 0000310334578 TUTIK P PBI (APBN) Gastritis, unspecified Berobat Jalan
250 00:00 12:02
008509050221P000 17-02-2021 21-02-2021
181 0000310335333 SANTO L PBI (APBN) Other dermatitis Berobat Jalan
251 00:00 12:03
008509050221P000 17-02-2021 21-02-2021 Acute nasopharyngitis
182 0000310336468 ENDI SUHENDI L PBI (APBN) Berobat Jalan
252 00:00 12:05 [common cold]
008509050221P000 17-02-2021 21-02-2021 Acute nasopharyngitis
183 0000310337054 SARTIYAH P PBI (APBN) Berobat Jalan
253 00:00 12:06 [common cold]
008509050221P000 17-02-2021 25-02-2021
184 0000310429697 RUSNAINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
400 00:00 20:28
008509050221P000 17-02-2021 19-02-2021 Essential (primary)
185 0000310639127 KARSIAH P PBI (APBN) Berobat Jalan
170 00:00 13:11 hypertension
008509050221P000 17-02-2021 25-02-2021 PEGAWAI
186 0000311247843 MAULIDIN L Other disorders of eyelid Berobat Jalan
406 00:00 20:38 SWASTA
008509050221P000 17-02-2021 25-02-2021
187 0001514044866 ZAKARIA L PBI (APBN) Asthma Berobat Jalan
402 00:00 20:31
008509050221P000 17-02-2021 25-02-2021 Essential (primary)
188 0001514059648 LINDAYANI P PBI (APBD) Berobat Jalan
397 00:00 14:10 hypertension
008509050221P000 17-02-2021 19-02-2021
189 0002118997675 RISKA AMELIA P PBI (APBN) Cough Berobat Jalan
174 00:00 13:16
008509050221P000 17-02-2021 19-02-2021 MUHAMMAD SAPUTRA Acute upper respiratory
190 0002127220299 L PBI (APBN) Berobat Jalan
167 00:00 13:09 JAYA infection, unspecified
008509050221P000 17-02-2021 25-02-2021
191 0002480353885 burso L PBI (APBN) Gastritis, unspecified Berobat Jalan
401 00:00 20:30
008509050221P000 17-02-2021 17-02-2021 Secondary hypertension,
192 0002483254258 ROZI L PBI (APBD) Rujuk Vertikal
095 00:00 11:25 unspecified
008509050221P000 17-02-2021 25-02-2021 Acute upper respiratory
193 0002670537036 TUTI MARLIA P PBI (APBN) Berobat Jalan
403 00:00 20:32 infection, unspecified
008509050221P000 17-02-2021 25-02-2021 Acute upper respiratory
194 0002670537047 AHMAD SANI L PBI (APBN) Berobat Jalan
404 00:00 20:35 infection, unspecified
008509050221P000 17-02-2021 19-02-2021 Exanthematic febrile
195 0002670539859 ANISA RAHMADANI P PBI (APBD) Berobat Jalan
166 00:00 13:09 disease (MEXICO)
008509050221P000 17-02-2021 25-02-2021
196 0002670541064 LEKAT ERWANI L PBI (APBD) Epilepsy Berobat Jalan
405 00:00 20:37
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 17-02-2021 19-02-2021 Essential (primary)

197 0002670551695 UMAR HASAN L PBI (APBD) Berobat Jalan
168 00:00 13:10 hypertension
008509050221P000 17-02-2021 19-02-2021
198 0002670551706 SITI AMNA P PBI (APBD) Rheumatism, unspecified Berobat Jalan
169 00:00 13:10
008509050221P000 16-02-2021 19-02-2021
199 0000310087361 MARGA L PBI (APBN) Acute pharyngitis Berobat Jalan
160 00:00 13:02
008509050221P000 16-02-2021 19-02-2021 Typhoid and paratyphoid
200 0000310088068 MINARNI YUNITA P PBI (APBN) Berobat Jalan Hipertensi
165 00:00 13:08 fevers
008509050221P000 16-02-2021 19-02-2021 PEGAWAI Vasomotor and allergic
201 0000310610788 CICI LIA P Berobat Jalan
241 00:00 21:47 SWASTA rhinitis
008509050221P000 16-02-2021 19-02-2021
202 0000310632399 ISTI HANA P PBI (APBN) Cough Berobat Jalan
163 00:00 13:06
008509050221P000 16-02-2021 19-02-2021 Acute upper respiratory
203 0000311093065 KURNANDES L PBI (APBN) Berobat Jalan
240 00:00 21:44 infection, unspecified
008509050221P000 16-02-2021 21-02-2021
204 0000311108229 MUSLIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
279 00:00 14:35
008509050221P000 16-02-2021 21-02-2021
205 0000311149045 BURHANI L PBI (APBN) Cough Berobat Jalan
282 00:00 14:42
008509050221P000 16-02-2021 19-02-2021 Acute upper respiratory
206 0000990345982 ISKI ZALIMAN L PBI (APBN) Berobat Jalan
164 00:00 13:07 infection, unspecified
008509050221P000 16-02-2021 19-02-2021 Essential (primary)
207 0000990346329 SAMIA P PBI (APBN) Berobat Jalan
162 00:00 13:06 hypertension
008509050221P000 16-02-2021 21-02-2021
208 0001446086834 SELMA P PBI (APBN) Myalgia Berobat Jalan
281 00:00 14:39
008509050221P000 16-02-2021 19-02-2021 Essential (primary)
209 0001514004041 KOMAR L PBI (APBD) Berobat Jalan
157 00:00 12:58 hypertension
008509050221P000 16-02-2021 19-02-2021
210 0001514013366 HERI L PBI (APBD) Gastritis, unspecified Berobat Jalan
158 00:00 12:59
008509050221P000 16-02-2021 19-02-2021
211 0001514051054 SUNAINI P PBI (APBD) Pulpitis Berobat Jalan
244 00:00 21:50
008509050221P000 16-02-2021 21-02-2021
212 0001514063171 ASMA P PBI (APBD) Rheumatism, unspecified Berobat Jalan
277 00:00 14:23
008509050221P000 16-02-2021 16-02-2021 Inflammation of eyelid,
213 0001514072193 SUHARA P PBI (APBD) Rujuk Vertikal
094 00:00 11:03 unspecified
008509050221P000 16-02-2021 19-02-2021 Exanthematic febrile
214 0001514075016 RUDDAMAYANTI P PBI (APBD) Berobat Jalan
245 00:00 21:51 disease (MEXICO)
008509050221P000 16-02-2021 19-02-2021 Other headache
215 0001514080361 VINA OKTARINA P PBI (APBD) Berobat Jalan
242 00:00 21:48 syndromes
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 16-02-2021 19-02-2021 PEKERJA

216 0002285224108 MUHAMAD ROPI L Atopic dermatitis Berobat Jalan
246 00:00 21:53 MANDIRI
008509050221P000 16-02-2021 19-02-2021 PEKERJA
217 0002428788374 HADIDA P Gastritis, unspecified Berobat Jalan
159 00:00 13:01 MANDIRI
008509050221P000 16-02-2021 19-02-2021
218 0002670539725 MARLIA P PBI (APBD) Gastritis, unspecified Berobat Jalan
161 00:00 13:03
008509050221P000 16-02-2021 19-02-2021
219 0002670539747 ARIEF KURNIAWAN L PBI (APBD) Allergic contact dermatitis Berobat Jalan
243 00:00 21:49
008509050221P000 16-02-2021 21-02-2021 Essential (primary)
220 0002670559053 AMIDA P PBI (APBD) Berobat Jalan
280 00:00 14:37 hypertension
008509050221P000 16-02-2021 21-02-2021 Exanthematic febrile
221 0002670559154 NASYA ZALSYAFIRA P PBI (APBN) Berobat Jalan
278 00:00 14:24 disease (MEXICO)
Examination and
008509050221P000 16-02-2021 21-02-2021
222 0002670564813 YUNITA P PBI (APBN) encounter for Berobat Jalan
276 00:00 14:21
administrative purposes
008509050221P000 16-02-2021 21-02-2021 Essential (primary) Diabetes Diabetes
223 0002670568738 ROZALI L PBI (APBD) Berobat Jalan
283 00:00 14:49 hypertension Mellitus Mellitus
008509050221P000 16-02-2021 16-02-2021
224 0003070233617 PONIA L PBI (APBD) Severe pre-eclampsia Rujuk Vertikal
093 00:00 09:11
008509050221P000 15-02-2021 19-02-2021
225 0000309984118 RIDWAN L PBI (APBN) Other dermatitis Berobat Jalan
182 00:00 19:05
008509050221P000 15-02-2021 19-02-2021
226 0000310084885 NUR ASIYA P PBI (APBN) Gastritis, unspecified Berobat Jalan
186 00:00 19:11
008509050221P000 15-02-2021 19-02-2021
227 0000310143104 ROGAYA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
185 00:00 19:09
008509050221P000 15-02-2021 19-02-2021 Acute upper respiratory
228 0000310492225 SARIPUDIN L PBI (APBN) Berobat Jalan
180 00:00 19:02 infection, unspecified
008509050221P000 15-02-2021 18-02-2021 Non-insulin-dependent
229 0000311093065 KURNANDES L PBI (APBN) Berobat Jalan
149 00:00 10:27 diabetes mellitus
008509050221P000 15-02-2021 19-02-2021 Acute upper respiratory
230 0000311148933 RONATUL P PBI (APBN) Berobat Jalan
184 00:00 19:08 infection, unspecified
008509050221P000 15-02-2021 18-02-2021
231 0000990349299 KOSIM L PBI (APBN) Pulpitis Berobat Jalan
153 00:00 10:30
008509050221P000 15-02-2021 19-02-2021
232 0001510065459 JAYAK EPENDI L PBI (APBD) Asthma Berobat Jalan
183 00:00 19:07
008509050221P000 15-02-2021 18-02-2021 Essential (primary)
233 0001514004041 KOMAR L PBI (APBD) Berobat Jalan
155 00:00 10:31 hypertension
008509050221P000 15-02-2021 15-02-2021
234 0001514059762 ASRUL HADI L PBI (APBD) Astigmatism Rujuk Vertikal
092 00:00 10:55
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 15-02-2021 18-02-2021 Acute upper respiratory

235 0002670538419 NAURA RAHMADHAN P PBI (APBD) Berobat Jalan
150 00:00 10:28 infection, unspecified
008509050221P000 15-02-2021 19-02-2021 Exanthematic febrile
236 0002670552189 M. DWI KARUNIA PUTRA L PBI (APBD) Berobat Jalan
187 00:00 19:12 disease (MEXICO)
008509050221P000 15-02-2021 19-02-2021
237 0002670552213 IDI NURAHMAN L PBI (APBD) Gastritis, unspecified Berobat Jalan
181 00:00 19:04
008509050221P000 15-02-2021 18-02-2021
238 0002670554924 HERY IRWANDI L PBI (APBD) Other dermatitis Berobat Jalan
152 00:00 10:29
008509050221P000 15-02-2021 18-02-2021
239 0002670554935 ADAM MALIK L PBI (APBD) Other dermatitis Berobat Jalan
151 00:00 10:29
Examination and
008509050221P000 15-02-2021 18-02-2021
240 0002833236314 ZUHRI L PBI (APBN) encounter for Berobat Jalan
154 00:00 10:31
administrative purposes
008509050221P000 11-02-2021 PENERIMA Hypertensive heart
241 02-11-2021 0000028903511 SISWANDI L Berobat Jalan
091 09:55 PENSIUN PNS disease
008509050221P000 21-02-2021
242 02-11-2021 0000310571392 MARDIANA P PBI (APBN) Pulpitis Berobat Jalan
255 12:25
008509050221P000 18-02-2021
243 02-11-2021 0000311194247 MILADIA P PBI (APBN) Malaise and fatigue Berobat Jalan
140 10:21
008509050221P000 18-02-2021
244 02-11-2021 0000990349299 KOSIM L PBI (APBN) Asthma Berobat Jalan
146 10:25
008509050221P000 18-02-2021 Acute upper respiratory
245 02-11-2021 0001510059104 KURNIA ILAHI P PBI (APBD) Berobat Jalan
139 10:14 infection, unspecified
008509050221P000 18-02-2021 Contraceptive
246 02-11-2021 0001514059773 SOPIAH P PBI (APBD) Berobat Jalan
145 10:24 management
Burns classified according
008509050221P000 18-02-2021 PEGAWAI
247 02-11-2021 0001595740509 INDRA KUSMONO L to extent of body surface Berobat Jalan
142 10:22 SWASTA
involved
008509050221P000 11-02-2021 PEKERJA Insulin-dependent Diabetes Diabetes
248 02-11-2021 0001860713245 maryatun P Berobat Jalan
089 09:51 MANDIRI diabetes mellitus Mellitus Mellitus
008509050221P000 18-02-2021
249 02-11-2021 0002670537036 TUTI MARLIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
143 10:22
Need for immunization
008509050221P000 18-02-2021
250 02-11-2021 0002670537453 SUCI UTARI P PBI (APBD) against single bacterial Berobat Jalan
141 10:21
diseases
008509050221P000 11-02-2021 Essential (primary)
251 02-11-2021 0002670540849 ELY YANA P PBI (APBD) Berobat Jalan Hipertensi Hipertensi
090 09:53 hypertension
008509050221P000 21-02-2021 Acute upper respiratory
252 02-11-2021 0002670543011 PATMA P PBI (APBD) Berobat Jalan
257 12:28 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 21-02-2021
253 02-11-2021 0002670548927 AZIMI FITRIA P PBI (APBD) Cough Berobat Jalan
256 12:26
008509050221P000 21-02-2021
254 02-11-2021 0002670554428 LASTRI IPO P PBI (APBD) Other dermatitis Berobat Jalan
254 12:23
008509050221P000 18-02-2021 Essential (primary)
255 02-11-2021 0002670554799 ASRI L PBI (APBD) Berobat Jalan
147 10:25 hypertension
Respiratory tuberculosis,
008509050221P000 18-02-2021
256 02-11-2021 0002670560155 RUMYALIS P PBI (APBD) bacteriologically and Berobat Jalan
148 10:26
histologically confirmed
008509050221P000 18-02-2021
257 02-11-2021 0002670570022 INA HERLINA P PBI (APBD) Gastritis, unspecified Berobat Jalan
144 10:23
008509050221P000 18-02-2021 Non-insulin-dependent
258 02-10-2021 0000168103225 LAMYATI P PNS DAERAH Berobat Jalan
131 10:08 diabetes mellitus
008509050221P000 10-02-2021 Calculus of gallbladder
259 02-10-2021 0000310457362 ERNI P PBI (APBN) Rujuk Vertikal
071 09:57 with other cholecystitis
008509050221P000 21-02-2021 Acute upper respiratory
260 02-10-2021 0000310571392 MARDIANA P PBI (APBN) Berobat Jalan
263 12:47 infection, unspecified
008509050221P000 18-02-2021 Acute upper respiratory
261 02-10-2021 0000311085696 FATIMAH P PBI (APBN) Berobat Jalan
134 10:09 infection, unspecified
008509050221P000 18-02-2021 Non-insulin-dependent
262 02-10-2021 0000311174245 DARMANTO L PBI (APBD) Berobat Jalan
129 10:06 diabetes mellitus
008509050221P000 18-02-2021
263 02-10-2021 0000311429496 AHMAD SAYUTI L PBI (APBN) Myalgia Berobat Jalan
133 10:09
Need for immunization
008509050221P000 18-02-2021
264 02-10-2021 0000990344902 ERIN PUSPITA SARI P PBI (APBN) against single bacterial Berobat Jalan
138 10:12
diseases
008509050221P000 18-02-2021
265 02-10-2021 0000990346072 DIDI PETET L PBI (APBN) Acute pharyngitis Berobat Jalan
132 10:08
008509050221P000 21-02-2021 Exanthematic febrile
266 02-10-2021 0001513984836 SONETA P PBI (APBD) Berobat Jalan
262 12:46 disease (MEXICO)
008509050221P000 21-02-2021
267 02-10-2021 0001513984961 MARTINI P PBI (APBD) Gastritis, unspecified Berobat Jalan
265 12:54
008509050221P000 10-02-2021 Delivery by elective
268 02-10-2021 0001514062326 ICE TRISNAWATI P PBI (APBD) Rujuk Vertikal
070 09:40 caesarean section
008509050221P000 18-02-2021 Essential (primary)
269 02-10-2021 0001514072103 MEKI HARYONO L PBI (APBD) Berobat Jalan
135 10:10 hypertension
Need for immunization
008509050221P000 18-02-2021 PEGAWAI
270 02-10-2021 0001598151778 DEPI SUPRIADI L against single bacterial Berobat Jalan
137 10:12 SWASTA
diseases
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 10-02-2021 PEGAWAI

271 02-10-2021 0001792305426 BENARDO L Myopia Rujuk Vertikal
069 09:11 SWASTA
008509050221P000 10-02-2021 PEKERJA Non-insulin-dependent Diabetes Diabetes
272 02-10-2021 0002419570787 HAYATI P Rujuk Vertikal
068 08:59 MANDIRI diabetes mellitus Mellitus Mellitus
008509050221P000 18-02-2021 Essential (primary)
273 02-10-2021 0002670397209 SAMSIA P PBI (APBD) Berobat Jalan
130 10:07 hypertension
008509050221P000 18-02-2021 Contraceptive
274 02-10-2021 0002670546431 LISA SAFITRI P PBI (APBD) Berobat Jalan
128 10:05 management
008509050221P000 21-02-2021
275 02-10-2021 0002670552123 HERMAWATI P PBI (APBD) Myalgia Berobat Jalan
260 12:42
008509050221P000 18-02-2021 Essential (primary)
276 02-10-2021 0002670553214 YAUMA P PBI (APBD) Berobat Jalan
136 10:11 hypertension
008509050221P000 21-02-2021
277 02-10-2021 0002670554428 LASTRI IPO P PBI (APBD) Allergic contact dermatitis Berobat Jalan
264 12:50
008509050221P000 21-02-2021
278 02-10-2021 0002670561134 WELI NIKA P PBI (APBD) Rheumatism, unspecified Berobat Jalan
259 12:35
008509050221P000 21-02-2021 Essential (primary)
279 02-10-2021 0002670565059 KONENG AYA P PBI (APBD) Berobat Jalan
261 12:43 hypertension
008509050221P000 21-02-2021
280 02-10-2021 0002670568492 RUSMALA EMY P PBI (APBD) Gastritis, unspecified Berobat Jalan
258 12:33
008509050221P000 21-02-2021 Essential (primary)
281 02-09-2021 0000309862989 RAUDOH P PBI (APBD) Berobat Jalan
270 13:09 hypertension
008509050221P000 18-02-2021
282 02-09-2021 0000310088068 MINARNI YUNITA P PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi
120 09:55
008509050221P000 21-02-2021
283 02-09-2021 0000310305014 JAUYA P PBI (APBN) Gastritis, unspecified Berobat Jalan
271 13:11
008509050221P000 21-02-2021
284 02-09-2021 0000310346853 LUKMAN NOER APRIZAL L PBI (APBN) Cough Berobat Jalan
268 13:04
008509050221P000 21-02-2021 Exanthematic febrile
285 02-09-2021 0000310346886 ROBI ZIKRILAH L PBI (APBN) Berobat Jalan
267 13:02 disease (MEXICO)
008509050221P000 21-02-2021 Acute upper respiratory
286 02-09-2021 0000311073333 M. SUPIAN L PBI (APBN) Berobat Jalan
269 13:06 infection, unspecified
008509050221P000 18-02-2021
287 02-09-2021 0000311093008 RUKIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
117 09:52
008509050221P000 18-02-2021
288 02-09-2021 0000311093065 KURNANDES L PBI (APBN) Allergic contact dermatitis Berobat Jalan
119 09:54
008509050221P000 21-02-2021 Stomatitis and related
289 02-09-2021 0000990344632 SUWITO L PBI (APBN) Berobat Jalan
266 13:01 lesions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 21-02-2021
290 02-09-2021 0000990344643 SUMARSIH P PBI (APBN) Allergic contact dermatitis Berobat Jalan
275 13:20
008509050221P000 21-02-2021
291 02-09-2021 0000990344711 SUDIRMAN L PBI (APBN) Pulpitis Berobat Jalan
274 13:18
008509050221P000 21-02-2021
292 02-09-2021 0000990344722 MINARSI P PBI (APBN) Gastritis, unspecified Berobat Jalan
273 13:17
008509050221P000 18-02-2021
293 02-09-2021 0001513989459 JONI SAPUTRA L PBI (APBD) Myalgia Berobat Jalan
126 10:02
General examination and
008509050221P000 18-02-2021 investigation of persons
294 02-09-2021 0001514003995 RUSTA LESTARI P PBI (APBN) Berobat Jalan
122 10:00 without complaint and
reported diagnosis
008509050221P000 18-02-2021 Essential (primary)
295 02-09-2021 0001514013377 MARYANI P PBI (APBD) Berobat Jalan Hipertensi
123 10:00 hypertension
008509050221P000 18-02-2021 Essential (primary)
296 02-09-2021 0001514051605 USLAN L PBI (APBD) Berobat Jalan
124 10:01 hypertension
Burns classified according
008509050221P000 18-02-2021 PEGAWAI
297 02-09-2021 0001595740509 INDRA KUSMONO L to extent of body surface Berobat Jalan
118 09:53 SWASTA
involved
Respiratory tuberculosis,
008509050221P000 18-02-2021
298 02-09-2021 0002480353885 burso L PBI (APBN) bacteriologically and Berobat Jalan
121 09:55
histologically confirmed
Respiratory tuberculosis,
008509050221P000 18-02-2021 PEGAWAI
299 02-09-2021 0002490421342 WIDIAWATI P bacteriologically and Berobat Jalan
127 10:03 SWASTA
histologically confirmed
008509050221P000 21-02-2021
300 02-09-2021 0002670538015 NONSIA P PBI (APBD) Rheumatism, unspecified Berobat Jalan
272 13:13
008509050221P000 18-02-2021
301 02-09-2021 0002670549557 SAWIRAN L PBI (APBD) Other dermatitis Berobat Jalan
125 10:02
008509050221P000 08-02-2021
302 02-08-2021 0000310087361 MARGA L PBI (APBN) Rheumatism, unspecified Berobat Jalan
059 15:54
008509050221P000 08-02-2021 Essential (primary)
303 02-08-2021 0000310107082 NURLAILI P PBI (APBN) Berobat Jalan
062 18:40 hypertension
008509050221P000 18-02-2021
304 02-08-2021 0000310456686 SAWALINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
113 09:50
008509050221P000 10-02-2021
305 02-08-2021 0000310632399 ISTI HANA P PBI (APBN) Myalgia Berobat Jalan
075 10:59
008509050221P000 10-02-2021
306 02-08-2021 0000310639127 KARSIAH P PBI (APBN) Rheumatism, unspecified Berobat Jalan
076 11:01
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 08-02-2021 Chronic gastritis,

307 02-08-2021 0000311157641 NURSIDA P PBI (APBN) Rujuk Vertikal
037 09:56 unspecified
008509050221P000 18-02-2021 Acute upper respiratory
308 02-08-2021 0000311414995 SUMARNI P PBI (APBN) Berobat Jalan
112 09:49 infection, unspecified
008509050221P000 08-02-2021 Essential (primary)
309 02-08-2021 0000990345868 RUBANI L PBI (APBN) Berobat Jalan
064 20:38 hypertension
008509050221P000 08-02-2021
310 02-08-2021 0000990345969 ANIK L PBI (APBN) Myalgia Berobat Jalan
063 19:50
008509050221P000 10-02-2021
311 02-08-2021 0000990345982 ISKI ZALIMAN L PBI (APBN) Other dermatitis Berobat Jalan
073 10:57
008509050221P000 09-02-2021
312 02-08-2021 0000990346329 SAMIA P PBI (APBN) Pulpitis Berobat Jalan
066 09:17
008509050221P000 10-02-2021
313 02-08-2021 0000990346375 HARTOYON L PBI (APBN) Allergic contact dermatitis Berobat Jalan
072 10:55
008509050221P000 18-02-2021
314 02-08-2021 0000990349705 HAYUNA P PBI (APBN) Urticaria Berobat Jalan
110 09:47
008509050221P000 18-02-2021 PEGAWAI
315 02-08-2021 0001595740509 INDRA KUSMONO L Allergic contact dermatitis Berobat Jalan
109 09:46 SWASTA
008509050221P000 08-02-2021 PEKERJA
316 02-08-2021 0002197912206 SOMA P Congestive heart failure Rujuk Vertikal Hipertensi Hipertensi
042 14:12 MANDIRI
008509050221P000 10-02-2021 PEKERJA
317 02-08-2021 0002482942926 MARLINA P Pulpitis Berobat Jalan
074 10:58 MANDIRI
008509050221P000 18-02-2021 PEKERJA
318 02-08-2021 0002614925529 SAINONA P Asthma Berobat Jalan
111 09:48 MANDIRI
008509050221P000 18-02-2021 Acute upper respiratory
319 02-08-2021 0002670534527 BAKRI L PBI (APBD) Berobat Jalan
114 09:50 infection, unspecified
008509050221P000 18-02-2021
320 02-08-2021 0002670536259 SAIPUL L PBI (APBD) Schizophrenia Berobat Jalan
108 09:46
008509050221P000 09-02-2021
321 02-08-2021 0002670539725 MARLIA P PBI (APBD) Pulpitis Berobat Jalan
065 09:06
008509050221P000 08-02-2021
322 02-08-2021 0002670544618 KARYAWATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
060 15:56
008509050221P000 08-02-2021 Acute upper respiratory
323 02-08-2021 0002670551706 SITI AMNA P PBI (APBD) Berobat Jalan
061 18:39 infection, unspecified
008509050221P000 09-02-2021
324 02-08-2021 0002670567118 IRAWATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
067 09:42
008509050221P000 18-02-2021
325 02-08-2021 0002741490472 SYARIPUDIN L PBI (APBD) Myalgia Berobat Jalan
115 09:51
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 18-02-2021 Essential (primary)

326 02-08-2021 0002741490606 MURDIA P PBI (APBD) Berobat Jalan Hipertensi
116 09:51 hypertension
008509050221P000 18-02-2021 Essential (primary)
327 02-05-2021 0000028812846 ERLAN MERIOSA L PNS DAERAH Berobat Jalan Hipertensi Hipertensi
104 09:43 hypertension
008509050221P000 23-02-2021
328 02-05-2021 0000309615581 NUR AINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
364 19:39
008509050221P000 23-02-2021 Essential (primary)
329 02-05-2021 0000309619776 ALI USMAN L PBI (APBN) Berobat Jalan Hipertensi
361 19:37 hypertension
008509050221P000 23-02-2021
330 02-05-2021 0000309620316 YAMNA P PBI (APBN) Cough Berobat Jalan
363 19:38
008509050221P000 23-02-2021
331 02-05-2021 0000309628157 M. LEKAT L PBI (APBN) Other dermatitis Berobat Jalan
362 19:38
008509050221P000 23-02-2021 Acute upper respiratory
332 02-05-2021 0000309642017 ELY KUSMIRAN P PBI (APBN) Berobat Jalan
359 19:36 infection, unspecified
008509050221P000 10-02-2021
333 02-05-2021 0000310143104 ROGAYA P PBI (APBN) Rheumatism, unspecified Berobat Jalan
082 11:15
008509050221P000 10-02-2021 Acute upper respiratory
334 02-05-2021 0000310143677 ROHIBA P PBI (APBN) Berobat Jalan
081 11:14 infection, unspecified
008509050221P000 05-02-2021 Essential (primary)
335 02-05-2021 0000310447653 SARTI P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
029 10:06 hypertension
008509050221P000 05-02-2021
336 02-05-2021 0000310589482 MUHAMMAD ARIL L PBI (APBN) Epilepsy Berobat Jalan
030 10:44
008509050221P000 10-02-2021
337 02-05-2021 0000310632399 ISTI HANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
079 11:11
008509050221P000 10-02-2021
338 02-05-2021 0000310635088 HELEN SUKMA P PBI (APBN) Pulpitis Berobat Jalan
078 11:09
008509050221P000 10-02-2021 Exanthematic febrile
339 02-05-2021 0000311148933 RONATUL P PBI (APBN) Berobat Jalan
077 11:08 disease (MEXICO)
008509050221P000 23-02-2021 Acute upper respiratory
340 02-05-2021 0000311165886 MEGI L PBI (APBN) Berobat Jalan
358 19:35 infection, unspecified
008509050221P000 18-02-2021 Exanthematic febrile
341 02-05-2021 0000311252512 DARIYANA P PBI (APBN) Berobat Jalan
107 09:44 disease (MEXICO)
008509050221P000 23-02-2021
342 02-05-2021 0000311271783 HOTISA P PBI (APBN) Gastritis, unspecified Berobat Jalan
360 19:37
Examination and
008509050221P000 18-02-2021 OKTA MAHAR DIKA
343 02-05-2021 0000990349075 L PBI (APBN) encounter for Berobat Jalan
103 09:42 PANGESTU
administrative purposes
008509050221P000 18-02-2021 Essential (primary)
344 02-05-2021 0001514106268 BAMBANG IRWANTO L PBI (APBD) Berobat Jalan
105 09:43 hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 23-02-2021 Acute upper respiratory

345 02-05-2021 0002670552336 LENDRI L PBI (APBD) Berobat Jalan
357 19:35 infection, unspecified
008509050221P000 23-02-2021
346 02-05-2021 0002670559143 INDAH MURNI P PBI (APBN) Gastritis, unspecified Berobat Jalan
356 19:34
008509050221P000 10-02-2021
347 02-05-2021 0002670559582 MARIAM P PBI (APBD) Allergic contact dermatitis Berobat Jalan
080 11:12
008509050221P000 21-02-2021 Exanthematic febrile
348 02-05-2021 0002670562596 LIA ANDRIANI P PBI (APBD) Berobat Jalan
284 15:06 disease (MEXICO)
Examination and
008509050221P000 18-02-2021 MUHAMMAD WAHID
349 02-05-2021 0002833236797 L PBI (APBN) encounter for Berobat Jalan
106 09:44 ALLIMI
administrative purposes
008509050221P000 23-02-2021 Acute upper respiratory
350 02-04-2021 0000309597581 ANDIKA ARYANSYAH L PBI (APBN) Berobat Jalan
293 08:09 infection, unspecified
008509050221P000 21-02-2021
351 02-04-2021 0000309607119 SUPIA P PBI (APBN) Gastritis, unspecified Berobat Jalan
286 19:33
008509050221P000 21-02-2021 Acute upper respiratory
352 02-04-2021 0000309622757 FITRIA P PBI (APBN) Berobat Jalan
285 19:30 infection, unspecified
008509050221P000 21-02-2021
353 02-04-2021 0000309635346 MIRNA WATI P PBI (APBN) Pulpitis Berobat Jalan
288 19:43
PEGAWAI
PEMERINTAH
008509050221P000 23-02-2021
354 02-04-2021 0000309638845 MULYADI L DENGAN Myalgia Berobat Jalan
294 08:10
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
008509050221P000 21-02-2021 MUHAMAD IRZAN AL
355 02-04-2021 0000309639947 L DENGAN Cough Berobat Jalan
287 19:38 HAFIZH
PERJANJIAN
KERJA
008509050221P000 18-02-2021 Acute nasopharyngitis
356 02-04-2021 0000310084885 NUR ASIYA P PBI (APBN) Berobat Jalan
099 09:39 [common cold]
008509050221P000 18-02-2021
357 02-04-2021 0000310462187 MARPUAH P PBI (APBN) Acute tonsillitis Berobat Jalan
102 09:41
008509050221P000 23-02-2021
358 02-04-2021 0000310611677 SITI ISNAINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
298 08:13
008509050221P000 18-02-2021 Stomatitis and related
359 02-04-2021 0000310639127 KARSIAH P PBI (APBN) Berobat Jalan
096 09:35 lesions
008509050221P000 23-02-2021 Acute upper respiratory
360 02-04-2021 0000311057919 IBNU HAJAR L PBI (APBN) Berobat Jalan
299 08:14 infection, unspecified
008509050221P000 23-02-2021
361 02-04-2021 0000311058112 DARMA P PBI (APBN) Pulpitis Berobat Jalan
303 08:19
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 23-02-2021
362 02-04-2021 0000311059001 AZUAR L PBI (APBN) Gastritis, unspecified Berobat Jalan
300 08:16
Examination and
008509050221P000 23-02-2021
363 02-04-2021 0000311060261 RUMIANI P PBI (APBN) encounter for Berobat Jalan
302 08:18
administrative purposes
008509050221P000 23-02-2021 Acute nasopharyngitis
364 02-04-2021 0000311061936 MEILAN SAPUTRA L PBI (APBN) Berobat Jalan
301 08:16 [common cold]
008509050221P000 23-02-2021
365 02-04-2021 0000311062645 ARLI L PBI (APBN) Other dermatitis Berobat Jalan
304 08:20
008509050221P000 23-02-2021 Exanthematic febrile
366 02-04-2021 0000311063556 RONA PITASARI P PBI (APBN) Berobat Jalan
305 08:22 disease (MEXICO)
008509050221P000 23-02-2021 Exanthematic febrile
367 02-04-2021 0000311216861 MEGA APRILIA P PBI (APBN) Berobat Jalan
292 08:08 disease (MEXICO)
008509050221P000 23-02-2021
368 02-04-2021 0000311270826 PATMA WITA P PBI (APBN) Allergic contact dermatitis Berobat Jalan
291 08:07
008509050221P000 23-02-2021 Essential (primary)
369 02-04-2021 0000990348704 SAINA P PBI (APBN) Berobat Jalan
297 08:13 hypertension
008509050221P000 23-02-2021
370 02-04-2021 0000990348715 RATNA P PBI (APBN) Gastritis, unspecified Berobat Jalan
296 08:12
008509050221P000 23-02-2021
371 02-04-2021 0000990348726 SUHARDI L PBI (APBN) Rheumatism, unspecified Berobat Jalan
295 08:11
008509050221P000 04-02-2021
372 02-04-2021 0001854098706 cik ona P PNS DAERAH Asthma, unspecified Berobat Jalan Hipertensi
028 13:43

Diarrhoea and
008509050221P000 21-02-2021
373 02-04-2021 0002118997675 RISKA AMELIA P PBI (APBN) gastroenteritis of Berobat Jalan
289 19:47
presumed infectious origin

008509050221P000 18-02-2021
374 02-04-2021 0002480354291 NURWANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
101 09:40
008509050221P000 18-02-2021 PEKERJA Acute upper respiratory
375 02-04-2021 0002482943027 DWI MURNI LESTARI P Berobat Jalan
098 09:38 MANDIRI infection, unspecified
008509050221P000 18-02-2021 Essential (primary)
376 02-04-2021 0002670551706 SITI AMNA P PBI (APBD) Berobat Jalan
097 09:37 hypertension
008509050221P000 18-02-2021 Exanthematic febrile
377 02-04-2021 0002670552189 M. DWI KARUNIA PUTRA L PBI (APBD) Berobat Jalan
100 09:39 disease (MEXICO)
008509050221P000 23-02-2021 PENERIMA Hypertensive heart
378 02-03-2021 0000028903511 SISWANDI L Berobat Jalan
390 20:21 PENSIUN PNS disease
008509050221P000 08-02-2021 Acute upper respiratory
379 02-03-2021 0000309596602 ZULKOFLI L PBI (APBN) Berobat Jalan
051 14:33 infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 08-02-2021 Stomatitis and related

380 02-03-2021 0000309597581 ANDIKA ARYANSYAH L PBI (APBN) Berobat Jalan
053 14:36 lesions
008509050221P000 08-02-2021 Essential (primary)
381 02-03-2021 0000309619776 ALI USMAN L PBI (APBN) Berobat Jalan Hipertensi
048 14:27 hypertension
008509050221P000 08-02-2021
382 02-03-2021 0000309633131 NASITA P PBI (APBN) Pulpitis Berobat Jalan
046 14:23
008509050221P000 08-02-2021
383 02-03-2021 0000309643683 KUSNAWATI P PBI (APBN) Myalgia Berobat Jalan
054 14:39
008509050221P000 23-02-2021
384 02-03-2021 0000309963497 HANITA P PBI (APBN) Acute pharyngitis Berobat Jalan
387 20:19
008509050221P000 23-02-2021
385 02-03-2021 0000310345637 IMAM ANDAWI L PBI (APBN) Schizophrenia Berobat Jalan
388 20:20
008509050221P000 23-02-2021
386 02-03-2021 0000310429697 RUSNAINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
380 20:07
Need for immunization
008509050221P000 23-02-2021 DINDA AYU MAMBANG
387 02-03-2021 0000310431677 P PBI (APBN) against single bacterial Berobat Jalan
385 20:16 LIDURI
diseases
008509050221P000 08-02-2021
388 02-03-2021 0000310442703 AISA NETA P PBI (APBN) Gastritis, unspecified Berobat Jalan
040 13:29
008509050221P000 23-02-2021
389 02-03-2021 0000310641917 DINA ALITA P PBI (APBN) Atopic dermatitis Berobat Jalan
394 20:26
008509050221P000 23-02-2021
390 02-03-2021 0000311033913 ILMI P PBI (APBN) Myalgia Berobat Jalan
389 20:20
008509050221P000 23-02-2021 Unspecified nonorganic
391 02-03-2021 0000311079778 DAHILI L PBI (APBN) Berobat Jalan
378 19:59 psychosis
008509050221P000 08-02-2021 Acute upper respiratory
392 02-03-2021 0000311270826 PATMA WITA P PBI (APBN) Berobat Jalan
049 14:29 infection, unspecified
008509050221P000 08-02-2021 Exanthematic febrile
393 02-03-2021 0000311271636 FAUZIA P PBI (APBN) Berobat Jalan
050 14:32 disease (MEXICO)
008509050221P000 08-02-2021 Essential (primary)
394 02-03-2021 0000311271783 HOTISA P PBI (APBN) Berobat Jalan
047 14:25 hypertension
008509050221P000 08-02-2021 Acute upper respiratory
395 02-03-2021 0000990346072 DIDI PETET L PBI (APBN) Berobat Jalan
041 13:34 infection, unspecified
008509050221P000 08-02-2021
396 02-03-2021 0000990346397 SUKIMAN L PBI (APBN) Cough Berobat Jalan
055 14:41
008509050221P000 23-02-2021
397 02-03-2021 0001510059328 KUMALA TUTI P PBI (APBD) Vertigo of central origin Berobat Jalan
391 20:23
008509050221P000 23-02-2021 PEGAWAI
398 02-03-2021 0001510731134 Tomi Suhendra L Otitis externa Berobat Jalan
375 19:55 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 03-02-2021 Cerebral infarction,

399 02-03-2021 0001513989742 SUPARNI P PBI (APBN) Berobat Jalan
027 09:48 unspecified
008509050221P000 23-02-2021 Essential (primary)
400 02-03-2021 0001514004041 KOMAR L PBI (APBD) Berobat Jalan
386 20:18 hypertension
008509050221P000 23-02-2021 Exanthematic febrile
401 02-03-2021 0001514022243 CIK AGUS L PBI (APBD) Berobat Jalan
393 20:25 disease (MEXICO)
008509050221P000 23-02-2021 Insulin-dependent
402 02-03-2021 0001514029825 AMYA P PBI (APBD) Berobat Jalan
392 20:24 diabetes mellitus
008509050221P000 08-02-2021 Exanthematic febrile
403 02-03-2021 0002118997675 RISKA AMELIA P PBI (APBN) Berobat Jalan
052 14:35 disease (MEXICO)
Respiratory tuberculosis,
008509050221P000 23-02-2021
404 02-03-2021 0002480353885 burso L PBI (APBN) bacteriologically and Berobat Jalan
379 20:00
histologically confirmed
008509050221P000 08-02-2021 PEKERJA
405 02-03-2021 0002482942926 MARLINA P Gastritis, unspecified Berobat Jalan
056 14:42 MANDIRI
008509050221P000 08-02-2021 Essential (primary)
406 02-03-2021 0002483254258 ROZI L PBI (APBD) Berobat Jalan
039 13:28 hypertension
008509050221P000 23-02-2021 PEGAWAI Supervision of normal
407 02-03-2021 0002500889837 AYU SUSANTI P Berobat Jalan
381 20:09 SWASTA pregnancy, unspecified
008509050221P000 08-02-2021
408 02-03-2021 0002631109948 ARTUNA P PBI (APBN) Gastritis, unspecified Berobat Jalan
045 14:20
008509050221P000 08-02-2021 PEGAWAI Exanthematic febrile
409 02-03-2021 0002635996037 EKA MUSTIKA P Berobat Jalan
044 14:19 SWASTA disease (MEXICO)
008509050221P000 23-02-2021 Acute upper respiratory
410 02-03-2021 0002670540118 AKIF ADHYASTHA L PBI (APBD) Berobat Jalan
382 20:10 infection, unspecified
008509050221P000 08-02-2021
411 02-03-2021 0002670543011 PATMA P PBI (APBD) Gastritis, unspecified Berobat Jalan
058 14:46
008509050221P000 08-02-2021
412 02-03-2021 0002670548927 AZIMI FITRIA P PBI (APBD) Cough Berobat Jalan
057 14:43
008509050221P000 23-02-2021 Essential (primary)
413 02-03-2021 0002670550334 SARIMAN L PBI (APBD) Berobat Jalan
376 19:55 hypertension
008509050221P000 23-02-2021 Exanthematic febrile
414 02-03-2021 0002670554575 FIYA AKHBAR SALSABILA L PBI (APBD) Berobat Jalan
377 19:59 disease (MEXICO)
008509050221P000 23-02-2021 Unspecified nonorganic
415 02-03-2021 0002670554867 NURAINI P PBI (APBD) Berobat Jalan
383 20:11 psychosis
008509050221P000 08-02-2021 Essential (primary)
416 02-03-2021 0002742635259 MATZEN L PBI (APBN) Berobat Jalan
043 14:17 hypertension
008509050221P000 23-02-2021
417 02-03-2021 0003054652672 SAFANA AURIZA P PBI (APBD) Cough Berobat Jalan
384 20:14
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 23-02-2021
418 02-02-2021 0000310070136 PITRIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
368 19:45
008509050221P000 02-02-2021 Essential (primary)
419 02-02-2021 0000310342375 SUKARNO L PBI (APBN) Berobat Jalan
019 23:37 hypertension
008509050221P000 02-02-2021
420 02-02-2021 0000310344851 RAMDANAH P PBI (APBN) Pulpitis Berobat Jalan
017 23:35
008509050221P000 02-02-2021 Exanthematic febrile
421 02-02-2021 0000310346111 ELIAS EPENDI L PBI (APBN) Berobat Jalan
018 23:36 disease (MEXICO)
008509050221P000 02-02-2021
422 02-02-2021 0000310429697 RUSNAINI P PBI (APBN) Myalgia Berobat Jalan
026 23:47
008509050221P000 23-02-2021 Unspecified nonorganic
423 02-02-2021 0000310572652 AYU ASHARI P PBI (APBN) Berobat Jalan
371 19:48 psychosis
008509050221P000 02-02-2021
424 02-02-2021 0000311214824 MAINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
024 23:45
008509050221P000 02-02-2021
425 02-02-2021 0000311482811 SUNASI P PBI (APBN) Pulpitis Berobat Jalan
025 23:46
008509050221P000 02-02-2021 Acute upper respiratory
426 02-02-2021 0000990344621 WAHYUNI ANGGRAINI P PBI (APBN) Berobat Jalan
016 23:33 infection, unspecified
008509050221P000 02-02-2021
427 02-02-2021 0000990344643 SUMARSIH P PBI (APBN) Rheumatism, unspecified Berobat Jalan
023 23:44
008509050221P000 02-02-2021
428 02-02-2021 0000990344676 RUSLAN L PBI (APBN) Myalgia Berobat Jalan
022 23:43
008509050221P000 02-02-2021
429 02-02-2021 0000990344687 RUSNITA P PBI (APBN) Cough Berobat Jalan
021 23:41
008509050221P000 02-02-2021 Acute upper respiratory
430 02-02-2021 0000990344698 MUHAMAT ROSSADI L PBI (APBN) Berobat Jalan
020 23:39 infection, unspecified
008509050221P000 23-02-2021 Typhoid and paratyphoid
431 02-02-2021 0001510065459 JAYAK EPENDI L PBI (APBD) Berobat Jalan
370 19:47 fevers
PEGAWAI
PEMERINTAH
008509050221P000 02-02-2021 Acute appendicitis with
432 02-02-2021 0002254780552 KHAIRANI AZIZAH P DENGAN Rujuk Vertikal
006 11:48 generalized peritonitis
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
008509050221P000 02-02-2021 Acute lymphadenitis of
433 02-02-2021 0002254781632 MURSIDA P DENGAN Rujuk Vertikal
003 09:11 face, head and neck
PERJANJIAN
KERJA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

PEGAWAI
PEMERINTAH
008509050221P000 08-02-2021 Essential (primary)
434 02-02-2021 0002274013214 SUMIATI P DENGAN Berobat Jalan
038 13:26 hypertension
PERJANJIAN
KERJA
008509050221P000 02-02-2021
435 02-02-2021 0002318821525 JAGA PARABUDITA P PBI (APBN) Asthma Berobat Jalan
005 11:02
008509050221P000 23-02-2021 PEKERJA
436 02-02-2021 0002376109451 ROKOYAH P Gastritis, unspecified Berobat Jalan
369 19:46 MANDIRI
008509050221P000 23-02-2021
437 02-02-2021 0002453908184 ADNAN L PBI (APBD) Myalgia Berobat Jalan
374 19:51
008509050221P000 02-02-2021 Insulin-dependent Diabetes Diabetes
438 02-02-2021 0002466794013 NURLELA P PBI (APBD) Berobat Jalan
004 10:54 diabetes mellitus Mellitus Mellitus
008509050221P000 23-02-2021 Essential (primary)
439 02-02-2021 0002670554799 ASRI L PBI (APBD) Berobat Jalan
372 19:49 hypertension
008509050221P000 23-02-2021 Acute upper respiratory
440 02-02-2021 0002670555453 MUYANA P PBI (APBD) Berobat Jalan
373 19:50 infection, unspecified
008509050221P000 23-02-2021
441 02-02-2021 0002670567761 NURHAYATI P PBI (APBD) Gastritis, unspecified Berobat Jalan
367 19:44
008509050221P000 01-02-2021 Low back pain, thoracic
442 02-01-2021 0000029122525 WASNA P PNS DAERAH Rujuk Vertikal Hipertensi
002 12:06 region
008509050221P000 07-02-2021
443 02-01-2021 0000310130526 HABIBI L PBI (APBN) Schizophrenia Berobat Jalan
033 13:31
008509050221P000 02-02-2021
444 02-01-2021 0000310326074 SAIRUN L PBI (APBN) Pulpitis Berobat Jalan
008 23:17
008509050221P000 02-02-2021
445 02-01-2021 0000310326849 RAPITA P PBI (APBN) Gastritis, unspecified Berobat Jalan
007 19:49
008509050221P000 02-02-2021
446 02-01-2021 0000310328109 EMON L PBI (APBN) Gastritis, unspecified Berobat Jalan
009 23:19
008509050221P000 02-02-2021 Stomatitis and related
447 02-01-2021 0000310330708 DULJANI L PBI (APBN) Berobat Jalan
010 23:21 lesions
008509050221P000 02-02-2021 Essential (primary)
448 02-01-2021 0000310332251 RAWA IDA P PBI (APBN) Berobat Jalan Hipertensi
011 23:23 hypertension
008509050221P000 02-02-2021
449 02-01-2021 0000310334578 TUTIK P PBI (APBN) Rheumatism, unspecified Berobat Jalan
012 23:25
008509050221P000 02-02-2021 Exanthematic febrile
450 02-01-2021 0000310335333 SANTO L PBI (APBN) Berobat Jalan
013 23:26 disease (MEXICO)
008509050221P000 02-02-2021
451 02-01-2021 0000310336468 ENDI SUHENDI L PBI (APBN) Cough Berobat Jalan
014 23:28
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PRABUMULIH - 0604

FKTP : KELEKAR - 00850905

008509050221P000 02-02-2021 Acute upper respiratory

452 02-01-2021 0000310337054 SARTIYAH P PBI (APBN) Berobat Jalan
015 23:31 infection, unspecified
008509050221P000 01-02-2021 Fracture of thoracic
453 02-01-2021 0000310477645 LARA ARMANSYAH L PBI (APBN) Rujuk Vertikal
001 09:05 vertebra, closed
008509050221P000 10-02-2021
454 02-01-2021 0000311033913 ILMI P PBI (APBN) Gastritis, unspecified Berobat Jalan
083 12:11
008509050221P000 10-02-2021 Essential (primary) Diabetes Diabetes
455 02-01-2021 0000990348996 HERuSANSI P PBI (APBN) Berobat Jalan
087 12:32 hypertension Mellitus Mellitus
008509050221P000 07-02-2021 PEKERJA Essential (primary)
456 02-01-2021 0001479898574 SOLIHIN L Berobat Jalan
034 13:35 MANDIRI hypertension
Respiratory tuberculosis,
008509050221P000 07-02-2021
457 02-01-2021 0001514044642 SUHAILI L PBI (APBD) bacteriologically and Berobat Jalan
031 13:27
histologically confirmed
008509050221P000 10-02-2021
458 02-01-2021 0001806398842 mulyani P PBI (APBN) Gastritis, unspecified Berobat Jalan
088 12:34
008509050221P000 07-02-2021 Insulin-dependent Diabetes Diabetes
459 02-01-2021 0001982434691 YAMINA P PBI (APBD) Berobat Jalan
036 13:38 diabetes mellitus Mellitus Mellitus
008509050221P000 07-02-2021 PEKERJA Essential (primary)
460 02-01-2021 0002376109449 ASMAWI L Berobat Jalan
035 13:36 MANDIRI hypertension
008509050221P000 23-02-2021
461 02-01-2021 0002611388261 HERLITA P PBI (APBD) Gastritis, unspecified Berobat Jalan
365 19:41
008509050221P000 10-02-2021
462 02-01-2021 0002670541266 LEVINA AYU LESTARI P PBI (APBD) Other dermatitis Berobat Jalan
085 12:15
008509050221P000 10-02-2021
463 02-01-2021 0002670555587 MUHAMMAD FADILLA L PBI (APBD) Sleep disorders Berobat Jalan
086 12:18
008509050221P000 07-02-2021
464 02-01-2021 0002670556342 NURMA P PBI (APBD) Impacted cerumen Berobat Jalan
032 13:29
008509050221P000 23-02-2021
465 02-01-2021 0002670560155 RUMYALIS P PBI (APBD) Rheumatism, unspecified Berobat Jalan
366 19:42
008509050221P000 10-02-2021 Acute upper respiratory
466 02-01-2021 0002670567344 PAREL ATHA L PBI (APBN) Berobat Jalan
084 12:13 infection, unspecified