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Jenis Jenis

No. Tanggal Nama Pasien NIK NO RM Kelamin Alamat Umur Kunjungan No. Asuransi Diagnosa RS Tujuan Rujukan No. Rujukan BPJS

RSUD ASY-SYIFA' (PENYAKIT


1 2021-09-01 07HARIS YAHYA 5207080508680002 030735 L TEPAS 53 Thn 0LAMA 0003067940272 - Parkinson's disease (G20) - Essential (primary) hypertension (I10) DALAM) 230902030921Y000001
2 2021-09-01 08RATNA ARIANA 5207054505960001 050007 P SEMINAR SALIT 25 Thn 3LAMA 0001581075123 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
- Follow-up examination after other treatment for other conditions (Z09.8) - Senile cataract, unspecified
3 2021-09-01 08HJ.ZAITUN 5207054208650001 030484 P TEPAS 56 Thn 1LAMA 0000846157623 (H25.9) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000005
4 2021-09-01 09ZAINUDDIN 5207053112680005 010044 L DESA BERU 52 Thn 8LAMA 0000146653233 - Acute nasopharyngitis [common cold] (J00) - Essential (primary) hypertension (I10)
5 2021-09-01 09MUHAMMAD ISNAINI 5207050204860002 050198 L SEMINAR SALIT 35 Thn 4LAMA 0001581074335 - Acute nasopharyngitis [common cold] (J00)
- Follow-up examination after other treatment for other conditions (Z09.8) - Insulin-dependent diabetes RSUD ASY-SYIFA' (PENYAKIT
6 2021-09-01 13MARWATI 5207054405650002 030256 P TEPAS 56 Thn 3LAMA 0001962941883 mellitus (E10) DALAM) 230902030921Y000015
7 2021-09-01 13YUYUN HADIULANSARI 5207054612770001 030313 P TEPAS 43 Thn 8LAMA 0001787156076 - Acute nasopharyngitis [common cold] (J00)
RS H. L. MANAMBAI ABDUL
8 2021-09-01 14MAEZUN 5207055412680002 010022 P DESA BERU 52 Thn 8LAMA 0000146760715 - Cerebral infarction, unspecified (I63.9) - Essential (primary) hypertension (I10) KADIR (SARAF) 230902030921Y000017
9 2021-09-02 06SAHABUDDIN 5207050802690001 030242 L TEPAS 52 Thn 6LAMA 0001874076219 - Dyspepsia (K30)
- Non-insulin-dependent diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other
10 2021-09-02 07NURAINI 5207054712650002 021174 P SAPUGARA BREE 57 Thn 8LAMA 0001245848444 lipidaemias (E78)
11 2021-09-02 07NADIRA AULIA ZAHRA 010479 P DESA BERU 10 Thn 0LAMA 0000210438944 - Fever of other and unknown origin (R50)
12 2021-09-02 07ASRI EKA LESTARI 5207055204980001 030161 P TEPAS 23 Thn 4BARU 0001900825029 - Dermatitis, unspecified (L30.9)
13 2021-09-02 07ABDUL MAAD 5201080704780001 100537 L MEREMBU 43 Thn 4LAMA 0000829979831 - Acute nasopharyngitis [common cold] (J00)
14 2021-09-02 07MUHAMMAD JIHAD FURQHANA 5207050706080001 050188 L SEMINAR SALIT 13 Thn 2LAMA 0002213566424 - Bronchitis, not specified as acute or chronic (J40)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Disorders of
lipoprotein metabolism and other lipidaemias (E78) - Disorders of purine and pyrimidine metabolism RSUD ASY-SYIFA' (PENYAKIT
15 2021-09-02 08HJ. AMINAH 5207054206630001 030176 P TEPAS 58 Thn 3LAMA 0001278048519 (E79) DALAM) 230902030921Y000033
16 2021-09-02 08IDA MARWATI 5207057004770001 020061 P SAPUGARA BREE 33 Thn 3LAMA 0000844950082 - Acute nasopharyngitis [common cold] (J00)
17 2021-09-02 09YULIANI 5207056704790002 050326 P SEMINAR SALIT 42 Thn 4LAMA 0000846164766 - Asthma, unspecified (J45.9)
18 2021-09-02 09EDI PERBATA 5207050908820001 070017 L BANGKAT MONTE39 Thn 1LAMA 0000845882684 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
19 2021-09-02 10MU'MINATULLAH 5207025209820001 100539 P 38 Thn 1BARU 0002904582576 - Myalgia (M79.1)
20 2021-09-03 06NURHAYATI 5207055007710001 040549 P TEPAS SEPAKAT 50 Thn 1BARU 0001581232746 - Myalgia (M79.1)
21 2021-09-03 07FRISTYANASTY PUTRI 5207055902020001 010081 P DESA BERU 19 Thn 6LAMA 0000146655819 - Anxiety disorder, unspecified (F41.9) RSUD ASY-SYIFA' (JIWA) 230902030921Y000055
22 2021-09-03 07HALIMAH 5207055708730001 040417 P TEPAS 48 Thn 0LAMA 0001581234298 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
23 2021-09-03 08HAFSAH 5207014810780001 050480 P SEMINAR SALIT 42 Thn 1LAMA 0001292151824 - Calculus of kidney and ureter (N20)
24 2021-09-03 09M TOHRI 5207052905010003 080007 L LAMUNTET 20 Thn 3LAMA 0001579903942 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
25 2021-09-03 09AENON JARIAH 5207054404760002 010534 P DESA BERU 45 Thn 4LAMA 0000146765496 - Other soft tissue disorders, not elsewhere classified (M79)
26 2021-09-03 09ABDUL MAAD 5201080704780001 100537 L MEREMBU 43 Thn 4LAMA 0000829979831 - Acute nasopharyngitis [common cold] (J00)
27 2021-09-03 13AMIRUL MUKMININ 5207050602090001 010217 L DESA BERU 12 Thn 6LAMA 0002227675432 - Mucocele of salivary gland (K11.6) - Allergic contact dermatitis (L23) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000071
28 2021-09-03 13YULI AGUSTINI 5207056707870002 050074 P SEMINAR SALIT 34 Thn 1LAMA 0000207251561 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
29 2021-09-03 13AMYLIAN IHZA YUSRINA 010430 P DESA BERU 22 Thn 1LAMA 0001451821138 - Other general examinations (Z00.8)
30 2021-09-03 14NURHASANAH 5207057108720001 080121 P LAMUNTET 48 Thn 8LAMA 0000846298541 - Essential (primary) hypertension (I10)
31 2021-09-06 06ROSDIANA 5207057004680001 021029 P SAPUGARA BREE 53 Thn 4LAMA 0002113132296 - Non-insulin-dependent diabetes mellitus (E11)
32 2021-09-06 06SAHABUDDIN 5207050802690001 030242 L TEPAS 52 Thn 6LAMA 0001874076219 - Acute haemorrhagic gastritis (K29.0)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Essential RSUD ASY-SYIFA' (PENYAKIT
33 2021-09-06 07DRA. HAERANI 5201076301660004 030204 P TEPAS 56 Thn 8LAMA 0000144517689 (primary) hypertension (I10) - Dyspepsia (K30) DALAM) 230902030921Y000080
34 2021-09-06 07RAHMATULLAH 5207056405950001 010688 P DESA BERU 26 Thn 3LAMA 0001581044049 - Low back pain (M54.5) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000081
RSUD ASY-SYIFA' (PENYAKIT
35 2021-09-06 07PANCAWATI 5207054411740002 020097 P SAPUGARA BREE 46 Thn 1LAMA 0001581107185 - Issue of repeat prescription (Z76.0) - Insulin-dependent diabetes mellitus (E10) DALAM) 230902030921Y000082
36 2021-09-06 07NANANG ISWANDI 5207052707040001 020740 L SAPUGARA BREE 17 Thn 1LAMA 0000846520121 - Paranoid schizophrenia (F20.0)
- Follow-up examination after other treatment for other conditions (Z09.8) - Acute lymphadenitis of
37 2021-09-06 07SAHARMAN 5207050404640001 060187 L MOTENG 57 Thn 5BARU 0001436808644 upper limb (L04.2) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000085
- Follow-up examination after other treatment for other conditions (Z09.8) - Non-insulin-dependent RSUD ASY-SYIFA' (PENYAKIT
38 2021-09-06 07SUKARDI SULAIMAN 5207052407710001 010350 L DESA BERU 50 Thn 1LAMA 0001579901927 diabetes mellitus (E11) DALAM) 230902030921Y000092
39 2021-09-06 07ROBY RADIANTO 5207052711930001 040243 L TEPAS SEPAKAT 27 Thn 9LAMA 0001058205677 - Foreign body on external eye (T15)
40 2021-09-06 07HERIARIANTO 5207052008840002 020085 L SAPUGARA BREE 37 Thn 0LAMA 0002054841917 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
- Follow-up examination after other treatment for other conditions (Z09.8) - Non-insulin-dependent
diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Essential RSUD ASY-SYIFA' (PENYAKIT
41 2021-09-06 07RABITAH 5271036010680002 010033 P DESA BERU 52 Thn 1LAMA 0000144320837 (primary) hypertension (I10) DALAM) 230902030921Y000087
- Follow-up examination after other treatment for other conditions (Z09.8) - Acute lymphadenitis of
42 2021-09-06 08JUPRIADI 5207023112860012 020778 L SAPUGARA BREE 34 Thn 8BARU 0001581108489 upper limb (L04.2) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000093
- Follow-up examination after other treatment for other conditions (Z09.8) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
43 2021-09-06 08HJ.MARIYATUL 5207054406650007 040599 P TEPAS SEPAKAT 56 Thn 3LAMA 0001581233602 hypertension (I10) DALAM) 230902030921Y000094
44 2021-09-06 08HASNAWATI 5207054407700001 040581 P TEPAS SEPAKAT 51 Thn 2LAMA 0001846350707 - Cutaneous abscess, furuncle and carbuncle (L02) - Non-insulin-dependent diabetes mellitus (E11)
- Follow-up examination after other treatment for other conditions (Z09.8) - Insulin-dependent diabetes RSUD ASY-SYIFA' (PENYAKIT
45 2021-09-06 08SITI NUR 5207055012620001 020936 P SAPUGARA BREE 58 Thn 8LAMA 0002662755851 mellitus (E10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000095
46 2021-09-06 09WATIMAH 5207054805660001 010653 P DESA BERU 55 Thn 3LAMA 0001254575755 - Myalgia (M79.1) - Disorders of lipoprotein metabolism and other lipidaemias (E78)
- Issue of repeat prescription (Z76.0) - Essential (primary) hypertension (I10) - Disorders of lipoprotein RSUD ASY-SYIFA' (PENYAKIT
47 2021-09-06 09HJ.FATIMAH 5207054710640002 040767 P RARAK RONGIS 56 Thn 1LAMA 0001581235795 metabolism and other lipidaemias (E78) - Disorders of purine and pyrimidine metabolism (E79) DALAM) 230902030921Y000098
48 2021-09-06 09SUHASTI NUR SAPUTRI 3308025203930001 100010 P 28 Thn 5LAMA 0001298290465 - Nausea and vomiting (R11)
49 2021-09-06 09SHAFRAN FARID 5207051711140002 020177 L SAPUGARA BREE 6 Thn 9 LAMA 0001581105701 - Other atopic dermatitis (L20.8)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
50 2021-09-06 09KAHARUDDIN KASUM 5207051707640001 020032 L SAPUGARA BREE 57 Thn 2LAMA 0000846583659 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000102
- Issue of repeat prescription (Z76.0) - Insulin-dependent diabetes mellitus (E10) - Urinary tract infection, RSUD ASY-SYIFA' (PENYAKIT
51 2021-09-06 09MARWATI 5207054405650002 030256 P TEPAS 56 Thn 4LAMA 0001962941883 site not specified (N39.0) DALAM) 230902030921Y000103
52 2021-09-06 10MUHAMMAD GAZZA 5207051701110002 020117 L SAPUGARA BREE 10 Thn 7LAMA 0001581105699 - Atopic dermatitis, unspecified (L20.9)
53 2021-09-06 13SITI HAWA 5207055808760002 070147 P BANGKAT MONTE45 Thn 1LAMA 0000845911991 - Essential (primary) hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11)
54 2021-09-06 14ABDUL KARIM 5207052209650001 080011 L LAMUNTET 55 Thn 1LAMA 0002263931425 - Myalgia (M79.1)
RSUD ASY-SYIFA' (PENYAKIT
55 2021-09-07 06IRMA HAYANTI 5207056310890001 070020 P BANGKAT MONTE31 Thn 1LAMA 0002042095634 - Follow-up examination after other treatment for other conditions (Z09.8) - Asthma, unspecified (J45.9) DALAM) 230902030921Y000118
- Issue of repeat prescription (Z76.0) - Insulin-dependent diabetes mellitus (E10) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
56 2021-09-07 07SAMSIA 5207056010680002 020329 P SAPUGARA BREE 52 Thn 1LAMA 0002933598903 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000119
- Issue of repeat prescription (Z76.0) - Insulin-dependent diabetes mellitus (E10) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
57 2021-09-07 07FATIMAH 5207055609650001 040136 P TEPAS SEPAKAT 55 Thn 1LAMA 0001581168104 hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000120
RSUD ASY-SYIFA' (PENYAKIT
58 2021-09-07 07BINRI 5207054906670002 020787 P SAPUGARA BREE 54 Thn 3LAMA 0000845176599 - Issue of repeat prescription (Z76.0) - Essential (primary) hypertension (I10) DALAM) 230902030921Y000121
59 2021-09-07 08SABRI 5207051607790001 020574 L SAPUGARA BREE 42 Thn 1LAMA 0001581106476 - Disorders of lipoprotein metabolism and other lipidaemias (E78)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Essential
(primary) hypertension (I10) - Disorders of purine and pyrimidine metabolism (E79) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
60 2021-09-07 08HADIJA 5207055503650001 020570 P SAPUGARA BREE 56 Thn 5LAMA 0002245596219 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000125
61 2021-09-07 08NASRIWAN 5207054710650001 040054 P TEPAS SEPAKAT 55 Thn 1LAMA 0000146517816 - Myalgia (M79.1) - Non-insulin-dependent diabetes mellitus (E11)
62 2021-09-07 09SRINANI 5207054703650001 020101 P SAPUGARA BREE 56 Thn 6LAMA 0000845986307 - Essential (primary) hypertension (I10) - Gastritis, unspecified (K29.7)
- Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0) - Non-insulin-
63 2021-09-07 09HALIMAH 5207055708730001 040417 P TEPAS 48 Thn 0LAMA 0001581234298 dependent diabetes mellitus (E11)
64 2021-09-07 09MASITA 5207054408670001 021021 P SAPUGARA BREE 54 Thn 4BARU 0002114787813 - Myalgia (M79.1)
65 2021-09-07 13ALFA RANDEA OCTAVIARI 5207022010130003 030520 L TEPAS 7 Thn 10LAMA 0002109173837 - Allergic contact dermatitis (L23)
- Follow-up examination after other treatment for other conditions (Z09.8) - Non-insulin-dependent RSUD ASY-SYIFA' (PENYAKIT
66 2021-09-07 13ZAINUDDIN 5207051611630001 020570 L SAPUGARA BREE 57 Thn 9LAMA 0002245595815 diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000135
RSUD ASY-SYIFA' (PENYAKIT
67 2021-09-07 14SAREAH 5207054106690002 060056 P MOTENG 52 Thn 3LAMA 0002113587191 - Follow-up examination after other treatment for other conditions (Z09.8) - Asthma (J45) DALAM) 230902030921Y000139
68 2021-09-07 14YORI SAPUTRA 5207050204020001 040009 L TEPAS SEPAKAT 19 Thn 5LAMA 0000845509691 - Acute nasopharyngitis [common cold] (J00)
69 2021-09-08 06ERNITA 5207055808820001 020102 P SAPUGARA BREE 39 Thn 0LAMA 0000844783918 - Disorders of lipoprotein metabolism and other lipidaemias (E78)

70 2021-09-08 07HUSNIATI 5207055808670002 020032 P SAPUGARA BREE 54 Thn 1LAMA 0000846585055 - Essential (primary) hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78)
71 2021-09-08 07IRMA SUSANTI 010441 P DESA BERU 39 Thn 4LAMA 0000146598625 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
72 2021-09-08 07SAHMA 5207055508720002 070187 P BANGKAT MONTE50 Thn 0LAMA 0000845844952 - Follow-up examination after other treatment for other conditions (Z09.8) - Hypermetropia (H52.0) RSUD Sumbawa (MATA) 230902030921Y000147
73 2021-09-08 07IRA WATI 5207055511000001 010264 P DESA BERU 20 Thn 9LAMA 0001578282399 - Allergic rhinitis, unspecified (J30.4)
- Follow-up examination after other treatment for other conditions (Z09.8) - Essential (primary)
hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11) - Disorders of lipoprotein metabolism RSUD ASY-SYIFA' (PENYAKIT
74 2021-09-08 07HJ. SRIYATI 5207055308650001 030420 P TEPAS 56 Thn 0LAMA 0001581048494 and other lipidaemias (E78) DALAM) 230902030921Y000148
75 2021-09-08 07SENDAWAN 5207054405630002 010113 P DESA BERU 58 Thn 4LAMA 0002109174625 - Developmental (nonodontogenic) cysts of oral region (K09.1)
76 2021-09-08 07AYU ANDRIANI 5207056210100001 040047 P TEPAS SEPAKAT 10 Thn 1LAMA 0001581165369 - Nausea and vomiting (R11)

77 2021-09-08 07NURSIANTI 5207056802690001 031087 P TEPAS 51 Thn 6LAMA 0001581047313 - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Allergic rhinitis, unspecified (J30.4)
78 2021-09-08 07IYATULLAH 5207052509960001 060018 L MOTENG 24 Thn 1LAMA 0002433662256 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
79 2021-09-08 08MATIA 5207056809680001 020159 P SAPUGARA BREE 52 Thn 1LAMA 0001245848398 - Allergic rhinitis, unspecified (J30.4)
80 2021-09-08 08MAHDI 5207052910660001 070267 L BANGKAT MONTE55 Thn 0LAMA 0000845740438 - Paranoid schizophrenia (F20.0)
81 2021-09-08 08SALMI 5207055408720001 010290 P DESA BERU 49 Thn 0LAMA 0000146765957 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
82 2021-09-08 08TEA ARISTI PUTRI 5207056412150001 040488 P TEPAS SEPAKAT 5 Thn 8 LAMA 0002662932069 - Epilepsy (G40) RSUD ASY-SYIFA' (ANAK) 230902030921Y000162
83 2021-09-08 08ZULKARNAIN 5207052505710001 010108 L DESA BERU 50 Thn 3LAMA 0001578282412 - Myalgia (M79.1)
84 2021-09-08 08RATNA ARIANA 5207054505960001 050007 P SEMINAR SALIT 25 Thn 4LAMA 0001581075123 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
85 2021-09-08 08SAHODA 5207054911700001 040686 L TEPAS SEPAKAT 50 Thn 9BARU 0001581168363 - Essential (primary) hypertension (I10)
86 2021-09-08 08MARYATI 5207056003820001 010567 P DESA BERU 39 Thn 5LAMA 0002111696864 - Essential (primary) hypertension (I10)
87 2021-09-08 09RENDY ALIYA PRAJA 5207050708030001 010291 L DESA BERU 18 Thn 1BARU 0001872155452 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
88 2021-09-08 09JANNAH HAIRONNISA 5207056703040001 020639 P SAPUGARA BREE 17 Thn 5BARU 0003046489997 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
89 2021-09-08 09ROHMI MAULINA AGUSTIN 5207055908040002 010157 P DESA BERU 17 Thn 0LAMA 0000146766115 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
RSUD ASY-SYIFA' (PENYAKIT
90 2021-09-08 10MUHAMMAD SALEH 5207050606700002 031063 L TEPAS 51 Thn 3LAMA 0002205429456 - Other chronic obstructive pulmonary disease (J44) DALAM) 230902030921Y000181
91 2021-09-08 13HASBULLAH 5207050101580002 030444 L TEPAS 63 Thn 8BARU 0000846144145 - Essential (primary) hypertension (I10)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Essential RSUD ASY-SYIFA' (PENYAKIT
92 2021-09-09 07NURMA 5207057112660006 050360 P SEMINAR SALIT 54 Thn 8LAMA 0000146663313 (primary) hypertension (I10) DALAM) 230902030921Y000190
- Follow-up examination after other treatment for other conditions (Z09.8) - Polyarthrosis, unspecified RSUD ASY-SYIFA' (PENYAKIT
93 2021-09-09 08JUNAIDI 5207051207660002 050360 L SEMINAR SALIT 55 Thn 1BARU 0001575860185 (M15.9) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000191
- Issue of repeat prescription (Z76.0) - Essential (primary) hypertension (I10) - Disorders of lipoprotein RSUD ASY-SYIFA' (PENYAKIT
94 2021-09-09 08HALIMA 5207055206700001 020552 P SAPUGARA BREE 51 Thn 2LAMA 0001794513519 metabolism and other lipidaemias (E78) - Allergic contact dermatitis (L23) DALAM) 230902030921Y000192
95 2021-09-09 08SUKMA 5207055707020002 020214 P SAPUGARA BREE 19 Thn 2LAMA 0000846465467 - Allergic contact dermatitis (L23)
96 2021-09-09 09INTAN WAHYUNI AZTARI 5207056204060001 010144 P DESA BERU 15 Thn 4BARU 0000208193106 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
97 2021-09-09 09ASTI RAMANIA PUTRI 5207036411060002 030895 P TEPAS 15 Thn 1BARU 0001581042947 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
98 2021-09-09 09GILANG BAHTIAR 5207050612050002 070598 L BANGKAT MONTE15 Thn 9BARU 0002114788869 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
99 2021-09-09 10MUZAKIAH KARYAWATI 5207054806730001 010155 P DESA BERU 48 Thn 3LAMA 0000146765889 - Disorders of lipoprotein metabolism and other lipidaemias (E78)
100 2021-09-09 10RUSNA PUTRI JULIANI 5207056107030001 0800067 P LAMUNTET 18 Thn 1BARU 0000846280383 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
101 2021-09-09 10KIRANA BUNGA LESTARI 5207056911050001 020548 P SAPUGARA BREE 15 Thn 9LAMA 0002506384236 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
102 2021-09-09 10DALILAH ITHNIN FADILAH 5207054212050001 030042 L TEPAS 15 Thn 9LAMA 0002295881471 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
103 2021-09-09 10SOPIA NURAINI 5207056812040001 040148 P TEPAS 15 Thn 9LAMA 0001583984733 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
104 2021-09-09 10MATAHARI KAIN TIMUR 5207055802160001 080269 P LAMUNTET 5 Thn 6 LAMA 0001734200447 - Epilepsy (G40) RSUD ASY-SYIFA' (ANAK) 230902030921Y000203
RSUD ASY-SYIFA' (PENYAKIT
105 2021-09-09 12SAHABUDDIN 5207050802690001 030242 L TEPAS 52 Thn 7LAMA 0001874076219 - Chest pain, unspecified (R07.4) DALAM) 230902030921Y000216
106 2021-09-09 12IRA SILFIANA 5207055710040001 010227 P DESA BERU 16 Thn 1LAMA 0002506384473 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
107 2021-09-09 13JESIKA SAPUTRI 5207051402050001 010539 P DESA BERU 16 Thn 6LAMA 0001579900858 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
108 2021-09-09 13RISANTI TANDAYU 5207055001050001 010352 P DESA BERU 16 Thn 8LAMA 0001058200211 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
109 2021-09-09 13TIRA SALSA AMALIA 5207056303020001 010360 P DESA BERU 17 Thn 6LAMA 0000846080289 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
110 2021-09-09 13ROHMI MAULINA AGUSTIN 5207055908040002 010157 P DESA BERU 17 Thn 0LAMA 0000146766115 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
111 2021-09-09 13EKA SINTA ADEKANTARI 5207056301050001 010149 P DESA BERU 16 Thn 7LAMA 0001058200615 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
112 2021-09-09 13ALIFIA AYU ANANDIRA 010092 L DESA BERU 16 Thn 9LAMA 0001790862996 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
113 2021-09-09 13IRVAN 5207081903780002 010096 L DESA BERU 43 Thn 5LAMA 0000208269955 - Non-insulin-dependent diabetes mellitus (E11)
114 2021-09-09 13ALYA APRILYANA 5207055004060001 010388 P 15 Thn 4BARU 0001575927472 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
115 2021-09-09 13SUGIHARTI NINGSIH 5207054112680001 030351 P TEPAS 52 Thn 9LAMA 0001277427058 - Essential (primary) hypertension (I10)
RSUD ASY-SYIFA' (PENYAKIT
116 2021-09-09 13KAPRI KARNI 5207056912960005 010485 P DESA BERU 24 Thn 8LAMA 0002108148298 - Pleural effusion in conditions classified elsewhere (J91) DALAM) 230902030921Y000220
117 2021-09-09 13TARA MURNI AHSARI 5207075702060001 010144 P DESA BERU 15 Thn 6LAMA 0000146768141 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
118 2021-09-09 13AHENWATI 5207054509760001 020091 P SAPUGARA BREE 45 Thn 0LAMA 0001882207326 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
119 2021-09-09 14RISKY YUSRAN 5207050612040002 010209 L DESA BERU 16 Thn 9LAMA 0002218220921 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
120 2021-09-09 14AGDEL MAGFIRAH 5207055908050001 030161 P TEPAS 16 Thn 0LAMA 0001900827257 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
121 2021-09-09 14MADUANA BT. FATAHOLLAH 5207056406700001 021536 P SAPUGARA BREE 51 Thn 2LAMA 0002588228616 - Non-insulin-dependent diabetes mellitus (E11)
122 2021-09-09 14RIZKIA ZULFAINA 5207055306050001 030487 P TEPAS 16 Thn 2BARU 0000846114941 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after other treatment for other conditions (Z09.8) - Anaphylactic shock, RSUD ASY-SYIFA' (PENYAKIT
123 2021-09-09 14DEWI AMNATUL HASANAH 5207050545840003 020034 P SAPUGARA BREE 37 Thn 4LAMA 0002053076883 unspecified (T78.2) DALAM) 230902030921Y000228
124 2021-09-10 06SUSI SUSANTI 5207055404890005 030140 P TEPAS 32 Thn 4LAMA 0002506384585 - Paranoid schizophrenia (F20.0)
- Non-insulin-dependent diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other
125 2021-09-10 07AMINAH 5207055404800001 021543 P SAPUGARA BREE 41 Thn 4BARU 0002251131366 lipidaemias (E78)
126 2021-09-10 07ASS MITA MUNI A 5207054805700001 020253 P SAPUGARA BREE 51 Thn 4LAMA 0002818311388 - Gastritis, unspecified (K29.7)
127 2021-09-10 07JON HENDI TUSWADI 5207052106870001 010461 L DESA BERU 34 Thn 2LAMA 0002051483679 - Anxiety disorder, unspecified (F41.9) RSUD ASY-SYIFA' (JIWA) 230902030921Y000235
128 2021-09-10 07RIFKI WIRAWAN 5207052602070001 010022 L DESA BERU 14 Thn 6LAMA 0001079529895 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
129 2021-09-10 07WATIMAH 5207054805660001 010653 P DESA BERU 55 Thn 4LAMA 0001254575755 - Non-insulin-dependent diabetes mellitus (E11)
130 2021-09-10 07LIA KURNIA 5207055307050001 020084 P SAPUGARA BREE 16 Thn 1BARU 0001581105317 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
131 2021-09-10 07ALPAN JIHAN RAMADAN 5204052210050002 010523 L DESA BERU 15 Thn 1BARU 0002761518363 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
132 2021-09-10 07JUANDI KELANA 5207051101050002 070535 L BANGKAT MONTE16 Thn 7LAMA 0002663198469 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
133 2021-09-10 07M. HARDICKY NASRI 5207050205050001 010143 L DESA BERU 16 Thn 4LAMA 0000193606097 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
134 2021-09-10 07DWIS ANANSYAH 5207051511040001 020796 L SAPUGARA BREE 16 Thn 9LAMA 0001058199265 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
135 2021-09-10 08NASRIL AHTIYAR MP 5207052608060001 021168 L SAPUGARA BREE 15 Thn 0BARU 0002871187852 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
136 2021-09-10 08RADIT MA'RIFATULLAH 5207052103050001 010447 L DESA BERU 16 Thn 5BARU 0001483330465 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
137 2021-09-10 08HALIMAH 5207055708730001 040417 P TEPAS 48 Thn 0LAMA 0001581234298 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
138 2021-09-10 08FITRIAH 5207055006830002 070573 P BANGKAT MONTE38 Thn 3LAMA 0002108491244 - Myalgia (M79.1)
139 2021-09-10 08QIANA SHEZA NABILA 5207055307160001 030061 P TEPAS 5 Thn 1 LAMA 0002070345791 - Other and unspecified abdominal pain (R10.4)
140 2021-09-10 08SRI WULAN 5207054107730003 070038 P BANGKAT MONTE48 Thn 2LAMA 0000845850993 - Other benign neoplasm of connective and other soft tissue of abdomen (D21.4) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000248
141 2021-09-10 09ADELIA SAFITRI 5207056109050001 030533 P TEPAS 15 Thn 1BARU 0001581043072 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
142 2021-09-10 09AZI ANANTASYA 5207057012050001 040304 P TEPAS SEPAKAT 15 Thn 8BARU 0001581168587 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
143 2021-09-10 09HASNAWATI 5207054903060001 080117 P LAMUNTET 15 Thn 6BARU 0002662285285 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
144 2021-09-10 10MENDI 5207054303050001 020001 L SAPUGARA BREE 16 Thn 6BARU 0001058198646 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
145 2021-09-10 10ELSA SUKRAINI 5207055010050001 021011 P SAPUGARA BREE 15 Thn 1BARU 0002113129203 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
146 2021-09-10 10SRI DEWI 5207054505740005 040725 P TEPAS SEPAKAT 47 Thn 4BARU 0001581239687 - Asthma, unspecified (J45.9)
147 2021-09-10 10SULIANTI 5207056105050001 020776 P SAPUGARA BREE 16 Thn 3BARU 0000846170537 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
148 2021-09-10 10ASISATULLAH 5207055604060002 080174 P LAMUNTET 15 Thn 4BARU 0000845733611 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
149 2021-09-10 10RISKI NURAPIDA 5207055502050001 020550 L SAPUGARA BREE 16 Thn 6LAMA 0001579510697 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
150 2021-09-10 13SAPIYAH 5207055311620001 050315 P SEMINAR SALIT 58 Thn 9LAMA 0001581075786 - Essential (primary) hypertension (I10)
151 2021-09-10 13HJ.SAHORAH 5207056810740001 010275 P DESA BERU 46 Thn 1LAMA 0003075354966 - Disorders of lipoprotein metabolism and other lipidaemias (E78)
152 2021-09-10 13AMANDA 5207056310040001 040010 P TEPAS SEPAKAT 16 Thn 1LAMA 0001581233027 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
153 2021-09-10 13HERA ELZA MAHARANI 5207054802060001 070687 P BANGKAT MONTE15 Thn 7BARU 0001581104981 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
154 2021-09-10 13ANINDIA NABILA 5207055009050001 070116 P BANGKAT MONTE16 Thn 0BARU 0002114788105 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
155 2021-09-10 13NANDA RIZKA PUTRI 5207055912040001 031089 P TEPAS 16 Thn 1LAMA 0001579356224 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Non-insulin-dependent diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other
156 2021-09-10 14JUERIAH 5207054203650004 010515 P DESA BERU 56 Thn 6LAMA 0001579902489 lipidaemias (E78)
157 2021-09-10 14M.DZAKY 5207051901050001 040204 L TEPAS SEPAKAT 16 Thn 7BARU 0002073618854 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
158 2021-09-10 14TIARA ZULYA HASTUTI 5207055701060001 060208 P MOTENG 15 Thn 7BARU 0001478473727 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
159 2021-09-10 14GITA SAPIRA 5207054103050002 020184 P SAPUGARA BREE 16 Thn 6BARU 0000844799883 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
160 2021-09-13 06HERIARIANTO 5207052008840002 020085 L SAPUGARA BREE 37 Thn 0LAMA 0002054841917 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
161 2021-09-13 07BAYU JANUARTA 5207052301050001 040709 L TEPAS SEPAKAT 16 Thn 7LAMA 0001581235288 - Other general examinations (Z00.8)
162 2021-09-13 07IRMA SUSANTI 010441 P DESA BERU 39 Thn 4LAMA 0000146598625 - Fever, unspecified (R50.9)
163 2021-09-13 07NS. LULU IKA RIZKIKA, S.KEP 5204185410900003 020844 P SAPUGARA BREE 30 Thn 1LAMA 0000146769884 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
164 2021-09-13 07ARDIANSYAH 5207051502870001 020844 L SAPUGARA BREE 34 Thn 6LAMA 0000146528807 - Other general examinations (Z00.8)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
165 2021-09-13 07AMAN RENAS 5207050403650001 070066 L BANGKAT MONTE56 Thn 6LAMA 0002249020945 hypertension (I10) DALAM) 230902030921Y000295
166 2021-09-13 07AL GHIFARI QURRATAAIN 5207050807160001 030920 L TEPAS 5 Thn 2 LAMA 0002109937331 - Foreign body in alimentary tract (T18) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000301
167 2021-09-13 07SUSI SUSANTI 5207055404890005 030140 P TEPAS 32 Thn 4LAMA 0002506384585 - Paranoid schizophrenia (F20.0) RSUD ASY-SYIFA' (JIWA) 230902030921Y000300
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Thyrotoxicosis, RSUD ASY-SYIFA' (PENYAKIT
168 2021-09-13 07SUMIATI 5207054907830002 030091 P TEPAS 38 Thn 2LAMA 0000846174971 unspecified (E05.9) DALAM) 230902030921Y000302
- Non-insulin-dependent diabetes mellitus (E11) - Essential (primary) hypertension (I10) - Allergic contact
169 2021-09-13 07AMPRAYADI 5207052908670001 020181 L SAPUGARA BREE 54 Thn 0LAMA 0002113132375 dermatitis (L23)
170 2021-09-13 08SURYANI 5207024607820001 020388 P SAPUGARA BREE 39 Thn 2LAMA 0001476694901 - Headache (R51)
171 2021-09-13 08ISMAIL 5207020509820001 020388 L SAPUGARA BREE 39 Thn 0LAMA 0001476694877 - Headache (R51)
- Issue of repeat prescription (Z76.0) - Non-insulin-dependent diabetes mellitus (E11) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
172 2021-09-13 08HJ. SRIYATI 5207055308650001 030420 P TEPAS 56 Thn 1LAMA 0001581048494 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000305
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Hemorrhoids and
173 2021-09-13 08MANCAWARI 5207052609680001 010384 L DESA BERU 52 Thn 1LAMA 0001432057454 perianal venous thrombosis (K64) RSUD ASY-SYIFA' (BEDAH)
174 2021-09-13 08SENDAWAN 5207054405630002 010113 P DESA BERU 58 Thn 4LAMA 0002109174625 - Headache (R51)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Insulin-dependent RSUD ASY-SYIFA' (PENYAKIT
175 2021-09-13 08AENOON 5207055411650001 010157 P DESA BERU 55 Thn 9LAMA 0000146598445 diabetes mellitus with ketoacidosis (E10.1) DALAM) 230902030921Y000310
176 2021-09-13 08UMI KALSUM 5207055505750001 030650 P BRANG REA 46 Thn 3LAMA 0000146598849 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
177 2021-09-13 09ANDI AZIS 5207050811920001 070480 L BANGKAT MONTE29 Thn 1LAMA 0000845733868 - Allergic contact dermatitis (L23)
178 2021-09-13 09ABIDIN, SH 5207050504780001 021025 L SAPUGARA BREE 43 Thn 5LAMA 0002107605947 - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Headache (R51)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Chest pain, RSUD ASY-SYIFA' (PENYAKIT
179 2021-09-13 09AKHYAR UDENG 5207051210630001 010266 L DESA BERU 57 Thn 1LAMA 0001058200064 unspecified (R07.4) DALAM) 230902030921Y000332
180 2021-09-13 09MUSLIMAT 030060 L TEPAS 47 Thn 4LAMA 0002112930843 - Corneal ulcer (H16.0)
181 2021-09-13 09SUMARNI 5207055910760001 030202 P TEPAS 44 Thn 1LAMA 0001476669273 - Other anaemias (D64)
182 2021-09-13 09SRI SUKMAWATI 5207055405770002 050165 P SEMINAR SALIT 44 Thn 3LAMA 0001579908734 - Bronchitis, not specified as acute or chronic (J40)
183 2021-09-13 09DEBITA ADELIA N 5207055005040001 010429 P DESA BERU 17 Thn 4LAMA 0002056141135 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
184 2021-09-13 09ABY KUSNO 5207043112840004 010610 L DESA BERU 36 Thn 8BARU 0002927739611 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
185 2021-09-13 10ZAINUDDIN 5207051209960001 040209 L TEPAS SEPAKAT 25 Thn 0LAMA 0001581238179 - Paranoid schizophrenia (F20.0) RSUD ASY-SYIFA' (JIWA) 230902030921Y000331
186 2021-09-13 10REVI ELVIRA 5207055301910001 031099 P TEPAS 30 Thn 8LAMA 0001581046604 - Other disorders of external ear (H61)
187 2021-09-14 06HASRINI 5207057003890001 070366 P BANGKAT MONTE32 Thn 5LAMA 0002060466849 - Paranoid schizophrenia (F20.0)
188 2021-09-14 07MARWATI 5207054405650002 030256 P TEPAS 56 Thn 4LAMA 0001962941883 - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Myalgia (M79.1)
189 2021-09-14 07IKHSAN SAHRI 5207052206050001 020049 L SAPUGARA BREE 16 Thn 2LAMA 0001902069729 - Skabies (B86)
190 2021-09-14 07DAWWIL PRATAMA 5207052203150001 050381 L SEMINAR SALIT 6 Thn 5 LAMA 0001581075999 - Acute nasopharyngitis [common cold] (J00) - Allergic contact dermatitis (L23)
191 2021-09-14 08JESIKA AULIA 5207055602080001 030097 P TEPAS 13 Thn 7LAMA 0000846034514 - Biduran / Kaligata / Urtikaria (L50)
192 2021-09-14 08AZIZ PARIADI 5271050101810003 100546 L REMBIGA 40 Thn 8BARU 0001821604948 - Conjunctivitis (H10)
193 2021-09-14 08MUHAMMAD ALVARONIZAM 5207053101160001 050400 L SEMINAR SALIT 5 Thn 7 LAMA 0001581016094 - Diarrhoea and gastroenteritis of presumed infectious origin (A09)
194 2021-09-14 08NINA KARLINA 5207056510040001 020321 P SAPUGARA BREE 16 Thn 1LAMA 0002280863924 - Tonsilitis akut, tidak spesifik (J03.9)
195 2021-09-14 09ZAINUDDIN 5207051209960001 040209 L TEPAS SEPAKAT 25 Thn 0LAMA 0001581238179 - Schizophrenia (F20)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Acute nasopharyngitis RSUD ASY-SYIFA' (PENYAKIT
196 2021-09-14 09ISMAIL KASIM 5207053112620009 010060 L DESA BERU 58 Thn 8LAMA 0001579901837 [common cold] (J00) DALAM) 230902030921Y000356
RSUD ASY-SYIFA' (PENYAKIT
197 2021-09-14 09FUAD 5207051710760002 050288 L SEMINAR SALIT 44 Thn 1LAMA 0003088090798 - Paranoid schizophrenia (F20.0) DALAM) 230902030921Y000358
198 2021-09-14 09SUPARMAN 5207050607720001 050349 L SEMINAR SALIT 49 Thn 2LAMA 0001581074267 - Allergic contact dermatitis (L23) - Myalgia (M79.1)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Other chronic RSUD ASY-SYIFA' (PENYAKIT
199 2021-09-14 09MUHAMMAD SALEH 5207050606700002 031063 L TEPAS 51 Thn 3LAMA 0002205429456 obstructive pulmonary disease (J44) DALAM) 230902030921Y000359
200 2021-09-14 09SRI DEWI 5207054505740005 040725 P TEPAS SEPAKAT 47 Thn 4LAMA 0001581239687 - Acute nasopharyngitis [common cold] (J00)
201 2021-09-14 10ISLAMUDDIN 5207050404800001 040637 L TEPAS SEPAKAT 41 Thn 5BARU 0002037135789 - Conjunctivitis (H10)
202 2021-09-15 07HJ. SRIYATI 5207055308650001 030420 P TEPAS 56 Thn 1LAMA 0001581048494 - Irritable bowel syndrome without diarrhoea (K58.9) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000370
203 2021-09-15 07ALMER KHAISA ARSYANI 5207050807120001 010173 L DESA BERU 9 Thn 2 LAMA 0000976187891 - Fever of other and unknown origin (R50) - Paratyphoid fever, unspecified (A01.4)
204 2021-09-15 07NIOVITA VITRI 5207055611980001 050349 P SEMINAR SALIT 22 Thn 9LAMA 0001581074291 - Candidiasis of skin and nail (B37.2)
205 2021-09-15 07HAERANI 5207056708890001 080350 P LAMUNTET 32 Thn 0LAMA 0000208343711 - Diarrhoea and gastroenteritis of presumed infectious origin (A09)
206 2021-09-15 08DIAN EKAWATI 010479 P DESA BERU 35 Thn 5LAMA 0000202457081 - Other specified noninflammatory disorders of vagina (N89.8)
207 2021-09-15 08SUPIAH 5207054110700001 040519 L TEPAS SEPAKAT 50 Thn 1LAMA 0001581177576 - Essential (primary) hypertension (I10)
208 2021-09-15 08RATNA ARIANA 5207054505960001 050007 P SEMINAR SALIT 25 Thn 4LAMA 0001581075123 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
209 2021-09-15 08AULIA CINTA CANTIKA 5207015901140001 050480 P SEMINAR SALIT 7 Thn 7 LAMA 0002309981815 - Acute nasopharyngitis [common cold] (J00)
210 2021-09-15 08HAFSAH 5207014810780001 050480 P SEMINAR SALIT 42 Thn 1LAMA 0001292151824 - Acute nasopharyngitis [common cold] (J00)
211 2021-09-15 08AKBAR GAZALI 5207050808140001 031105 L TEPAS 7 Thn 1 BARU 0002588565047 - Open wound of ankle and foot (S91)
212 2021-09-15 08HJ.ZAITUN 5207054208650001 030484 P TEPAS 56 Thn 1LAMA 0000846157623 - Dyspepsia (K30)
213 2021-09-15 08KAPRI KARNI 5207056912960005 010485 P DESA BERU 24 Thn 8LAMA 0002108148298 - Headache (R51)
214 2021-09-15 09SAIDAH 5207055206670001 030379 P TEPAS 54 Thn 3LAMA 0000846107201 - Essential (primary) hypertension (I10)
215 2021-09-15 09JUMAIYAH 5207054207650002 060143 P MOTENG 49 Thn 7LAMA 0000846169446 - Non-insulin-dependent diabetes mellitus (E11) - Other disorders of urinary system (N39)
216 2021-09-15 10MULYADI 5207051905830001 020356 L SAPUGARA BREE 38 Thn 3LAMA 0002443729263 - Cutaneous abscess, furuncle and carbuncle (L02)
217 2021-09-15 10SRI BANUNG 5207055404690001 021058 P SAPUGARA BREE 52 Thn 5LAMA 0000846736986 - Disorders of lipoprotein metabolism and other lipidaemias (E78)
218 2021-09-15 14RABIAH 5207057009700001 060209 P MOTENG 50 Thn 1LAMA 0001478113018 - Non-insulin-dependent diabetes mellitus (E11) - Essential (primary) hypertension (I10)
219 2021-09-15 14MASURUNG 5207050808740002 040286 L TEPAS SEPAKAT 47 Thn 1LAMA 0001581167788 - Urinary calculus, unspecified (N20.9) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000401
220 2021-09-16 06SARIDAH 5207055008650001 060322 P MOTENG 56 Thn 1BARU 0001300006102 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
221 2021-09-16 06MUJITABA 5207051212650002 060322 L MOTENG 55 Thn 9BARU 0001245847836 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after surgery for other conditions (Z09.0) - Non-insulin-dependent diabetes RSUD ASY-SYIFA' (PENYAKIT
222 2021-09-16 06MASRAWANG 5207055007700001 020797 P SAPUGARA BREE 51 Thn 2LAMA 0000844992382 mellitus (E11) - Essential (primary) hypertension (I10) DALAM) 230902030921Y000408
- Follow-up examination after other treatment for other conditions (Z09.8) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
223 2021-09-16 07SYAMSUDDIN BIN MAHMUD 5207051004690001 030795 L TEPAS 52 Thn 5LAMA 0001581048145 hypertension (I10) DALAM) 230902030921Y000404
224 2021-09-16 07SRI MARYATI 5207055603740002 010100 P DESA BERU 47 Thn 6LAMA 0002224621978 - Essential (primary) hypertension (I10)
225 2021-09-16 07NUR HATIKA 5207054407960001 030510 P TEPAS 25 Thn 2LAMA 0001058201289 - Allergic contact dermatitis (L23)
226 2021-09-16 08MASTAMPAWAN 5207054705640001 021057 P SAPUGARA BREE 57 Thn 4LAMA 0002113590363 - Dyspepsia (K30)
227 2021-09-16 08ARNITASARI 5207054604910002 021131 P 30 Thn 5LAMA 0000845179841 - Allergic contact dermatitis (L23)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary)
hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Non-insulin- RSUD ASY-SYIFA' (PENYAKIT
228 2021-09-16 08RABIAH 5207057009700001 060209 P MOTENG 50 Thn 1LAMA 0001478113018 dependent diabetes mellitus (E11) DALAM) 230902030921Y000411
229 2021-09-16 08SAFARUDDIN 5204172006860001 020804 L SAPUGARA BREE 35 Thn 2LAMA 0002113585018 - Asthma (J45)
230 2021-09-16 09MUNADI 5207050106690001 021004 L SAPUGARA BREE 52 Thn 3LAMA 0001058198466 - Myalgia (M79.1)
231 2021-09-16 13SALAMA UNGANG 5207056910730001 021134 P SAPUGARA BREE 47 Thn 1LAMA 0002114446116 - Essential (primary) hypertension (I10)
232 2021-09-16 14BADAS SETIONO BUDI, SH 5207050509820004 050074 L SEMINAR SALIT 39 Thn 0LAMA 0001293406029 - Allergic contact dermatitis (L23)
233 2021-09-17 07SUBHAN ADI KUSUMA 5204171504880001 050592 L SEMINAR SALIT 33 Thn 5LAMA 0002407143306 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
234 2021-09-17 07SYADID MARSHA TABRANI 5207055711080001 010135 P DESA BERU 12 Thn 1LAMA 0002769914079 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
235 2021-09-17 07PUTRI FHASYA RIZKIYA.R 5207057009070001 010135 P DESA BERU 13 Thn 1LAMA 0002252277551 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
236 2021-09-17 07AMRULLAH 5207052312690003 060070 L MOTENG 51 Thn 8LAMA 0001581173559 - Foreign body on external eye, part unspecified (T15.9)
237 2021-09-17 07NURHIDAYATI 5207054605730002 021024 P SAPUGARA BREE 48 Thn 4BARU 0000844922261 - Dyspepsia (K30)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
238 2021-09-17 07ASS MITA MUNI A 5207054805700001 020253 P SAPUGARA BREE 51 Thn 4LAMA 0002818311388 hypertension (I10) - Hypertensive heart disease (I11) DALAM) 230902030921Y000444
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
239 2021-09-17 07NURHALIFAH 5207054704740002 010350 P DESA BERU 47 Thn 5LAMA 0001579900904 hypertension (I10) DALAM) 230902030921Y000462
240 2021-09-17 07MUHAMMAD RIFKI ABDI 5207051904090001 030289 L TEPAS 12 Thn 4LAMA 0002663709759 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
241 2021-09-17 08SAIDAH 5207055206670001 030379 P TEPAS 54 Thn 3LAMA 0000846107201 - Disorder of external ear, unspecified (H61.9)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
242 2021-09-17 08LISANUL FARIDA 5204055006920001 100002 P MENALA 29 Thn 3LAMA 0000146719091 hypertension (I10) DALAM) 230902030921Y000445
243 2021-09-17 08TZUMAR ZAHIR 5207052511070001 020595 L SAPUGARA BREE 13 Thn 9BARU 0001581105791 - Faringitis akut, tidak spesifik (J02.9)
244 2021-09-17 08RAMA DIANSYAH 5207052209730001 050426 L SEMINAR SALIT 47 Thn 1LAMA 0001581046233 - Essential (primary) hypertension (I10)
245 2021-09-17 08HADIATULLAH 5207056607690001 050426 P SEMINAR SALIT 52 Thn 1BARU 0001581046244 - Essential (primary) hypertension (I10)
246 2021-09-17 08FADHIL FATHI 5207052606080001 010178 L DESA BERU 13 Thn 2LAMA 0001795085831 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
247 2021-09-17 08IRMA SUSANTI 010441 P DESA BERU 39 Thn 4LAMA 0000146598625 - Fever, unspecified (R50.9)

248 2021-09-17 08SUNDARIAH 5207056205740001 050186 P SEMINAR SALIT 47 Thn 3LAMA 0001579908813 - Essential (primary) hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78)
249 2021-09-17 08MUHAMMAD RAFIT FAHRIAN 5207050211080002 010197 L DESA BERU 12 Thn 1LAMA 0001883310355 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
250 2021-09-17 09GIYAN MAULANA IKHSAN 5207052604090001 010160 L DESA BERU 12 Thn 4LAMA 0002042615856 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
251 2021-09-17 09ZAMIRATUL A'YYUNI 060002 P MOTENG 13 Thn 4LAMA 0000198255565 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
252 2021-09-17 09ALFIN MULYA HASRONI 5207051112080001 030431 L 12 Thn 9LAMA 0001575826121 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
253 2021-09-17 09HADIJAH 5207057008670002 050514 P SEMINAR SALIT 54 Thn 0LAMA 0001581074201 - Essential (primary) hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary)
hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) - Insulin-dependent RSUD ASY-SYIFA' (PENYAKIT
254 2021-09-17 09HADIJA 5207055503650001 020570 P SAPUGARA BREE 56 Thn 6LAMA 0002245596219 diabetes mellitus (E10) DALAM) 230902030921Y000461
255 2021-09-17 09IRA WATI 5207055511000001 010264 P DESA BERU 20 Thn 1LAMA 0001578282399 - Diarrhoea and gastroenteritis of presumed infectious origin (A09)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Disorders of
lipoprotein metabolism and other lipidaemias (E78) - Essential (primary) hypertension (I10) - Insulin- RSUD ASY-SYIFA' (PENYAKIT
256 2021-09-17 10AHMAD MAHDAR 5207050410700001 080017 L LAMUNTET 50 Thn 1LAMA 0002620244125 dependent diabetes mellitus (E10) DALAM) 230902030921Y000467
257 2021-09-17 13BUSTANURDIN 010369 L DESA BERU 49 Thn 8LAMA 0000146765608 - Dyspepsia (K30)
258 2021-09-17 14SYAFRIANTO 5207052502830001 030546 L TEPAS 38 Thn 6BARU 0001576970278 - Follow-up examination after treatment for conditions other than malignant neoplasms (Z09)
259 2021-09-17 14AHMAD YANI 5207051011640001 020273 L SAPUGARA BREE 56 Thn 1LAMA 0002113128325 - Non-Hodgkin's lymphoma, unspecified type (C85.9) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000474
260 2021-09-20 07ROBI SUGARA 5207052705890001 060054 L MOTENG 32 Thn 3LAMA 0001581174088 - Paranoid schizophrenia (F20.0) RSUD ASY-SYIFA' (JIWA) 230902030921Y000486
261 2021-09-20 07SILA HUSNA ASTHORIQ 5207056606080001 010036 P DESA BERU 13 Thn 2LAMA 0002111696335 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
262 2021-09-20 07ANDAK 5207054610640001 050079 P SEMINAR SALIT 56 Thn 1LAMA 0001581164199 - Cutaneous abscess, furuncle and carbuncle (L02) - Essential (primary) hypertension (I10)
- Valgus deformity, not elsewhere classified, lower leg (M21.06) - Acquired clawhand, clubhand, clawfoot
263 2021-09-20 07NASRIWAN 5207054710650001 040054 P TEPAS SEPAKAT 55 Thn 1LAMA 0000146517816 and clubfoot, ankle and foot (M21.57) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000489
264 2021-09-20 07SUSI SUSANTI 5207055404890005 030140 P TEPAS 32 Thn 5LAMA 0002506384585 - Paranoid schizophrenia (F20.0)
- Follow-up examination after treatment for conditions other than malignant neoplasms (Z09) - Asthma, RSUD ASY-SYIFA' (PENYAKIT
265 2021-09-20 07PREMI JUANSYAH 5207050307990002 050161 L SEMINAR SALIT 22 Thn 2LAMA 0001581164019 unspecified (J45.9) DALAM) 230902030921Y000491
266 2021-09-20 08ASTUTI 5207055301930001 030288 P TEPAS 28 Thn 8LAMA 0001581046817 - Acute pharyngitis (J02)
267 2021-09-20 08NANANG ISWANDI 5207052707040001 020740 L SAPUGARA BREE 17 Thn 1LAMA 0000846520121 - Paranoid schizophrenia (F20.0)
268 2021-09-20 08HJ.SAHORAH 5207056810740001 010275 P DESA BERU 46 Thn 1LAMA 0003075354966 - Malaise and fatigue (R53)
269 2021-09-20 08SUNAN ROSDIANA 5207054702840001 040298 P TEPAS SEPAKAT 37 Thn 7LAMA 0001100514745 - Myalgia (M79.1)
270 2021-09-20 08YUNIANA RIZQAH 5207055406090001 040298 P TEPAS SEPAKAT 12 Thn 3LAMA 0001277588801 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after other treatment for other conditions (Z09.8) - Tonsilitis akut, tidak spesifik
271 2021-09-20 08SRI MARYATI 5207055603740002 010100 P DESA BERU 47 Thn 6LAMA 0002224621978 (J03.9) - Essential (primary) hypertension (I10) RSUD Sumbawa (THT-KL) 230902030921Y000497
272 2021-09-20 08VIONA MULIA QOTRUNNADA 5207057108020002 040238 P TEPAS SEPAKAT 19 Thn 0BARU 0001581165448 - Bipolar affective disorder, current episode hypomanic (F31.0) RSUD ASY-SYIFA' (JIWA) 230902030921Y000496
273 2021-09-20 08NASRULLAH 010429 L DESA BERU 45 Thn 0LAMA 0000146516793 - Dyspepsia (K30)
274 2021-09-20 08SUPARMAN 5207050607720001 050349 L SEMINAR SALIT 49 Thn 2LAMA 0001581074267 - Allergic contact dermatitis (L23)
275 2021-09-20 09SAHODA 5207054911700001 040686 L TEPAS SEPAKAT 50 Thn 1LAMA 0001581168363 - Essential (primary) hypertension (I10)
276 2021-09-20 10SITI AMINAH 5207055506800002 040095 P TEPAS SEPAKAT 41 Thn 3LAMA 0001577305721 - Biduran / Kaligata / Urtikaria (L50)
277 2021-09-20 10L.MUHAMMAD SUBHAN, A.MD.K 5207020806820001 100109 L TEPAS SEPAKAT 39 Thn 3LAMA 0000146518097 - Other soft tissue disorders, not elsewhere classified (M79)
278 2021-09-20 13IRFANSYAH 5207051412860002 030300 L TEPAS 34 Thn 9LAMA 0002201447834 - Myalgia (M79.1)
- Issue of repeat prescription (Z76.0) - Insulin-dependent diabetes mellitus (E10) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
279 2021-09-20 13SUKARDI SULAIMAN 5207052407710001 010350 L DESA BERU 50 Thn 1LAMA 0001579901927 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000511
280 2021-09-21 07SANABA 5207056709630001 020858 P SAPUGARA BREE 57 Thn 1LAMA 0001902077684 - Non-insulin-dependent diabetes mellitus (E11)
281 2021-09-21 07ZAHRA QURATTUL AINI 5207056303080001 010290 L DESA BERU 13 Thn 5LAMA 0000172332549 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
282 2021-09-21 07UTAMI DEWI 5207055102770002 070126 P BANGKAT MONTE44 Thn 7LAMA 0000146598851 - Diarrhoea and gastroenteritis of presumed infectious origin (A09)
283 2021-09-21 07MANGANDAR 5207050608670004 050514 L SEMINAR SALIT 54 Thn 1LAMA 0001581074199 - Dyspepsia (K30)
284 2021-09-21 07RABAIYAH 5207055708760003 030475 P TEPAS 45 Thn 1BARU 0001805195092 - Non-insulin-dependent diabetes mellitus (E11)
285 2021-09-21 07KAPRI KARNI 5207056912960005 010485 P DESA BERU 24 Thn 8LAMA 0002108148298 - Biduran / Kaligata / Urtikaria (L50)
286 2021-09-21 07ATHIYA EKA SAFIRA 5207056207070001 010237 P DESA BERU 14 Thn 1LAMA 0001887040405 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
287 2021-09-21 08RAHMAYATI 5207054506840006 030237 P TEPAS 37 Thn 3LAMA 0000146899528 - Essential (primary) hypertension (I10)
288 2021-09-21 08YULIANI 5207056704790002 050326 P SEMINAR SALIT 42 Thn 4LAMA 0000846164766 - Asthma, unspecified (J45.9)
289 2021-09-21 08NURMAWAN 5207055707760001 010399 P DESA BERU 45 Thn 2LAMA 0002328130146 - Other complications following immunization, not elsewhere classified (T88.1)
290 2021-09-21 08SAFARUDDIN 5204172006860001 020804 L SAPUGARA BREE 35 Thn 3BARU 0002113585018 - Asthma, unspecified (J45.9)
291 2021-09-21 09HALIMAH 5207055708730001 040417 P TEPAS 48 Thn 1LAMA 0001581234298 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
292 2021-09-21 09AGUS WINANDAR 1105071008840006 100384 L TANOH MANYAN 37 Thn 1LAMA 0002290510991 - Fever of other and unknown origin (R50)
293 2021-09-21 09SITI HAWA 5207055709820001 030279 P TEPAS 39 Thn 0LAMA 0001328674792 - Myalgia (M79.1)
294 2021-09-20 09SAGIAN 5207054107670001 070340 P BANGKAT MONTE54 Thn 2LAMA 0001058202077
295 2021-09-21 09KASYANTO 5207020110840001 050344 L SEMINAR SALIT 36 Thn 1LAMA 0001581164098 - Allergic contact dermatitis (L23)
296 2021-09-21 09ANGGA MIFTAH PRATAM 5207051906120002 050344 L SEMINAR SALIT 9 Thn 3 LAMA 0001581164109 - Fever of other and unknown origin (R50) - Typhoid and paratyphoid fevers (A01)
297 2021-09-21 09RANGGA AL-GHAFIR 050344 L SEMINAR SALIT 6 Thn 10LAMA 0001581164111 - Allergic contact dermatitis (L23)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
298 2021-09-21 09NURKEMAH 5207056207710001 070346 P BANGKAT MONTE50 Thn 1LAMA 0000845723169 hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11) DALAM) 230902030921Y000527
299 2021-09-21 13USNIDA MUBAROKAH 5207056604080001 010150 P DESA BERU 13 Thn 4LAMA 0002457713136 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
300 2021-09-21 13ROHANA 030724 P TEPAS 51 Thn 5LAMA 0001892271475 - Essential (primary) hypertension (I10)
RSUD ASY-SYIFA' (PENYAKIT
301 2021-09-22 07USMAN,S.PT 5207052104840001 080009 L LAMUNTET 37 Thn 5LAMA 0000173080765 - Issue of repeat prescription (Z76.0) DALAM) 230902030921Y000557
- Follow-up examination after other treatment for other conditions (Z09.8) - Non-insulin-dependent RSUD ASY-SYIFA' (PENYAKIT
302 2021-09-22 07SALMAH BASO 5207055607670001 010331 P DESA BERU 54 Thn 2LAMA 0000846048429 diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000558
RSUD ASY-SYIFA' (PENYAKIT
303 2021-09-22 07NURMAWAN 5207055707760001 010399 P DESA BERU 45 Thn 2LAMA 0002328130146 - Other complications following immunization, not elsewhere classified (T88.1) DALAM) 230902030921Y000559
304 2021-09-22 07SAERNI 5207072706700001 010144 P DESA BERU 51 Thn 2LAMA 0000146768139 - Myalgia (M79.1)
305 2021-09-22 07YONDI 5207050303060001 070030 L BANGKAT MONTE15 Thn 6BARU 0002109405003 - Headache (R51)
306 2021-09-22 08A. MUIS 5207052202680001 010016 L DESA BERU 53 Thn 7LAMA 0000146655641 - Myalgia (M79.1)
307 2021-09-22 08RATNA ARIANA 5207054505960001 050007 P SEMINAR SALIT 25 Thn 4LAMA 0001581075123 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
308 2021-09-22 09IDA FARIDA 5207025507710007 070512 P BANGKAT MONTE50 Thn 2LAMA 0002268684674 - Non-insulin-dependent diabetes mellitus (E11)
RSUD ASY-SYIFA' (PENYAKIT
309 2021-09-22 12FARIZAL RISKILLAH 5207051602000001 020506 L SAPUGARA BREE 21 Thn 7LAMA 0002211135309 - Follow-up examination after other treatment for other conditions (Z09.8) - Asthma, unspecified (J45.9) DALAM) 230902030921Y000575
310 2021-09-22 13DEWI DARA PUTRI 5207054505070001 030772 P TEPAS 14 Thn 4LAMA 0001583976565 - Tuberculosis of lung, confirmed by sputum microscopy with or without culture (A15.0)
311 2021-09-22 14ISUM SUMIATI 5207056706750001 010081 P DESA BERU 46 Thn 2LAMA 0000146655808 - Allergic contact dermatitis (L23)
312 2021-09-23 07MUNADI 5207050106690001 021004 L SAPUGARA BREE 52 Thn 3LAMA 0001058198466 - Other disorders of ear, not elsewhere classified (H93)
313 2021-09-23 07HADNA 5207024506820003 021374 P SAPUGARA BREE 39 Thn 3LAMA 0002778952162 - Myalgia (M79.1)
314 2021-09-23 08SAREAH 5207054106690002 060056 P MOTENG 52 Thn 3LAMA 0002113587191 - Asthma (J45)
315 2021-09-23 08YULI KURNIATI,S.PD 5207054811830001 070161 P BANGKAT MONTE37 Thn 1LAMA 0002212593502 - Non-insulin-dependent diabetes mellitus (E11)
316 2021-09-23 08AHMAD RIFAI PERDANA 5207051105100001 040192 L TEPAS SEPAKAT 11 Thn 4LAMA 0001581237696 - Nausea and vomiting (R11)
RSUD ASY-SYIFA' (PENYAKIT
317 2021-09-23 08YULIANI 5207056704790002 050326 P SEMINAR SALIT 42 Thn 4LAMA 0000846164766 - Follow-up examination after other treatment for other conditions (Z09.8) - Asthma (J45) DALAM) 230902030921Y000589
- Non-insulin-dependent diabetes mellitus (E11) - Disorders of lipoprotein metabolism and other
318 2021-09-23 08HIDAYATURRAHMAN 5203076712770010 070453 P BANGKAT MONTE43 Thn 8BARU 0002858159801 lipidaemias (E78)
319 2021-09-23 08NASRIWAN 5207054710650001 040054 P TEPAS SEPAKAT 55 Thn 1LAMA 0000146517816 - Non-insulin-dependent diabetes mellitus (E11)
320 2021-09-23 08MUZAKIAH KARYAWATI 5207054806730001 010155 P DESA BERU 48 Thn 3LAMA 0000146765889 - Myalgia (M79.1)
321 2021-09-23 09AMRI RAHMAN 5207052701890001 020811 L SAPUGARA BREE 32 Thn 7BARU 0001867824145 - Constipation (K59.0)
322 2021-09-23 10ISMAIL 5207020509820001 020388 L SAPUGARA BREE 39 Thn 0LAMA 0001476694877 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
323 2021-09-23 13MARSEHA 5207055706810002 020674 P SAPUGARA BREE 40 Thn 2LAMA 0000844975348 - Myalgia (M79.1)
324 2021-09-23 13MULKIYAH 5207055109750001 070150 P BANGKAT MONTE46 Thn 6LAMA 0002113585727 - Allergic contact dermatitis (L23)
325 2021-09-23 13ZAINUDDIN 5207053012020001 070150 L BANGKAT MONTE18 Thn 8LAMA 0002113585749 - Injury of unspecified body region (T14)
326 2021-09-23 13YORI SAPUTRA 5207050204020001 040009 L TEPAS SEPAKAT 19 Thn 5LAMA 0000845509691 - Dyspepsia (K30)
327 2021-09-23 14SHOLATIAH 5207057012870001 020044 P SAPUGARA BREE 33 Thn 9LAMA 0000846010056 - Headache (R51)
328 2021-09-23 14ISMA ABDIAWATI 5207055312970001 050372 P SEMINAR SALIT 23 Thn 9LAMA 0002108149435 - Bullous erythema multiforme (L51.1)
329 2021-09-23 14JUNAIDI 5207050101780003 030876 L TEPAS 47 Thn 8LAMA 0002238604716 - Schizophrenia (F20)
330 2021-09-24 06SRINANI 5207054703650001 020101 P SAPUGARA BREE 56 Thn 6LAMA 0000845986307 - Essential (primary) hypertension (I10) - Dyspepsia (K30)
331 2021-09-24 06TITI HENDRAWATI 5207016510930001 021381 P SAPUGARA BREE 27 Thn 1LAMA 0001581071861 - Myalgia (M79.1)
332 2021-09-24 06DIAN LESTARI 5207056307960001 070043 P BANGKAT MONTE25 Thn 2LAMA 0002108489758 - Other disorders of urinary system (N39)
333 2021-09-24 07SYARIFAH SURAYA 5207054204810002 030446 P TEPAS 40 Thn 5LAMA 0001581041755 - Chronic rhinitis (J31.0)
- Follow-up examination after other treatment for other conditions (Z09.8) - Other and unspecified
334 2021-09-24 07KAHARUDDIN 5207051005720002 040639 L TEPAS SEPAKAT 49 Thn 4LAMA 0001581234603 abdominal pain (R10.4) - Other appendicitis (K36) - Calculus of kidney and ureter (N20) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000626
335 2021-09-24 08SAHEMA 5207056507760002 040057 P TEPAS SEPAKAT 45 Thn 1LAMA 0001581234985 - Non-insulin-dependent diabetes mellitus (E11)
336 2021-09-24 08SITI AISYAH 5207055211730001 030440 P TEPAS 47 Thn 1LAMA 0001296507104 - Non-insulin-dependent diabetes mellitus (E11)
337 2021-09-24 09NETTY PURNAWATI 5207055909850002 040084 P TEPAS SEPAKAT 36 Thn 0LAMA 0001581235852 - Myalgia (M79.1)
338 2021-09-24 09M TOHRI 5207052905010003 080007 L LAMUNTET 20 Thn 3LAMA 0001579903942 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
339 2021-09-24 09IMEL JENTKA PUTRI 5207055602040001 070451 P BANGKAT MONTE17 Thn 7BARU 0002108829914 - Tinea cruris (B35.6)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
340 2021-09-24 13SYAMSUDDIN BIN MAHMUD 5207051004690001 030795 L TEPAS 52 Thn 5LAMA 0001581048145 hypertension (I10) DALAM) 230902030921Y000642
341 2021-09-24 13AMIRUDDIN 5207050607950002 040055 L TEPAS SEPAKAT 26 Thn 2LAMA 0001058204698 - Conjunctivitis (H10)
342 2021-09-24 13DESFITA RAHMA HAMIDA 5207055712020001 010296 P DESA BERU 18 Thn 9LAMA 0002506384517 - Constipation (K59.0)
343 2021-09-27 06ANDRIA ERVIYANO 010655 L DESA BERU 40 Thn 8LAMA 0000146521451 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
344 2021-09-27 06MASRAWANG 5207055007700001 020797 P SAPUGARA BREE 51 Thn 2LAMA 0000844992382 hypertension (I10) - Insulin-dependent diabetes mellitus with ketoacidosis (E10.1) DALAM) 230902030921Y000663
345 2021-09-27 07NURAINI 5207054712650002 021174 P SAPUGARA BREE 57 Thn 9LAMA 0001245848444 - Non-insulin-dependent diabetes mellitus (E11) - Essential (primary) hypertension (I10)
346 2021-09-27 07HERIARIANTO 5207052008840002 020085 L SAPUGARA BREE 37 Thn 1LAMA 0002054841917 - Respiratory tuberculosis, bacteriologically and histologically confirmed (A15)
347 2021-09-27 08ATU ARIES TINI 5207054503870001 060055 P MOTENG 34 Thn 6LAMA 0001581173651 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Essential (primary) hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78)
348 2021-09-27 08JUMAIYAH 5207054207650002 060143 P MOTENG 49 Thn 7LAMA 0000846169446 - Non-insulin-dependent diabetes mellitus (E11)
RSUD ASY-SYIFA' (PENYAKIT
349 2021-09-27 08HJ.MARIYATUL 5207054406650007 040599 P TEPAS SEPAKAT 56 Thn 3LAMA 0001581233602 - Issue of repeat prescription (Z76.0) - Essential (primary) hypertension (I10) DALAM) 230902030921Y000678
350 2021-09-27 09ZIKRUL YAMIN 5207051011960001 060295 L MOTENG 24 Thn 1LAMA 0001581270906 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
351 2021-09-27 09LENI RUSDIANI 5207054411970001 060213 P SAPUGARA BREE 23 Thn 1LAMA 0001478064295 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
352 2021-09-27 10SARIPUDIN 5204281206710002 021545 L SAPUGARA BREE 50 Thn 3BARU 0000841015642 - Disorder of urinary system, unspecified (N39.9)
353 2021-09-27 13EVAN ANUGRAH PRATAMA 5207051302130001 010186 L DESA BERU 8 Thn 7 LAMA 0002663709074 - Epilepsy (G40) RSUD ASY-SYIFA' (ANAK) 230902030921Y000691
354 2021-09-27 13ALFIAN 5207050101820001 050443 L SEMINAR SALIT 39 Thn 8LAMA 0001583944773 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
355 2021-09-27 13LILI AGUSNAWATI 5207054808720001 010426 P DESA BERU 49 Thn 1LAMA 0002111696201 hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11) DALAM) 230902030921Y000692
356 2021-09-27 13SYARIFUDDIN 5207051108740001 020022 L SAPUGARA BREE 45 Thn 9LAMA 0000845015253 - Gastritis and duodenitis (K29)
- Follow-up examination after other treatment for other conditions (Z09.8) - Myopia (H52.1) - Myalgia
357 2021-09-27 13A. MUIS 5207052202680001 010016 L DESA BERU 53 Thn 7LAMA 0000146655641 (M79.1) - Other acute gastritis (K29.1) RSUD Sumbawa (MATA) 230902030921Y000698
358 2021-09-27 14YAYU APRILIANA 5204055904880002 030495 P TEPAS 33 Thn 5LAMA 0000207923128 - Mucopurulent chronic bronchitis (J41.1)
359 2021-09-28 07FIKRY ARMANSYAH 5207052604080001 040144 L TEPAS SEPAKAT 13 Thn 5LAMA 0001294995339 - Otitis media, unspecified (H66.9)
360 2021-09-28 07ARBI NUGRA RAMADHAN 070446 L BANGKAT MONTE10 Thn 1LAMA 0002108491233 - Disease of jaws, unspecified (K10.9)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Non-insulin- RSUD ASY-SYIFA' (PENYAKIT
361 2021-09-28 07MATIA 5207056809680001 020159 P SAPUGARA BREE 53 Thn 0LAMA 0001245848398 dependent diabetes mellitus (E11) - Rheumatism, unspecified, ankle and foot (M79.07) DALAM) 230902030921Y000759
362 2021-09-28 07FARMI AD AUDY 5207051212960002 020159 L SAPUGARA BREE 24 Thn 9LAMA 0002085883806 - Chronic obstructive pulmonary disease, unspecified (J44.9)
RSUD ASY-SYIFA' (PENYAKIT
363 2021-09-28 07NURJANNAH 5207055705650001 030647 P TEPAS 56 Thn 5LAMA 0000846049746 - Follow-up examination after unspecified treatment for other conditions (Z09.9) DALAM) 230902030921Y000766
364 2021-09-28 07LUTIA FAJRIAH 5204054708960001 100007 P LUAR 25 Thn 1LAMA 0000206038146 - Other anaemias (D64)
365 2021-09-28 07RAMZI SAPUTRA 5207051205130001 040234 L TEPAS SEPAKAT 8 Thn 4 LAMA 0002037212842 - Allergic contact dermatitis (L23)
366 2021-09-28 07LINDA ANDAYANI 5207055410960001 030486 P TEPAS 24 Thn 1LAMA 0001581047177 - Allergic contact dermatitis (L23)
367 2021-09-28 08SUMARNI 5207054708710001 020610 P SAPUGARA BREE 50 Thn 1LAMA 0001581254728 - Essential (primary) hypertension (I10)
RSUD ASY-SYIFA' (PENYAKIT
368 2021-09-28 08MARSEHA 5207055706810002 020674 P SAPUGARA BREE 40 Thn 2LAMA 0000844975348 - Adhesive capsulitis of shoulder (M75.0) DALAM) 230902030921Y000768
369 2021-09-28 08MUKHLAS 5207031602830004 060155 L MOTENG 38 Thn 7LAMA 0002288563942 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
370 2021-09-28 08FIRMANSYAH 5207050208970002 080029 L LAMUNTET 34 Thn 1LAMA 0002121914079 - Paranoid schizophrenia (F20.0)
371 2021-09-28 08RAMLI 5207051211790001 060334 L MOTENG 41 Thn 1BARU 0001478112434 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Other complications RSUD ASY-SYIFA' (PENYAKIT
372 2021-09-28 08NURMAWAN 5207055707760001 010399 P DESA BERU 45 Thn 2LAMA 0002328130146 following immunization, not elsewhere classified (T88.1) DALAM) 230902030921Y000786
373 2021-09-28 08AMAR AMZARI 5207051105110001 050267 L SEMINAR SALIT 10 Thn 4BARU 0001581076326 - Cutaneous abscess, furuncle and carbuncle (L02)
374 2021-09-28 08AMIRUDDIN 5207050607950002 040055 L TEPAS SEPAKAT 26 Thn 2LAMA 0001058204698 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
375 2021-09-28 08LELA ANDANI 5207056810940001 030486 P TEPAS 26 Thn 1LAMA 0001581047166 - Dyspepsia (K30)
376 2021-09-28 09ARIFUL AKHYAR 5207052112910001 060273 L MOTENG 29 Thn 9LAMA 0002251042064 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
377 2021-09-28 09FARIDA 5207055011730002 030486 P TEPAS 47 Thn 1LAMA 0001581047144 - Acute nasopharyngitis [common cold] (J00)
378 2021-09-28 09SRI ADEKAYANTI 5207025201810002 010120 P DESA BERU 40 Thn 8LAMA 0002108148456 - Headache (R51)
379 2021-09-28 09SUHARDI 5207052008790001 040544 L TEPAS SEPAKAT 42 Thn 1BARU 0002070429243 - Biduran / Kaligata / Urtikaria (L50)
380 2021-09-28 10HADNA 5207024506820003 021374 P SAPUGARA BREE 39 Thn 3LAMA 0002778952162 - Artritis lainnya (M13)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Cerebral infarction,
381 2021-09-28 10ABDUL KARIM 5207052209650001 080011 L LAMUNTET 56 Thn 0LAMA 0002263931425 unspecified (I63.9) RSUD Sumbawa (SARAF) 230902030921Y000834
382 2021-09-28 10ARDIANTO 5207053112760012 040971 L TEPAS SEPAKAT 33 Thn 6BARU 0000846124503 - Foreign body on external eye, part unspecified (T15.9)
383 2021-09-28 13DESTI PRATIWI 030539 P TEPAS 12 Thn 2LAMA 0000846157511 - Allergic contact dermatitis (L23)
384 2021-09-29 06HATIPAH 5207026304630001 010185 P DESA BERU 58 Thn 5LAMA 0000146660703 - Essential (primary) hypertension (I10) - Non-insulin-dependent diabetes mellitus (E11)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
385 2021-09-29 07HJ.FATIMAH 5207054710640002 040767 P RARAK RONGIS 56 Thn 1LAMA 0001581235795 hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000837
386 2021-09-29 07HASRINI 5207057003890001 070366 P BANGKAT MONTE32 Thn 5LAMA 0002060466849 - Paranoid schizophrenia (F20.0)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Benign lipomatous
387 2021-09-29 07AHMAD EFENDI 5207051507830002 020202 L SAPUGARA BREE 38 Thn 2LAMA 0001058199412 neoplasm, unspecified (D17.9) RSUD ASY-SYIFA' (BEDAH) 230902030921Y000855
388 2021-09-29 08SYAMSUDDIN 5207053112701471 080104 L LAMUNTET 41 Thn 9LAMA 0001579903492 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
389 2021-09-29 08TATI KAYANTI 5207026707850002 010058 P LABUAN KERTASA36 Thn 2LAMA 0001886575127 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
390 2021-09-29 08RATNA ARIANA 5207054505960001 050007 P SEMINAR SALIT 25 Thn 4LAMA 0001581075123 - Other respiratory tuberculosis, confirmed bacteriologically and histologically (A15.8)
391 2021-09-29 09AGUS PIANTO 5207050805790001 080019 L LAMUNTET 42 Thn 4LAMA 0000146662931 - Myalgia (M79.1)
392 2021-09-29 09RADITIO FATHURRAHMAN 5204080308120002 040565 L TEPAS SEPAKAT 9 Thn 1 LAMA 0001836337858 - Impacted cerumen (H61.2)
393 2021-09-29 10HUSAIN 5207050507750004 010102 L DESA BERU 46 Thn 2LAMA 0000146765722 - Myalgia (M79.1)
394 2021-09-29 10DARMIATI 021546 P SAPUGARA BREE 53 Thn 1BARU 0000846603819 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Bell's palsy (G51.0) - RS H. L. MANAMBAI ABDUL
395 2021-09-29 13LILI AGUSNAWATI 5207054808720001 010426 P DESA BERU 49 Thn 1LAMA 0002111696201 Essential (primary) hypertension (I10) KADIR (SARAF) 230902030921Y000920
396 2021-09-29 14NS. LULU IKA RIZKIKA, S.KEP 5204185410900003 020844 P SAPUGARA BREE 31 Thn 0LAMA 0000146769884 - General examination and investigation of persons without complaint and reported diagnosis (Z00)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Disorders of RSUD ASY-SYIFA' (PENYAKIT
397 2021-09-30 06JUMAIAH 5207055207670002 010025 P DESA BERU 54 Thn 2LAMA 0000846056406 lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000926
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
398 2021-09-30 06SALMAH BASO 5207055607670001 010331 P DESA BERU 54 Thn 2LAMA 0000846048429 hypertension (I10) - Disorders of lipoprotein metabolism and other lipidaemias (E78) DALAM) 230902030921Y000925
399 2021-09-30 06SYAHRIL 5207051907710001 010098 L DESA BERU 50 Thn 2LAMA 0002108147826 - Faringitis akut, tidak spesifik (J02.9)
400 2021-09-30 07ELISA WULANTRI 5207054404060002 010152 P DESA BERU 15 Thn 5LAMA 0002588064772 - Dyspepsia (K30)
401 2021-09-30 07RIVAI DESTISHAPUTRA 5207052612080001 030360 L TEPAS 12 Thn 9LAMA 0001581042104 - Epilepsy (G40) RSUD ASY-SYIFA' (ANAK) 230902030921Y000927
402 2021-09-30 09AGUS SUPIANTO 5207051708950001 050379 L SEMINAR SALIT 26 Thn 1LAMA 0001581046558 - Abdominal and pelvic pain (R10)
403 2021-09-30 09ABDULLAH 5207051508680001 010152 L DESA BERU 53 Thn 1BARU 0002108148355 - Myalgia (M79.1) - Headache (R51)
404 2021-09-30 09RAUDATUL JANNAH 5203120107870824 021385 P SAPUGARA BREE 33 Thn 8LAMA 0001441648956 - Pruritus, unspecified (L29.9)
405 2021-09-30 10KARTINI 5207056512700001 010152 P DESA BERU 50 Thn 9BARU 0002108148366 - Headache (R51) - Essential (primary) hypertension (I10)
- Follow-up examination after unspecified treatment for other conditions (Z09.9) - Essential (primary) RSUD ASY-SYIFA' (PENYAKIT
406 2021-09-30 13ASS MITA MUNI A 5207054805700001 020253 P SAPUGARA BREE 51 Thn 4LAMA 0002818311388 hypertension (I10) DALAM) 230902030921Y000956
407 2021-09-30 14KIKI LOLITA 5207055312930001 010719 P DESA BERU 27 Thn 9LAMA 0000846079896 - General examination and investigation of persons without complaint and reported diagnosis (Z00)

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