F3SKT

Kant
or
FKT
Cab
P
NO TANGGAL TANGGAL JENIS
ang NO KUNJUNGAN PELAYANAN ENTRI
NO KARTU NAMA PESERTA
KELAMIN
1 : 100225010321P000 31-03-2021 31-03-2021 0000058580954 ernawati indliansyah, s.Pd P
738 00:00 10:50
:CIM
2 100225010321P000 31-03-2021 31-03-2021 0000496717907 ROSITA P
AHI
NGA - 750 00:00 11:20
3 100225010321P000 31-03-2021 31-03-2021 0000497477237 CUCUM KURNIA P
1014
MPR 724 00:00 09:53
4 100225010321P000 31-03-2021 31-03-2021 0000498064386 ASEP YAYAN L
AH - 726 00:00 09:56
51002 100225010321P000 31-03-2021 31-03-2021 0000498065308 KOKOM KOMARIAH P
742 00:00 11:11
2501
6 100225010321P000 31-03-2021 31-03-2021 0000498080092 ENOK P
727 00:00 10:01
7 100225010321P000 31-03-2021 31-03-2021 0000498084028 YIYIN SOLIHA P
739 00:00 10:52
8 100225010321P000 31-03-2021 31-03-2021 0000498432273 ITA P
723 00:00 09:52
9 100225010321P000 31-03-2021 31-03-2021 0001012484294 LILIS SULASTRI P
744 00:00 11:14
10 100225010321P000 31-03-2021 31-03-2021 0001012484305 MUHAMAD SOFI YUDIN L
740 00:00 11:02
11 100225010321P000 31-03-2021 31-03-2021 0001012489209 DARIYAH P
746 00:00 11:16
12 100225010321P000 31-03-2021 31-03-2021 0001148618632 AGUS UMAR L
719 00:00 09:36
13 100225010321P000 31-03-2021 31-03-2021 0001385883832 DAYAT HIDAYAT L
715 00:00 08:54
14 100225010321P000 31-03-2021 31-03-2021 0001388336027 WINDAYANI P
731 00:00 10:06
15 100225010321P000 31-03-2021 31-03-2021 0001448344359 ENDANG TARMINI P
734 00:00 10:11
16 100225010321P000 31-03-2021 31-03-2021 0001483005846 TOTO P
720 00:00 09:44
17 100225010321P000 31-03-2021 31-03-2021 0001515626368 YATI DARYATI P
735 00:00 10:27
Kant
or
FKT
Cab
P
18 100225010321P000 31-03-2021 31-03-2021 0001515626447 ISYE DINOVA JUNIARTI P
ang 737 00:00 10:49 NINGRUM
19 : 100225010321P000 31-03-2021 31-03-2021 0001665501412 ERNA WATI DEWI P
741 00:00 11:03
:CIM
20 100225010321P000 31-03-2021 31-03-2021 0001665501423 MUHAMAD RAKA ALBIANSAH L
AHI
NGA - 749 00:00 11:20
21 100225010321P000 31-03-2021 04-04-2021 0001665714633 AI NENI NURHAYATI P
1014
MPR 754 00:00 10:51
22 100225010321P000 31-03-2021 31-03-2021 0001807833971 euis sutijah P
AH - 722 00:00 09:50
1002
23 100225010321P000 31-03-2021 31-03-2021 0001859610216 NAIMAH KINARA P
730 00:00 10:05
2501
24 100225010321P000 31-03-2021 31-03-2021 0001896189467 MIKIALA PITALOKA P
725 00:00 09:54
25 100225010321P000 31-03-2021 31-03-2021 0001912751381 KAYAH P
745 00:00 11:15
26 100225010321P000 31-03-2021 31-03-2021 0001969118469 ADI SETIADI L
748 00:00 11:18
27 100225010321P000 31-03-2021 31-03-2021 0002204734904 hanik rofiqoh P
728 00:00 10:04
28 100225010321P000 31-03-2021 31-03-2021 0002258755716 ODAH HALIMAH P
721 00:00 09:48
29 100225010321P000 31-03-2021 31-03-2021 0002489765321 SURYATNA L
751 00:00 11:21
30 100225010321P000 31-03-2021 31-03-2021 0002745751419 SARIAH P
743 00:00 11:12
31 100225010321P000 31-03-2021 31-03-2021 0002749802646 SAOR PANGIHUTAN L
729 00:00 10:04
32 100225010321P000 31-03-2021 31-03-2021 0002767448575 RAKA RAMADHAN L
733 00:00 10:09
33 100225010321P000 31-03-2021 31-03-2021 0002767449554 RIKI RAMADHAN L
732 00:00 10:08
34 100225010321P000 31-03-2021 31-03-2021 0002797685842 NOVAN QIANDRA PANGESTU L
747 00:00 11:18
35 100225010321P000 31-03-2021 31-03-2021 0002797706654 WIWI MARYATI P
736 00:00 10:47
Kant
or
FKT
Cab
P
36 100225010321P000 31-03-2021 31-03-2021 0002840007363 IWAN KUSTIAWAN L
ang 718 00:00 09:34
37 : 100225010321P000 30-03-2021 30-03-2021 0000497670917 JAJANG RAHMAT L
712 00:00 10:10
CIM
:38 100225010321P000 30-03-2021 30-03-2021 0000497770479 KARMINI P
AHI
NGA- 711 00:00 10:10
1014
MPR
AH -
1002
2501
39 100225010321P000 30-03-2021 30-03-2021 0000497803037 SARI P
702 00:00 09:27
40 100225010321P000 30-03-2021 30-03-2021 0001012488039 KOMARA P
697 00:00 09:09
41 100225010321P000 30-03-2021 30-03-2021 0001012495375 KOMALA P
708 00:00 10:07
42 100225010321P000 30-03-2021 30-03-2021 0001430981932 TANTY ANGGUN P
701 00:00 09:27 KUSUMAWATI
43 100225010321P000 30-03-2021 30-03-2021 0001515659128 SITI NINGRUM P
703 00:00 09:28
44 100225010321P000 30-03-2021 30-03-2021 0001665503752 WIDA MUTIARA P
707 00:00 09:54
698 00:00 09:17
46 100225010321P000 30-03-2021 30-03-2021 0001823774771 ACHWAN SUTIKNO L
710 00:00 10:09
47 100225010321P000 30-03-2021 30-03-2021 0001900462307 enos jubaedah P
696 00:00 09:08
48 100225010321P000 30-03-2021 30-03-2021 0001971000966 MAHESHSWARA L
709
100225010321P000 00:00
30-03-2021 10:08
30-03-2021 OKTAVIANDRA
49 0002059122385 DARYAH ROSNAWATI P
700 00:00 09:26
50 100225010321P000 30-03-2021 30-03-2021 0002423837711 ADITIA AGUSTINA L
699 00:00 09:24
51 100225010321P000 30-03-2021 30-03-2021 0002594677713 DIRA SOPANDI L
713 00:00 10:27
52 100225010321P000 30-03-2021 30-03-2021 0002619251458 SETIA PERMADI L
705 00:00 09:29
53 100225010321P000 30-03-2021 30-03-2021 0002767457709 RENI YULIANA P
704 00:00 09:29
54 100225010321P000 30-03-2021 30-03-2021 0002864062664 UTI P
694 00:00 08:58
Kant
or
FKT
Cab
P
55 100225010321P000 29-03-2021 29-03-2021 0000058133259 KARLIATI P
ang 684 00:00 11:02
56 : 100225010321P000 29-03-2021 31-03-2021 0000058420416 ENDI SUWARDI L
714 00:00 08:42
:CIM
57 100225010321P000 29-03-2021 29-03-2021 0000058575802 YOYO SUTARDI L
AHI
NGA - 691 00:00 11:08
58 100225010321P000 29-03-2021 29-03-2021 0000165272455 TITI KARYATI P
1014
MPR 679 00:00 10:48
59 100225010321P000 29-03-2021 29-03-2021 0000195923654 EMI P
AH - 659 00:00 09:16
1002
60 100225010321P000 29-03-2021 05-04-2021 0000495877757 NENAH SITI NURHASANAH P
2501 757 00:00 08:23
61 100225010321P000 29-03-2021 29-03-2021 0000496893339 YULI YULIANTI P
653 00:00 08:36
62 100225010321P000 29-03-2021 29-03-2021 0000497628404 MULYANI P
692 00:00 11:10
63 100225010321P000 29-03-2021 29-03-2021 0000497899697 DEWI P
676 00:00 10:38
64 100225010321P000 29-03-2021 29-03-2021 0000497908844 NANI SANILAH P
660 00:00 09:32
65 100225010321P000 29-03-2021 05-04-2021 0000497967322 DAYAT L
758 00:00 09:05
66 100225010321P000 29-03-2021 29-03-2021 0000498079539 JAJANG SLAMET L
658 00:00 09:06
67 100225010321P000 29-03-2021 03-04-2021 0000498087022 IMAT P
753 00:00 09:31
68 100225010321P000 29-03-2021 29-03-2021 0000498508121 FITRI LESTARI P
675 00:00 10:38
69 100225010321P000 29-03-2021 29-03-2021 0001012438743 ARISKA SRIRAHAYU P
665 00:00 10:26
70 100225010321P000 29-03-2021 29-03-2021 0001102334084 ENCEP MIRJA GULAM AHMAD L
661 00:00 10:00
71 100225010321P000 29-03-2021 29-03-2021 0001264531151 HM FAJAR JULYANSYAH L
678 00:00 10:40
72 100225010321P000 29-03-2021 29-03-2021 0001277187862 WARSITO SUMAWIJAYA L
652 00:00 08:32
73 100225010321P000 29-03-2021 29-03-2021 0001314660058 DEDI SUHAEDI KURNIAWAN L
669 00:00 10:32
Kant
or
FKT
Cab
P
74 100225010321P000 29-03-2021 29-03-2021 0001317679211 ELIS SRI SUSANTI P
ang 657 00:00 09:00
75 : 100225010321P000 29-03-2021 29-03-2021 0001428681666 KOMAEDI L
688 00:00 11:06
CIM
:76 100225010321P000 29-03-2021 29-03-2021 0001428682252 SAODAH P
AHI
NGA - 689 00:00 11:07
77 100225010321P000 29-03-2021 29-03-2021 0001660011039 SARIWININGSIH P
1014
MPR 654 00:00 08:39
78 100225010321P000 29-03-2021 29-03-2021 0001662999063 YATIMINGGO L
AH - 681 00:00 10:53
1002
79 100225010321P000 29-03-2021 29-03-2021 0001662999074 HENI YULIANINGSIH P
680 00:00 10:50
2501
80 100225010321P000 29-03-2021 29-03-2021 0001665495191 ENTAY SUKARNA L
668 00:00 10:30
81 100225010321P000 29-03-2021 01-04-2021 0001665915197 TATI SUGNIATI P
752 00:00 10:15
82 100225010321P000 29-03-2021 29-03-2021 0001675027484 INDRA. K L
671 00:00 10:35
83 100225010321P000 29-03-2021 29-03-2021 0001835248307 DEDE RUKIAH P
656 00:00 08:53
84 100225010321P000 29-03-2021 29-03-2021 0001965086886 ATIKAH P
673 00:00 10:36
85 100225010321P000 29-03-2021 29-03-2021 0002071791257 MAMAD L
670 00:00 10:33
86 100225010321P000 29-03-2021 29-03-2021 0002076430893 TITIN AMINAH P
677 00:00 10:38
87 100225010321P000 29-03-2021 29-03-2021 0002210594589 E ROHAETI P
687 00:00 11:05
88 100225010321P000 29-03-2021 29-03-2021 0002213812934 OMAY L
674 00:00 10:37
89 100225010321P000 29-03-2021 29-03-2021 0002213813711 supiah juma P
672 00:00 10:36
90 100225010321P000 29-03-2021 29-03-2021 0002258214873 MUHAMMAD FAHAD JAVAS AL L
686 00:00 11:05 GHOZY
91 100225010321P000 29-03-2021 31-03-2021 0002258755582 RASMAN L
716 00:00 08:55
92 100225010321P000 29-03-2021 29-03-2021 0002275672871 RUSTINI P
663 00:00 10:24
Kant
or
FKT
Cab
P 93 100225010321P000 29-03-2021 29-03-2021 0002288653659 NADYA APRILIA NAULI P
ang 655 00:00 08:48 NAPITUPULU
:
94 100225010321P000 29-03-2021 29-03-2021 0002477011476 ANDIN L
650 00:00 08:01
CIM
: 95 100225010321P000 29-03-2021 30-03-2021 0002493691446 ARIA SANTANU GANDA L
AHI
NGA - 706 00:00 09:51 KUSUMAH
96 100225010321P000 29-03-2021 29-03-2021 0002594677713 DIRA SOPANDI L
1014
MPR 662 00:00 10:22
97 100225010321P000 29-03-2021 29-03-2021 0002614970902 MUHAMMAD AL FATIH L
AH - 682 00:00 10:55
1002
98 100225010321P000 29-03-2021 29-03-2021 0002697332578 IDAR SRI DARYATI P
651 00:00 08:19
2501
99 100225010321P000 29-03-2021 30-03-2021 0002797688092 ADE SUHENDAR L
693 00:00 08:12
100 100225010321P000 29-03-2021 29-03-2021 0002797694763 A NENI SUKAENAH P
685 00:00 11:04
101 100225010321P000 29-03-2021 05-04-2021 0002797702929 ENDAH P
756 00:00 08:03
102 100225010321P000 29-03-2021 30-03-2021 0002840005067 ODAH P
695 00:00 09:07
103 100225010321P000 29-03-2021 29-03-2021 0002840005901 HERLINA JUWITA P
664 00:00 10:25
104 100225010321P000 29-03-2021 29-03-2021 0002856669197 RINI ROHAETI P
690 00:00 11:08
105 100225010321P000 29-03-2021 29-03-2021 0002928847094 ABIL SIDIQ ARSALAAN L
667 00:00 10:29
106 100225010321P000 29-03-2021 29-03-2021 0003047466587 MUHAMMAD MUJAHID AL L
683 00:00 10:57 MAHDI
107 100225010321P000 29-03-2021 29-03-2021 0003056551874 PITRIAH P
666 00:00 10:28
108 100225010321P000 27-03-2021 27-03-2021 0000058318773 RUKIAH P
643 00:00 08:33
109 100225010321P000 27-03-2021 27-03-2021 0000497774474 IKAH ATIKAH P
648 00:00 10:57
110 100225010321P000 27-03-2021 27-03-2021 0000498135881 EHA JULAEHA P
649 00:00 10:59
Kant
or
FKT
Cab
P
111 100225010321P000 27-03-2021 27-03-2021 0001515657532 TITA NANDA RAHAYU P
ang 642 00:00 07:16
112: 100225010321P000 27-03-2021 27-03-2021 0002262111399 TI`AH P
644 00:00 08:46
CIM
:113 100225010321P000 27-03-2021 27-03-2021 0002278556987 TATI P
AHI
NGA - 646 00:00 09:35
114 100225010321P000 27-03-2021 27-03-2021 0002456616723 AHMAD FADILAH ALMA ARIZ L
1014
MPR 645 00:00 09:28
115 100225010321P000 27-03-2021 27-03-2021 0002878717792 INTAN SOLIHAH P
AH - 647 00:00 09:53
1002
116 100225010321P000 26-03-2021 26-03-2021 0000497583404 TATA MUSTOFA L
2501 617 00:00 08:44
117 100225010321P000 26-03-2021 26-03-2021 0000497691156 SITI NURHALIMAH P
633 00:00 10:33
118 100225010321P000 26-03-2021 26-03-2021 0000498092488 YETI SUMIATI P
628 00:00 10:15
119 100225010321P000 26-03-2021 26-03-2021 0000498432633 ANI RATNA KOMALA P
627
100225010321P000 00:00
26-03-2021 10:14
26-03-2021
120 0000498781517 ABDUL ROHMAN L
626 00:00 10:13
121 100225010321P000 26-03-2021 26-03-2021 0000498857106 SUHERMAN L
634 00:00 10:35
122 100225010321P000 26-03-2021 26-03-2021 0000631720653 ANDRI LESMANA L
636 00:00 10:38
123 100225010321P000 26-03-2021 26-03-2021 0001012486858 AULIA RAHMAWATI P
619 00:00 08:59
124 100225010321P000 26-03-2021 26-03-2021 0001012486959 ELIANA P
624 00:00 10:06
125 100225010321P000 26-03-2021 26-03-2021 0001515641692 DHONI QOMARUL HADDAD L
635 00:00 10:37
641 00:00 14:05
127 100225010321P000 26-03-2021 26-03-2021 0001675016739 IMAS P
615 00:00 08:14
128 100225010321P000 26-03-2021 26-03-2021 0001675029205 HERNA. H P
616 00:00 08:37
Kant
or
FKT
Cab
P
129 100225010321P000 26-03-2021 26-03-2021 0001723812737 HJ. RUKMINAH P
ang 622 00:00 09:46
130: 100225010321P000 26-03-2021 26-03-2021 0001741015989 IRWIN L
631 00:00 10:31
:CIM
131 100225010321P000 26-03-2021 26-03-2021 0002083684465 SARIAH P
AHI
NGA - 618 00:00 08:57
132 100225010321P000 26-03-2021 26-03-2021 0002087669024 een suhenah P
1014
MPR 638 00:00 10:40
133 100225010321P000 26-03-2021 26-03-2021 0002268237756 RONI L
AH - 632 00:00 10:32
1002
134 100225010321P000 26-03-2021 26-03-2021 0002489765534 RATMAH P
630 00:00 10:27
2501
135 100225010321P000 26-03-2021 26-03-2021 0002766449575 SYAFITRI RIZKY RAMADHAN P
637 00:00 10:39
136 100225010321P000 26-03-2021 26-03-2021 0002797677639 ATIH SUKAESIH P
620 00:00 09:36
137 100225010321P000 26-03-2021 26-03-2021 0002860306672 MARINI P
629 00:00 10:16
138 100225010321P000 26-03-2021 26-03-2021 0002904741922 RESKY AGUNG RAMADHANI L
621 00:00 09:43
139 100225010321P000 26-03-2021 26-03-2021 0002907062245 NAURA RUBY ARNETA P
625 00:00 10:08
140 100225010321P000 26-03-2021 26-03-2021 0002942124221 ANNISA FITRIYANI NURUL P
623 00:00 09:50 FADILAH
141 100225010321P000 25-03-2021 25-03-2021 0000053076093 SITI SOLIHAT P
586 00:00 09:09
142 100225010321P000 25-03-2021 25-03-2021 0000497812329 HERDIANSYAH L
612 00:00 11:37
143 100225010321P000 25-03-2021 25-03-2021 0000497812465 ANISA RISTIANI P
611 00:00 11:36
144 100225010321P000 25-03-2021 25-03-2021 0000497976232 NUNUNG P
585 00:00 08:53
145 100225010321P000 25-03-2021 25-03-2021 0000498064386 ASEP YAYAN L
604 00:00 11:20
146 100225010321P000 25-03-2021 25-03-2021 0000498089193 SITI NURJANAH P
603 00:00 11:17
Kant
or
FKT
Cab
P
147 100225010321P000 25-03-2021 25-03-2021 0000498114483 NANI P
ang 580 00:00 08:09
148: 100225010321P000 25-03-2021 25-03-2021 0000498645044 KOMARUDIN L
608 00:00 11:27
CIM
:149 100225010321P000 25-03-2021 25-03-2021 0001102334084 ENCEP MIRJA GULAM AHMAD L
AHI
NGA - 601 00:00 11:14
1014
MPR 582 00:00 08:28
151 100225010321P000 25-03-2021 25-03-2021 0001293179229 DEDIH L
AH - 614 00:00 12:33
1002
152 100225010321P000 25-03-2021 25-03-2021 0001296669317 NANA ROHANA L
2501 584 00:00 08:45
153 100225010321P000 25-03-2021 25-03-2021 0001523644817 NIA KURNIAWATI P
613 00:00 11:38
154 100225010321P000 25-03-2021 25-03-2021 0001666716693 LINA APRILIANI P
606 00:00 11:23
155 100225010321P000 25-03-2021 25-03-2021 0001675034199 LILIS. R P
605 00:00 11:22
156 100225010321P000 25-03-2021 25-03-2021 0002265779643 NASYA AKILA PUTRI L
607 00:00 11:25
157 100225010321P000 25-03-2021 25-03-2021 0002623503396 SRI HARYATI P
610 00:00 11:35
158 100225010321P000 25-03-2021 25-03-2021 0002797686099 NIA ROHNIA P
609 00:00 11:30
159 100225010321P000 25-03-2021 25-03-2021 0002797708836 ISUM MULYATI P
579
100225010321P000 00:00
25-03-2021 05:35
25-03-2021
160 0003068627308 CECEP HERMAWAN L
602 00:00 11:15
161 100225010321P000 24-03-2021 25-03-2021 0000053003103 SITI HADIJAH P
592 00:00 11:05
162 100225010321P000 24-03-2021 25-03-2021 0000058471299 HJ. EEN SITI JENAB..S.PDI P
593 00:00 11:06
163 100225010321P000 24-03-2021 25-03-2021 0000497583404 TATA MUSTOFA L
598 00:00 11:10
Kant
or
FKT
Cab
P
164 100225010321P000 24-03-2021 24-03-2021 0000497826606 HERU HADIYANTO L
ang 573 00:00 10:26
165: 100225010321P000 24-03-2021 24-03-2021 0000497996695 IDAT P
558 00:00 08:42
CIM
:166 100225010321P000 24-03-2021 24-03-2021 0000498024415 DEDE YAHYA JAKARIA L
AHI
NGA - 577 00:00 10:44
167 100225010321P000 24-03-2021 24-03-2021 0000498024516 AAN P
1014
MPR 560 00:00 09:35
168 100225010321P000 24-03-2021 24-03-2021 0000498056095 NASIH P
AH - 555 00:00 08:08
1002
169 100225010321P000 24-03-2021 24-03-2021 0000498182771 ROHATI P
2501 561 00:00 09:56
170 100225010321P000 24-03-2021 25-03-2021 0000498376225 ENCEP SURYANA L
587 00:00 11:02
171 100225010321P000 24-03-2021 25-03-2021 0000498394811 DARWITA L
597 00:00 11:09
172 100225010321P000 24-03-2021 24-03-2021 0000498432273 ITA P
566 00:00 10:15
173 100225010321P000 24-03-2021 24-03-2021 0000498462074 KOMALA P
564 00:00 10:11
174 100225010321P000 24-03-2021 24-03-2021 0000977720321 YAYA P
567 00:00 10:17
175 100225010321P000 24-03-2021 24-03-2021 0001012422137 EEN SUHAENI P
575 00:00 10:40
176 100225010321P000 24-03-2021 24-03-2021 0001012490482 ANAM L
565 00:00 10:13
177 100225010321P000 24-03-2021 24-03-2021 0001012498378 AI TRISNAWATI P
574 00:00 10:38
178 100225010321P000 24-03-2021 24-03-2021 0001177997692 CICI SUMIATI P
572 00:00 10:25
179 100225010321P000 24-03-2021 24-03-2021 0001446285352 DADANG RAHMAT L
557 00:00 08:40
180 100225010321P000 24-03-2021 24-03-2021 0001448343641 SUHANDA L
559 00:00 09:12
Kant
or
FKT
Cab
P
181 100225010321P000 24-03-2021 24-03-2021 0001521754389 SITI SUPIAH P
ang 571 00:00 10:24
182: 100225010321P000 24-03-2021 24-03-2021 0001521754402 KHOFIFAH FAUZIYYAH P
570 00:00 10:23
CIM
:183 100225010321P000 24-03-2021 25-03-2021 0001523644817 NIA KURNIAWATI P
AHI
NGA - 589 00:00 11:03
184 100225010321P000 24-03-2021 24-03-2021 0001665528355 SITI JULAEHA P
1014
MPR 556 00:00 08:17
185 100225010321P000 24-03-2021 25-03-2021 0001675017314 ADE JUWARIAH P
AH - 594 00:00 11:07
1002
186 100225010321P000 24-03-2021 24-03-2021 0001675019046 TURYATI P
563 00:00 10:09
2501
187 100225010321P000 24-03-2021 25-03-2021 0001675181327 CICIH P
596 00:00 11:08
188 100225010321P000 24-03-2021 25-03-2021 0002078518915 SEPTIADI HIDAYAT L
588 00:00 11:03
189 100225010321P000 24-03-2021 25-03-2021 0002212651023 DADANG KOMARUDIN L
595 00:00 11:07
190 100225010321P000 24-03-2021 25-03-2021 0002275673016 SITI SARAH NUR HALIMAH P
600 00:00 11:12
191 100225010321P000 24-03-2021 25-03-2021 0002471448104 asyifa aulia putri P
590 00:00 11:04
192 100225010321P000 24-03-2021 24-03-2021 0002592069952 GILANG CAHYA RAHMADAN L
576 00:00 10:42
193 100225010321P000 24-03-2021 25-03-2021 0002616315873 RYAN FIRMANSYAH L
599 00:00 11:11
194 100225010321P000 24-03-2021 24-03-2021 0002797698047 KHEISYA AUREL PUTRI P
569 00:00 10:23 HADIYANTO
195 100225010321P000 24-03-2021 24-03-2021 0002797708836 ISUM MULYATI P
578 00:00 22:08
196 100225010321P000 24-03-2021 25-03-2021 0002907227114 LENI ARIYANTI P
591 00:00 11:05
197 100225010321P000 23-03-2021 23-03-2021 0000058254603 ERNAWATI P
522 00:00 09:49
198 100225010321P000 23-03-2021 23-03-2021 0000058505286 EUIS SURYATI P
521 00:00 09:42
Kant
or
FKT
Cab
P
199 100225010321P000 23-03-2021 23-03-2021 0000496717907 ROSITA P
ang 541 00:00 11:13
200: 100225010321P000 23-03-2021 23-03-2021 0000497977086 AI SOPIAH P
529 00:00 11:00
CIM
:
AHI
NGA-
1014
MPR
AH -
1002
201 100225010321P000 23-03-2021 23-03-2021 0000498053531 AAH P
515 00:00 08:47
202 100225010321P000 23-03-2021 23-03-2021 0000498064386 ASEP YAYAN L
539 00:00 11:11
203 100225010321P000 23-03-2021 23-03-2021 0000498067356 WIWIN KOMALASARI P
523 00:00 09:55
204 100225010321P000 23-03-2021 23-03-2021 0000498109454 ENDANG JUHANA L
526 00:00 10:17
205 100225010321P000 23-03-2021 23-03-2021 0000498380016 IDA RESMIATI P
519 00:00 08:53
206 100225010321P000 23-03-2021 23-03-2021 0000498417884 LILIS SUMARNI P
537 00:00 11:10
207 100225010321P000 23-03-2021 23-03-2021 0001012484125 ACHMAD DJUWEDI L
550 00:00 11:42
208 100225010321P000 23-03-2021 23-03-2021 0001012495239 KARTINI P
531
100225010321P000 00:00
23-03-2021 11:03
23-03-2021
209 0001012495375 KOMALA P
542 00:00 11:13
210 100225010321P000 23-03-2021 23-03-2021 0001430631641 HAFSHA NUR HAFIDZA P
547 00:00 11:19
211 100225010321P000 23-03-2021 23-03-2021 0001430981932 TANTY ANGGUN P
554 00:00 11:59 KUSUMAWATI
212 100225010321P000 23-03-2021 23-03-2021 0001665495191 ENTAY SUKARNA L
553 00:00 11:58
213 100225010321P000 23-03-2021 23-03-2021 0001675501053 SRI YULIYANTI P
514 00:00 08:25
214 100225010321P000 23-03-2021 23-03-2021 0001776663628 NURMALA DEWI P
532 00:00 11:03
215 100225010321P000 23-03-2021 23-03-2021 0001965086886 ATIKAH P
545 00:00 11:16
216 100225010321P000 23-03-2021 23-03-2021 0002087669024 een suhenah P
552 00:00 11:57
Kant
or
FKT
Cab
P
217 100225010321P000 23-03-2021 23-03-2021 0002215916954 WAWAN HERMAWAN L
ang 516 00:00 08:49
218: 100225010321P000 23-03-2021 23-03-2021 0002229498562 CUCUN L
534 00:00 11:05
:CIM
219 100225010321P000 23-03-2021 23-03-2021 0002238432096 YAYAN SUPARYANA L
AHI
NGA - 540 00:00 11:12
220 100225010321P000 23-03-2021 23-03-2021 0002252034819 ENOK SITI AMINAH P
1014
MPR 551 00:00 11:48
221 100225010321P000 23-03-2021 23-03-2021 0002261655797 TATANG L
AH - 528 00:00 10:59
1002
222 100225010321P000 23-03-2021 23-03-2021 0002316309704 MUHAMAD DHIMAS JANUBI L
2501 533 00:00 11:05
223 100225010321P000 23-03-2021 23-03-2021 0002423843763 ECIN KURAESIN P
538 00:00 11:10
544 00:00 11:15
225 100225010321P000 23-03-2021 23-03-2021 0002619103329 ASIH HODIJAH P
530 00:00 11:01
226 100225010321P000 23-03-2021 23-03-2021 0002696268971 SAHANTI PRAMUDIANTI P
520 00:00 09:39
227 100225010321P000 23-03-2021 23-03-2021 0002756701664 SITI SUSANTI P
548 00:00 11:22
228 100225010321P000 23-03-2021 23-03-2021 0002756701855 NADZRIL KHEVIN PRATAMA L
536 00:00 11:08
229 100225010321P000 23-03-2021 23-03-2021 0002797683849 NENENG RAHMAWATI P
527 00:00 10:58
230 100225010321P000 23-03-2021 23-03-2021 0002839996541 ACIH P
535 00:00 11:07
231 100225010321P000 23-03-2021 23-03-2021 0002840002378 ITA L
546 00:00 11:17
232 100225010321P000 23-03-2021 23-03-2021 0002974419022 MUHAMMAD TAQQIYUDDIN L
543 00:00 11:14 MALIK
233 100225010321P000 22-03-2021 22-03-2021 0000053490126 JHONY PANJAITAN L
479 00:00 10:17
234 100225010321P000 22-03-2021 22-03-2021 0000065759073 Dr.H. ECON SEMBIRING L
468 00:00 09:21
Kant
or
FKT
Cab
P
235 100225010321P000 22-03-2021 22-03-2021 0000497583404 TATA MUSTOFA L
ang 512 00:00 12:31
236: 100225010321P000 22-03-2021 24-03-2021 0000497690807 YAYA L
562 00:00 10:02
CIM
:237 100225010321P000 22-03-2021 22-03-2021 0000497952022 IMAS P
AHI
NGA - 477 00:00 10:12
238 100225010321P000 22-03-2021 22-03-2021 0000498105325 IMAS P
1014
MPR 465 00:00 08:45
239 100225010321P000 22-03-2021 22-03-2021 0000498385787 ISMA SUPARTINI P
AH - 500 00:00 12:12
1002
240 100225010321P000 22-03-2021 22-03-2021 0001012438721 MIMIN MINTARSIH P
2501 492 00:00 11:27
241 100225010321P000 22-03-2021 22-03-2021 0001012495803 MOMOD L
466 00:00 09:18
242 100225010321P000 22-03-2021 22-03-2021 0001093628237 DEDY SUHENDI L
485 00:00 11:04
243 100225010321P000 22-03-2021 22-03-2021 0001311608474 IIN INSAF L
495 00:00 11:34
244 100225010321P000 22-03-2021 22-03-2021 0001314661228 ENTIN SUHARTINI P
474 00:00 09:50
245 100225010321P000 22-03-2021 22-03-2021 0001425272387 GANDA P
507 00:00 12:24
246 100225010321P000 22-03-2021 22-03-2021 0001428229214 MULYANA HASAN PERMANA L
481 00:00 10:27
247 100225010321P000 22-03-2021 22-03-2021 0001428230575 LALA SUHAENAH P
482 00:00 10:30
248 100225010321P000 22-03-2021 22-03-2021 0001448343641 SUHANDA L
494 00:00 11:31
249 100225010321P000 22-03-2021 22-03-2021 0001515659128 SITI NINGRUM P
510 00:00 12:28
250 100225010321P000 22-03-2021 22-03-2021 0001523587792 IRMA ROHMAWATI P
472 00:00 09:37
251 100225010321P000 22-03-2021 22-03-2021 0001663154616 ISNAINI P
513 00:00 12:32
252 100225010321P000 22-03-2021 22-03-2021 0001665076724 TITIN SUPRIATIN P
506 00:00 12:22
Kant
or
FKT
Cab
P
253 100225010321P000 22-03-2021 22-03-2021 0001665524665 KUSWANA DANA MIHARJA L
ang 475 00:00 09:52
254: 100225010321P000 22-03-2021 22-03-2021 0001675027484 INDRA. K L
490 00:00 11:22
CIM
:
255 100225010321P000 22-03-2021 22-03-2021 0001675029104 ai patmawati P
AHI -
NGA 469 00:00 09:23
256 100225010321P000 22-03-2021 22-03-2021 0001675039634 WAWAN WARGAWAN L
1014
MPR 486 00:00 11:13
257 100225010321P000 22-03-2021 22-03-2021 0001675181327 CICIH P
AH - 508 00:00 12:26
1002
258 100225010321P000 22-03-2021 22-03-2021 0001733025519 DJUNA MULYANA L
2501 464 00:00 08:41
259 100225010321P000 22-03-2021 22-03-2021 0001794788087 NOVI OKTAVIANI P
461 00:00 06:20
260 100225010321P000 22-03-2021 22-03-2021 0001900863922 eva nurkholifah P
473 00:00 09:48
261 100225010321P000 22-03-2021 22-03-2021 0001900864359 MUHAMMAD FAJRIE AL- L
487 00:00 11:16 FATTAAH
262 100225010321P000 22-03-2021 22-03-2021 0002034571184 atang L
509 00:00 12:27
263 100225010321P000 22-03-2021 22-03-2021 0002071791257 MAMAD L
498 00:00 12:09
264 100225010321P000 22-03-2021 22-03-2021 0002083684465 SARIAH P
463 00:00 08:37
265 100225010321P000 22-03-2021 22-03-2021 0002284547455 SURYANA MAULUDIN L
511 00:00 12:30
266 100225010321P000 22-03-2021 22-03-2021 0002465787914 SHINTA PUSPITA PRIMASARI P
489 00:00 11:20
267 100225010321P000 22-03-2021 22-03-2021 0002489765321 SURYATNA L
504 00:00 12:21
268 100225010321P000 22-03-2021 22-03-2021 0002490415694 UNI P
505 00:00 12:22
269 100225010321P000 22-03-2021 22-03-2021 0002493353597 SUTARDI L
470 00:00 09:28
270 100225010321P000 22-03-2021 22-03-2021 0002493353698 WIDA WIDIYANTI P
493 00:00 11:29
271 100225010321P000 22-03-2021 22-03-2021 0002500833993 OYA P
478 00:00 10:15
Kant
or
FKT
Cab
P
272 100225010321P000 22-03-2021 22-03-2021 0002521403561 UJANG MITA L
ang 480 00:00 10:20
273: 100225010321P000 22-03-2021 22-03-2021 0002622648936 MUHAMAD ISHAQ L
499 00:00 12:10
CIM
:274 100225010321P000 22-03-2021 22-03-2021 0002697788856 TOTO P
AHI
NGA - 497 00:00 11:38
275 100225010321P000 22-03-2021 22-03-2021 0002797688362 SARIMANAH P
1014
MPR 501 00:00 12:14
276 100225010321P000 22-03-2021 22-03-2021 0002797692636 DE WULAN P
AH - 502 00:00 12:16
1002
277 100225010321P000 22-03-2021 22-03-2021 0002797693108 SITI MARYAM P
2501 488 00:00 11:18
278 100225010321P000 22-03-2021 22-03-2021 0002839998396 WAWAN L
496 00:00 11:37
279 100225010321P000 22-03-2021 22-03-2021 0002864066725 MOCHAMAD PADILAH L
503 00:00 12:19
280 100225010321P000 22-03-2021 22-03-2021 0002873127317 DINTAYA KUSNAWIJAYA L
462 00:00 08:28
281 100225010321P000 22-03-2021 22-03-2021 0002878758022 SALWA NUR AZIZAH P
476 00:00 09:57
282 100225010321P000 22-03-2021 22-03-2021 0002932594165 NONENG P
491 00:00 11:24
283 100225010321P000 22-03-2021 22-03-2021 0003057171862 FAYZULHAQ ASYA RAJENDRA L
483 00:00 10:51 DARMA
460 00:00 15:03
285 100225010321P000 20-03-2021 20-03-2021 0000058505286 EUIS SURYATI P
454 00:00 11:14
286 100225010321P000 20-03-2021 20-03-2021 0000497489681 KANA L
444 00:00 08:18
287 100225010321P000 20-03-2021 20-03-2021 0000497527569 OSIH P
446 00:00 09:14
288 100225010321P000 20-03-2021 20-03-2021 0000498013751 SANTI P
453 00:00 10:37
289 100225010321P000 20-03-2021 20-03-2021 0000498068188 VARIYANTO SUSYANTO L
457 00:00 11:24
Kant
or
FKT
Cab
P
290 100225010321P000 20-03-2021 20-03-2021 0000498346727 IDAS L
ang 452 00:00 10:36
291: 100225010321P000 20-03-2021 20-03-2021 0000498410605 KOMYATI P
448 00:00 09:39
CIM
:
AHI
NGA - 455 00:00 11:21
293 100225010321P000 20-03-2021 20-03-2021 0001012497276 SUMYATI P
1014
MPR 443 00:00 07:37
294 100225010321P000 20-03-2021 20-03-2021 0001807541987 ASEP SUPRIATNA L
AH - 459 00:00 11:28
1002
295 100225010321P000 20-03-2021 20-03-2021 0002203091875 IWAN L
442 00:00 07:34
2501
296 100225010321P000 20-03-2021 20-03-2021 0002328225388 MASTOAH P
458 00:00 11:26
297 100225010321P000 20-03-2021 20-03-2021 0002328225524 MUHAMMAD NAUZAN NAZRIL L
447 00:00 09:15
298 100225010321P000 20-03-2021 20-03-2021 0002527075214 DARIAH P
456 00:00 11:22
299 100225010321P000 20-03-2021 20-03-2021 0002797681329 ATIKAH P
451 00:00 10:33
300 100225010321P000 20-03-2021 20-03-2021 0002797698161 SARIYAH P
450 00:00 10:30
301 100225010321P000 19-03-2021 19-03-2021 0000149094044 RIKA UMBARA L
414 00:00 09:41
302 100225010321P000 19-03-2021 19-03-2021 0000161137181 SUTARIAH NY. JD. IMI P
417 00:00 10:00 SAMSUDIN
303 100225010321P000 19-03-2021 19-03-2021 0000165407141 AGINTA RION PUTRA L
408 00:00 09:04
304 100225010321P000 19-03-2021 19-03-2021 0000497603261 ANISA LUTFIA FITRIYANSYAH P
427 00:00 11:07
305 100225010321P000 19-03-2021 19-03-2021 0000497794994 WAWANG P
404 00:00 08:40
306 100225010321P000 19-03-2021 19-03-2021 0000498068313 INDAH LESTARI P
431 00:00 11:20
307 100225010321P000 19-03-2021 19-03-2021 0000498087246 NENG SULASTRI P
440 00:00 11:43
Kant
or
FKT
Cab
P
308 100225010321P000 19-03-2021 19-03-2021 0000499992388 MUSTAKIM L
ang 406 00:00 08:54
309: 100225010321P000 19-03-2021 19-03-2021 0000525962654 SRI RAHAYU P
429 00:00 11:14
CIM
:
AHI -
NGA 402 00:00 08:20
311 100225010321P000 19-03-2021 19-03-2021 0001277188211 ONIE KRISNA WARSITO P
1014
MPR 403 00:00 08:22
312 100225010321P000 19-03-2021 19-03-2021 0001287237352 ANAS CAHYA GUMELAR L
AH - 420 00:00 10:04
1002
313 100225010321P000 19-03-2021 19-03-2021 0001295517025 SINTA LISMAWATI P
2501 423 00:00 10:53
314 100225010321P000 19-03-2021 19-03-2021 0001321516956 H. DINTAYA L
421 00:00 10:05
315 100225010321P000 19-03-2021 19-03-2021 0001425272387 GANDA P
438 00:00 11:41
316 100225010321P000 19-03-2021 19-03-2021 0001515646945 DEDEH SULASTRI P
411 00:00 09:22
439 00:00 11:42
318 100225010321P000 19-03-2021 19-03-2021 0001665529108 IMAS SITI HODIJAH P
416
100225010321P000 00:00
19-03-2021 09:59
19-03-2021
319 0001665529986 RISWAN HADIYANSAH L
437 00:00 11:38
320 100225010321P000 19-03-2021 19-03-2021 0001675027484 INDRA. K L
432 00:00 11:23
321 100225010321P000 19-03-2021 19-03-2021 0001776104381 YUSEP PERMANA L
434 00:00 11:29
322 100225010321P000 19-03-2021 19-03-2021 0001776104414 FIQRI PUTERA PERMANA L
433 00:00 11:27
323 100225010321P000 19-03-2021 19-03-2021 0001829100925 HOLIL DJAMALUDIN L
401 00:00 08:04
324 100225010321P000 19-03-2021 19-03-2021 0001834617521 IRWAN HENDAYANA L
426 00:00 11:03
325 100225010321P000 19-03-2021 19-03-2021 0002056105618 IROS. P
419 00:00 10:03
Kant
or
FKT
Cab
P
326 100225010321P000 19-03-2021 19-03-2021 0002085147843 ALISKA P
ang 424 00:00 10:55
327: 100225010321P000 19-03-2021 19-03-2021 0002215918179 RISKA MEILANI P
412 00:00 09:26
CIM
:328 100225010321P000 19-03-2021 19-03-2021 0002249965462 ERVIANI DANIAR P
AHI
NGA - 400 00:00 06:56
329 100225010321P000 19-03-2021 19-03-2021 0002275676739 DEDEH KURNIASIH P
1014
MPR 407 00:00 09:04
AH - 422 00:00 10:46
1002
331 100225010321P000 19-03-2021 19-03-2021 0002309226759 MINTARSIH P
2501 415
100225010321P000 00:00
19-03-2021 09:54
19-03-2021
332 0002445996958 DENI SETYA BUDHI L
425 00:00 10:59
333 100225010321P000 19-03-2021 19-03-2021 0002592522527 MIMIN P
418 00:00 10:02
334 100225010321P000 19-03-2021 19-03-2021 0002609791839 YAYAH ROHAYA P
399 00:00 06:42
335 100225010321P000 19-03-2021 19-03-2021 0002615335773 TATI P
435 00:00 11:31
336 100225010321P000 19-03-2021 19-03-2021 0002760222903 SERUNI LUNAYA KHAERUNISA P
428 00:00 11:11
337 100225010321P000 19-03-2021 19-03-2021 0002760223599 MUHAMAD NUSA SHOLEH L
430 00:00 11:16 GUMILAR
436 00:00 11:32
339 100225010321P000 19-03-2021 19-03-2021 0002797703673 AAS KOMALA P
409 00:00 09:10
340 100225010321P000 18-03-2021 18-03-2021 0000156872248 NYAMAH P
396 00:00 09:14
341 100225010321P000 18-03-2021 18-03-2021 0000260982865 SRIWAN YANTI HAREFA P
397 00:00 11:16
Kant
or
FKT
Cab
P
342 100225010321P000 18-03-2021 18-03-2021 0000498356875 KOKOM N P
ang 393 00:00 09:05
343: 100225010321P000 18-03-2021 18-03-2021 0000498390006 ROSITA P
389 00:00 08:44
:CIM
344 100225010321P000 18-03-2021 18-03-2021 0000498514678 SURDI L
AHI
NGA - 387 00:00 08:24
345 100225010321P000 18-03-2021 18-03-2021 0001386184061 NASROH L
1014
MPR 391 00:00 08:57
346 100225010321P000 18-03-2021 18-03-2021 0001386506856 SHARA PUTRI AZIZAH P
AH - 388 00:00 08:35
1002
347 100225010321P000 18-03-2021 18-03-2021 0002000639834 SUKAENAH P
395 00:00 09:13
2501
348 100225010321P000 18-03-2021 18-03-2021 0002063801733 MIS MAMAH P
390
100225010321P000 00:00
18-03-2021 08:51
18-03-2021
349 0002249965462 ERVIANI DANIAR P
398 00:00 16:39
350 100225010321P000 18-03-2021 18-03-2021 0002521403561 UJANG MITA L
394 00:00 09:07
351 100225010321P000 18-03-2021 18-03-2021 0002609791839 YAYAH ROHAYA P
385 00:00 06:18
352 100225010321P000 18-03-2021 18-03-2021 0002797703673 AAS KOMALA P
386 00:00 08:16
353 100225010321P000 18-03-2021 18-03-2021 0002878735882 ANDA L
392 00:00 08:59
354 100225010321P000 17-03-2021 17-03-2021 0000054162224 SUSY INDRAWATI P
367 00:00 10:30
355 100225010321P000 17-03-2021 17-03-2021 0000055307957 DICKY MAULANA L
361 00:00 09:33
356 100225010321P000 17-03-2021 17-03-2021 0000058254603 ERNAWATI P
370 00:00 10:52
357 100225010321P000 17-03-2021 17-03-2021 0000058261656 ENI ROHAENI P
356 00:00 08:52
358 100225010321P000 17-03-2021 17-03-2021 0000497144463 DEWI PUSPITA P
375 00:00 11:02
359 100225010321P000 17-03-2021 17-03-2021 0000497583404 TATA MUSTOFA L
378 00:00 11:05
Kant
or
FKT
Cab
P
360 100225010321P000 17-03-2021 17-03-2021 0000497935978 REVAN ALFA DIANSYAH L
ang 373 00:00 10:59
361: 100225010321P000 17-03-2021 17-03-2021 0000497971192 SARTONO L
363 00:00 09:50
CIM
:362 100225010321P000 17-03-2021 17-03-2021 0000498182771 ROHATI P
AHI
NGA- 372 00:00 10:56
1014
MPR
AH -
1002
2501
363 100225010321P000 17-03-2021 17-03-2021 0000498857106 SUHERMAN L
371 00:00 10:55
380
100225010321P000 00:00
17-03-2021 11:08
17-03-2021
365 0001012498378 AI TRISNAWATI P
384 00:00 11:13
366 100225010321P000 17-03-2021 17-03-2021 0001079897771 BUDI SANTOSO L
357 00:00 08:57
367 100225010321P000 17-03-2021 17-03-2021 0001430981932 TANTY ANGGUN P
376 00:00 11:04 KUSUMAWATI
368 100225010321P000 17-03-2021 17-03-2021 0001431192644 ROHATI P
383 00:00 11:10
369 100225010321P000 17-03-2021 17-03-2021 0001646411297 SRI WAHYUNI P
382 00:00 11:09
370 100225010321P000 17-03-2021 17-03-2021 0001665915197 TATI SUGNIATI P
374 00:00 11:02
371 100225010321P000 17-03-2021 17-03-2021 0001675021318 HAPIZ L
369 00:00 10:49
372 100225010321P000 17-03-2021 17-03-2021 0001675026674 MILA. T P
366 00:00 10:24
373 100225010321P000 17-03-2021 17-03-2021 0001823420564 IKLIMA AGUSTINA pAJRIN P
381 00:00 11:08
374 100225010321P000 17-03-2021 17-03-2021 0002047066312 ONENG P
359 00:00 09:20
375 100225010321P000 17-03-2021 17-03-2021 0002087669024 een suhenah P
379
100225010321P000 00:00
17-03-2021 11:07
17-03-2021
376 0002187950163 NAURA RANIA FABBIAY P
377 00:00 11:05
Kant
or
FKT
Cab
P
377 100225010321P000 17-03-2021 17-03-2021 0002756737168 TURYATI P
ang 365 00:00 10:01
378: 100225010321P000 17-03-2021 17-03-2021 0002797704077 WATISIH P
364 00:00 10:01
CIM
:
379 100225010321P000 17-03-2021 17-03-2021 0002840012526 ASEP JUNAEDI L
AHI
NGA - 358 00:00 09:05
380 100225010321P000 17-03-2021 17-03-2021 0002905746153 MAULIDYA NUR HAFIZHAH P
1014
MPR 368 00:00 10:48
381 100225010321P000 16-03-2021 23-03-2021 0000058420045 EKROM SOEPODO L
AH - 525 00:00 10:16
1002
382 100225010321P000 16-03-2021 16-03-2021 0000169195026 RUBINAH P
334 00:00 09:22
2501
383 100225010321P000 16-03-2021 16-03-2021 0000497586993 WIDA WARYANI P
351 00:00 11:00
384 100225010321P000 16-03-2021 16-03-2021 0000497781595 ROHENI P
340 00:00 10:03
385 100225010321P000 16-03-2021 23-03-2021 0000498053531 AAH P
517 00:00 08:49
386 100225010321P000 16-03-2021 16-03-2021 0000498312303 GANDA L
349 00:00 10:56
387 100225010321P000 16-03-2021 16-03-2021 0000498754552 NIA RUSMIATI P
348 00:00 10:42
388 100225010321P000 16-03-2021 16-03-2021 0000498907541 DEDE SUHAETI P
344 00:00 10:19
389 100225010321P000 16-03-2021 16-03-2021 0001012484136 HJ. RATNA UNIRAH P
328 00:00 08:09
342 00:00 10:16
391 100225010321P000 16-03-2021 23-03-2021 0001431192644 ROHATI P
518 00:00 08:52
392 100225010321P000 16-03-2021 16-03-2021 0001483005846 TOTO P
345 00:00 10:32
393 100225010321P000 16-03-2021 16-03-2021 0001515659128 SITI NINGRUM P
350 00:00 10:58
330 00:00 08:34
Kant
or
FKT
Cab
P
395 100225010321P000 16-03-2021 16-03-2021 0001665525014 Eutik P
ang 332 00:00 08:50
396: 100225010321P000 16-03-2021 16-03-2021 0001845322266 nuril ya L
341 00:00 10:13
CIM
:
397 100225010321P000 16-03-2021 16-03-2021 0001852265441 UPIT P
AHI
NGA- 339 00:00 09:43
398 100225010321P000 16-03-2021 16-03-2021 0002258286017 ADE SUKMAWATI P
1014
MPR 329 00:00 08:13
399 100225010321P000 16-03-2021 16-03-2021 0002261655797 TATANG L
AH - 331 00:00 08:39
1002
400 100225010321P000 16-03-2021 16-03-2021 0002399072523 ANISA PURNAMASARI P
2501 338
100225010321P000 00:00
16-03-2021 09:42
16-03-2021
401 0002445996328 DASEP SUPRIADI L
347 00:00 10:40
402 100225010321P000 16-03-2021 16-03-2021 0002475785632 AGUNG SUCIPTO L
346 00:00 10:35
403 100225010321P000 16-03-2021 16-03-2021 0002623503396 SRI HARYATI P
337 00:00 09:40
404 100225010321P000 16-03-2021 16-03-2021 0002747607849 FERI SOPIAN L
343 00:00 10:17
405 100225010321P000 16-03-2021 16-03-2021 0002797690509 FIRNA SORAYA KHAERUNNISA P
353 00:00 11:26
406 100225010321P000 16-03-2021 16-03-2021 0002797698104 ROHATI P
336 00:00 09:32
407 100225010321P000 16-03-2021 16-03-2021 0002876911222 DODO SURYANA L
352 00:00 11:02
408 100225010321P000 16-03-2021 16-03-2021 0003068628074 RINO ROHIMAN L
333 00:00 09:07
409 100225010321P000 15-03-2021 15-03-2021 0000055821532 IBON L
299 00:00 10:11
410 100225010321P000 15-03-2021 15-03-2021 0000055821543 ENGKOY ROKAYAH P
307 00:00 10:56
411 100225010321P000 15-03-2021 15-03-2021 0000058261656 ENI ROHAENI P
311 00:00 11:02
412 100225010321P000 15-03-2021 15-03-2021 0000058421068 H. ENGKIM SURYADINATA L
295 00:00 09:37
Kant
or
FKT
Cab
P
ang 318 00:00 11:09
414: 100225010321P000 15-03-2021 15-03-2021 0000496681479 CACIH P
294 00:00 09:16
CIM
:415 100225010321P000 15-03-2021 15-03-2021 0000497603261 ANISA LUTFIA FITRIYANSYAH P
AHI
NGA - 306 00:00 10:52
416 100225010321P000 15-03-2021 15-03-2021 0000497953945 ENOK P
1014
MPR 288 00:00 08:46
417 100225010321P000 15-03-2021 15-03-2021 0000498078303 EEM P
AH - 316 00:00 11:07
1002
418 100225010321P000 15-03-2021 15-03-2021 0000498080092 ENOK P
2501 286 00:00 08:18
419 100225010321P000 15-03-2021 15-03-2021 0000498094367 ISMAIL L
301 00:00 10:27
420 100225010321P000 15-03-2021 15-03-2021 0000498094402 ELYUNI P
297 00:00 10:06
421 100225010321P000 15-03-2021 15-03-2021 0000498127498 WINDA L. P. P
326 00:00 11:18
422 100225010321P000 15-03-2021 17-03-2021 0000498182771 ROHATI P
362 00:00 09:47
423 100225010321P000 15-03-2021 15-03-2021 0000498276393 ELA.K P
308 00:00 10:58
424 100225010321P000 15-03-2021 15-03-2021 0000498440531 HENDRIMAWAN L
298 00:00 10:09
425 100225010321P000 15-03-2021 15-03-2021 0000498907541 DEDE SUHAETI P
310 00:00 11:01
426 100225010321P000 15-03-2021 15-03-2021 0000498989261 TARYANAH P
320 00:00 11:15
325 00:00 11:18
428 100225010321P000 15-03-2021 15-03-2021 0001277445014 AMUR MAKMUR L
302 00:00 10:29
429 100225010321P000 15-03-2021 15-03-2021 0001307089899 NELLY LISTIANA P
291 00:00 09:06
430 100225010321P000 15-03-2021 15-03-2021 0001448343641 SUHANDA L
313 00:00 11:05
431 100225010321P000 15-03-2021 15-03-2021 0001674994511 SOPANDI L
289 00:00 09:02
Kant
or
FKT
Cab
P
432 100225010321P000 15-03-2021 15-03-2021 0001675027484 INDRA. K L
ang 317 00:00 11:09
433: 100225010321P000 15-03-2021 20-03-2021 0001807541987 ASEP SUPRIATNA L
445 00:00 09:07
CIM
:
434 100225010321P000 15-03-2021 15-03-2021 0001833753251 sumiati P
AHI
NGA - 315 00:00 11:06
435 100225010321P000 15-03-2021 15-03-2021 0001887720581 YUSUP HIDAYAT L
1014
MPR 323 00:00 11:16
436 100225010321P000 15-03-2021 15-03-2021 0002071791257 MAMAD L
AH - 314 00:00 11:06
1002
437 100225010321P000 15-03-2021 15-03-2021 0002086692862 NANI SUSANTI P
2501 293 00:00 09:10
438 100225010321P000 15-03-2021 15-03-2021 0002204734904 hanik rofiqoh P
327 00:00 11:19
568 00:00 10:21
440 100225010321P000 15-03-2021 15-03-2021 0002439248196 RACHMAT L
300 00:00 10:18
441 100225010321P000 15-03-2021 15-03-2021 0002489765321 SURYATNA L
309 00:00 10:59
442 100225010321P000 15-03-2021 15-03-2021 0002490415694 UNI P
304 00:00 10:47
443 100225010321P000 15-03-2021 15-03-2021 0002594677138 SUNSUN SUPRIADI L
319 00:00 11:10
444 100225010321P000 15-03-2021 15-03-2021 0002695481458 AGUNG MULYADI L
322 00:00 11:16
445 100225010321P000 15-03-2021 15-03-2021 0002745751419 SARIAH P
305 00:00 10:49
324 00:00 11:17
447 100225010321P000 15-03-2021 20-03-2021 0002797686639 MAMAT L
441 00:00 07:30
448 100225010321P000 15-03-2021 15-03-2021 0002839999972 WAWAN L
321 00:00 11:16
Kant
or
FKT
Cab
P
449 100225010321P000 15-03-2021 15-03-2021 0002853000898 POPON WAHYUNI P
ang 303 00:00 10:45
450: 100225010321P000 15-03-2021 15-03-2021 0002856669142 GAVLIRA SHEZA PUTRI P
296 00:00 09:47
CIM
:451 100225010321P000 15-03-2021 15-03-2021 0002890019013 NENIH P
AHI
NGA - 292 00:00 09:08
452 100225010321P000 15-03-2021 15-03-2021 0002932594165 NONENG P
1014
MPR 312 00:00 11:03
453 100225010321P000 13-03-2021 13-03-2021 0000169195026 RUBINAH P
AH - 281 00:00 10:00
1002
454 100225010321P000 13-03-2021 04-04-2021 0000497464389 RISKA TIA MAUDINA P
2501 755 00:00 11:02
455 100225010321P000 13-03-2021 13-03-2021 0000497689615 NYAI RIPNIATI P
278 00:00 09:57
456 100225010321P000 13-03-2021 13-03-2021 0001012422137 EEN SUHAENI P
283 00:00 10:03
457 100225010321P000 13-03-2021 13-03-2021 0001261521369 DHEA ARTHA VALIZA P
277 00:00 09:53
458 100225010321P000 13-03-2021 13-03-2021 0001483005846 TOTO P
282 00:00 10:02
459 100225010321P000 13-03-2021 13-03-2021 0001967859382 enda L
279 00:00 09:58
276 00:00 09:23
461 100225010321P000 13-03-2021 13-03-2021 0002478472334 HIDAYAT L
275 00:00 09:06
462 100225010321P000 13-03-2021 13-03-2021 0002622648936 MUHAMAD ISHAQ L
280 00:00 09:59
463 100225010321P000 13-03-2021 13-03-2021 0002639369709 TIKTIK P
284
100225010321P000 00:00 10:04
12-03-2021
464 03-12-2021 0000495741306 HILMI RAMDHANI L
261 12:13
255 10:01
Kant
or
FKT
Cab
P
ang 256 10:17
467: 100225010321P000 03-12-2021 12-03-2021 0000497586576 IDAN L
246 08:49
CIM
:
AHI -
NGA 264 12:23
469 100225010321P000 03-12-2021 12-03-2021 0000497974228 SITI HERLINA P
1014
MPR 268 12:29
AH - 449 09:44
1002
471 100225010321P000 03-12-2021 12-03-2021 0000498410605 KOMYATI P
251 09:27
2501
472 100225010321P000 03-12-2021 12-03-2021 0000498988539 WARYANI P
259 12:09
473 100225010321P000 03-12-2021 12-03-2021 0000498989261 TARYANAH P
260 12:11
474 100225010321P000 03-12-2021 12-03-2021 0001321516956 H. DINTAYA L
272 12:34
475 100225010321P000 03-12-2021 12-03-2021 0001423377123 SUKAESIH P
265 12:25
476 100225010321P000 03-12-2021 12-03-2021 0001665495292 MUHAMAD SOPIAN L
245 08:41
477 100225010321P000 03-12-2021 12-03-2021 0001675016583 SAEFUL AHMAD L
271 12:33
478 100225010321P000 03-12-2021 12-03-2021 0001675017797 BUDIYANTO L
242 08:15
479 100225010321P000 03-12-2021 19-03-2021 0001675026347 DADAN SUHAENDI L
410 09:14
480 100225010321P000 03-12-2021 12-03-2021 0001813923854 sumyati P
266 12:26
481 100225010321P000 03-12-2021 12-03-2021 0001900572377 salsabila handayani P
273 12:35
482 100225010321P000 03-12-2021 12-03-2021 0002040627543 dedi hidayatulloh L
244 08:35
Kant
or
FKT
Cab
P
483 100225010321P000 03-12-2021 12-03-2021 0002083611497 AMING SUGANDA L
ang 247 08:56
:
CIM
:
AHI
NGA-
1014
MPR
AH -
484 100225010321P000 03-12-2021 12-03-2021 0002085147843 ALISKA P
258 12:07
485 100225010321P000 03-12-2021 12-03-2021 0002187950163 NAURA RANIA FABBIAY P
270 12:31
486 100225010321P000 03-12-2021 12-03-2021 0002204735422 RYAN NUr HAKIM L
257 10:19
487 100225010321P000 03-12-2021 19-03-2021 0002220382697 CUNINGSIH BT MUD P
413 09:38
488 100225010321P000 03-12-2021 12-03-2021 0002231011348 HUMAIDA QUROTUL A'YUN P
269 12:30
489 100225010321P000 03-12-2021 12-03-2021 0002323789604 IKA L
241 08:08
490 100225010321P000 03-12-2021 12-03-2021 0002434199411 DEDE IRAWATI P
252 09:44
491 100225010321P000 03-12-2021 12-03-2021 0002458691853 WAHYUDIN L
250 09:18
492 100225010321P000 03-12-2021 12-03-2021 0002458692044 IIS KOMALA P
262 12:15
493 100225010321P000 03-12-2021 12-03-2021 0002594055881 IRGI NURRIZKY L
249 09:07
494 100225010321P000 03-12-2021 12-03-2021 0002745751419 SARIAH P
267 12:27
495 100225010321P000 03-12-2021 12-03-2021 0002797695257 DEWI DARMAYANTI P
253 09:50
496 100225010321P000 03-12-2021 12-03-2021 0002878024983 RENI P
248 09:06
497 100225010321P000 03-12-2021 12-03-2021 0002878735882 ANDA L
263 12:20
498 100225010321P000 03-12-2021 12-03-2021 0002890019013 NENIH P
243 08:26
499 100225010321P000 03-10-2021 10-03-2021 0000058264064 UMAH P
232 09:55
500 100225010321P000 03-10-2021 10-03-2021 0000496738811 SITI P
240 11:42
501 100225010321P000 03-10-2021 10-03-2021 0000497577745 ASEP HERMAWAN L
237 10:00
Kant
or
FKT
Cab
P
502 100225010321P000 03-10-2021 10-03-2021 0000497683541 SAMAN L
ang 238 11:08
503: 100225010321P000 03-10-2021 10-03-2021 0000497690482 RESA NOVIANTI P
236 09:59
CIM
:504 100225010321P000 03-10-2021 10-03-2021 0000497821059 CUCU GUNAYAH P
AHI
NGA - 235 09:58
505 100225010321P000 03-10-2021 10-03-2021 0000497822679 RIFKY FIRMANSYAH L
1014
MPR 234 09:57
506 100225010321P000 03-10-2021 10-03-2021 0000498888101 EUIS WININGSIH P
AH - 227 08:24
1002
507 100225010321P000 03-10-2021 10-03-2021 0001665495235 AKAH P
228 08:57
2501
508 100225010321P000 03-10-2021 10-03-2021 0001665495268 IDA P
230 09:13
355 08:51
510 100225010321P000 03-10-2021 10-03-2021 0001852265441 UPIT P
231 09:54
511 100225010321P000 03-10-2021 10-03-2021 0002490415694 UNI P
233 09:57
512 100225010321P000 03-10-2021 10-03-2021 0002497326827 OTONG L
226 08:22
513 100225010321P000 03-10-2021 10-03-2021 0002767457709 RENI YULIANA P
229 09:06
514 100225010321P000 03-09-2021 16-03-2021 0000053497361 YUNI WARSITA P
354 13:56
515 100225010321P000 03-09-2021 09-03-2021 0000053685628 SUTARNA L
205 10:16
516 100225010321P000 03-09-2021 09-03-2021 0000497164634 CELVI ROSDIANI P
218 10:44
517 100225010321P000 03-09-2021 09-03-2021 0000497578138 YANTI P
213 10:21
518 100225010321P000 03-09-2021 09-03-2021 0000497583944 JULAEHA P
203 09:30
519 100225010321P000 03-09-2021 09-03-2021 0000497752749 PATNASIH P
204 09:48
Kant
or
FKT
Cab
P
520 100225010321P000 03-09-2021 09-03-2021 0000497952022 IMAS P
ang 219 10:45
521: 100225010321P000 03-09-2021 09-03-2021 0000498013751 SANTI P
215 10:24
CIM
:
522 100225010321P000 03-09-2021 16-03-2021 0000498382391 ASEP GUNAWAN L
AHI
NGA - 335 09:30
523 100225010321P000 03-09-2021 09-03-2021 0001426460275 NOOR WAHYU BUDIANTO L
1014
MPR 224 14:19
524 100225010321P000 03-09-2021 09-03-2021 0001674989548 TUTI KARTINI P
AH - 222 14:17
1002
2501
525 100225010321P000 03-09-2021 09-03-2021 0001819108541 dendi rusita L
206 10:16
526 100225010321P000 03-09-2021 09-03-2021 0001864772561 MUHAMMAD REZA ARIO BIMO L
225 21:43
527 100225010321P000 03-09-2021 09-03-2021 0001868706898 NISA ELIPUSPITA P
223 14:18
528 100225010321P000 03-09-2021 09-03-2021 0001969118469 ADI SETIADI L
221 10:47
529 100225010321P000 03-09-2021 09-03-2021 0002076430893 TITIN AMINAH P
212 10:20
530 100225010321P000 03-09-2021 09-03-2021 0002230501296 alyya nur abidah P
220 10:46
531 100225010321P000 03-09-2021 09-03-2021 0002393319003 EDI SETIA NUR.,IR L
214 10:22
532 100225010321P000 03-09-2021 09-03-2021 0002462554528 WARTIKA P
211 10:20
533 100225010321P000 03-09-2021 09-03-2021 0002480861654 SUSI LOWATI P
202 08:15
534 100225010321P000 03-09-2021 09-03-2021 0002710173655 RINA P
210 10:19
535 100225010321P000 03-09-2021 09-03-2021 0002878024983 RENI P
216 10:41
536 100225010321P000 03-08-2021 08-03-2021 0000053204804 UJANG ASMARANUDIN L
172 10:48
537 100225010321P000 03-08-2021 08-03-2021 0000058505297 YAYA SUNARYA L
158 08:59
538 100225010321P000 03-08-2021 08-03-2021 0000058526414 DATI SUDASTI P
170 10:37
Kant
or
FKT
Cab
P
539 100225010321P000 03-08-2021 15-03-2021 0000058575802 YOYO SUTARDI L
ang 287 08:36
540: 100225010321P000 03-08-2021 08-03-2021 0000416117204 ADE WIDANINGSIH P
168 10:08
CIM
:
541 100225010321P000 03-08-2021 08-03-2021 0000497044462 IIM P
AHI
NGA - 157 08:55
542 100225010321P000 03-08-2021 09-03-2021 0000497568069 CHIKA NOER DWI P
1014
MPR 209 10:19 CAHAYANINGRAT
543 100225010321P000 03-08-2021 08-03-2021 0000497603261 P
AH - ANISA LUTFIA FITRIYANSYAH
189 12:04
1002
544 100225010321P000 03-08-2021 08-03-2021 0000497672548 SAEPUDIN L
163 09:35
2501
545 100225010321P000 03-08-2021 08-03-2021 0000497779277 CUCU SUMIRAT P
190 12:05
546 100225010321P000 03-08-2021 08-03-2021 0000497781459 SUMINAR P
191 12:11
547 100225010321P000 03-08-2021 08-03-2021 0000498028825 DARMINI P
197 13:01
548 100225010321P000 03-08-2021 08-03-2021 0000498318309 MINTARSIH P
161 09:21
549 100225010321P000 03-08-2021 08-03-2021 0000498380016 IDA RESMIATI P
165 09:56
550 100225010321P000 03-08-2021 08-03-2021 0000498415803 RUSLI L
150 08:10
551 100225010321P000 03-08-2021 08-03-2021 0000498498851 ADE KOSWARA L
160 09:12
552 100225010321P000 03-08-2021 08-03-2021 0000498519977 SITI RUKMINI P
175 11:07
553 100225010321P000 03-08-2021 08-03-2021 0000498605872 HASAN L
152 08:26
554 100225010321P000 03-08-2021 08-03-2021 0000498606129 PEPIN SUMARTINI P
151 08:20
555 100225010321P000 03-08-2021 08-03-2021 0001012483844 DANU WAWAN SUPRIATNA L
164 09:51
556 100225010321P000 03-08-2021 08-03-2021 0001012486217 MIMIN P
155 08:45
Kant
or
FKT
Cab
P
557 100225010321P000 03-08-2021 08-03-2021 0001012492866 ADE SUKAESIH P
ang 183 11:45
558: 100225010321P000 03-08-2021 08-03-2021 0001014633191 DIDIN JAENUDIN L
179 11:25
CIM
:
559 100225010321P000 03-08-2021 08-03-2021 0001096652103 NOVIA LISNAWATI P
AHI
NGA - 201 13:08
560 100225010321P000 03-08-2021 08-03-2021 0001148618632 AGUS UMAR L
1014
MPR 196 12:30
561 100225010321P000 03-08-2021 08-03-2021 0001313834409 BURHANUDIN L
AH - 174 10:53
1002
562 100225010321P000 03-08-2021 08-03-2021 0001483005846 TOTO P
2501 169 10:16
563 100225010321P000 03-08-2021 08-03-2021 0001515626368 YATI DARYATI P
167 10:02
564 100225010321P000 03-08-2021 08-03-2021 0001515641466 M.A. Sudarna L
173 10:48
565 100225010321P000 03-08-2021 08-03-2021 0001517997666 TISAM WIDYA THALIB P
198 13:03
566 100225010321P000 03-08-2021 08-03-2021 0001517997677 MUHAMMAD RIDZAL EL L
199 13:05 FARRIQ
567 100225010321P000 03-08-2021 08-03-2021 0001665495191 ENTAY SUKARNA L
166 09:59
568 100225010321P000 03-08-2021 08-03-2021 0001665527376 KARINA HERAWATI P
186 11:51
569 100225010321P000 03-08-2021 08-03-2021 0001665528759 NURHAYATI P
192 12:17
570 100225010321P000 03-08-2021 08-03-2021 0001665528794 INTAN NURAENI P
194 12:21
571 100225010321P000 03-08-2021 08-03-2021 0001808292172 JAJAT SUGIANTO L
149 07:50
572 100225010321P000 03-08-2021 08-03-2021 0001852265441 UPIT P
188 12:01
573 100225010321P000 03-08-2021 08-03-2021 0001854585516 MARIANAH P
185 11:49
574 100225010321P000 03-08-2021 08-03-2021 0001960040261 ati CUARTIAH P
154 08:40
Kant
or
FKT
Cab
P
575 100225010321P000 03-08-2021 08-03-2021 0002071791257 MAMAD L
ang 193 12:19
576: 100225010321P000 03-08-2021 08-03-2021 0002210594589 E ROHAETI P
182 11:43
CIM
:577 100225010321P000 03-08-2021 08-03-2021 0002219179173 A. MAMAN L
AHI
NGA - 171
100225010321P000 10:41
08-03-2021
578 03-08-2021 0002445996958 DENI SETYA BUDHI L
1014
MPR 180 11:27
579 100225010321P000 03-08-2021 08-03-2021 0002487633906 UJAT L
AH - 162 09:26
1002
580 100225010321P000 03-08-2021 08-03-2021 0002489765321 SURYATNA L
2501 187 11:55
581 100225010321P000 03-08-2021 08-03-2021 0002745751419 SARIAH P
181 11:29
582 100225010321P000 03-08-2021 08-03-2021 0002751310664 ARIF FAJAR ILMAWAN L
200 13:07
583 100225010321P000 03-08-2021 08-03-2021 0002797688362 SARIMANAH P
195 12:22
584 100225010321P000 03-08-2021 08-03-2021 0002856669197 RINI ROHAETI P
184 11:47
585 100225010321P000 03-08-2021 08-03-2021 0002872580499 NENDA ANDRIYANTI P
156 08:48
586 100225010321P000 03-08-2021 08-03-2021 0003051040882 BAYI NYONYA DANIA L
159 09:10
587 100225010321P000 03-07-2021 07-03-2021 0001012491461 SANTI P
147 10:42
588 100225010321P000 03-07-2021 07-03-2021 0001012491461 SANTI P
148 16:05
589 100225010321P000 03-06-2021 09-03-2021 0000058505297 YAYA SUNARYA L
208 10:18
590 100225010321P000 03-06-2021 08-03-2021 0000496698265 ADING BADIGAL L
177 11:21
591 100225010321P000 03-06-2021 08-03-2021 0001675028619 HERNAYANTI P
178 11:22
592 100225010321P000 03-06-2021 08-03-2021 0002279535388 NUNUNG TUTIH P
176 11:08
Kant
or
FKT
Cab
P
593 100225010321P000 03-06-2021 06-03-2021 0002327164029 AI DARMILAH P
ang 146 08:50
594: 100225010321P000 03-06-2021 09-03-2021 0002797684569 RAHMAT L
207 10:17
CIM
:595 100225010321P000 03-05-2021 05-03-2021 0000053110192 ANTO SUHARTO L
AHI
NGA - 132 09:41
596 100225010321P000 03-05-2021 05-03-2021 0000058254603 ERNAWATI P
1014
MPR 129 09:22
597 100225010321P000 03-05-2021 05-03-2021 0000058505275 BARYAT L
AH - 130 09:33
1002
2501 126 08:54
599 100225010321P000 03-05-2021 05-03-2021 0000497947746 TITIN P
138 09:53
600 100225010321P000 03-05-2021 05-03-2021 0000498411461 DUDI HERMAWAN L
135 09:51
601 100225010321P000 03-05-2021 05-03-2021 0000498645044 KOMARUDIN L
143 10:06
602 100225010321P000 03-05-2021 05-03-2021 0001012486432 NENG ELA P
128 09:16
603 100225010321P000 03-05-2021 05-03-2021 0001277458672 BOY SUNARYA L
140 09:56
604 100225010321P000 03-05-2021 05-03-2021 0001311608474 IIN INSAF L
137 09:53
144 10:06
606 100225010321P000 03-05-2021 05-03-2021 0001515641466 M.A. Sudarna L
125 08:49
136 09:52
608 100225010321P000 03-05-2021 05-03-2021 0001665502738 S. MUHAMMAD FARHAN L
142 10:04 FAWWAJ GANDARA
609 100225010321P000 03-05-2021 05-03-2021 0002258286017 ADE SUKMAWATI P
131 09:39
610 100225010321P000 03-05-2021 05-03-2021 0002310869417 ALLIA KURNIA RAMDHANIAH P
124 08:46
Kant
or
FKT
Cab
P
611 100225010321P000 03-05-2021 05-03-2021 0002327164029 AI DARMILAH P
ang 145 10:07
612: 100225010321P000 03-05-2021 05-03-2021 0002328225388 MASTOAH P
134 09:50
CIM
:613 100225010321P000 03-05-2021 05-03-2021 0002423391142 KARTINAH P
AHI
NGA - 141 09:59
614 100225010321P000 03-05-2021 05-03-2021 0002591866585 SUTISNA L
1014
MPR 133 09:47
615 100225010321P000 03-05-2021 05-03-2021 0002745751419 SARIAH P
AH - 139 09:54
1002
616 100225010321P000 03-05-2021 05-03-2021 0002797678754 OPO P
2501 127 09:01
617 100225010321P000 03-05-2021 05-03-2021 0002864065149 DEDE SAHYADI L
123 08:42
618 100225010321P000 03-04-2021 04-03-2021 0000497913603 SILVIA CAHYANI P
118 09:39
115 08:37
620 100225010321P000 03-04-2021 04-03-2021 0000498320414 IMAS EVI P
120 09:42
119 09:41
622 100225010321P000 03-04-2021 04-03-2021 0000498664337 YENI SUSANTI P
122 11:05
623 100225010321P000 03-04-2021 04-03-2021 0001081604125 DADANG JUHANA L
116 08:57
624 100225010321P000 03-04-2021 04-03-2021 0001466682658 DEDE ROSADI L
117 09:36
625 100225010321P000 03-04-2021 04-03-2021 0002503334046 bayi ny. IMAS EVI P
121 09:44
626 100225010321P000 03-04-2021 04-03-2021 0002612618234 ANISA RAHMADANI P
114 07:56
627 100225010321P000 03-03-2021 03-03-2021 0000058512183 ELIS SUHAYATI SPD P
091 09:44
628 100225010321P000 03-03-2021 03-03-2021 0000497540621 KARTINI P
080 08:40
Kant
or
FKT
Cab
P
629 100225010321P000 03-03-2021 03-03-2021 0000497583404 TATA MUSTOFA L
ang 101 10:47
630: 100225010321P000 03-03-2021 03-03-2021 0000498034258 MILA PRAWIJAYA P
100 10:46
CIM
:631 100225010321P000 03-03-2021 03-03-2021 0000498034844 MUNJI L
AHI
NGA - 102 10:48
632 100225010321P000 03-03-2021 03-03-2021 0000498052304 OO L
1014
MPR 112 11:43
633 100225010321P000 03-03-2021 03-03-2021 0000498071261 AGI P
AH - 107 10:54
1002
634 100225010321P000 03-03-2021 03-03-2021 0000498104897 ADING L
2501 085 09:21
635 100225010321P000 03-03-2021 03-03-2021 0000498141459 SITI KARLIAH P
092 10:20
636 100225010321P000 03-03-2021 03-03-2021 0000498288431 NUR NOVIANTI P
086 09:22
637 100225010321P000 03-03-2021 03-03-2021 0000498487858 JAJANG SUPRIYATNA L
106 10:53
638 100225010321P000 03-03-2021 03-03-2021 0000498493934 MAEMUNAH P
084 09:12
639 100225010321P000 03-03-2021 03-03-2021 0000498888101 EUIS WININGSIH P
110 10:57
640 100225010321P000 03-03-2021 03-03-2021 0001012487049 HALIMI L
078 08:22
641 100225010321P000 03-03-2021 03-03-2021 0001012489378 ANAH ROHANAH P
090 09:42
642 100225010321P000 03-03-2021 03-03-2021 0001012495239 KARTINI P
089 09:35
104 10:51
644 100225010321P000 03-03-2021 03-03-2021 0001466219632 WIDI OCTAMI P
075 01:03
645 100225010321P000 03-03-2021 03-03-2021 0001665528783 NENG SITI RODIAH P
097 10:30
646 100225010321P000 03-03-2021 03-03-2021 0001675015391 AMIN L
098 10:43
Kant
or
Cab
ang
:
CIM
AHI -
FKT
P
647 100225010321P000 03-03-2021 03-03-2021 0001675028002 BUDI SAEPUDIN L
095 10:24
082 08:53
:
649 100225010321P000 03-03-2021 03-03-2021 0002040627699 YETI KURNIAWATI P
087 09:24
NGA
650 100225010321P000 03-03-2021 03-03-2021 0002040627925 IBRAHIM NUR L
MPR 077 08:18 HIDAYATTULLOH
651 100225010321P000 03-03-2021 03-03-2021 0002071791257 MAMAD L
AH - 109 10:56
1002
652 100225010321P000 03-03-2021 03-03-2021 0002087669024 een suhenah P
093 10:21
2501
653 100225010321P000 03-03-2021 03-03-2021 0002262617357 TATI P
081 08:52
654 100225010321P000 03-03-2021 03-03-2021 0002489765321 SURYATNA L
111 10:58
655 100225010321P000 03-03-2021 03-03-2021 0002498720646 PIPIT APRILIANI P
105 10:52
656 100225010321P000 03-03-2021 03-03-2021 0002622649026 RINA YULIANAWATI P
094 10:23
657 100225010321P000 03-03-2021 03-03-2021 0002840003627 AGUS JUHARA L
088 09:32
658 100225010321P000 03-03-2021 03-03-2021 0002897961142 JUNAEDY DARMAN L
079 08:33
659 100225010321P000 03-03-2021 03-03-2021 0002902673992 RATNA P
076 08:00
660 100225010321P000 03-03-2021 03-03-2021 0002910325285 M. AZKA AL KHALIFA L
099 10:44
108 10:55
662 100225010321P000 03-03-2021 03-03-2021 0003056551874 PITRIAH P
103
100225010321P000 10:49
03-03-2021 BAYI NYONYA NENG SITI
663 03-03-2021 0003071940491 P
096 10:29 RODIAH
Kant
or
FKT
Cab
P
664 100225010321P000 03-02-2021 02-03-2021 0000056567147 SRI SADIAH P
ang 041 10:11
665: 100225010321P000 03-02-2021 02-03-2021 0000165407141 AGINTA RION PUTRA L
022 08:38
CIM
:666 100225010321P000 03-02-2021 02-03-2021 0000416117204 ADE WIDANINGSIH P
AHI
NGA - 038 10:05
667 100225010321P000 03-02-2021 02-03-2021 0000497109519 KARMI P
1014
MPR 035 10:02
668 100225010321P000 03-02-2021 02-03-2021 0000497689615 NYAI RIPNIATI P
AH - 024 09:06
1002
669 100225010321P000 03-02-2021 02-03-2021 0000497760028 YATI P
034 10:00
2501
670 100225010321P000 03-02-2021 02-03-2021 0000497867106 SAEPUL MUHAER L
040 10:08
671 100225010321P000 03-02-2021 02-03-2021 0000498009148 CUCU HAYATI P
031 09:58
672 100225010321P000 03-02-2021 02-03-2021 0000498061675 SURYANA L
052 11:23
673 100225010321P000 03-02-2021 02-03-2021 0000498062316 CUCU DARIAH P
037 10:03
674 100225010321P000 03-02-2021 02-03-2021 0000498141459 SITI KARLIAH P
048 11:17
675 100225010321P000 03-02-2021 02-03-2021 0000498320403 SUSILAWATI P
036 10:03
676 100225010321P000 03-02-2021 02-03-2021 0000498353679 NENI KARTIWI P
051 11:22
677 100225010321P000 03-02-2021 02-03-2021 0001012487883 ROHAYA L
020 08:12
678 100225010321P000 03-02-2021 02-03-2021 0001012488118 MUHAMMAD FAJAR S F L
021 08:30
679 100225010321P000 03-02-2021 02-03-2021 0001012488715 AYI RUSJANA L
050 11:20
680 100225010321P000 03-02-2021 03-03-2021 0001466219632 WIDI OCTAMI P
074 00:55
Kant
or
FKT
Cab
P
681 100225010321P000 03-02-2021 02-03-2021 0001467083799 UU KOMARA P
ang 019 08:07
682: 100225010321P000 03-02-2021 02-03-2021 0001483246304 NANIN RIYANI P
030 09:57
CIM
:683 100225010321P000 03-02-2021 02-03-2021 0001518957347 LUKY YULIASWATI P
AHI - 029 09:57
NGA
684 100225010321P000 03-02-2021 02-03-2021 0001524169664 MUHAMAD FAHRI ALFARIZI P
1014
MPR 047 11:16
685 100225010321P000 03-02-2021 02-03-2021 0001674989548 TUTI KARTINI P
AH - 049 11:19
1002
686 100225010321P000 03-02-2021 08-03-2021 0001833753251 sumiati P
153 08:30
2501
687 100225010321P000 03-02-2021 02-03-2021 0002076822718 desi nur revalia P
025 09:12
688 100225010321P000 03-02-2021 02-03-2021 0002226179676 RAFARDHAN SIROZUDIN L
042 10:14 ZUMHUR
689 100225010321P000 03-02-2021 02-03-2021 0002273701318 HJ. SUMARNAH P
026 09:17
690 100225010321P000 03-02-2021 02-03-2021 0002628181383 ADINDA KINTAN SALSABILA P
039 10:07
691 100225010321P000 03-02-2021 02-03-2021 0002767449554 RIKI RAMADHAN L
043
100225010321P000 10:17
02-03-2021
692 03-02-2021 0002870013328 RAHMAT HIDAYAT L
027 09:19
693 100225010321P000 03-02-2021 02-03-2021 0002875754608 SOFIYAH P
032 09:59
694 100225010321P000 03-01-2021 02-03-2021 0000058327255 ENTIN KARTINI P
060 11:30
695 100225010321P000 03-01-2021 02-03-2021 0000497109519 KARMI P
046 11:13
696 100225010321P000 03-01-2021 02-03-2021 0000497141673 LILI KOMARIAH P
066 11:34
697 100225010321P000 03-01-2021 01-03-2021 0000497557225 YADI L
003 08:17
Kant
or
FKT
Cab
P
698 100225010321P000 03-01-2021 02-03-2021 0000497672548 SAEPUDIN L
ang 055 11:28
699: 100225010321P000 03-01-2021 02-03-2021 0000498092488 YETI SUMIATI P
068 11:35
CIM
:
700 100225010321P000 03-01-2021 02-03-2021 0000498345748 ACEP L
AHI -
NGA 064 11:32
701 100225010321P000 03-01-2021 02-03-2021 0000498415803 RUSLI L
1014
MPR 054 11:27
AH - 013 10:05
1002
2501 045 11:12
002 07:57
705 100225010321P000 03-01-2021 01-03-2021 0001298820914 TATI SUMIATI P
009 09:10
706 100225010321P000 03-01-2021 01-03-2021 0001321516956 H. DINTAYA L
007 08:57
707 100225010321P000 03-01-2021 01-03-2021 0001514779918 JIHAN FADILLA RAMDINI P
016 11:41
708 100225010321P000 03-01-2021 02-03-2021 0001665495191 ENTAY SUKARNA L
067 11:34
709 100225010321P000 03-01-2021 01-03-2021 0001665497676 DANA L
010 09:21
056 11:29
711 100225010321P000 03-01-2021 02-03-2021 0001665529097 JANUAR S L
058 11:29
005 08:54
713 100225010321P000 03-01-2021 02-03-2021 0001675009462 LILIS S P
062 11:31
714 100225010321P000 03-01-2021 02-03-2021 0001675022837 SUPARMAN L
044 11:10
071 11:36
716 100225010321P000 03-01-2021 02-03-2021 0001816942072 ELIS SUMARTINI P
061 11:31
Kant
or
FKT
Cab
P
717 100225010321P000 03-01-2021 01-03-2021 0001816944388 MUHAMMAD RIZKY L
ang 017 11:48 ARDIANSYAH
718: 100225010321P000 03-01-2021 01-03-2021 0001900462307 enos jubaedah P
012 10:00
CIM
:719 100225010321P000 03-01-2021 01-03-2021 0002056105618 IROS. P
AHI
NGA - 006 08:56
720 100225010321P000 03-01-2021 02-03-2021 0002056596401 jajang suryana L
1014
MPR 069 11:35
721 100225010321P000 03-01-2021 02-03-2021 0002058564778 YATI MARYAWATI P
AH - 059 11:30
1002
722 100225010321P000 03-01-2021 01-03-2021 0002462554528 WARTIKA P
2501 001 06:59
723 100225010321P000 03-01-2021 01-03-2021 0002499984731 KOMANAH P
004 08:28
724 100225010321P000 03-01-2021 01-03-2021 0002592522527 MIMIN P
014 10:22
725 100225010321P000 03-01-2021 02-03-2021 0002633990455 AYA ROHAYA P
053 11:26
726 100225010321P000 03-01-2021 02-03-2021 0002772825219 MUHAMAD ZIDAN FADILAH L
065 11:32
727 100225010321P000 03-01-2021 01-03-2021 0002797680993 ELIS SUMIYATI P
008 09:04
728 100225010321P000 03-01-2021 02-03-2021 0002797684569 RAHMAT L
057 11:29
729 100225010321P000 03-01-2021 02-03-2021 0002797688338 IMAS WASIH P
070 11:36
730 100225010321P000 03-01-2021 02-03-2021 0002797688362 SARIMANAH P
073 11:37
731 100225010321P000 03-01-2021 03-03-2021 0002797691062 SHIENTHA YULIYANTI P
113 19:03
732 100225010321P000 03-01-2021 01-03-2021 0002797710131 WIWIN P
011 09:24
733 100225010321P000 03-01-2021 02-03-2021 0002840004617 UMI P
072 11:37
734 100225010321P000 03-01-2021 02-03-2021 0002860306931 HADA L
063 11:31
Kant
or
FKT
Cab
P
735 100225010321P000 03-01-2021 01-03-2021 0002864062787 FITRI NURAENI P
ang 018 11:50
736: 100225010321P000 03-01-2021 01-03-2021 0003068819774 BAYI NYONYA ISAH L
015 10:46
CIM
:
AHI
NGA-
1014
MPR
AH -
1002
2501
JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG
PNS DAERAH Other general symptoms and signs Berobat Jalan
PBI (APBN) Essential (primary) hypertension Berobat Jalan
PBI (APBN) Scabies Berobat Jalan
PBI (APBN) Other diseases of hard tissues of Berobat Jalan
teeth
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus Hipertensi
cold] Hipertensi
PBI (APBN) Cardiac arrhythmia, unspecified Berobat Jalan
- Tuberculosis of other organs Berobat Jalan
PBI (APBN) Dyspepsia Berobat Jalan
PBI (APBN) Myalgia Berobat Jalan
- Diseases of pulp and periapical Berobat Jalan
tissues
- Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Other specified diabetes mellitus Berobat Jalan Diabetes Mellitus
Hipertensi
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal
tissues
PEKERJA MANDIRI Myalgia Berobat Jalan
- Congestive heart failure Berobat Jalan
- Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PEGAWAI SWASTA Acute upper respiratory infections Berobat Jalan

of multiple and unspecified sites
PBI (APBD) Acute nasopharyngitis [common Berobat Jalan
cold]
PBI (APBD) Acute upper respiratory infections Berobat Jalan
PEGAWAI SWASTA Routine postpartum follow-up Berobat Jalan
- Other disorders of gingiva and Berobat Jalan

edentulous alveolar ridge
- Haemorrhoids Berobat Jalan
PEGAWAI SWASTA Myalgia Berobat Jalan
PEKERJA MANDIRI Diseases of pulp and periapical Berobat Jalan Diabetes Mellitus
tissues
- Dyspepsia Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan
PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan
- Acute nasopharyngitis [common Berobat Jalan
cold]
cold]
PBI (APBN) Senile cataract Berobat Jalan
PBI (APBN) Visual disturbance, unspecified Rujuk Vertikal
PBI (APBN) Schizophrenia Rujuk Vertikal

cold]
PBI (APBN) Other general symptoms and signs Berobat Jalan
PBI (APBN) Chronic ischaemic heart disease Rujuk Vertikal
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan
cold]
PEKERJA MANDIRI Antenatal screening Berobat Jalan
PEKERJA MANDIRI Diseases of pulp and periapical Berobat Jalan
tissues
PBI (APBN) Contraceptive management Berobat Jalan
PEGAWAI SWASTA Single spontaneous delivery Sembuh
PEKERJA MANDIRI Tuberculosis of other organs Berobat Jalan
- Secondary hypertension Berobat Jalan Hipertensi Hipertensi
cold]
- Other disorders of skin and Berobat Jalan
subcutaneous tissue, not elsewhere
PBI (APBN) Scabies
classified Berobat Jalan
PBI (APBN) Other specified surgical follow-up Rujuk Vertikal
care
PEGAWAI SWASTA Acute nasopharyngitis [common Berobat Jalan
cold]
- Other general symptoms and signs Berobat Jalan
- Senile cataract Rujuk Vertikal
PENERIMA PENSIUN Essential (primary) hypertension Berobat Jalan

PNS
PENERIMA PENSIUN Hypertensive heart disease Rujuk Vertikal
PNS
PNS DAERAH Acute nasopharyngitis [common Berobat Jalan
cold]
PENERIMA PENSIUN Unspecified diabetes mellitus Rujuk Vertikal
PNS
PBI (APBN) Heart failure Rujuk Vertikal
PBI (APBN) Bipolar affective disorder, Rujuk Vertikal
unspecified
PBI (APBN) Otitis externa Berobat Jalan
PBI (APBN) Cluster headache syndrome Berobat Jalan
- Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Sequelae of stroke, not specified as Rujuk Vertikal

haemorrhage or infarction
PBI (APBN) Hypertensive heart disease Rujuk Vertikal
- Antenatal screening Berobat Jalan
cold]
PRAJURIT AD Unspecified diabetes mellitus Rujuk Vertikal
- Beta thalassaemia Berobat Jalan
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
- Myalgia Berobat Jalan
- Diseases of pulp and periapical Rujuk Vertikal

tissues
PEKERJA MANDIRI Acute nasopharyngitis [common Berobat Jalan
cold]
PEKERJA MANDIRI Noninfective gastroenteritis and Berobat Jalan
colitis, unspecified
PEGAWAI SWASTA Epilepsy Rujuk Vertikal
PEGAWAI SWASTA Scabies Berobat Jalan
cold]
PBI (APBD) Essential (primary) hypertension Berobat Jalan
- Coronary artery aneurysm Rujuk Vertikal
PBI (APBN) Other arthritis Berobat Jalan
- Chest pain, unspecified Rujuk Vertikal
PENERIMA PENSIUN Other dermatitis Berobat Jalan
PNS
PEKERJA MANDIRI Other arthritis Berobat Jalan
tissues
cold]
PEGAWAI SWASTA Hyperkinetic disorder, unspecified Rujuk Vertikal

PEKERJA MANDIRI Chronic obstructive pulmonary Rujuk Vertikal
disease, unspecified
- Chronic ischaemic heart disease Rujuk Vertikal
cold]
PEKERJA MANDIRI Malignant neoplasm of cervix Rujuk Vertikal
uteri, unspecified
PBI (APBN) Acute transmural myocardial Rujuk Vertikal
infarction of inferior wall
PBI (APBN) Other headache syndromes Berobat Jalan
PBI (APBN) Chronic ischaemic heart disease Rujuk Vertikal Hipertensi
PBI (APBN) Cerebral infarction, unspecified Rujuk Vertikal
cold]
cold]
cold]
PBI (APBD) Unspecified diabetes mellitus Berobat Jalan
PNS
- Essential (primary) hypertension Berobat Jalan Diabetes Mellitus
Hipertensi
- Pterygium Berobat Jalan

PEKERJA MANDIRI Myalgia Berobat Jalan Diabetes Mellitus
Hipertensi
PEKERJA MANDIRI Chest pain, unspecified Berobat Jalan
- Epilepsy, unspecified Rujuk Vertikal
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
cold]
PEGAWAI SWASTA Diarrhoea and gastroenteritis of Berobat Jalan

presumed infectious origin
cold]
PBI (APBN) Diseases of pulp and periapical Berobat Jalan
tissues
- Tuberculosis of other specified Rujuk Vertikal
organs
PEGAWAI SWASTA Diseases of pulp and periapical Berobat Jalan
tissues
- Sequelae of stroke, not specified as Rujuk Vertikal

PBI (APBD) Cerebral infarction, unspecified Rujuk Vertikal Hipertensi Hipertensi
PEKERJA MANDIRI Community Acquired Pneumonia Rujuk Vertikal

PEKERJA MANDIRI Secondary hypertension Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
tissues
KEPALA DESA DAN Respiratory tuberculosis, Berobat Jalan
PERANGKAT DESA bacteriologically and histologically
PEKERJA MANDIRI Essential
confirmed (primary) hypertension Berobat Jalan
tissues
PBI (APBN) Antenatal screening Berobat Jalan
PEGAWAI SWASTA Developmental disorder of speech Rujuk Vertikal
and language, unspecified
cold]
PEKERJA MANDIRI Tuberculous peripheral Rujuk Vertikal
lymphadenopathy
- Secondary sideroblastic anaemia Rujuk Vertikal
due to disease
- Other chronic obstructive Berobat Jalan
pulmonary disease
cold]
PBI (APBN) Asthma Berobat Jalan
PBI (APBN) Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
mellitus with neurological
PBI (APBN) Unspecified
complicationsdiabetes mellitus Berobat Jalan Diabetes Mellitus
PRAJURIT AD Acute nasopharyngitis [common Berobat Jalan
cold]
PEKERJA MANDIRI Acute appendicitis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal
PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan
cold]
PBI (APBN) Routine postpartum follow-up Berobat Jalan
PBI (APBD) Diarrhoea and gastroenteritis of Berobat Jalan
PNS PUSAT Dyspepsia Berobat Jalan
PBI (APBN) Diseases of pulp and periapical Berobat Jalan Diabetes Mellitus Diabetes Mellitus
tissues
PBI (APBN) Human immunodeficiency virus Rujuk Vertikal

[HIV] disease resulting in
PBI (APBN) Zoster ocular
infectious anddisease
parasitic diseases Rujuk Vertikal
PBI (APBN) Heart failure Berobat Jalan
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi

PBI (APBN) Non-insulin-dependent diabetes Berobat Jalan
mellitus
PBI (APBN) Other postprocedural disorders of Rujuk Vertikal
eye and adnexa
PEGAWAI SWASTA Dyspepsia Berobat Jalan
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal

cold]
PBI (APBD) Essential (primary) hypertension Berobat Jalan Diabetes Mellitus

Hipertensi
- Essential (primary) hypertension Berobat Jalan Hipertensi Diabetes Mellitus
Hipertensi
PBI (APBD) Diseases of pulp and periapical Berobat Jalan
tissues
cold]
PEKERJA MANDIRI Acute nasopharyngitis [common Berobat Jalan Hipertensi
cold]
tissues
cold]
PBI (APBN) Atopic dermatitis Berobat Jalan
PEGAWAI SWASTA Dental caries Berobat Jalan
PBI (APBN) Vitiligo Rujuk Vertikal
PBI (APBN) Single spontaneous delivery Sembuh
cold]
PENERIMA PENSIUN Chronic obstructive pulmonary Berobat Jalan
TNI disease, unspecified
PNS DAERAH Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
Hipertensi

PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi
PBI (APBN) Fever of other and unknown origin Berobat Jalan
PBI (APBN) Hypertensive heart disease Berobat Jalan
PBI (APBN) Other disorders of gingiva and Berobat Jalan

PBI (APBN) Other disorders of skin and Berobat Jalan
PEKERJA MANDIRI Fever, unspecified
classified Berobat Jalan
tissues
PEGAWAI SWASTA Other and unspecified ovarian Rujuk Vertikal
cysts
cold]
PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan
PNS
tissues
- Chronic myeloid leukaemia Rujuk Vertikal

cold]
PEGAWAI Scabies Berobat Jalan
PEMERINTAH
-DENGAN PERJANJIAN Radiculopathy, lumbar region Rujuk Vertikal
KERJA
PEKERJA MANDIRI Other specified special Berobat Jalan Diabetes Mellitus Diabetes Mellitus
examinations
PEKERJA MANDIRI Fever of other and unknown origin Berobat Jalan
PBI (APBN) Congestive heart failure Berobat Jalan
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEKERJA MANDIRI Malignant neoplasm of breast, Rujuk Vertikal
unspecified
PBI (APBD) Gastric varices Berobat Jalan
cold]
cold]
PNS DAERAH Senile cataract Rujuk Vertikal
- Stroke, not specified as Rujuk Vertikal
PBI (APBN) Impacted teeth Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Internal haemorrhoids with other Rujuk Vertikal
complications
- Uterovaginal prolapse, unspecified Rujuk Vertikal
- Acute upper respiratory infections Berobat Jalan

PBI (APBN) Cholelithiasis Rujuk Vertikal
- Human immunodeficiency virus Rujuk Vertikal
PBI (APBD) Essential
infectious(primary) hypertension
and parasitic diseases Berobat Jalan
tissues
- Generalized anxiety disorder Rujuk Vertikal
- Palpitations Rujuk Vertikal
tissues
PEGAWAI SWASTA Pre-eclampsia, unspecified Rujuk Vertikal
PEGAWAI SWASTA Impacted teeth Berobat Jalan
cold]
PBI (APBD) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
- Palpitations Berobat Jalan
PBI (APBD) Surgical follow-up care, Berobat Jalan
unspecified
tissues
- Postprocedural disorder of eye and Rujuk Vertikal
adnexa, unspecified
PEGAWAI SWASTA Postpartum care and examination Berobat Jalan
PEKERJA MANDIRI Visual disturbance, unspecified Rujuk Vertikal
- Pes cavus Berobat Jalan
PENERIMA PENSIUN Diseases of pulp and periapical Berobat Jalan
PNS tissues
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
tissues
PEKERJA MANDIRI Asthma Berobat Jalan
cold]
PEKERJA MANDIRI Congestive heart failure Berobat Jalan
- Pure hypercholesterolaemia Berobat Jalan
PEKERJA MANDIRI Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus
- Other surgical follow-up care Rujuk Vertikal

PEGAWAI SWASTA Unspecified diabetes mellitus Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi
cold]
- Visual disturbance, unspecified Berobat Jalan
PBI (APBN) Tinea barbae and tinea capitis Berobat Jalan
PEKERJA MANDIRI Non-insulin-dependent diabetes Berobat Jalan Hipertensi Hipertensi
mellitus
PEKERJA MANDIRI Other surgical follow-up care Rujuk Vertikal
- Mononeuropathies of lower limb Berobat Jalan
- Constipation Rujuk Vertikal
PNS DAERAH Disorder of lacrimal system, Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
unspecified Hipertensi
- Human immunodeficiency virus Rujuk Vertikal
PBI (APBN) Corrosion of unspecified
infectious and degree of
parasitic diseases Rujuk Vertikal
head and neck
- Other headache syndromes Berobat Jalan
PBI (APBN) Chest pain, unspecified Berobat Jalan
PBI (APBN) Other complications of surgical Berobat Jalan

and medical care, not elsewhere
PBI (APBN) Unspecified
classified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
cold]
PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan
PEKERJA MANDIRI Epilepsy Rujuk Vertikal
- Nasal polyp, unspecified Berobat Jalan
- Viral infection, unspecified Rujuk Vertikal
PBI (APBN) Low back pain, site unspecified Berobat Jalan
VETERAN Unspecified diabetes mellitus Berobat Jalan
PENERIMA PENSIUN Systemic lupus erythematosus, Rujuk Vertikal
PNS unspecified
PBI (APBN) Benign lipomatous neoplasm, Berobat Jalan
unspecified
- Visual field defects Rujuk Vertikal
cold]
- Pleural effusion, not elsewhere Rujuk Vertikal

classified
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal Hipertensi Hipertensi
- Epilepsy Berobat Jalan

PEKERJA MANDIRI Anxiety disorder, unspecified Berobat Jalan
tissues
- Carpal tunnel syndrome Rujuk Vertikal
cold]
PBI (APBD) Hypertensive heart disease Berobat Jalan
PBI (APBD) Other benign neoplasm of Berobat Jalan
connective and other soft tissue of
PBI (APBN) Essential
head, face(primary)
and neckhypertension Berobat Jalan
PEKERJA MANDIRI Coronary artery aneurysm Rujuk Vertikal
PBI (APBN) Radiculopathy, lumbosacral region Berobat Jalan
PEKERJA MANDIRI Acute upper respiratory infections Berobat Jalan

- Localized swelling, mass and Rujuk Vertikal
lump, neck
- Routine postpartum follow-up Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Diabetes Mellitus
Hipertensi
PEKERJA MANDIRI Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus Diabetes Mellitus
mellitus Hipertensi
KEPALA DESA DAN Other disorders of penis Berobat Jalan
PERANGKAT DESA
- Unspecified diabetes mellitus Berobat Jalan

cold]
- Abdominal and pelvic pain Rujuk Vertikal
PNS PUSAT Rheumatism, unspecified Berobat Jalan
- Antepartum haemorrhage, not Rujuk Vertikal

elsewhere classified

PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Radiculopathy, lumbar region Rujuk Vertikal
PEGAWAI SWASTA Anxiety disorder, unspecified Rujuk Vertikal
PEKERJA MANDIRI Enlarged lymph nodes, unspecified Rujuk Vertikal
PBI (APBN) Secondary hypertension Berobat Jalan
- Retained portions of placenta and Sembuh
membranes, without haemorrhage
- Congestive heart failure Rujuk Vertikal
- Postprocedural disorders of eye Rujuk Vertikal

and adnexa, not elsewhere
PEKERJA MANDIRI Inguinal
classifiedhernia Rujuk Vertikal
PNS DAERAH Hypertensive heart disease Rujuk Vertikal
- Impacted teeth Rujuk Vertikal
PENERIMA PENSIUN Chronic obstructive pulmonary Berobat Jalan
TNI disease, unspecified
- Secondary hypertension Berobat Jalan Hipertensi
tissues
PBI (APBN) African trypanosomiasis Berobat Jalan

- Cerebral infarction, unspecified Rujuk Vertikal
PBI (APBN) Hypertensive heart disease with Berobat Jalan Hipertensi Hipertensi
(congestive) heart failure
cold]
PBI (APBN) Disorders of lacrimal system and Berobat Jalan
orbit in diseases classified
- Coronary
elsewhereartery aneurysm Rujuk Vertikal
tissues
tissues
PBI (APBD) African trypanosomiasis Berobat Jalan
tissues
- Acute bronchiolitis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Dental caries Berobat Jalan
PEGAWAI SWASTA Diarrhoea and gastroenteritis of Berobat Jalan

- Tuberculosis of bones and joints Rujuk Vertikal

- Surgical follow-up care, Rujuk Vertikal Diabetes Mellitus
unspecified
PBI (APBN) Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Scabies Berobat Jalan
PENERIMA PENSIUN Coronary artery aneurysm Rujuk Vertikal
PNS
PENERIMA PENSIUN Hypertensive heart disease Berobat Jalan Hipertensi Diabetes Mellitus
PNS Hipertensi
tissues
PBI (APBN) Stomatitis and related lesions Berobat Jalan Diabetes Mellitus
Hipertensi
PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi
tissues
- Cluster headache syndrome Rujuk Vertikal
cold]
tissues
PEGAWAI SWASTA Systemic lupus erythematosus, Rujuk Vertikal
unspecified

- Unspecified nonorganic psychosis Rujuk Vertikal
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Diabetes Mellitus
PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
KEPALA DESA DAN Other symptoms and signs Berobat Jalan
PERANGKAT DESA involving the digestive system and
PEGAWAI SWASTA Chronic
abdomenischaemic heart disease Berobat Jalan
PBI (APBN) Ventricular septal defect Rujuk Vertikal
tissues
- Lack of expected normal Rujuk Vertikal
physiological development
- Retention of urine Rujuk Vertikal
PNS
- Myalgia Berobat Jalan Hipertensi
PENERIMA PENSIUN Unspecified diabetes mellitus with Rujuk Vertikal
PNS other specified complications

unspecified
PBI (APBN) Cardiac arrhythmia, unspecified Rujuk Vertikal
PBI (APBN) Atherosclerotic heart disease Rujuk Vertikal
PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

Hipertensi
PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi
cold]
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan
- Thalassaemia, unspecified Berobat Jalan
- Schizophrenia Rujuk Vertikal
PEKERJA MANDIRI Rheumatic heart disease, Rujuk Vertikal
unspecified
PBI (APBD) Stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal
- Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus Diabetes Mellitus
cold]
PEGAWAI Diseases of pulp and periapical Berobat Jalan
PEMERINTAH tissues
PEKERJA MANDIRI
DENGAN PERJANJIAN Haemorrhoids Berobat Jalan
KERJA
PEKERJA MANDIRI Other disorders of gingiva and Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal Hipertensi
PEKERJA MANDIRI Dependence on renal dialysis Rujuk Vertikal
cold]
- Disorders of excessive somnolence Berobat Jalan
[hypersomnias]
tissues

- Unspecified complication of Rujuk Vertikal
procedure
PEGAWAI SWASTA Non-insulin-dependent diabetes Berobat Jalan Diabetes Mellitus Diabetes Mellitus
mellitus
PENERIMA PENSIUN Diarrhoea and gastroenteritis of Berobat Jalan Hipertensi Diabetes Mellitus
PNS presumed infectious origin Hipertensi
PBI (APBN) Dyspepsia Berobat Jalan Diabetes Mellitus Diabetes Mellitus

Hipertensi
- Thalassaemia Rujuk Vertikal
PENERIMA PENSIUN Acute upper respiratory infections Berobat Jalan
PNS of multiple and unspecified sites
PEKERJA MANDIRI Tuberculosis of eye Rujuk Vertikal
PEKERJA MANDIRI Tuberculosis of eye Berobat Jalan
cold]
PBI (APBN) Benign lipomatous neoplasm of Berobat Jalan
skin and subcutaneous tissue of
PBI (APBN) Single
trunk spontaneous delivery Sembuh

- Secondary hypertension Rujuk Vertikal
unspecified
cold]
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus Hipertensi
Hipertensi
PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Other infective bursitis Berobat Jalan
PBI (APBN) Cutaneous abscess, furuncle and Berobat Jalan

carbuncle, unspecified
- Benign paroxysmal vertigo Berobat Jalan Diabetes Mellitus

Hipertensi
PBI (APBD) Anxiety disorder, unspecified Rujuk Vertikal

PBI (APBD) Schizophrenia Rujuk Vertikal
PBI (APBD) Hypertensive heart disease Rujuk Vertikal
cold]
PNS DAERAH Other disorders of gingiva and Berobat Jalan
- Sequelae of stroke, not specified as Rujuk Vertikal
PEKERJA MANDIRI Ascites Rujuk Vertikal

cold]
- Fracture of mandible, closed Rujuk Vertikal
- Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi
- Hypertensive heart disease Rujuk Vertikal
cold]
- Depressive episode, unspecified Rujuk Vertikal
PEKERJA MANDIRI Cardiac arrhythmia, unspecified Rujuk Vertikal
cold]
mellitus
- Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus
cold] Hipertensi
- Dental caries Berobat Jalan

cold]
PBI (APBD) Secondary hypertension Rujuk Vertikal Diabetes Mellitus

Hipertensi
- Congestive heart failure Berobat Jalan Hipertensi Diabetes Mellitus
Hipertensi
PBI (APBD) Radiculopathy, lumbar region Rujuk Vertikal Diabetes Mellitus
Hipertensi
PEKERJA MANDIRI Impacted teeth Rujuk Vertikal
PEKERJA MANDIRI Heart failure Rujuk Vertikal
- Missed abortion Rujuk Vertikal
- Other arthritis Rujuk Vertikal
PENERIMA PENSIUN Senile cataract, unspecified Rujuk Vertikal
PNS
cold]
cold]
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus

cold]
cold]
- Other disorders of teeth and Berobat Jalan
supporting structures
PBI (APBD) Dental caries Berobat Jalan
PEGAWAI SWASTA Acute pharyngitis Berobat Jalan
PNS DAERAH Other superficial mycoses Rujuk Vertikal
tissues
PEGAWAI SWASTA Low back pain Berobat Jalan
PEGAWAI SWASTA Acute upper respiratory infections Berobat Jalan
PEGAWAI SWASTA Disorders of vestibular function Berobat Jalan
PEGAWAI SWASTA Moderate pre-eclampsia Rujuk Vertikal
PBI (APBN) Acute conjunctivitis, unspecified Berobat Jalan
PEKERJA MANDIRI Other specified disorders of teeth Berobat Jalan
and supporting structures
PNS DAERAH Secondary hypertension Rujuk Vertikal
PNS DAERAH Dyspnoea Rujuk Vertikal

- Atrial fibrillation and flutter Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Other benign neoplasm of Berobat Jalan
PBI (APBN) Senile cataract
head, face and neck Rujuk Vertikal
PEGAWAI SWASTA Headache Berobat Jalan
tissues
PBI (APBN) Maternal care for malpresentation Rujuk Vertikal
of fetus, unspecified
PBI (APBN) Sleep disorder, unspecified Rujuk Vertikal
PBI (APBN) Epilepsy Rujuk Vertikal
PBI (APBD) Epilepsy Rujuk Vertikal
PBI (APBN) Congestive heart failure Rujuk Vertikal

ANGGOTA POLRI Dental caries Berobat Jalan
PEKERJA MANDIRI General medical examination Berobat Jalan Diabetes Mellitus
Hipertensi
PEGAWAI SWASTA Abscess of anal and rectal regions Rujuk Vertikal
- Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PEGAWAI SWASTA Congestive heart failure Berobat Jalan
tissues
tissues
PBI (APBD) Cutaneous abscess, furuncle and Berobat Jalan
PBI (APBD) Malignant neoplasm of breast Berobat Jalan
PBI (APBD) Scabies Berobat Jalan
PEKERJA MANDIRI Secondary hypertension Berobat Jalan Diabetes Mellitus
Hipertensi
PEKERJA MANDIRI Other headache syndromes Berobat Jalan
- Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus

mellitus with multiple
PEKERJA MANDIRI Cerebral infarction, unspecified
complications Rujuk Vertikal

PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal
KEPALA DESA DAN Asthma Berobat Jalan
PERANGKAT DESA
- Sequelae of stroke, not specified as Berobat Jalan
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan
tissues
PBI (APBN) Pneumonia, unspecified Rujuk Vertikal
PEKERJA MANDIRI Atrial septal defect Rujuk Vertikal
PNS DAERAH Radiculopathy Berobat Jalan
cold]
PBI (APBD) Low back pain Berobat Jalan
- Vertigo of central origin Berobat Jalan

pulmonary disease
PENERIMA PENSIUN Insulin-dependent diabetes mellitus Berobat Jalan
PNS
PENERIMA PENSIUN Status asthmaticus Rujuk Vertikal
TNI
PNS DAERAH Chronic obstructive pulmonary Rujuk Vertikal
disease, unspecified
PBI (APBN) Acute lymphadenitis of upper limb Berobat Jalan
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus
cold]
PBI (APBN) Congestive heart failure Berobat Jalan Diabetes Mellitus
PBI (APBN) Endometriosis of ovary Rujuk Vertikal
cold]
PBI (APBD) Migraine Berobat Jalan
tissues
PEGAWAI SWASTA Rheumatism, unspecified Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal Diabetes Mellitus
PNS PUSAT Acute sinusitis Berobat Jalan

- Other tetanus Berobat Jalan
- Schizophrenia, unspecified Rujuk Vertikal
PBI (APBN) Coronary artery aneurysm Rujuk Vertikal
cold]
PBI (APBN) Fever, unspecified Berobat Jalan
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus Hipertensi

Hipertensi
PBI (APBN) End-stage renal disease Rujuk Vertikal
- Chronic ischaemic heart disease Berobat Jalan
- Dermatitis, unspecified Berobat Jalan
PBI (APBN) Cutaneous abscess, furuncle and Berobat Jalan

- Epilepsy Rujuk Vertikal
- Carpal tunnel syndrome Rujuk Vertikal Hipertensi Hipertensi
PBI (APBN) Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Dilated cardiomyopathy Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Acute upper respiratory infections Berobat Jalan

cold]
- Gonarthrosis, unspecified Rujuk Vertikal
tissues
PBI (APBN) Respiratory tuberculosis, Berobat Jalan

bacteriologically and histologically
PBI (APBN) Congestive
confirmed heart failure Berobat Jalan
PBI (APBD) Seropositive rheumatoid arthritis Berobat Jalan Diabetes Mellitus

Hipertensi
PBI (APBN) Senile cataract, unspecified Rujuk Vertikal
PBI (APBN) Angina pectoris, unspecified Rujuk Vertikal
PEGAWAI BUMN Postpartum care and examination Berobat Jalan
- Postpartum haemorrhage Berobat Jalan
PBI (APBD) Heart failure, unspecified Berobat Jalan
PBI (APBD) Other disorders of gingiva and Berobat Jalan
- Senile cataract, unspecified Rujuk Vertikal
cold]
PEKERJA MANDIRI Other disorders of gingiva and Berobat Jalan
cold]
PEGAWAI SWASTA Other disorders of gingiva and Berobat Jalan
- Inguinal hernia Rujuk Vertikal
PEKERJA MANDIRI Secondary hypertension Rujuk Vertikal
cold]
PBI (APBN) Other symptoms and signs Berobat Jalan
involving the digestive system and
PBI (APBD) Unspecified
abdomen diabetes mellitus Berobat Jalan
PBI (APBD) Other symptoms and signs Berobat Jalan
abdomen
- Disorders of vestibular function Berobat Jalan

PENERIMA PENSIUN Systemic lupus erythematosus, Rujuk Vertikal
PNS unspecified
Hipertensi
PBI (APBN) Hypertensive heart disease with Rujuk Vertikal

(congestive) heart failure
tissues

PEGAWAI SWASTA Other disorders of gingiva and Berobat Jalan
PEGAWAI BUMN Single spontaneous delivery Sembuh

- Diarrhoea and gastroenteritis of Berobat Jalan
- Gonarthrosis [arthrosis of knee] Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
- Thalassaemia Berobat Jalan
- Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

Hipertensi
cold]
- Cerebral palsy Rujuk Vertikal
PBI (APBN) Neoplasm of uncertain or unknown Rujuk Vertikal
behaviour of other and unspecified
PEKERJA MANDIRI Acute
sites nasopharyngitis [common Berobat Jalan
cold]
PNS

cold]
cold]
ANGGOTA POLRI Visual disturbance, unspecified Rujuk Vertikal
PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal
PEKERJA MANDIRI Anxiety disorder, unspecified Rujuk Vertikal
PBI (APBD) Congestive heart failure Berobat Jalan

PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Congestive heart failure Rujuk Vertikal

cold]
PBI (APBN) Parkinson's disease Rujuk Vertikal
PEKERJA MANDIRI Routine postpartum follow-up Berobat Jalan
PEKERJA MANDIRI Cerebral infarction, unspecified Rujuk Vertikal
- Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBN) Benign neoplasm of unspecified Rujuk Vertikal
site
- Systemic lupus erythematosus, Berobat Jalan
unspecified
cold]
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal
confirmed bacteriologically or
PBI (APBN) Acute nasopharyngitis [common
histologically Berobat Jalan
cold]
PBI (APBN) Acute upper respiratory infections Berobat Jalan

PBI (APBN) Dyspnoea Rujuk Vertikal
Kantor Cabang : CIMAHI - 1014
FKTP : NGAMPRAH - 10022501
TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN
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750 00:00 11:20
3 100225010321P000 31-03-2021 31-03-2021 0000497477237 CUCUM KURNIA P

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4 100225010321P000 31-03-2021 31-03-2021 0000498064386 ASEP YAYAN L

726 00:00 09:56
100225010321P000 31-03-2021 31-03-2021
5 742 00:00 11:11 0000498065308 KOKOM KOMARIAH P
6 100225010321P000 31-03-2021 31-03-2021 0000498080092 ENOK P

727 00:00 10:01
7 100225010321P000 31-03-2021 31-03-2021 0000498084028 YIYIN SOLIHA P

739 00:00 10:52
8 100225010321P000 31-03-2021 31-03-2021 0000498432273 ITA P
723 00:00 09:52
9 100225010321P000 31-03-2021 31-03-2021 0001012484294 LILIS SULASTRI P

744 00:00 11:14
10 100225010321P000 31-03-2021 31-03-2021 0001012484305 MUHAMAD SOFI YUDIN L
740 00:00 11:02
11 100225010321P000 31-03-2021 31-03-2021 0001012489209 DARIYAH P

746 00:00 11:16
100225010321P000 31-03-2021 31-03-2021

12 719 00:00 09:36 0001148618632 AGUS UMAR L
13 100225010321P000 31-03-2021 31-03-2021 0001385883832 DAYAT HIDAYAT L

715 00:00 08:54
14 100225010321P000 31-03-2021 31-03-2021 0001388336027 WINDAYANI P

731 00:00 10:06
15 100225010321P000 31-03-2021 31-03-2021 0001448344359 ENDANG TARMINI P
734 00:00 10:11
16 100225010321P000 31-03-2021 31-03-2021 0001483005846 TOTO P

720 00:00 09:44
17 100225010321P000 31-03-2021 31-03-2021 0001515626368 YATI DARYATI P
735 00:00 10:27
STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS
PNS DAERAH Other general symptoms and signs Berobat Jalan
PBI (APBN) Other diseases of hard tissues of Berobat Jalan

teeth
Acute nasopharyngitis [common Diabetes Mellitus
PBI (APBN) cold] Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Cardiac arrhythmia, unspecified Berobat Jalan
- Tuberculosis of other organs Berobat Jalan

tissues
PEKERJA MANDIRI Other specified diabetes mellitus Diabetes Mellitus

Berobat Jalan Hipertensi

tissues

100225010321P000 31-03-2021 31-03-2021 ISYE DINOVA JUNIARTI
18 737 00:00 10:49 0001515626447 NINGRUM P
19 100225010321P000 31-03-2021 31-03-2021 0001665501412 ERNA WATI DEWI P

741 00:00 11:03
100225010321P000 31-03-2021 31-03-2021 MUHAMAD RAKA ALBIANSAH

20 749 00:00 11:20 0001665501423 L

754 00:00 10:51
22 100225010321P000 31-03-2021 31-03-2021 0001807833971 euis sutijah P
722 00:00 09:50
100225010321P000 31-03-2021 31-03-2021

23 730 00:00 10:05 0001859610216 NAIMAH KINARA P
24 100225010321P000 31-03-2021 31-03-2021 0001896189467 MIKIALA PITALOKA P

725 00:00 09:54
25 100225010321P000 31-03-2021 31-03-2021 0001912751381 KAYAH P

745 00:00 11:15
26 100225010321P000 31-03-2021 31-03-2021 0001969118469 ADI SETIADI L

748 00:00 11:18
27 100225010321P000 31-03-2021 31-03-2021 0002204734904 hanik rofiqoh P

728 00:00 10:04
28 100225010321P000 31-03-2021 31-03-2021 0002258755716 ODAH HALIMAH P

721 00:00 09:48
29 100225010321P000 31-03-2021 31-03-2021 0002489765321 SURYATNA L
751 00:00 11:21
30 100225010321P000 31-03-2021 31-03-2021 0002745751419 SARIAH P

743 00:00 11:12
31 100225010321P000 31-03-2021 31-03-2021 0002749802646 SAOR PANGIHUTAN L
729 00:00 10:04
32 100225010321P000 31-03-2021 31-03-2021 0002767448575 RAKA RAMADHAN L

733 00:00 10:09
33 100225010321P000 31-03-2021 31-03-2021 0002767449554 RIKI RAMADHAN L
732 00:00 10:08
34 100225010321P000 31-03-2021 31-03-2021 0002797685842 NOVAN QIANDRA PANGESTU L

747 00:00 11:18
35 100225010321P000 31-03-2021 31-03-2021 0002797706654 WIWI MARYATI P
736 00:00 10:47
PEGAWAI SWASTA Acute upper respiratory infections
of multiple and unspecified sites Berobat Jalan

cold]
Acute upper respiratory infections

PBI (APBD) of multiple and unspecified sites Berobat Jalan
Other disorders of gingiva and

- edentulous alveolar ridge Berobat Jalan
PEGAWAI SWASTA Myalgia Berobat Jalan
PEKERJA MANDIRI Diseases of pulp and periapical Berobat Jalan Diabetes Mellitus
tissues
PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

cold]
cold]
PBI (APBN) Senile cataract Berobat Jalan

36 100225010321P000 31-03-2021 31-03-2021 0002840007363 IWAN KUSTIAWAN L
718 00:00 09:34
37 100225010321P000 30-03-2021 30-03-2021 0000497670917 JAJANG RAHMAT L
712 00:00 10:10
38 100225010321P000 30-03-2021 30-03-2021 0000497770479 KARMINI P
711 00:00 10:10
39 100225010321P000 30-03-2021 30-03-2021 0000497803037 SARI P
702 00:00 09:27
40 100225010321P000 30-03-2021 30-03-2021 0001012488039 KOMARA P
697 00:00 09:09
41 100225010321P000 30-03-2021 30-03-2021 0001012495375 KOMALA P
708 00:00 10:07
42 100225010321P000 30-03-2021 30-03-2021 0001430981932 TANTY ANGGUN P

701 00:00 09:27 KUSUMAWATI
43 100225010321P000 30-03-2021 30-03-2021 0001515659128 SITI NINGRUM P

703 00:00 09:28
44 100225010321P000 30-03-2021 30-03-2021 0001665503752 WIDA MUTIARA P

707 00:00 09:54

698 00:00 09:17
46 100225010321P000 30-03-2021 30-03-2021 0001823774771 ACHWAN SUTIKNO L
710 00:00 10:09
47 100225010321P000 30-03-2021 30-03-2021 0001900462307 enos jubaedah P

696 00:00 09:08
48 100225010321P000 30-03-2021 30-03-2021 0001971000966 MAHESHSWARA L
709 00:00 10:08 OKTAVIANDRA
49 0002059122385 DARYAH ROSNAWATI P

100225010321P000 30-03-2021 30-03-2021
700 00:00 09:26
50 100225010321P000 30-03-2021 30-03-2021 0002423837711 ADITIA AGUSTINA L

699 00:00 09:24
51 100225010321P000 30-03-2021 30-03-2021 0002594677713 DIRA SOPANDI L

713 00:00 10:27
52 100225010321P000 30-03-2021 30-03-2021 0002619251458 SETIA PERMADI L
705 00:00 09:29
53 100225010321P000 30-03-2021 30-03-2021 0002767457709 RENI YULIANA P

704 00:00 09:29
54 100225010321P000 30-03-2021 30-03-2021 0002864062664 UTI P
694 00:00 08:58

cold]

cold]

tissues
PBI (APBN) Contraceptive management Berobat Jalan
PEKERJA MANDIRI Tuberculosis of other organs Berobat Jalan

cold]
- Other disorders of skin and Berobat Jalan

classified
PBI (APBN) Other specified surgical follow-up Rujuk Vertikal

care
cold]
- Other general symptoms and signs Berobat Jalan
- Senile cataract Rujuk Vertikal

55 100225010321P000 29-03-2021 29-03-2021 0000058133259 KARLIATI P
684 00:00 11:02
56 100225010321P000 29-03-2021 31-03-2021 0000058420416 ENDI SUWARDI L
714 00:00 08:42
57 100225010321P000 29-03-2021 29-03-2021 0000058575802 YOYO SUTARDI L
691 00:00 11:08
58 100225010321P000 29-03-2021 29-03-2021 0000165272455 TITI KARYATI P
679 00:00 10:48
59 100225010321P000 29-03-2021 29-03-2021 0000195923654 EMI P
659 00:00 09:16
60 100225010321P000 29-03-2021 05-04-2021 0000495877757 NENAH SITI NURHASANAH P
757 00:00 08:23
61 100225010321P000 29-03-2021 29-03-2021 0000496893339 YULI YULIANTI P

653 00:00 08:36
62 100225010321P000 29-03-2021 29-03-2021 0000497628404 MULYANI P

692 00:00 11:10
63 100225010321P000 29-03-2021 29-03-2021 0000497899697 DEWI P

676 00:00 10:38
64 100225010321P000 29-03-2021 29-03-2021 0000497908844 NANI SANILAH P

660 00:00 09:32
65 100225010321P000 29-03-2021 05-04-2021 0000497967322 DAYAT L
758 00:00 09:05
100225010321P000 29-03-2021 29-03-2021

66 658 00:00 09:06 0000498079539 JAJANG SLAMET L
67 100225010321P000 29-03-2021 03-04-2021 0000498087022 IMAT P

753 00:00 09:31
68 100225010321P000 29-03-2021 29-03-2021 0000498508121 FITRI LESTARI P

675 00:00 10:38
665 00:00 10:26

661 00:00 10:00

678 00:00 10:40

652 00:00 08:32
669 00:00 10:32
PNS
PENERIMA PENSIUN Hypertensive heart disease Rujuk Vertikal
PNS
PNS DAERAH Acute nasopharyngitis [common Berobat Jalan
cold]
PENERIMA PENSIUN Unspecified diabetes mellitus Rujuk Vertikal

PNS
PBI (APBN) Bipolar affective disorder, Rujuk Vertikal

unspecified
PBI (APBN) Otitis externa Berobat Jalan
PBI (APBN) Cluster headache syndrome Berobat Jalan
Sequelae of stroke, not specified as

PBI (APBN) haemorrhage or infarction Rujuk Vertikal

cold]
PRAJURIT AD Unspecified diabetes mellitus Rujuk Vertikal
- Beta thalassaemia Berobat Jalan

74 100225010321P000 29-03-2021 29-03-2021 0001317679211 ELIS SRI SUSANTI P
657 00:00 09:00
75 100225010321P000 29-03-2021 29-03-2021 0001428681666 KOMAEDI L
688 00:00 11:06
100225010321P000 29-03-2021 29-03-2021
76 689 00:00 11:07 0001428682252 SAODAH P

654 00:00 08:39
78 100225010321P000 29-03-2021 29-03-2021 0001662999063 YATIMINGGO L

681 00:00 10:53
79 100225010321P000 29-03-2021 29-03-2021 0001662999074 HENI YULIANINGSIH P
680 00:00 10:50
80 100225010321P000 29-03-2021 29-03-2021 0001665495191 ENTAY SUKARNA L
668 00:00 10:30
81 100225010321P000 29-03-2021 01-04-2021 0001665915197 TATI SUGNIATI P

752 00:00 10:15
82 100225010321P000 29-03-2021 29-03-2021 0001675027484 INDRA. K L
671 00:00 10:35
83 100225010321P000 29-03-2021 29-03-2021 0001835248307 DEDE RUKIAH P

656 00:00 08:53
84 100225010321P000 29-03-2021 29-03-2021 0001965086886 ATIKAH P
673 00:00 10:36
85 100225010321P000 29-03-2021 29-03-2021 0002071791257 MAMAD L

670 00:00 10:33
86 100225010321P000 29-03-2021 29-03-2021 0002076430893 TITIN AMINAH P
677 00:00 10:38
87 100225010321P000 29-03-2021 29-03-2021 0002210594589 E ROHAETI P

687 00:00 11:05
88 100225010321P000 29-03-2021 29-03-2021 0002213812934 OMAY L
674 00:00 10:37
89 100225010321P000 29-03-2021 29-03-2021 0002213813711 supiah juma P

672 00:00 10:36
90 100225010321P000 29-03-2021 29-03-2021 0002258214873 MUHAMMAD FAHAD JAVAS AL L

686 00:00 11:05 GHOZY
91 100225010321P000 29-03-2021 31-03-2021 0002258755582 RASMAN L

716 00:00 08:55
92 100225010321P000 29-03-2021 29-03-2021 0002275672871 RUSTINI P
663 00:00 10:24
- Diseases of pulp and periapical Rujuk Vertikal
tissues
cold]
PEKERJA MANDIRI Noninfective gastroenteritis and
colitis, unspecified Berobat Jalan

cold]
PBI (APBN) Other arthritis Berobat Jalan
PENERIMA PENSIUN Other dermatitis Berobat Jalan

PNS

tissues

cold]

93 100225010321P000 29-03-2021 29-03-2021 0002288653659 NADYA APRILIA NAULI P
655 00:00 08:48 NAPITUPULU
100225010321P000 29-03-2021 29-03-2021
94 650 00:00 08:01 0002477011476 ANDIN L
95 100225010321P000 29-03-2021 30-03-2021 0002493691446 ARIA SANTANU GANDA L

706 00:00 09:51 KUSUMAH
96 100225010321P000 29-03-2021 29-03-2021 0002594677713 DIRA SOPANDI L

662 00:00 10:22
97 100225010321P000 29-03-2021 29-03-2021 0002614970902 MUHAMMAD AL FATIH L

682 00:00 10:55
98 100225010321P000 29-03-2021 29-03-2021 0002697332578 IDAR SRI DARYATI P
651 00:00 08:19
100225010321P000 29-03-2021 30-03-2021
99 693 00:00 08:12 0002797688092 ADE SUHENDAR L
100 100225010321P000 29-03-2021 29-03-2021 0002797694763 A NENI SUKAENAH P

685 00:00 11:04
101 100225010321P000 29-03-2021 05-04-2021 0002797702929 ENDAH P
756 00:00 08:03
102 100225010321P000 29-03-2021 30-03-2021 0002840005067 ODAH P

695 00:00 09:07
103 100225010321P000 29-03-2021 29-03-2021 0002840005901 HERLINA JUWITA P
664 00:00 10:25
104 100225010321P000 29-03-2021 29-03-2021 0002856669197 RINI ROHAETI P

690 00:00 11:08

667 00:00 10:29
106 100225010321P000 29-03-2021 29-03-2021 0003047466587 MUHAMMAD MUJAHID AL L

683 00:00 10:57 MAHDI
107 100225010321P000 29-03-2021 29-03-2021 0003056551874 PITRIAH P

666 00:00 10:28
108 100225010321P000 27-03-2021 27-03-2021 0000058318773 RUKIAH P
643 00:00 08:33
100225010321P000 27-03-2021 27-03-2021

109 648 00:00 10:57 0000497774474 IKAH ATIKAH P
110 100225010321P000 27-03-2021 27-03-2021 0000498135881 EHA JULAEHA P

649 00:00 10:59
PEGAWAI SWASTA Hyperkinetic disorder, unspecified Rujuk Vertikal
PEKERJA MANDIRI Chronic obstructive pulmonary

disease, unspecified Rujuk Vertikal

cold]
PEKERJA MANDIRI Malignant neoplasm of cervix Rujuk Vertikal
uteri, unspecified
Acute transmural myocardial
PBI (APBN) infarction of inferior wall Rujuk Vertikal
PBI (APBN) Cerebral infarction, unspecified Rujuk Vertikal

cold]

cold]

cold]

PNS
Essential (primary) hypertension Diabetes Mellitus

- Berobat Jalan Hipertensi

642 00:00 07:16
112 100225010321P000 27-03-2021 27-03-2021 0002262111399 TI`AH P
644 00:00 08:46
100225010321P000 27-03-2021 27-03-2021
113 646 00:00 09:35 0002278556987 TATI P

645 00:00 09:28
115 100225010321P000 27-03-2021 27-03-2021 0002878717792 INTAN SOLIHAH P

647 00:00 09:53
116 100225010321P000 26-03-2021 26-03-2021 0000497583404 TATA MUSTOFA L
617 00:00 08:44
117 100225010321P000 26-03-2021 26-03-2021 0000497691156 SITI NURHALIMAH P
633 00:00 10:33
118 100225010321P000 26-03-2021 26-03-2021 0000498092488 YETI SUMIATI P

628 00:00 10:15
119 100225010321P000 26-03-2021 26-03-2021 0000498432633 ANI RATNA KOMALA P
627 00:00 10:14
120 0000498781517 ABDUL ROHMAN L

100225010321P000 26-03-2021 26-03-2021
626 00:00 10:13
121 100225010321P000 26-03-2021 26-03-2021 0000498857106 SUHERMAN L

634 00:00 10:35
122 100225010321P000 26-03-2021 26-03-2021 0000631720653 ANDRI LESMANA L

636 00:00 10:38
123 100225010321P000 26-03-2021 26-03-2021 0001012486858 AULIA RAHMAWATI P
619 00:00 08:59
124 100225010321P000 26-03-2021 26-03-2021 0001012486959 ELIANA P

624 00:00 10:06
125 100225010321P000 26-03-2021 26-03-2021 0001515641692 DHONI QOMARUL HADDAD L
635 00:00 10:37

641 00:00 14:05
100225010321P000 26-03-2021 26-03-2021

127 615 00:00 08:14 0001675016739 IMAS P
128 100225010321P000 26-03-2021 26-03-2021 0001675029205 HERNA. H P

616 00:00 08:37
PEKERJA MANDIRI Diabetes Mellitus

Myalgia Berobat Jalan Hipertensi
PEKERJA MANDIRI Chest pain, unspecified Berobat Jalan
- Epilepsy, unspecified Rujuk Vertikal

cold]
Diarrhoea and gastroenteritis of Berobat Jalan

PEGAWAI SWASTA

cold]

tissues
- Tuberculosis of other specified Rujuk Vertikal
organs

tissues

- haemorrhage or infarction Rujuk Vertikal
PBI (APBD) Cerebral infarction, unspecified Rujuk Vertikal Hipertensi Hipertensi

129 100225010321P000 26-03-2021 26-03-2021 0001723812737 HJ. RUKMINAH P
622 00:00 09:46
130 100225010321P000 26-03-2021 26-03-2021 0001741015989 IRWIN L
631 00:00 10:31
131 100225010321P000 26-03-2021 26-03-2021 0002083684465 SARIAH P
618 00:00 08:57
132 100225010321P000 26-03-2021 26-03-2021 0002087669024 een suhenah P
638 00:00 10:40
133 0002268237756 RONI L
100225010321P000 26-03-2021 26-03-2021
632 00:00 10:32
134 100225010321P000 26-03-2021 26-03-2021 0002489765534 RATMAH P

630 00:00 10:27

637 00:00 10:39
136 100225010321P000 26-03-2021 26-03-2021 0002797677639 ATIH SUKAESIH P

620 00:00 09:36
137 100225010321P000 26-03-2021 26-03-2021 0002860306672 MARINI P

629 00:00 10:16
100225010321P000 26-03-2021 26-03-2021 RESKY AGUNG RAMADHANI

138 621 00:00 09:43 0002904741922 L
139 100225010321P000 26-03-2021 26-03-2021 0002907062245 NAURA RUBY ARNETA P

625 00:00 10:08
140 100225010321P000 26-03-2021 26-03-2021 0002942124221 ANNISA FITRIYANI NURUL P

623 00:00 09:50 FADILAH
141 100225010321P000 25-03-2021 25-03-2021 0000053076093 SITI SOLIHAT P
586 00:00 09:09
142 100225010321P000 25-03-2021 25-03-2021 0000497812329 HERDIANSYAH L

612 00:00 11:37
143 100225010321P000 25-03-2021 25-03-2021 0000497812465 ANISA RISTIANI P
611 00:00 11:36
144 100225010321P000 25-03-2021 25-03-2021 0000497976232 NUNUNG P

585 00:00 08:53
145 100225010321P000 25-03-2021 25-03-2021 0000498064386 ASEP YAYAN L

604 00:00 11:20
146 100225010321P000 25-03-2021 25-03-2021 0000498089193 SITI NURJANAH P

603 00:00 11:17
PEKERJA MANDIRI Community Acquired Pneumonia Rujuk Vertikal
PEKERJA MANDIRI Secondary hypertension Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus

tissues
KEPALA DESA DAN Respiratory tuberculosis, Berobat Jalan
PERANGKAT DESA bacteriologically and histologically
confirmed

tissues
PEGAWAI SWASTA Developmental disorder of speech

and language, unspecified Rujuk Vertikal

cold]
PEKERJA MANDIRI Tuberculous peripheral Rujuk Vertikal

lymphadenopathy
- Secondary sideroblastic anaemia Rujuk Vertikal
due to disease

pulmonary disease

cold]
PBI (APBN) Asthma Berobat Jalan

147 100225010321P000 25-03-2021 25-03-2021 0000498114483 NANI P
580 00:00 08:09
148 100225010321P000 25-03-2021 25-03-2021 0000498645044 KOMARUDIN L

608 00:00 11:27
601 00:00 11:14
582 00:00 08:28
151 100225010321P000 25-03-2021 25-03-2021 0001293179229 DEDIH L
614 00:00 12:33
152 100225010321P000 25-03-2021 25-03-2021 0001296669317 NANA ROHANA L
584 00:00 08:45

613 00:00 11:38
154 100225010321P000 25-03-2021 25-03-2021 0001666716693 LINA APRILIANI P

606 00:00 11:23
155 100225010321P000 25-03-2021 25-03-2021 0001675034199 LILIS. R P

605 00:00 11:22
156 100225010321P000 25-03-2021 25-03-2021 0002265779643 NASYA AKILA PUTRI L

607 00:00 11:25
157 100225010321P000 25-03-2021 25-03-2021 0002623503396 SRI HARYATI P
610 00:00 11:35
158 100225010321P000 25-03-2021 25-03-2021 0002797686099 NIA ROHNIA P

609 00:00 11:30
159 100225010321P000 25-03-2021 25-03-2021 0002797708836 ISUM MULYATI P
579 00:00 05:35
160 0003068627308 CECEP HERMAWAN L

100225010321P000 25-03-2021 25-03-2021
602 00:00 11:15
161 100225010321P000 24-03-2021 25-03-2021 0000053003103 SITI HADIJAH P

592 00:00 11:05

593 00:00 11:06
163 100225010321P000 24-03-2021 25-03-2021 0000497583404 TATA MUSTOFA L
598 00:00 11:10
PBI (APBN) Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
mellitus with neurological
complications
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus
PRAJURIT AD Acute nasopharyngitis [common Berobat Jalan

cold]
PEKERJA MANDIRI Acute appendicitis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal

cold]
PBI (APBD) Diarrhoea and gastroenteritis of Berobat Jalan

PNS PUSAT Dyspepsia Berobat Jalan
tissues
100225010321P000 24-03-2021 24-03-2021
573 00:00 10:26
164 0000497826606 HERU HADIYANTO L
165 100225010321P000 24-03-2021 24-03-2021 0000497996695 IDAT P

558 00:00 08:42
166 100225010321P000 24-03-2021 24-03-2021 0000498024415 DEDE YAHYA JAKARIA L

577 00:00 10:44
167 100225010321P000 24-03-2021 24-03-2021 0000498024516 AAN P

560 00:00 09:35
168 100225010321P000 24-03-2021 24-03-2021 0000498056095 NASIH P

555 00:00 08:08
169 100225010321P000 24-03-2021 24-03-2021 0000498182771 ROHATI P
561 00:00 09:56
170 100225010321P000 24-03-2021 25-03-2021 0000498376225 ENCEP SURYANA L
587 00:00 11:02
100225010321P000 24-03-2021 25-03-2021

171 597 00:00 11:09 0000498394811 DARWITA L
172 100225010321P000 24-03-2021 24-03-2021 0000498432273 ITA P

566 00:00 10:15
173 100225010321P000 24-03-2021 24-03-2021 0000498462074 KOMALA P

564 00:00 10:11
174 100225010321P000 24-03-2021 24-03-2021 0000977720321 YAYA P
567 00:00 10:17
175 100225010321P000 24-03-2021 24-03-2021 0001012422137 EEN SUHAENI P

575 00:00 10:40
176 100225010321P000 24-03-2021 24-03-2021 0001012490482 ANAM L

565 00:00 10:13
100225010321P000 24-03-2021 24-03-2021

177 574 00:00 10:38 0001012498378 AI TRISNAWATI P
178 100225010321P000 24-03-2021 24-03-2021 0001177997692 CICI SUMIATI P

572 00:00 10:25
179 100225010321P000 24-03-2021 24-03-2021 0001446285352 DADANG RAHMAT L
557 00:00 08:40
180 100225010321P000 24-03-2021 24-03-2021 0001448343641 SUHANDA L

559 00:00 09:12
Human immunodeficiency virus
PBI (APBN) infectious and parasitic diseases Rujuk Vertikal
PBI (APBN) Zoster ocular disease Rujuk Vertikal
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi

PBI (APBN) Non-insulin-dependent diabetes Berobat Jalan

mellitus
Other postprocedural disorders of

PBI (APBN) eye and adnexa Rujuk Vertikal
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal

181 100225010321P000 24-03-2021 24-03-2021 0001521754389 SITI SUPIAH P
571 00:00 10:24
182 100225010321P000 24-03-2021 24-03-2021 0001521754402 KHOFIFAH FAUZIYYAH P
570 00:00 10:23
589 00:00 11:03
184 100225010321P000 24-03-2021 24-03-2021 0001665528355 SITI JULAEHA P
556 00:00 08:17
100225010321P000 24-03-2021 25-03-2021
185 594 00:00 11:07 0001675017314 ADE JUWARIAH P
100225010321P000 24-03-2021 24-03-2021

186 563 00:00 10:09 0001675019046 TURYATI P
187 100225010321P000 24-03-2021 25-03-2021 0001675181327 CICIH P

596 00:00 11:08

588 00:00 11:03
595 00:00 11:07
190 100225010321P000 24-03-2021 25-03-2021 0002275673016 SITI SARAH NUR HALIMAH P

600 00:00 11:12
191 100225010321P000 24-03-2021 25-03-2021 0002471448104 asyifa aulia putri P
590 00:00 11:04
192 100225010321P000 24-03-2021 24-03-2021 0002592069952 GILANG CAHYA RAHMADAN L

576 00:00 10:42
193 100225010321P000 24-03-2021 25-03-2021 0002616315873 RYAN FIRMANSYAH L

599 00:00 11:11
194 100225010321P000 24-03-2021 24-03-2021 0002797698047 KHEISYA AUREL PUTRI P

569 00:00 10:23 HADIYANTO
195 100225010321P000 24-03-2021 24-03-2021 0002797708836 ISUM MULYATI P

578 00:00 22:08
196 100225010321P000 24-03-2021 25-03-2021 0002907227114 LENI ARIYANTI P
591 00:00 11:05
100225010321P000 23-03-2021 23-03-2021

197 522 00:00 09:49 0000058254603 ERNAWATI P
100225010321P000 23-03-2021 23-03-2021

198 521 00:00 09:42 0000058505286 EUIS SURYATI P

cold]

PBI (APBD) Berobat Jalan Hipertensi

- Berobat Jalan Hipertensi Hipertensi

tissues

cold]
PEKERJA MANDIRI Acute nasopharyngitis [common Berobat Jalan Hipertensi
cold]

tissues
cold]
PBI (APBN) Atopic dermatitis Berobat Jalan
PEGAWAI SWASTA Dental caries Berobat Jalan
PBI (APBN) Vitiligo Rujuk Vertikal

cold]
PENERIMA PENSIUN Chronic obstructive pulmonary

TNI disease, unspecified Berobat Jalan
Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

PNS DAERAH Berobat Jalan Hipertensi
199 100225010321P000 23-03-2021 23-03-2021 0000496717907 ROSITA P
541 00:00 11:13
200 100225010321P000 23-03-2021 23-03-2021 0000497977086 AI SOPIAH P
529 00:00 11:00
201 100225010321P000 23-03-2021 23-03-2021 0000498053531 AAH P
515 00:00 08:47
202 100225010321P000 23-03-2021 23-03-2021 0000498064386 ASEP YAYAN L
539 00:00 11:11
203 100225010321P000 23-03-2021 23-03-2021 0000498067356 WIWIN KOMALASARI P
523 00:00 09:55
204 100225010321P000 23-03-2021 23-03-2021 0000498109454 ENDANG JUHANA L
526 00:00 10:17
205 100225010321P000 23-03-2021 23-03-2021 0000498380016 IDA RESMIATI P

519 00:00 08:53
206 100225010321P000 23-03-2021 23-03-2021 0000498417884 LILIS SUMARNI P

537 00:00 11:10
100225010321P000 23-03-2021 23-03-2021

207 550 00:00 11:42 0001012484125 ACHMAD DJUWEDI L
208 100225010321P000 23-03-2021 23-03-2021 0001012495239 KARTINI P

531 00:00 11:03
209 0001012495375 KOMALA P
100225010321P000 23-03-2021 23-03-2021
542 00:00 11:13
210 100225010321P000 23-03-2021 23-03-2021 0001430631641 HAFSHA NUR HAFIDZA P

547 00:00 11:19
211 100225010321P000 23-03-2021 23-03-2021 0001430981932 TANTY ANGGUN P
554 00:00 11:59 KUSUMAWATI
212 100225010321P000 23-03-2021 23-03-2021 0001665495191 ENTAY SUKARNA L

553 00:00 11:58
213 100225010321P000 23-03-2021 23-03-2021 0001675501053 SRI YULIYANTI P
514 00:00 08:25
214 100225010321P000 23-03-2021 23-03-2021 0001776663628 NURMALA DEWI P

532 00:00 11:03
215 100225010321P000 23-03-2021 23-03-2021 0001965086886 ATIKAH P

545 00:00 11:16
216 100225010321P000 23-03-2021 23-03-2021 0002087669024 een suhenah P

552 00:00 11:57
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi
PBI (APBN) Hypertensive heart disease Berobat Jalan

PBI (APBN) edentulous alveolar ridge Berobat Jalan
PBI (APBN) Other disorders of skin and Berobat Jalan

classified
PEKERJA MANDIRI Fever, unspecified Berobat Jalan

tissues
PEGAWAI SWASTA Other and unspecified ovarian Rujuk Vertikal
cysts

cold]
PENERIMA PENSIUN Dermatitis, unspecified Berobat Jalan

PNS

tissues
217 100225010321P000 23-03-2021 23-03-2021 0002215916954 WAWAN HERMAWAN L
516 00:00 08:49
218 100225010321P000 23-03-2021 23-03-2021 0002229498562 CUCUN L
534 00:00 11:05
100225010321P000 23-03-2021 23-03-2021
540 00:00 11:12
219 0002238432096 YAYAN SUPARYANA L
220 100225010321P000 23-03-2021 23-03-2021 0002252034819 ENOK SITI AMINAH P

551 00:00 11:48
221 100225010321P000 23-03-2021 23-03-2021 0002261655797 TATANG L

528 00:00 10:59
222 100225010321P000 23-03-2021 23-03-2021 0002316309704 MUHAMAD DHIMAS JANUBI L
533 00:00 11:05
223 100225010321P000 23-03-2021 23-03-2021 0002423843763 ECIN KURAESIN P
538 00:00 11:10

544 00:00 11:15
225 100225010321P000 23-03-2021 23-03-2021 0002619103329 ASIH HODIJAH P
530 00:00 11:01
226 100225010321P000 23-03-2021 23-03-2021 0002696268971 SAHANTI PRAMUDIANTI P

520 00:00 09:39
227 100225010321P000 23-03-2021 23-03-2021 0002756701664 SITI SUSANTI P
548 00:00 11:22
228 100225010321P000 23-03-2021 23-03-2021 0002756701855 NADZRIL KHEVIN PRATAMA L

536 00:00 11:08
229 100225010321P000 23-03-2021 23-03-2021 0002797683849 NENENG RAHMAWATI P
527 00:00 10:58
230 100225010321P000 23-03-2021 23-03-2021 0002839996541 ACIH P

535 00:00 11:07
231 100225010321P000 23-03-2021 23-03-2021 0002840002378 ITA L
546 00:00 11:17
232 100225010321P000 23-03-2021 23-03-2021 0002974419022 MUHAMMAD TAQQIYUDDIN L

543 00:00 11:14 MALIK
233 100225010321P000 22-03-2021 22-03-2021 0000053490126 JHONY PANJAITAN L

479 00:00 10:17
234 100225010321P000 22-03-2021 22-03-2021 0000065759073 Dr.H. ECON SEMBIRING L

468 00:00 09:21
- Chronic myeloid leukaemia Rujuk Vertikal

cold]
PEGAWAI
PEMERINTAH
DENGAN PERJANJIAN Scabies Berobat Jalan
KERJA
- Radiculopathy, lumbar region Rujuk Vertikal
PEKERJA MANDIRI Other specified special Berobat Jalan Diabetes Mellitus Diabetes Mellitus
examinations
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEKERJA MANDIRI Malignant neoplasm of breast, Rujuk Vertikal

unspecified
PBI (APBD) Gastric varices Berobat Jalan

cold]

cold]
PNS DAERAH Senile cataract Rujuk Vertikal
- Stroke, not specified as Rujuk Vertikal

235 100225010321P000 22-03-2021 22-03-2021 0000497583404 TATA MUSTOFA L
512 00:00 12:31
236 100225010321P000 22-03-2021 24-03-2021 0000497690807 YAYA L
562 00:00 10:02
237 100225010321P000 22-03-2021 22-03-2021 0000497952022 IMAS P
477 00:00 10:12
238 100225010321P000 22-03-2021 22-03-2021 0000498105325 IMAS P
465 00:00 08:45
500 00:00 12:12
100225010321P000 22-03-2021 22-03-2021
240 492 00:00 11:27 0001012438721 MIMIN MINTARSIH P
241 100225010321P000 22-03-2021 22-03-2021 0001012495803 MOMOD L

466 00:00 09:18
100225010321P000 22-03-2021 22-03-2021

485 00:00 11:04
242 0001093628237 DEDY SUHENDI L
243 100225010321P000 22-03-2021 22-03-2021 0001311608474 IIN INSAF L

495 00:00 11:34
244 100225010321P000 22-03-2021 22-03-2021 0001314661228 ENTIN SUHARTINI P

474 00:00 09:50
245 100225010321P000 22-03-2021 22-03-2021 0001425272387 GANDA P
507 00:00 12:24
246 100225010321P000 22-03-2021 22-03-2021 0001428229214 MULYANA HASAN PERMANA L

481 00:00 10:27
247 100225010321P000 22-03-2021 22-03-2021 0001428230575 LALA SUHAENAH P

482 00:00 10:30
248 100225010321P000 22-03-2021 22-03-2021 0001448343641 SUHANDA L

494 00:00 11:31
249 100225010321P000 22-03-2021 22-03-2021 0001515659128 SITI NINGRUM P

510 00:00 12:28
250 100225010321P000 22-03-2021 22-03-2021 0001523587792 IRMA ROHMAWATI P
472 00:00 09:37
251 100225010321P000 22-03-2021 22-03-2021 0001663154616 ISNAINI P

513 00:00 12:32
506 00:00 12:22
PBI (APBN) Impacted teeth Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PBI (APBN) Internal haemorrhoids with other Rujuk Vertikal

complications
- Uterovaginal prolapse, unspecified Rujuk Vertikal

- of multiple and unspecified sites Berobat Jalan
PBI (APBN) Cholelithiasis Rujuk Vertikal

- infectious and parasitic diseases Rujuk Vertikal

tissues
- Generalized anxiety disorder Rujuk Vertikal
- Palpitations Rujuk Vertikal

tissues
PEGAWAI SWASTA Pre-eclampsia, unspecified Rujuk Vertikal
PEGAWAI SWASTA Impacted teeth Berobat Jalan

cold]
253 100225010321P000 22-03-2021 22-03-2021 0001665524665 KUSWANA DANA MIHARJA L
475 00:00 09:52
254 100225010321P000 22-03-2021 22-03-2021 0001675027484 INDRA. K L
490 00:00 11:22
255 100225010321P000 22-03-2021 22-03-2021 0001675029104 ai patmawati P
469 00:00 09:23
486 00:00 11:13
257 100225010321P000 22-03-2021 22-03-2021 0001675181327 CICIH P
508 00:00 12:26
100225010321P000 22-03-2021 22-03-2021
258 464 00:00 08:41 0001733025519 DJUNA MULYANA L

461 00:00 06:20
260 100225010321P000 22-03-2021 22-03-2021 0001900863922 eva nurkholifah P

473 00:00 09:48
261 100225010321P000 22-03-2021 22-03-2021 0001900864359 MUHAMMAD FAJRIE AL- L
487 00:00 11:16 FATTAAH
262 100225010321P000 22-03-2021 22-03-2021 0002034571184 atang L

509 00:00 12:27
263 100225010321P000 22-03-2021 22-03-2021 0002071791257 MAMAD L
498 00:00 12:09
264 100225010321P000 22-03-2021 22-03-2021 0002083684465 SARIAH P

463 00:00 08:37
511 00:00 12:30
266 100225010321P000 22-03-2021 22-03-2021 0002465787914 SHINTA PUSPITA PRIMASARI P

489 00:00 11:20
267 100225010321P000 22-03-2021 22-03-2021 0002489765321 SURYATNA L
504 00:00 12:21
268 100225010321P000 22-03-2021 22-03-2021 0002490415694 UNI P

505 00:00 12:22
269 100225010321P000 22-03-2021 22-03-2021 0002493353597 SUTARDI L

470 00:00 09:28
270 100225010321P000 22-03-2021 22-03-2021 0002493353698 WIDA WIDIYANTI P

493 00:00 11:29
271 100225010321P000 22-03-2021 22-03-2021 0002500833993 OYA P
478 00:00 10:15
PBI (APBD) Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus
- Palpitations Berobat Jalan
PBI (APBD) Surgical follow-up care, Berobat Jalan

unspecified
tissues
Postprocedural disorder of eye and
- adnexa, unspecified Rujuk Vertikal
PEGAWAI SWASTA Postpartum care and examination Berobat Jalan
PEKERJA MANDIRI Visual disturbance, unspecified Rujuk Vertikal
- Pes cavus Berobat Jalan
PENERIMA PENSIUN Diseases of pulp and periapical Berobat Jalan

PNS tissues
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan Diabetes Mellitus Diabetes Mellitus

tissues
PEKERJA MANDIRI Asthma Berobat Jalan

cold]
PEKERJA MANDIRI Congestive heart failure Berobat Jalan
- Pure hypercholesterolaemia Berobat Jalan
PEKERJA MANDIRI Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

272 100225010321P000 22-03-2021 22-03-2021 0002521403561 UJANG MITA L
480 00:00 10:20
273 100225010321P000 22-03-2021 22-03-2021 0002622648936 MUHAMAD ISHAQ L
499 00:00 12:10
274 100225010321P000 22-03-2021 22-03-2021 0002697788856 TOTO P
497 00:00 11:38
275 100225010321P000 22-03-2021 22-03-2021 0002797688362 SARIMANAH P
501 00:00 12:14
276 100225010321P000 22-03-2021 22-03-2021 0002797692636 DE WULAN P
502 00:00 12:16
277 100225010321P000 22-03-2021 22-03-2021 0002797693108 SITI MARYAM P
488 00:00 11:18
278 100225010321P000 22-03-2021 22-03-2021 0002839998396 WAWAN L

496 00:00 11:37
279 100225010321P000 22-03-2021 22-03-2021 0002864066725 MOCHAMAD PADILAH L

503 00:00 12:19
280 100225010321P000 22-03-2021 22-03-2021 0002873127317 DINTAYA KUSNAWIJAYA L

462 00:00 08:28
281 100225010321P000 22-03-2021 22-03-2021 0002878758022 SALWA NUR AZIZAH P

476 00:00 09:57
282 100225010321P000 22-03-2021 22-03-2021 0002932594165 NONENG P
491 00:00 11:24
283 100225010321P000 22-03-2021 22-03-2021 0003057171862 FAYZULHAQ ASYA RAJENDRA L

483 00:00 10:51 DARMA
460 00:00 15:03
100225010321P000 20-03-2021 20-03-2021

285 454 00:00 11:14 0000058505286 EUIS SURYATI P
100225010321P000 20-03-2021 20-03-2021

444 00:00 08:18
286 0000497489681 KANA L
287 100225010321P000 20-03-2021 20-03-2021 0000497527569 OSIH P

446 00:00 09:14
288 100225010321P000 20-03-2021 20-03-2021 0000498013751 SANTI P

453 00:00 10:37
289 100225010321P000 20-03-2021 20-03-2021 0000498068188 VARIYANTO SUSYANTO L
457 00:00 11:24
- Other surgical follow-up care Rujuk Vertikal
PEGAWAI SWASTA Unspecified diabetes mellitus Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

cold]
- Visual disturbance, unspecified Berobat Jalan
PBI (APBN) Tinea barbae and tinea capitis Berobat Jalan
PEKERJA MANDIRI Non-insulin-dependent diabetes Berobat Jalan Hipertensi Hipertensi

mellitus
PEKERJA MANDIRI Other surgical follow-up care Rujuk Vertikal
- Mononeuropathies of lower limb Berobat Jalan
- Constipation Rujuk Vertikal
Disorder of lacrimal system, Diabetes Mellitus Diabetes Mellitus

PNS DAERAH unspecified Rujuk Vertikal Hipertensi

- infectious and parasitic diseases Rujuk Vertikal
PBI (APBN) Corrosion of unspecified degree of Rujuk Vertikal

head and neck
- Other headache syndromes Berobat Jalan
PBI (APBN) Chest pain, unspecified Berobat Jalan

290 100225010321P000 20-03-2021 20-03-2021 0000498346727 IDAS L
452 00:00 10:36
291 100225010321P000 20-03-2021 20-03-2021 0000498410605 KOMYATI P

448 00:00 09:39
455 00:00 11:21
293 100225010321P000 20-03-2021 20-03-2021 0001012497276 SUMYATI P
443 00:00 07:37
459 00:00 11:28
295 100225010321P000 20-03-2021 20-03-2021 0002203091875 IWAN L
442 00:00 07:34
296 100225010321P000 20-03-2021 20-03-2021 0002328225388 MASTOAH P

458 00:00 11:26
297 100225010321P000 20-03-2021 20-03-2021 0002328225524 MUHAMMAD NAUZAN NAZRIL L

447 00:00 09:15
298 100225010321P000 20-03-2021 20-03-2021 0002527075214 DARIAH P

456 00:00 11:22
299 100225010321P000 20-03-2021 20-03-2021 0002797681329 ATIKAH P

451 00:00 10:33
300 100225010321P000 20-03-2021 20-03-2021 0002797698161 SARIYAH P
450 00:00 10:30
301 100225010321P000 19-03-2021 19-03-2021 0000149094044 RIKA UMBARA L

414 00:00 09:41
302 100225010321P000 19-03-2021 19-03-2021 0000161137181 SUTARIAH NY. JD. IMI P
417 00:00 10:00 SAMSUDIN
100225010321P000 19-03-2021 19-03-2021

303 408 00:00 09:04 0000165407141 AGINTA RION PUTRA L

427 00:00 11:07
305 100225010321P000 19-03-2021 19-03-2021 0000497794994 WAWANG P

404 00:00 08:40
306 100225010321P000 19-03-2021 19-03-2021 0000498068313 INDAH LESTARI P

431 00:00 11:20
307 100225010321P000 19-03-2021 19-03-2021 0000498087246 NENG SULASTRI P

440 00:00 11:43
PBI (APBN) Other complications of surgical Berobat Jalan
and medical care, not elsewhere
classified

cold]
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan
- Nasal polyp, unspecified Berobat Jalan
- Viral infection, unspecified Rujuk Vertikal
PBI (APBN) Low back pain, site unspecified Berobat Jalan
VETERAN Unspecified diabetes mellitus Berobat Jalan
PENERIMA PENSIUN Systemic lupus erythematosus,

PNS unspecified Rujuk Vertikal

unspecified
- Visual field defects Rujuk Vertikal

cold]
308 100225010321P000 19-03-2021 19-03-2021 0000499992388 MUSTAKIM L
406 00:00 08:54
309 100225010321P000 19-03-2021 19-03-2021 0000525962654 SRI RAHAYU P
429 00:00 11:14
402 00:00 08:20
311 100225010321P000 19-03-2021 19-03-2021 0001277188211 ONIE KRISNA WARSITO P
403 00:00 08:22
420 00:00 10:04
100225010321P000 19-03-2021 19-03-2021
313 423 00:00 10:53 0001295517025 SINTA LISMAWATI P
314 100225010321P000 19-03-2021 19-03-2021 0001321516956 H. DINTAYA L

421 00:00 10:05
315 100225010321P000 19-03-2021 19-03-2021 0001425272387 GANDA P

438 00:00 11:41
411 00:00 09:22

439 00:00 11:42
416 00:00 09:59
319 0001665529986 RISWAN HADIYANSAH L

100225010321P000 19-03-2021 19-03-2021
437 00:00 11:38
320 100225010321P000 19-03-2021 19-03-2021 0001675027484 INDRA. K L

432 00:00 11:23
100225010321P000 19-03-2021 19-03-2021

321 434 00:00 11:29 0001776104381 YUSEP PERMANA L
322 100225010321P000 19-03-2021 19-03-2021 0001776104414 FIQRI PUTERA PERMANA L

433 00:00 11:27
323 100225010321P000 19-03-2021 19-03-2021 0001829100925 HOLIL DJAMALUDIN L
401 00:00 08:04
324 100225010321P000 19-03-2021 19-03-2021 0001834617521 IRWAN HENDAYANA L

426 00:00 11:03
325 100225010321P000 19-03-2021 19-03-2021 0002056105618 IROS. P
419 00:00 10:03
- Pleural effusion, not elsewhere Rujuk Vertikal
classified
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal Hipertensi Hipertensi
- Epilepsy Berobat Jalan


tissues
- Carpal tunnel syndrome Rujuk Vertikal

cold]
PBI (APBD) Other benign neoplasm of Berobat Jalan

head, face and neck

PEKERJA MANDIRI Coronary artery aneurysm Rujuk Vertikal
PBI (APBN) Radiculopathy, lumbosacral region Berobat Jalan

100225010321P000 19-03-2021 19-03-2021
326 424 00:00 10:55 0002085147843 ALISKA P
327 100225010321P000 19-03-2021 19-03-2021 0002215918179 RISKA MEILANI P

412 00:00 09:26
328 100225010321P000 19-03-2021 19-03-2021 0002249965462 ERVIANI DANIAR P

400 00:00 06:56
100225010321P000 19-03-2021 19-03-2021

329 407 00:00 09:04 0002275676739 DEDEH KURNIASIH P

422 00:00 10:46
100225010321P000 19-03-2021 19-03-2021

331 415 00:00 09:54 0002309226759 MINTARSIH P
332 0002445996958 DENI SETYA BUDHI L

100225010321P000 19-03-2021 19-03-2021
425 00:00 10:59
333 100225010321P000 19-03-2021 19-03-2021 0002592522527 MIMIN P

418 00:00 10:02
334 100225010321P000 19-03-2021 19-03-2021 0002609791839 YAYAH ROHAYA P

399 00:00 06:42
335 100225010321P000 19-03-2021 19-03-2021 0002615335773 TATI P

435 00:00 11:31
100225010321P000 19-03-2021 19-03-2021 SERUNI LUNAYA KHAERUNISA

336 428 00:00 11:11 0002760222903 P
100225010321P000 19-03-2021 19-03-2021 MUHAMAD NUSA SHOLEH

337 430 00:00 11:16 0002760223599 GUMILAR L

436 00:00 11:32
339 100225010321P000 19-03-2021 19-03-2021 0002797703673 AAS KOMALA P
409 00:00 09:10
340 100225010321P000 18-03-2021 18-03-2021 0000156872248 NYAMAH P

396 00:00 09:14
100225010321P000 18-03-2021 18-03-2021

341 397 00:00 11:16 0000260982865 SRIWAN YANTI HAREFA P
PEKERJA MANDIRI Acute upper respiratory infections
- Localized swelling, mass and Rujuk Vertikal

lump, neck
- Routine postpartum follow-up Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Diabetes Mellitus

Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Non-insulin-dependent diabetes Diabetes Mellitus Diabetes Mellitus

mellitus Berobat Jalan Hipertensi
KEPALA DESA DAN Other disorders of penis Berobat Jalan

PERANGKAT DESA
- Unspecified diabetes mellitus Berobat Jalan



cold]
- Abdominal and pelvic pain Rujuk Vertikal
PNS PUSAT Rheumatism, unspecified Berobat Jalan
Antepartum haemorrhage, not

- elsewhere classified Rujuk Vertikal
342 100225010321P000 18-03-2021 18-03-2021 0000498356875 KOKOM N P
393 00:00 09:05
343 100225010321P000 18-03-2021 18-03-2021 0000498390006 ROSITA P
389 00:00 08:44
344 100225010321P000 18-03-2021 18-03-2021 0000498514678 SURDI L
387 00:00 08:24
345 100225010321P000 18-03-2021 18-03-2021 0001386184061 NASROH L
391 00:00 08:57
346 100225010321P000 18-03-2021 18-03-2021 0001386506856 SHARA PUTRI AZIZAH P
388 00:00 08:35
347 100225010321P000 18-03-2021 18-03-2021 0002000639834 SUKAENAH P
395 00:00 09:13
348 100225010321P000 18-03-2021 18-03-2021 0002063801733 MIS MAMAH P

390 00:00 08:51
349 0002249965462 ERVIANI DANIAR P

100225010321P000 18-03-2021 18-03-2021
398 00:00 16:39
350 100225010321P000 18-03-2021 18-03-2021 0002521403561 UJANG MITA L

394 00:00 09:07
351 100225010321P000 18-03-2021 18-03-2021 0002609791839 YAYAH ROHAYA P

385 00:00 06:18
100225010321P000 18-03-2021 18-03-2021
352 386 00:00 08:16 0002797703673 AAS KOMALA P
353 100225010321P000 18-03-2021 18-03-2021 0002878735882 ANDA L

392 00:00 08:59
354 100225010321P000 17-03-2021 17-03-2021 0000054162224 SUSY INDRAWATI P
367 00:00 10:30
355 100225010321P000 17-03-2021 17-03-2021 0000055307957 DICKY MAULANA L

361 00:00 09:33
100225010321P000 17-03-2021 17-03-2021
356 370 00:00 10:52 0000058254603 ERNAWATI P
357 100225010321P000 17-03-2021 17-03-2021 0000058261656 ENI ROHAENI P

356 00:00 08:52
358 100225010321P000 17-03-2021 17-03-2021 0000497144463 DEWI PUSPITA P

375 00:00 11:02
359 100225010321P000 17-03-2021 17-03-2021 0000497583404 TATA MUSTOFA L
378 00:00 11:05
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PEGAWAI SWASTA Anxiety disorder, unspecified Rujuk Vertikal
PEKERJA MANDIRI Enlarged lymph nodes, unspecified Rujuk Vertikal
PBI (APBN) Secondary hypertension Berobat Jalan
- Retained portions of placenta and Sembuh

membranes, without haemorrhage
- Congestive heart failure Rujuk Vertikal
Postprocedural disorders of eye

- and adnexa, not elsewhere Rujuk Vertikal
classified
PEKERJA MANDIRI Inguinal hernia Rujuk Vertikal
- Impacted teeth Rujuk Vertikal
PENERIMA PENSIUN Chronic obstructive pulmonary

TNI disease, unspecified Berobat Jalan
- Secondary hypertension Berobat Jalan Hipertensi
tissues
360 100225010321P000 17-03-2021 17-03-2021 0000497935978 REVAN ALFA DIANSYAH L
373 00:00 10:59
361 100225010321P000 17-03-2021 17-03-2021 0000497971192 SARTONO L
363 00:00 09:50
100225010321P000 17-03-2021 17-03-2021
362 372 00:00 10:56 0000498182771 ROHATI P
363 100225010321P000 17-03-2021 17-03-2021 0000498857106 SUHERMAN L

371 00:00 10:55

380 00:00 11:08
365 0001012498378 AI TRISNAWATI P
100225010321P000 17-03-2021 17-03-2021
384 00:00 11:13
366 100225010321P000 17-03-2021 17-03-2021 0001079897771 BUDI SANTOSO L

357 00:00 08:57
367 100225010321P000 17-03-2021 17-03-2021 0001430981932 TANTY ANGGUN P

376 00:00 11:04 KUSUMAWATI
368 100225010321P000 17-03-2021 17-03-2021 0001431192644 ROHATI P
383 00:00 11:10
369 100225010321P000 17-03-2021 17-03-2021 0001646411297 SRI WAHYUNI P

382 00:00 11:09
370 100225010321P000 17-03-2021 17-03-2021 0001665915197 TATI SUGNIATI P
374 00:00 11:02
371 100225010321P000 17-03-2021 17-03-2021 0001675021318 HAPIZ L

369 00:00 10:49
372 100225010321P000 17-03-2021 17-03-2021 0001675026674 MILA. T P
366 00:00 10:24

381 00:00 11:08
374 100225010321P000 17-03-2021 17-03-2021 0002047066312 ONENG P
359 00:00 09:20
375 100225010321P000 17-03-2021 17-03-2021 0002087669024 een suhenah P

379 00:00 11:07
376 0002187950163 NAURA RANIA FABBIAY P

100225010321P000 17-03-2021 17-03-2021
377 00:00 11:05
PBI (APBN) African trypanosomiasis Berobat Jalan
Hypertensive heart disease with

PBI (APBN) (congestive) heart failure Berobat Jalan Hipertensi Hipertensi

cold]
PBI (APBN) Disorders of lacrimal system and Berobat Jalan
orbit in diseases classified
elsewhere

tissues

tissues
PBI (APBD) African trypanosomiasis Berobat Jalan

tissues
- Acute bronchiolitis, unspecified Rujuk Vertikal
PEKERJA MANDIRI Dental caries Berobat Jalan
Diarrhoea and gastroenteritis of Berobat Jalan

PEGAWAI SWASTA
377 100225010321P000 17-03-2021 17-03-2021 0002756737168 TURYATI P
365 00:00 10:01
378 100225010321P000 17-03-2021 17-03-2021 0002797704077 WATISIH P
364 00:00 10:01
379 100225010321P000 17-03-2021 17-03-2021 0002840012526 ASEP JUNAEDI L
358 00:00 09:05
380 100225010321P000 17-03-2021 17-03-2021 0002905746153 MAULIDYA NUR HAFIZHAH P
368 00:00 10:48
381 100225010321P000 16-03-2021 23-03-2021 0000058420045 EKROM SOEPODO L
525 00:00 10:16
100225010321P000 16-03-2021 16-03-2021
382 334 00:00 09:22 0000169195026 RUBINAH P
383 100225010321P000 16-03-2021 16-03-2021 0000497586993 WIDA WARYANI P

351 00:00 11:00
100225010321P000 16-03-2021 16-03-2021

384 340 00:00 10:03 0000497781595 ROHENI P
385 100225010321P000 16-03-2021 23-03-2021 0000498053531 AAH P

517 00:00 08:49
386 100225010321P000 16-03-2021 16-03-2021 0000498312303 GANDA L

349 00:00 10:56
387 100225010321P000 16-03-2021 16-03-2021 0000498754552 NIA RUSMIATI P
348 00:00 10:42
388 100225010321P000 16-03-2021 16-03-2021 0000498907541 DEDE SUHAETI P

344 00:00 10:19
389 100225010321P000 16-03-2021 16-03-2021 0001012484136 HJ. RATNA UNIRAH P

328 00:00 08:09

342 00:00 10:16
391 100225010321P000 16-03-2021 23-03-2021 0001431192644 ROHATI P

518 00:00 08:52
392 100225010321P000 16-03-2021 16-03-2021 0001483005846 TOTO P
345 00:00 10:32
393 100225010321P000 16-03-2021 16-03-2021 0001515659128 SITI NINGRUM P

350 00:00 10:58
100225010321P000 16-03-2021 16-03-2021
394 330 00:00 08:34 0001660011039 SARIWININGSIH P
- Tuberculosis of bones and joints Rujuk Vertikal
- Surgical follow-up care, Rujuk Vertikal Diabetes Mellitus

unspecified
PBI (APBN) Congestive heart failure Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Scabies Berobat Jalan
PENERIMA PENSIUN Coronary artery aneurysm Rujuk Vertikal

PNS
PENERIMA PENSIUN Hypertensive heart disease Diabetes Mellitus
PNS Berobat Jalan Hipertensi Hipertensi

tissues
Stomatitis and related lesions Diabetes Mellitus

PBI (APBN) Berobat Jalan Hipertensi
PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi

tissues
- Cluster headache syndrome Rujuk Vertikal

cold]

tissues
PEGAWAI SWASTA Systemic lupus erythematosus,
unspecified Rujuk Vertikal
395 100225010321P000 16-03-2021 16-03-2021 0001665525014 Eutik P
332 00:00 08:50
396 100225010321P000 16-03-2021 16-03-2021 0001845322266 nuril ya L
341 00:00 10:13
397 100225010321P000 16-03-2021 16-03-2021 0001852265441 UPIT P
339 00:00 09:43
398 100225010321P000 16-03-2021 16-03-2021 0002258286017 ADE SUKMAWATI P
329 00:00 08:13
399 100225010321P000 16-03-2021 16-03-2021 0002261655797 TATANG L
331 00:00 08:39
400 100225010321P000 16-03-2021 16-03-2021 0002399072523 ANISA PURNAMASARI P
338 00:00 09:42
401 0002445996328 DASEP SUPRIADI L

100225010321P000 16-03-2021 16-03-2021
347 00:00 10:40
402 100225010321P000 16-03-2021 16-03-2021 0002475785632 AGUNG SUCIPTO L

346 00:00 10:35
403 100225010321P000 16-03-2021 16-03-2021 0002623503396 SRI HARYATI P

337 00:00 09:40
404 100225010321P000 16-03-2021 16-03-2021 0002747607849 FERI SOPIAN L

343 00:00 10:17
405 100225010321P000 16-03-2021 16-03-2021 0002797690509 FIRNA SORAYA KHAERUNNISA P
353 00:00 11:26
406 100225010321P000 16-03-2021 16-03-2021 0002797698104 ROHATI P

336 00:00 09:32
407 100225010321P000 16-03-2021 16-03-2021 0002876911222 DODO SURYANA L
352 00:00 11:02
100225010321P000 16-03-2021 16-03-2021

408 333 00:00 09:07 0003068628074 RINO ROHIMAN L
409 100225010321P000 15-03-2021 15-03-2021 0000055821532 IBON L

299 00:00 10:11
410 100225010321P000 15-03-2021 15-03-2021 0000055821543 ENGKOY ROKAYAH P

307 00:00 10:56
411 100225010321P000 15-03-2021 15-03-2021 0000058261656 ENI ROHAENI P

311 00:00 11:02
100225010321P000 15-03-2021 15-03-2021

412 295 00:00 09:37 0000058421068 H. ENGKIM SURYADINATA L
PEKERJA MANDIRI Congestive heart failure Berobat Jalan Diabetes Mellitus
KEPALA DESA DAN Other symptoms and signs Berobat Jalan

PERANGKAT DESA involving the digestive system and
abdomen
PEGAWAI SWASTA Chronic ischaemic heart disease Berobat Jalan
PBI (APBN) Ventricular septal defect Rujuk Vertikal

tissues
Lack of expected normal

- physiological development Rujuk Vertikal
- Retention of urine Rujuk Vertikal

PNS
- Myalgia Berobat Jalan Hipertensi
PENERIMA PENSIUN Unspecified diabetes mellitus with

PNS other specified complications Rujuk Vertikal
318 00:00 11:09
414 100225010321P000 15-03-2021 15-03-2021 0000496681479 CACIH P
294 00:00 09:16
306 00:00 10:52
416 100225010321P000 15-03-2021 15-03-2021 0000497953945 ENOK P
288 00:00 08:46
417 100225010321P000 15-03-2021 15-03-2021 0000498078303 EEM P
316 00:00 11:07
418 100225010321P000 15-03-2021 15-03-2021 0000498080092 ENOK P
286 00:00 08:18
419 100225010321P000 15-03-2021 15-03-2021 0000498094367 ISMAIL L

301 00:00 10:27
100225010321P000 15-03-2021 15-03-2021

420 297 00:00 10:06 0000498094402 ELYUNI P
100225010321P000 15-03-2021 15-03-2021

421 326 00:00 11:18 0000498127498 WINDA L. P. P
422 100225010321P000 15-03-2021 17-03-2021 0000498182771 ROHATI P

362 00:00 09:47
423 100225010321P000 15-03-2021 15-03-2021 0000498276393 ELA.K P
308 00:00 10:58
424 100225010321P000 15-03-2021 15-03-2021 0000498440531 HENDRIMAWAN L

298 00:00 10:09
425 100225010321P000 15-03-2021 15-03-2021 0000498907541 DEDE SUHAETI P

310 00:00 11:01
426 100225010321P000 15-03-2021 15-03-2021 0000498989261 TARYANAH P

320 00:00 11:15

325 00:00 11:18
428 100225010321P000 15-03-2021 15-03-2021 0001277445014 AMUR MAKMUR L
302 00:00 10:29
429 100225010321P000 15-03-2021 15-03-2021 0001307089899 NELLY LISTIANA P

291 00:00 09:06
430 100225010321P000 15-03-2021 15-03-2021 0001448343641 SUHANDA L
313 00:00 11:05
431 100225010321P000 15-03-2021 15-03-2021 0001674994511 SOPANDI L

289 00:00 09:02

unspecified
PBI (APBN) Cardiac arrhythmia, unspecified Rujuk Vertikal
PBI (APBN) Atherosclerotic heart disease Rujuk Vertikal
Diabetes Mellitus
PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Hipertensi

PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi

cold]
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan
- Thalassaemia, unspecified Berobat Jalan
PEKERJA MANDIRI Rheumatic heart disease, Rujuk Vertikal

unspecified
PBI (APBD) Stroke, not specified as Rujuk Vertikal

432 100225010321P000 15-03-2021 15-03-2021 0001675027484 INDRA. K L
317 00:00 11:09
445 00:00 09:07
434 100225010321P000 15-03-2021 15-03-2021 0001833753251 sumiati P
315 00:00 11:06
100225010321P000 15-03-2021 15-03-2021
323 00:00 11:16
435 0001887720581 YUSUP HIDAYAT L
436 100225010321P000 15-03-2021 15-03-2021 0002071791257 MAMAD L

314 00:00 11:06
437 100225010321P000 15-03-2021 15-03-2021 0002086692862 NANI SUSANTI P
293 00:00 09:10
100225010321P000 15-03-2021 15-03-2021
438 327 00:00 11:19 0002204734904 hanik rofiqoh P

568 00:00 10:21
440 100225010321P000 15-03-2021 15-03-2021 0002439248196 RACHMAT L
300 00:00 10:18
441 100225010321P000 15-03-2021 15-03-2021 0002489765321 SURYATNA L

309 00:00 10:59
442 100225010321P000 15-03-2021 15-03-2021 0002490415694 UNI P
304 00:00 10:47
443 100225010321P000 15-03-2021 15-03-2021 0002594677138 SUNSUN SUPRIADI L

319 00:00 11:10
100225010321P000 15-03-2021 15-03-2021

444 322 00:00 11:16 0002695481458 AGUNG MULYADI L
445 100225010321P000 15-03-2021 15-03-2021 0002745751419 SARIAH P

305 00:00 10:49

324 00:00 11:17
447 100225010321P000 15-03-2021 20-03-2021 0002797686639 MAMAT L
441 00:00 07:30
448 100225010321P000 15-03-2021 15-03-2021 0002839999972 WAWAN L

321 00:00 11:16
- Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus Diabetes Mellitus

cold]
PEGAWAI Diseases of pulp and periapical
PEMERINTAH tissues
DENGAN PERJANJIAN Berobat Jalan
KERJA
PEKERJA MANDIRI Haemorrhoids Berobat Jalan
PEKERJA MANDIRI Other disorders of gingiva and Diabetes Mellitus Diabetes Mellitus
edentulous alveolar ridge Berobat Jalan
PEKERJA MANDIRI Chronic ischaemic heart disease Rujuk Vertikal Hipertensi
PEKERJA MANDIRI Dependence on renal dialysis Rujuk Vertikal

cold]
Disorders of excessive somnolence

- [hypersomnias] Berobat Jalan

tissues

449 100225010321P000 15-03-2021 15-03-2021 0002853000898 POPON WAHYUNI P
303 00:00 10:45
450 100225010321P000 15-03-2021 15-03-2021 0002856669142 GAVLIRA SHEZA PUTRI P
296 00:00 09:47
451 100225010321P000 15-03-2021 15-03-2021 0002890019013 NENIH P
292 00:00 09:08
452 100225010321P000 15-03-2021 15-03-2021 0002932594165 NONENG P
312 00:00 11:03
453 0000169195026 RUBINAH P
100225010321P000 13-03-2021 13-03-2021
281 00:00 10:00

755 00:00 11:02
100225010321P000 13-03-2021 13-03-2021

455 278 00:00 09:57 0000497689615 NYAI RIPNIATI P
456 100225010321P000 13-03-2021 13-03-2021 0001012422137 EEN SUHAENI P

283 00:00 10:03
457 100225010321P000 13-03-2021 13-03-2021 0001261521369 DHEA ARTHA VALIZA P
277 00:00 09:53
458 100225010321P000 13-03-2021 13-03-2021 0001483005846 TOTO P

282 00:00 10:02
100225010321P000 13-03-2021 13-03-2021
459 279 00:00 09:58 0001967859382 enda L

276 00:00 09:23
461 100225010321P000 13-03-2021 13-03-2021 0002478472334 HIDAYAT L

275 00:00 09:06
462 100225010321P000 13-03-2021 13-03-2021 0002622648936 MUHAMAD ISHAQ L

280 00:00 09:59
463 100225010321P000 13-03-2021 13-03-2021 0002639369709 TIKTIK P

284 00:00 10:04
464 03-12-2021 0000495741306 HILMI RAMDHANI L
100225010321P000 12-03-2021
261 12:13

255 10:01
- Unspecified complication of Rujuk Vertikal

procedure
mellitus
Diarrhoea and gastroenteritis of Berobat Jalan Hipertensi Diabetes Mellitus

PENERIMA PENSIUN presumed infectious origin Hipertensi
PNS
Diabetes Mellitus Diabetes Mellitus

PBI (APBN) Dyspepsia Berobat Jalan Hipertensi
PENERIMA PENSIUN Acute upper respiratory infections

PNS of multiple and unspecified sites Berobat Jalan
PEKERJA MANDIRI Tuberculosis of eye Rujuk Vertikal
PEKERJA MANDIRI Tuberculosis of eye Berobat Jalan

cold]
PBI (APBN) Benign lipomatous neoplasm of Berobat Jalan

skin and subcutaneous tissue of
trunk

256 10:17
467 100225010321P000 03-12-2021 12-03-2021 0000497586576 IDAN L
246 08:49
264 12:23
469 100225010321P000 03-12-2021 12-03-2021 0000497974228 SITI HERLINA P
268 12:29
100225010321P000 20-03-2021
470 449 03-12-2021 09:44 0000498065308 KOKOM KOMARIAH P
471 100225010321P000 03-12-2021 12-03-2021 0000498410605 KOMYATI P

251 09:27
472 100225010321P000 03-12-2021 12-03-2021 0000498988539 WARYANI P
259 12:09
100225010321P000 12-03-2021
473 260 03-12-2021 12:11 0000498989261 TARYANAH P
474 100225010321P000 03-12-2021 12-03-2021 0001321516956 H. DINTAYA L

272 12:34
100225010321P000 12-03-2021
475 265 03-12-2021 12:25 0001423377123 SUKAESIH P
476 100225010321P000 03-12-2021 12-03-2021 0001665495292 MUHAMAD SOPIAN L

245 08:41
100225010321P000 12-03-2021
477 271 03-12-2021 12:33 0001675016583 SAEFUL AHMAD L
478 100225010321P000 03-12-2021 12-03-2021 0001675017797 BUDIYANTO L

242 08:15
479 100225010321P000 03-12-2021 19-03-2021 0001675026347 DADAN SUHAENDI L
410 09:14
480 100225010321P000 03-12-2021 12-03-2021 0001813923854 sumyati P

266 12:26
100225010321P000 12-03-2021
481 273 03-12-2021 12:35 0001900572377 salsabila handayani P
100225010321P000 12-03-2021
482 244 03-12-2021 08:35 0002040627543 dedi hidayatulloh L
- Secondary hypertension Rujuk Vertikal

unspecified
cold]
Diabetes Mellitus
PBI (APBN) Other infective bursitis Berobat Jalan
Cutaneous abscess, furuncle and

PBI (APBN) carbuncle, unspecified Berobat Jalan
Diabetes Mellitus
- Benign paroxysmal vertigo Berobat Jalan Hipertensi
PBI (APBD) Anxiety disorder, unspecified Rujuk Vertikal

PBI (APBD) Schizophrenia Rujuk Vertikal
PBI (APBD) Hypertensive heart disease Rujuk Vertikal

cold]
PNS DAERAH edentulous alveolar ridge Berobat Jalan

- haemorrhage or infarction Rujuk Vertikal
483 100225010321P000 03-12-2021 12-03-2021 0002083611497 AMING SUGANDA L
247 08:56
484 100225010321P000 03-12-2021 12-03-2021 0002085147843 ALISKA P
258 12:07
485 100225010321P000 03-12-2021 12-03-2021 0002187950163 NAURA RANIA FABBIAY P
270 12:31
486 100225010321P000 03-12-2021 12-03-2021 0002204735422 RYAN NUr HAKIM L
257 10:19
487 100225010321P000 03-12-2021 19-03-2021 0002220382697 CUNINGSIH BT MUD P
413 09:38
100225010321P000 12-03-2021 HUMAIDA QUROTUL A'YUN
488 269 03-12-2021 12:30 0002231011348 P
489 100225010321P000 03-12-2021 12-03-2021 0002323789604 IKA L

241 08:08
490 100225010321P000 03-12-2021 12-03-2021 0002434199411 DEDE IRAWATI P

252 09:44
491 100225010321P000 03-12-2021 12-03-2021 0002458691853 WAHYUDIN L
250 09:18
492 100225010321P000 03-12-2021 12-03-2021 0002458692044 IIS KOMALA P

262 12:15
493 100225010321P000 03-12-2021 12-03-2021 0002594055881 IRGI NURRIZKY L
249 09:07
494 100225010321P000 03-12-2021 12-03-2021 0002745751419 SARIAH P

267 12:27
495 100225010321P000 03-12-2021 12-03-2021 0002797695257 DEWI DARMAYANTI P
253 09:50
496 100225010321P000 03-12-2021 12-03-2021 0002878024983 RENI P

248 09:06
497 100225010321P000 03-12-2021 12-03-2021 0002878735882 ANDA L
263 12:20
498 100225010321P000 03-12-2021 12-03-2021 0002890019013 NENIH P

243 08:26
100225010321P000 10-03-2021
499 232 03-10-2021 09:55 0000058264064 UMAH P
500 100225010321P000 03-10-2021 10-03-2021 0000496738811 SITI P

240 11:42
501 100225010321P000 03-10-2021 10-03-2021 0000497577745 ASEP HERMAWAN L

237 10:00
PEKERJA MANDIRI Ascites Rujuk Vertikal

cold]
- Fracture of mandible, closed Rujuk Vertikal

- Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi
- Hypertensive heart disease Rujuk Vertikal

cold]
- Depressive episode, unspecified Rujuk Vertikal
PEKERJA MANDIRI Cardiac arrhythmia, unspecified Rujuk Vertikal

cold]
mellitus
Acute nasopharyngitis [common Diabetes Mellitus

- cold] Berobat Jalan Hipertensi
- Dental caries Berobat Jalan

502 100225010321P000 03-10-2021 10-03-2021 0000497683541 SAMAN L
238 11:08
503 100225010321P000 03-10-2021 10-03-2021 0000497690482 RESA NOVIANTI P
236 09:59
504 100225010321P000 03-10-2021 10-03-2021 0000497821059 CUCU GUNAYAH P
235 09:58
505 100225010321P000 03-10-2021 10-03-2021 0000497822679 RIFKY FIRMANSYAH L
234 09:57
100225010321P000 10-03-2021
506 227 03-10-2021 08:24 0000498888101 EUIS WININGSIH P
100225010321P000 10-03-2021
507 228 03-10-2021 08:57 0001665495235 AKAH P
100225010321P000 10-03-2021
508 230 03-10-2021 09:13 0001665495268 IDA P

355 08:51
510 100225010321P000 03-10-2021 10-03-2021 0001852265441 UPIT P

231 09:54
511 100225010321P000 03-10-2021 10-03-2021 0002490415694 UNI P

233 09:57
512 100225010321P000 03-10-2021 10-03-2021 0002497326827 OTONG L

226 08:22
513 100225010321P000 03-10-2021 10-03-2021 0002767457709 RENI YULIANA P
229 09:06
514 100225010321P000 03-09-2021 16-03-2021 0000053497361 YUNI WARSITA P

354 13:56
515 100225010321P000 03-09-2021 09-03-2021 0000053685628 SUTARNA L
205 10:16
516 100225010321P000 03-09-2021 09-03-2021 0000497164634 CELVI ROSDIANI P

218 10:44
517 100225010321P000 03-09-2021 09-03-2021 0000497578138 YANTI P
213 10:21
518 100225010321P000 03-09-2021 09-03-2021 0000497583944 JULAEHA P

203 09:30
519 100225010321P000 03-09-2021 09-03-2021 0000497752749 PATNASIH P
204 09:48

cold]
Diabetes Mellitus
PBI (APBD) Secondary hypertension Rujuk Vertikal Hipertensi
Diabetes Mellitus
Radiculopathy, lumbar region Diabetes Mellitus

PBI (APBD) Rujuk Vertikal Hipertensi
PEKERJA MANDIRI Impacted teeth Rujuk Vertikal
PEKERJA MANDIRI Heart failure Rujuk Vertikal
- Missed abortion Rujuk Vertikal
- Other arthritis Rujuk Vertikal
PENERIMA PENSIUN Senile cataract, unspecified Rujuk Vertikal

PNS

cold]
cold]
PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus

520 100225010321P000 03-09-2021 09-03-2021 0000497952022 IMAS P
219 10:45
521 100225010321P000 03-09-2021 09-03-2021 0000498013751 SANTI P
215 10:24
522 100225010321P000 03-09-2021 16-03-2021 0000498382391 ASEP GUNAWAN L
335 09:30
224 14:19
524 100225010321P000 03-09-2021 09-03-2021 0001674989548 TUTI KARTINI P
222 14:17
525 100225010321P000 03-09-2021 09-03-2021 0001819108541 dendi rusita L
206 10:16
526 100225010321P000 03-09-2021 09-03-2021 0001864772561 MUHAMMAD REZA ARIO BIMO L

225 21:43
527 100225010321P000 03-09-2021 09-03-2021 0001868706898 NISA ELIPUSPITA P

223 14:18
528 100225010321P000 03-09-2021 09-03-2021 0001969118469 ADI SETIADI L

221 10:47
529 100225010321P000 03-09-2021 09-03-2021 0002076430893 TITIN AMINAH P

212 10:20
100225010321P000 09-03-2021
530 220 03-09-2021 10:46 0002230501296 alyya nur abidah P
531 100225010321P000 03-09-2021 09-03-2021 0002393319003 EDI SETIA NUR.,IR L

214 10:22
532 100225010321P000 03-09-2021 09-03-2021 0002462554528 WARTIKA P
211 10:20
533 100225010321P000 03-09-2021 09-03-2021 0002480861654 SUSI LOWATI P

202 08:15
534 100225010321P000 03-09-2021 09-03-2021 0002710173655 RINA P
210 10:19
100225010321P000 09-03-2021
535 216 03-09-2021 10:41 0002878024983 RENI P
536 100225010321P000 03-08-2021 08-03-2021 0000053204804 UJANG ASMARANUDIN L

172 10:48
537 100225010321P000 03-08-2021 08-03-2021 0000058505297 YAYA SUNARYA L
158 08:59
538 100225010321P000 03-08-2021 08-03-2021 0000058526414 DATI SUDASTI P

170 10:37
cold]
cold]

PEGAWAI SWASTA Acute pharyngitis Berobat Jalan
PNS DAERAH Other superficial mycoses Rujuk Vertikal

tissues
PEGAWAI SWASTA Low back pain Berobat Jalan
PEGAWAI SWASTA Acute upper respiratory infections

PEGAWAI SWASTA Disorders of vestibular function Berobat Jalan
PEGAWAI SWASTA Moderate pre-eclampsia Rujuk Vertikal
PBI (APBN) Acute conjunctivitis, unspecified Berobat Jalan
PEKERJA MANDIRI Other specified disorders of teeth

and supporting structures Berobat Jalan
PNS DAERAH Secondary hypertension Rujuk Vertikal
PNS DAERAH Dyspnoea Rujuk Vertikal

539 100225010321P000 03-08-2021 15-03-2021 0000058575802 YOYO SUTARDI L
287 08:36
540 100225010321P000 03-08-2021 08-03-2021 0000416117204 ADE WIDANINGSIH P
168 10:08
541 100225010321P000 03-08-2021 08-03-2021 0000497044462 IIM P
157 08:55
542 100225010321P000 03-08-2021 09-03-2021 0000497568069 CHIKA NOER DWI P
209 10:19 CAHAYANINGRAT
543 03-08-2021 0000497603261 P
100225010321P000 08-03-2021
ANISA LUTFIA FITRIYANSYAH
189 12:04
544 100225010321P000 03-08-2021 08-03-2021 0000497672548 SAEPUDIN L

163 09:35
545 100225010321P000 03-08-2021 08-03-2021 0000497779277 CUCU SUMIRAT P

190 12:05
546 100225010321P000 03-08-2021 08-03-2021 0000497781459 SUMINAR P

191 12:11
547 100225010321P000 03-08-2021 08-03-2021 0000498028825 DARMINI P

197 13:01
100225010321P000 08-03-2021
548 161 03-08-2021 09:21 0000498318309 MINTARSIH P
549 100225010321P000 03-08-2021 08-03-2021 0000498380016 IDA RESMIATI P

165 09:56
550 100225010321P000 03-08-2021 08-03-2021 0000498415803 RUSLI L

150 08:10
551 100225010321P000 03-08-2021 08-03-2021 0000498498851 ADE KOSWARA L
160 09:12
552 100225010321P000 03-08-2021 08-03-2021 0000498519977 SITI RUKMINI P

175 11:07
553 100225010321P000 03-08-2021 08-03-2021 0000498605872 HASAN L
152 08:26
554 100225010321P000 03-08-2021 08-03-2021 0000498606129 PEPIN SUMARTINI P

151 08:20
555 100225010321P000 03-08-2021 08-03-2021 0001012483844 DANU WAWAN SUPRIATNA L

164 09:51
556 100225010321P000 03-08-2021 08-03-2021 0001012486217 MIMIN P

155 08:45
- Atrial fibrillation and flutter Berobat Jalan Hipertensi Hipertensi
PBI (APBN) Other benign neoplasm of Berobat Jalan

head, face and neck
PBI (APBN) Senile cataract Rujuk Vertikal
PEGAWAI SWASTA Headache Berobat Jalan

tissues
Maternal care for malpresentation

PBI (APBN) of fetus, unspecified Rujuk Vertikal
PBI (APBN) Sleep disorder, unspecified Rujuk Vertikal
PBI (APBN) Epilepsy Rujuk Vertikal
PBI (APBD) Epilepsy Rujuk Vertikal
PBI (APBN) Congestive heart failure Rujuk Vertikal

557 100225010321P000 03-08-2021 08-03-2021 0001012492866 ADE SUKAESIH P
183 11:45
558 100225010321P000 03-08-2021 08-03-2021 0001014633191 DIDIN JAENUDIN L
179 11:25
201 13:08
100225010321P000 08-03-2021
560 196 03-08-2021 12:30 0001148618632 AGUS UMAR L
561 100225010321P000 03-08-2021 08-03-2021 0001313834409 BURHANUDIN L

174 10:53
562 100225010321P000 03-08-2021 08-03-2021 0001483005846 TOTO P
169 10:16
563 100225010321P000 03-08-2021 08-03-2021 0001515626368 YATI DARYATI P
167 10:02
564 100225010321P000 03-08-2021 08-03-2021 0001515641466 M.A. Sudarna L

173 10:48
565 100225010321P000 03-08-2021 08-03-2021 0001517997666 TISAM WIDYA THALIB P
198 13:03
566 100225010321P000 03-08-2021 08-03-2021 0001517997677 MUHAMMAD RIDZAL EL L

199 13:05 FARRIQ
100225010321P000 08-03-2021
567 166 03-08-2021 09:59 0001665495191 ENTAY SUKARNA L

186 11:51
569 100225010321P000 03-08-2021 08-03-2021 0001665528759 NURHAYATI P

192 12:17
570 100225010321P000 03-08-2021 08-03-2021 0001665528794 INTAN NURAENI P

194 12:21
100225010321P000 08-03-2021
571 149 03-08-2021 07:50 0001808292172 JAJAT SUGIANTO L
572 100225010321P000 03-08-2021 08-03-2021 0001852265441 UPIT P

188 12:01
100225010321P000 08-03-2021
573 185 03-08-2021 11:49 0001854585516 MARIANAH P
574 100225010321P000 03-08-2021 08-03-2021 0001960040261 ati CUARTIAH P

154 08:40
ANGGOTA POLRI Dental caries Berobat Jalan
PEKERJA MANDIRI General medical examination Diabetes Mellitus

Berobat Jalan Hipertensi
PEGAWAI SWASTA Abscess of anal and rectal regions Rujuk Vertikal
- Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus

tissues

tissues
PBI (APBD) carbuncle, unspecified Berobat Jalan
PBI (APBD) Malignant neoplasm of breast Berobat Jalan
PBI (APBD) Scabies Berobat Jalan
PEKERJA MANDIRI Diabetes Mellitus

Secondary hypertension Berobat Jalan Hipertensi
PEKERJA MANDIRI Other headache syndromes Berobat Jalan
Non-insulin-dependent diabetes Diabetes Mellitus

- mellitus with multiple Rujuk Vertikal
complications

575 100225010321P000 03-08-2021 08-03-2021 0002071791257 MAMAD L
193 12:19
576 100225010321P000 03-08-2021 08-03-2021 0002210594589 E ROHAETI P
182 11:43
577 100225010321P000 03-08-2021 08-03-2021 0002219179173 A. MAMAN L
171 10:41
578 03-08-2021 0002445996958 DENI SETYA BUDHI L
100225010321P000 08-03-2021
180 11:27
100225010321P000 08-03-2021
579 162 03-08-2021 09:26 0002487633906 UJAT L
580 100225010321P000 03-08-2021 08-03-2021 0002489765321 SURYATNA L

187 11:55
581 100225010321P000 03-08-2021 08-03-2021 0002745751419 SARIAH P
181 11:29
582 100225010321P000 03-08-2021 08-03-2021 0002751310664 ARIF FAJAR ILMAWAN L

200 13:07
583 100225010321P000 03-08-2021 08-03-2021 0002797688362 SARIMANAH P
195 12:22
584 100225010321P000 03-08-2021 08-03-2021 0002856669197 RINI ROHAETI P

184 11:47
585 100225010321P000 03-08-2021 08-03-2021 0002872580499 NENDA ANDRIYANTI P
156 08:48
586 100225010321P000 03-08-2021 08-03-2021 0003051040882 BAYI NYONYA DANIA L

159 09:10
587 100225010321P000 03-07-2021 07-03-2021 0001012491461 SANTI P
147 10:42
588 100225010321P000 03-07-2021 07-03-2021 0001012491461 SANTI P

148 16:05
589 100225010321P000 03-06-2021 09-03-2021 0000058505297 YAYA SUNARYA L
208 10:18
590 100225010321P000 03-06-2021 08-03-2021 0000496698265 ADING BADIGAL L

177 11:21
591 100225010321P000 03-06-2021 08-03-2021 0001675028619 HERNAYANTI P

178 11:22
592 100225010321P000 03-06-2021 08-03-2021 0002279535388 NUNUNG TUTIH P

176 11:08
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal
KEPALA DESA DAN Asthma Berobat Jalan

PERANGKAT DESA

- haemorrhage or infarction Berobat Jalan
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan

tissues
PBI (APBN) Pneumonia, unspecified Rujuk Vertikal
PEKERJA MANDIRI Atrial septal defect Rujuk Vertikal
PNS DAERAH Radiculopathy Berobat Jalan

cold]
PBI (APBD) Low back pain Berobat Jalan
- Vertigo of central origin Berobat Jalan

593 100225010321P000 03-06-2021 06-03-2021 0002327164029 AI DARMILAH P
146 08:50
100225010321P000 09-03-2021
594 207 03-06-2021 10:17 0002797684569 RAHMAT L
595 100225010321P000 03-05-2021 05-03-2021 0000053110192 ANTO SUHARTO L

132 09:41
596 100225010321P000 03-05-2021 05-03-2021 0000058254603 ERNAWATI P

129 09:22
100225010321P000 05-03-2021
597 130 03-05-2021 09:33 0000058505275 BARYAT L

126 08:54
599 100225010321P000 03-05-2021 05-03-2021 0000497947746 TITIN P
138 09:53
600 100225010321P000 03-05-2021 05-03-2021 0000498411461 DUDI HERMAWAN L

135 09:51
601 100225010321P000 03-05-2021 05-03-2021 0000498645044 KOMARUDIN L
143 10:06
602 100225010321P000 03-05-2021 05-03-2021 0001012486432 NENG ELA P

128 09:16
603 100225010321P000 03-05-2021 05-03-2021 0001277458672 BOY SUNARYA L
140 09:56
604 100225010321P000 03-05-2021 05-03-2021 0001311608474 IIN INSAF L

137 09:53

144 10:06
606 100225010321P000 03-05-2021 05-03-2021 0001515641466 M.A. Sudarna L

125 08:49

136 09:52
608 100225010321P000 03-05-2021 05-03-2021 0001665502738 S. MUHAMMAD FARHAN L
142 10:04 FAWWAJ GANDARA
609 100225010321P000 03-05-2021 05-03-2021 0002258286017 ADE SUKMAWATI P

131 09:39
610 100225010321P000 03-05-2021 05-03-2021 0002310869417 ALLIA KURNIA RAMDHANIAH P
124 08:46
pulmonary disease
PENERIMA PENSIUN Insulin-dependent diabetes mellitus Berobat Jalan

PNS
PENERIMA PENSIUN Status asthmaticus Rujuk Vertikal

TNI
Chronic obstructive pulmonary

PNS DAERAH disease, unspecified Rujuk Vertikal
PBI (APBN) Acute lymphadenitis of upper limb Berobat Jalan
PBI (APBN) Acute nasopharyngitis [common Berobat Jalan Diabetes Mellitus

cold]
PBI (APBN) Congestive heart failure Berobat Jalan Diabetes Mellitus
PBI (APBN) Endometriosis of ovary Rujuk Vertikal

cold]
PBI (APBD) Migraine Berobat Jalan

tissues
PEGAWAI SWASTA Rheumatism, unspecified Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Rujuk Vertikal Diabetes Mellitus
PNS PUSAT Acute sinusitis Berobat Jalan

100225010321P000 05-03-2021
611 145 03-05-2021 10:07 0002327164029 AI DARMILAH P
612 100225010321P000 03-05-2021 05-03-2021 0002328225388 MASTOAH P

134 09:50
613 100225010321P000 03-05-2021 05-03-2021 0002423391142 KARTINAH P

141 09:59
614 100225010321P000 03-05-2021 05-03-2021 0002591866585 SUTISNA L

133 09:47
615 100225010321P000 03-05-2021 05-03-2021 0002745751419 SARIAH P

139 09:54
616 100225010321P000 03-05-2021 05-03-2021 0002797678754 OPO P
127 09:01
617 100225010321P000 03-05-2021 05-03-2021 0002864065149 DEDE SAHYADI L
123 08:42
618 100225010321P000 03-04-2021 04-03-2021 0000497913603 SILVIA CAHYANI P

118 09:39
100225010321P000 04-03-2021
619 115 03-04-2021 08:37 0000498065308 KOKOM KOMARIAH P
620 100225010321P000 03-04-2021 04-03-2021 0000498320414 IMAS EVI P

120 09:42
119 09:41
622 100225010321P000 03-04-2021 04-03-2021 0000498664337 YENI SUSANTI P

122 11:05
623 100225010321P000 03-04-2021 04-03-2021 0001081604125 DADANG JUHANA L

116 08:57
624 100225010321P000 03-04-2021 04-03-2021 0001466682658 DEDE ROSADI L

117 09:36
100225010321P000 04-03-2021
625 121 03-04-2021 09:44 0002503334046 bayi ny. IMAS EVI P
626 100225010321P000 03-04-2021 04-03-2021 0002612618234 ANISA RAHMADANI P

114 07:56
627 100225010321P000 03-03-2021 03-03-2021 0000058512183 ELIS SUHAYATI SPD P

091 09:44
628 100225010321P000 03-03-2021 03-03-2021 0000497540621 KARTINI P
080 08:40
- Other tetanus Berobat Jalan
- Schizophrenia, unspecified Rujuk Vertikal
PBI (APBN) Coronary artery aneurysm Rujuk Vertikal

cold]
PBI (APBN) Fever, unspecified Berobat Jalan
Diabetes Mellitus
PBI (APBN) End-stage renal disease Rujuk Vertikal
- Chronic ischaemic heart disease Berobat Jalan
- Dermatitis, unspecified Berobat Jalan

PBI (APBN) carbuncle, unspecified Berobat Jalan
- Carpal tunnel syndrome Rujuk Vertikal Hipertensi Hipertensi
PBI (APBN) Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

629 100225010321P000 03-03-2021 03-03-2021 0000497583404 TATA MUSTOFA L
101 10:47
100225010321P000 03-03-2021
630 100 03-03-2021 10:46 0000498034258 MILA PRAWIJAYA P
631 100225010321P000 03-03-2021 03-03-2021 0000498034844 MUNJI L

102 10:48
632 100225010321P000 03-03-2021 03-03-2021 0000498052304 OO L

112 11:43
633 100225010321P000 03-03-2021 03-03-2021 0000498071261 AGI P

107 10:54
634 100225010321P000 03-03-2021 03-03-2021 0000498104897 ADING L
085 09:21
635 100225010321P000 03-03-2021 03-03-2021 0000498141459 SITI KARLIAH P
092 10:20
636 100225010321P000 03-03-2021 03-03-2021 0000498288431 NUR NOVIANTI P

086 09:22
100225010321P000 03-03-2021
637 106 03-03-2021 10:53 0000498487858 JAJANG SUPRIYATNA L
638 100225010321P000 03-03-2021 03-03-2021 0000498493934 MAEMUNAH P

084 09:12
100225010321P000 03-03-2021
639 110 03-03-2021 10:57 0000498888101 EUIS WININGSIH P
640 100225010321P000 03-03-2021 03-03-2021 0001012487049 HALIMI L

078 08:22
641 100225010321P000 03-03-2021 03-03-2021 0001012489378 ANAH ROHANAH P

090 09:42
642 100225010321P000 03-03-2021 03-03-2021 0001012495239 KARTINI P
089 09:35

104 10:51
644 100225010321P000 03-03-2021 03-03-2021 0001466219632 WIDI OCTAMI P
075 01:03
645 100225010321P000 03-03-2021 03-03-2021 0001665528783 NENG SITI RODIAH P

097 10:30
646 100225010321P000 03-03-2021 03-03-2021 0001675015391 AMIN L
098 10:43
PBI (APBN) Dilated cardiomyopathy Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus

PBI (APBN) of multiple and unspecified sites Berobat Jalan

cold]
- Gonarthrosis, unspecified Rujuk Vertikal

tissues
Respiratory tuberculosis,
PBI (APBN) bacteriologically and histologically Berobat Jalan
confirmed
Seropositive rheumatoid arthritis Diabetes Mellitus

PBI (APBD) Berobat Jalan Hipertensi
PBI (APBN) Senile cataract, unspecified Rujuk Vertikal
PBI (APBN) Angina pectoris, unspecified Rujuk Vertikal
PEGAWAI BUMN Postpartum care and examination Berobat Jalan
- Postpartum haemorrhage Berobat Jalan
PBI (APBD) Heart failure, unspecified Berobat Jalan

100225010321P000 03-03-2021
647 095 03-03-2021 10:24 0001675028002 BUDI SAEPUDIN L

082 08:53
649 100225010321P000 03-03-2021 03-03-2021 0002040627699 YETI KURNIAWATI P

087 09:24
650 100225010321P000 03-03-2021 03-03-2021 0002040627925 IBRAHIM NUR L

077 08:18 HIDAYATTULLOH
651 100225010321P000 03-03-2021 03-03-2021 0002071791257 MAMAD L

109 10:56
100225010321P000 03-03-2021
652 093 03-03-2021 10:21 0002087669024 een suhenah P
653 100225010321P000 03-03-2021 03-03-2021 0002262617357 TATI P

081 08:52
654 100225010321P000 03-03-2021 03-03-2021 0002489765321 SURYATNA L

111 10:58
655 100225010321P000 03-03-2021 03-03-2021 0002498720646 PIPIT APRILIANI P
105 10:52
100225010321P000 03-03-2021
656 094 03-03-2021 10:23 0002622649026 RINA YULIANAWATI P
657 100225010321P000 03-03-2021 03-03-2021 0002840003627 AGUS JUHARA L

088 09:32
658 100225010321P000 03-03-2021 03-03-2021 0002897961142 JUNAEDY DARMAN L
079 08:33
659 100225010321P000 03-03-2021 03-03-2021 0002902673992 RATNA P

076 08:00
660 100225010321P000 03-03-2021 03-03-2021 0002910325285 M. AZKA AL KHALIFA L
099 10:44

108 10:55
662 100225010321P000 03-03-2021 03-03-2021 0003056551874 PITRIAH P

103 10:49
663 03-03-2021 0003071940491 P

100225010321P000 03-03-2021 BAYI NYONYA NENG SITI
096 10:29 RODIAH
PBI (APBD) edentulous alveolar ridge Berobat Jalan
- Senile cataract, unspecified Rujuk Vertikal

cold]
PEKERJA MANDIRI Other disorders of gingiva and

cold]
PEGAWAI SWASTA Other disorders of gingiva and

- Inguinal hernia Rujuk Vertikal
PEKERJA MANDIRI Secondary hypertension Rujuk Vertikal

cold]
PBI (APBN) Other symptoms and signs Berobat Jalan

abdomen
PBI (APBD) Other symptoms and signs Berobat Jalan

abdomen
664 100225010321P000 03-02-2021 02-03-2021 0000056567147 SRI SADIAH P
041 10:11
100225010321P000 02-03-2021
665 022 03-02-2021 08:38 0000165407141 AGINTA RION PUTRA L
100225010321P000 02-03-2021
666 038 03-02-2021 10:05 0000416117204 ADE WIDANINGSIH P
667 100225010321P000 03-02-2021 02-03-2021 0000497109519 KARMI P

035 10:02
100225010321P000 02-03-2021
668 024 03-02-2021 09:06 0000497689615 NYAI RIPNIATI P
669 100225010321P000 03-02-2021 02-03-2021 0000497760028 YATI P

034 10:00
100225010321P000 02-03-2021
670 040 03-02-2021 10:08 0000497867106 SAEPUL MUHAER L
671 100225010321P000 03-02-2021 02-03-2021 0000498009148 CUCU HAYATI P

031 09:58
672 100225010321P000 03-02-2021 02-03-2021 0000498061675 SURYANA L

052 11:23
673 100225010321P000 03-02-2021 02-03-2021 0000498062316 CUCU DARIAH P
037 10:03
674 100225010321P000 03-02-2021 02-03-2021 0000498141459 SITI KARLIAH P

048 11:17
675 100225010321P000 03-02-2021 02-03-2021 0000498320403 SUSILAWATI P
036 10:03
100225010321P000 02-03-2021
676 051 03-02-2021 11:22 0000498353679 NENI KARTIWI P
677 100225010321P000 03-02-2021 02-03-2021 0001012487883 ROHAYA L

020 08:12
678 100225010321P000 03-02-2021 02-03-2021 0001012488118 MUHAMMAD FAJAR S F L

021 08:30
100225010321P000 02-03-2021
679 050 03-02-2021 11:20 0001012488715 AYI RUSJANA L
680 100225010321P000 03-02-2021 03-03-2021 0001466219632 WIDI OCTAMI P

074 00:55
- Disorders of vestibular function Berobat Jalan
PENERIMA PENSIUN Systemic lupus erythematosus,

PNS unspecified Rujuk Vertikal

Unspecified diabetes mellitus Diabetes Mellitus Diabetes Mellitus

PBI (APBN) Berobat Jalan Hipertensi
Hypertensive heart disease with

PBI (APBN) (congestive) heart failure Rujuk Vertikal


tissues

PEGAWAI SWASTA Other disorders of gingiva and

PEGAWAI BUMN Single spontaneous delivery Sembuh

681 100225010321P000 03-02-2021 02-03-2021 0001467083799 UU KOMARA P
019 08:07
682 100225010321P000 03-02-2021 02-03-2021 0001483246304 NANIN RIYANI P
030 09:57
683 03-02-2021 0001518957347 LUKY YULIASWATI P
100225010321P000 02-03-2021
029 09:57
684 100225010321P000 03-02-2021 02-03-2021 0001524169664 MUHAMAD FAHRI ALFARIZI P

047 11:16
685 100225010321P000 03-02-2021 02-03-2021 0001674989548 TUTI KARTINI P
049 11:19
686 100225010321P000 03-02-2021 08-03-2021 0001833753251 sumiati P
153 08:30
687 100225010321P000 03-02-2021 02-03-2021 0002076822718 desi nur revalia P

025 09:12
688 100225010321P000 03-02-2021 02-03-2021 0002226179676 RAFARDHAN SIROZUDIN L

042 10:14 ZUMHUR
100225010321P000 02-03-2021
689 026 03-02-2021 09:17 0002273701318 HJ. SUMARNAH P
690 100225010321P000 03-02-2021 02-03-2021 0002628181383 ADINDA KINTAN SALSABILA P

039 10:07
691 100225010321P000 03-02-2021 02-03-2021 0002767449554 RIKI RAMADHAN L
043 10:17
692 03-02-2021 0002870013328 RAHMAT HIDAYAT L

100225010321P000 02-03-2021
027 09:19
693 100225010321P000 03-02-2021 02-03-2021 0002875754608 SOFIYAH P

032 09:59
694 100225010321P000 03-01-2021 02-03-2021 0000058327255 ENTIN KARTINI P

060 11:30
695 100225010321P000 03-01-2021 02-03-2021 0000497109519 KARMI P
046 11:13
696 100225010321P000 03-01-2021 02-03-2021 0000497141673 LILI KOMARIAH P

066 11:34
697 100225010321P000 03-01-2021 01-03-2021 0000497557225 YADI L

003 08:17
- Diarrhoea and gastroenteritis of Berobat Jalan


- Gonarthrosis [arthrosis of knee] Rujuk Vertikal Diabetes Mellitus Diabetes Mellitus
Diabetes Mellitus

cold]
- Cerebral palsy Rujuk Vertikal
PBI (APBN) Neoplasm of uncertain or unknown Rujuk Vertikal

behaviour of other and unspecified
sites

cold]

PNS

698 100225010321P000 03-01-2021 02-03-2021 0000497672548 SAEPUDIN L
055 11:28
100225010321P000 02-03-2021
699 068 03-01-2021 11:35 0000498092488 YETI SUMIATI P
700 100225010321P000 03-01-2021 02-03-2021 0000498345748 ACEP L

064 11:32
701 100225010321P000 03-01-2021 02-03-2021 0000498415803 RUSLI L

054 11:27

013 10:05
045 11:12
002 07:57
705 100225010321P000 03-01-2021 01-03-2021 0001298820914 TATI SUMIATI P

009 09:10
706 100225010321P000 03-01-2021 01-03-2021 0001321516956 H. DINTAYA L
007 08:57
707 100225010321P000 03-01-2021 01-03-2021 0001514779918 JIHAN FADILLA RAMDINI P

016 11:41
708 100225010321P000 03-01-2021 02-03-2021 0001665495191 ENTAY SUKARNA L
067 11:34
709 100225010321P000 03-01-2021 01-03-2021 0001665497676 DANA L

010 09:21
100225010321P000 02-03-2021
710 056 03-01-2021 11:29 0001665527376 KARINA HERAWATI P
711 100225010321P000 03-01-2021 02-03-2021 0001665529097 JANUAR S L

058 11:29

005 08:54
713 100225010321P000 03-01-2021 02-03-2021 0001675009462 LILIS S P
062 11:31
714 100225010321P000 03-01-2021 02-03-2021 0001675022837 SUPARMAN L

044 11:10
071 11:36
716 100225010321P000 03-01-2021 02-03-2021 0001816942072 ELIS SUMARTINI P

061 11:31


cold]

cold]
ANGGOTA POLRI Visual disturbance, unspecified Rujuk Vertikal
PEKERJA MANDIRI Stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Anxiety disorder, unspecified Rujuk Vertikal
PBI (APBD) Congestive heart failure Berobat Jalan

PBI (APBD) Dyspepsia Berobat Jalan
PBI (APBD) Congestive heart failure Rujuk Vertikal

717 100225010321P000 03-01-2021 01-03-2021 0001816944388 MUHAMMAD RIZKY L
017 11:48 ARDIANSYAH
718 100225010321P000 03-01-2021 01-03-2021 0001900462307 enos jubaedah P
012 10:00
719 100225010321P000 03-01-2021 01-03-2021 0002056105618 IROS. P
006 08:56
720 100225010321P000 03-01-2021 02-03-2021 0002056596401 jajang suryana L
069 11:35
721 100225010321P000 03-01-2021 02-03-2021 0002058564778 YATI MARYAWATI P
059 11:30
722 100225010321P000 03-01-2021 01-03-2021 0002462554528 WARTIKA P
001 06:59
723 100225010321P000 03-01-2021 01-03-2021 0002499984731 KOMANAH P

004 08:28
724 100225010321P000 03-01-2021 01-03-2021 0002592522527 MIMIN P

014 10:22
725 100225010321P000 03-01-2021 02-03-2021 0002633990455 AYA ROHAYA P

053 11:26
100225010321P000 02-03-2021 MUHAMAD ZIDAN FADILAH

726 065 03-01-2021 11:32 0002772825219 L
727 100225010321P000 03-01-2021 01-03-2021 0002797680993 ELIS SUMIYATI P

008 09:04
100225010321P000 02-03-2021
728 057 03-01-2021 11:29 0002797684569 RAHMAT L
729 100225010321P000 03-01-2021 02-03-2021 0002797688338 IMAS WASIH P

070 11:36
730 100225010321P000 03-01-2021 02-03-2021 0002797688362 SARIMANAH P

073 11:37
731 100225010321P000 03-01-2021 03-03-2021 0002797691062 SHIENTHA YULIYANTI P

113 19:03
732 100225010321P000 03-01-2021 01-03-2021 0002797710131 WIWIN P
011 09:24
733 100225010321P000 03-01-2021 02-03-2021 0002840004617 UMI P

072 11:37
734 100225010321P000 03-01-2021 02-03-2021 0002860306931 HADA L
063 11:31
cold]
PBI (APBN) Parkinson's disease Rujuk Vertikal
PEKERJA MANDIRI Routine postpartum follow-up Berobat Jalan
- Unspecified diabetes mellitus Rujuk Vertikal

PBI (APBN) Benign neoplasm of unspecified Rujuk Vertikal

site
Systemic lupus erythematosus,

- unspecified Berobat Jalan

cold]
PBI (APBN) Respiratory tuberculosis, not Rujuk Vertikal

confirmed bacteriologically or
histologically

cold]
100225010321P000 01-03-2021
735 018 03-01-2021 11:50 0002864062787 FITRI NURAENI P
736 100225010321P000 03-01-2021 01-03-2021 0003068819774 BAYI NYONYA ISAH L

015 10:46
PBI (APBN) of multiple and unspecified sites Berobat Jalan
PBI (APBN) Dyspnoea Rujuk Vertikal

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Kant

PEGAWAI SWASTA Acute upper respiratory infections Berobat Jalan

- Other disorders of gingiva and Berobat Jalan

PBI (APBN) Schizophrenia Rujuk Vertikal

PENERIMA PENSIUN Essential (primary) hypertension Berobat Jalan

PBI (APBN) Sequelae of stroke, not specified as Rujuk Vertikal

- Diseases of pulp and periapical Rujuk Vertikal

PEGAWAI SWASTA Hyperkinetic disorder, unspecified Rujuk Vertikal

PEGAWAI SWASTA Routine postpartum follow-up Berobat Jalan

PEGAWAI SWASTA Diarrhoea and gastroenteritis of Berobat Jalan

- Sequelae of stroke, not specified as Rujuk Vertikal

PEKERJA MANDIRI Community Acquired Pneumonia Rujuk Vertikal

PBI (APBN) Human immunodeficiency virus Rujuk Vertikal

- Other disorders of gingiva and Berobat Jalan

PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan

PBI (APBD) Essential (primary) hypertension Berobat Jalan Diabetes Mellitus

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBN) Other disorders of gingiva and Berobat Jalan

- Chronic myeloid leukaemia Rujuk Vertikal

- Acute upper respiratory infections Berobat Jalan

- Other surgical follow-up care Rujuk Vertikal

PBI (APBN) Other complications of surgical Berobat Jalan

- Pleural effusion, not elsewhere Rujuk Vertikal

- Acute upper respiratory infections Berobat Jalan

PEKERJA MANDIRI Acute upper respiratory infections Berobat Jalan

PBI (APBD) Acute upper respiratory infections Berobat Jalan

- Antepartum haemorrhage, not Rujuk Vertikal

- Chest pain, unspecified Rujuk Vertikal

- Postprocedural disorders of eye Rujuk Vertikal

PBI (APBN) African trypanosomiasis Berobat Jalan

PEGAWAI SWASTA Diarrhoea and gastroenteritis of Berobat Jalan

- Tuberculosis of bones and joints Rujuk Vertikal

PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal

- Haemorrhoids Berobat Jalan

PBI (APBN) Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBN) Other headache syndromes Berobat Jalan

PBI (APBN) Dyspepsia Berobat Jalan Diabetes Mellitus Diabetes Mellitus

PBI (APBN) Routine postpartum follow-up Berobat Jalan

PBI (APBN) Cutaneous abscess, furuncle and Berobat Jalan

- Benign paroxysmal vertigo Berobat Jalan Diabetes Mellitus

PBI (APBD) Acute upper respiratory infections Berobat Jalan

PEKERJA MANDIRI Ascites Rujuk Vertikal

PBI (APBN) Radiculopathy, lumbar region Rujuk Vertikal

PBI (APBD) Secondary hypertension Rujuk Vertikal Diabetes Mellitus

PBI (APBN) Acute nasopharyngitis [common Berobat Jalan

PNS DAERAH Hypertensive heart disease Rujuk Vertikal

PBI (APBN) Dyspepsia Berobat Jalan

- Non-insulin-dependent diabetes Rujuk Vertikal Diabetes Mellitus

PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan

- Other chronic obstructive Berobat Jalan

- Other disorders of gingiva and Berobat Jalan

PBI (APBN) Secondary hypertension Berobat Jalan Diabetes Mellitus Hipertensi

PBI (APBN) Cutaneous abscess, furuncle and Berobat Jalan

PBI (APBN) Acute upper respiratory infections Berobat Jalan

PBI (APBN) Respiratory tuberculosis, Berobat Jalan

PBI (APBD) Seropositive rheumatoid arthritis Berobat Jalan Diabetes Mellitus

- Disorders of vestibular function Berobat Jalan

PBI (APBN) Hypertensive heart disease with Rujuk Vertikal

PBI (APBN) Other disorders of gingiva and Berobat Jalan

- Secondary hypertension Berobat Jalan Hipertensi Hipertensi

- Secondary hypertension Berobat Jalan Hipertensi Diabetes Mellitus

PBI (APBN) Essential (primary) hypertension Berobat Jalan